692 Chain-Owned Nursing Homes in Ohio

Nurse hours

3.04 /day

Staff turnover

48%

Serious cites

0

Ayden Healthcare of Piqua runs about 3.04 nurse hours per resident day, roughly 21% under the national average, and weekend coverage drops another 11% below its own weekday level, so the thinnest shifts are when families tend to visit. Staff turnover sits at 48.1%, slightly above the national rate, meaning nearly half the nursing staff turns over in a year. The inspection record is the heavier concern: 41 deficiencies, seven tied to abuse and two serious enough to put residents at risk of harm. A $19,890 fine and a June 2025 inspection round out the picture. The quality measure rating looks better than the staffing and inspection scores suggest, but federal quality scores are drawn from self-reported assessment data, while the deficiency record is what surveyors found on site.

Nurse hours

3.21 /day

Staff turnover

47%

Serious cites

0

Nurse staffing at Willows Health and Rehab runs about 3.21 hours per resident day, roughly 17 percent under the national average, and weekends dip another 9 percent below its own weekday level. That thin coverage shows up in the federal staffing rating, which sits near the bottom of the scale. The inspection record carries 25 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $39,683 fine, though the most recent visit was in May 2024. Turnover at 46.8 percent is essentially the national rate. Quality measure scores are strong, but that's a self-reported area, and it's worth asking how the home keeps those numbers up when the floor is this lean.

Nurse hours

3.40 /day

Staff turnover

62%

Serious cites

0

Mentor Hills runs 147 beds under a for-profit LLC, and its staffing is the number to sit with. At 3.40 nurse hours per resident day, it's about 12% under the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 62.1% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The current record shows 35 deficiencies, including one at the harm level and four tied to abuse. Recent inspection, February 2025. Quality measures look solid, but staffing and that deficiency history are what pull the overall picture down.

Nurse hours

3.10 /day

Staff turnover

51%

Serious cites

0

Ayden Healthcare of Fairfield runs 90 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident per day, roughly a fifth below the national average, and weekends dip another 8 percent below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 51.4 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. Its current inspection record carries 59 deficiencies, including two at the level where harm or jeopardy to residents was found and three tied to abuse. One fine totaling $141,833 is on file. The last inspection was September 18, 2024.

Nurse hours

3.31 /day

Staff turnover

52%

Serious cites

0

Royal Oak runs about 3.31 nurse staffing hours per resident per day, which is roughly 14% under the national average, and weekends dip another 5% below its own weekday levels. More than half the nursing staff turned over in the past year. Inspectors have logged 21 deficiencies, two of them serious enough to put residents in harm's way, though none abuse-related, and the last visit was in March 2024. The 4/5 quality measure rating reflects how well the home scores on clinical measures like falls and infections, but those numbers sit on top of thin, unstable staffing. Ownership is a for-profit corporation. A C is a fair read here.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Embassy of Cambridge runs 95 certified beds under corporate ownership, and its staffing sits at 3.38 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the heavier problem: 91 deficiencies, including four at the harm or jeopardy level and six tied to abuse, plus four fines totaling $131,018. The last inspection was July 2025. Turnover of 40.3% is actually a bit better than the 45.8% national figure, and resident quality measures score well, but staffing and inspection ratings both land at the bottom of CMS's scale, and that combination is what drives the grade down.

Nurse hours

3.28 /day

Staff turnover

66%

Serious cites

0

Piketon Nursing Center runs 46 beds in Pike County, and its inspection history is genuinely solid, a recent April 2025 survey and high marks on health and quality measures. Where it slips is staffing. At 3.28 nurse hours per resident per day, it sits about 15% under the national average, with weekends running roughly 14% lighter than weekdays. That's the pattern families notice: fewer hands on Saturdays and Sundays. Annual turnover of 66%, against a national rate near 46%, means the aides and nurses caring for your relative are frequently new. The 48 deficiencies on record, including one at harm level and one abuse-related, are worth asking about directly.

Nurse hours

3.43 /day

Staff turnover

51%

Serious cites

0

Providence Care Center runs a 138-bed nonprofit home in Sandusky with about 3.43 nurse hours per resident day, roughly 11% under the national average, and weekends dip another 11% below its own weekday coverage. That thin staffing lines up with a 1-out-of-5 staffing rating and a 50.5% turnover rate, meaning half the nursing staff leaves within a year. Inspectors cited 41 deficiencies, none rising to harm or jeopardy, but six tied to abuse. The quality measure rating sits at 4 out of 5, and a May 2025 inspection is recent. The church affiliation doesn't change the math: care quality may look strong on paper, but the people providing it are stretched and cycling through fast.

Nurse hours

3.47 /day

Staff turnover

35%

Serious cites

0

Spring Meadows runs leaner on nursing hours than most homes, 3.47 per resident day against a national average of 3.86, with weekends dropping roughly another 11% below its own weekday staffing. The 28 deficiencies on record, including two at the harm level and two tied to abuse, suggest that thin coverage has shown up in practice, and the $63,072 in fines reflects it. Turnover at 35.1% is lower than the national 45.8%, which helps, but the staffing star rating of 2 out of 5 tells you CMS sees a real gap between what this building schedules and what residents need.

Nurse hours

4.05 /day

Staff turnover

64%

Serious cites

0

Heritagespring runs 144 certified beds in West Chester under corporate for-profit ownership, and its state inspection record is the first thing I'd flag. Thirteen deficiencies are on file, two of them serious enough to involve harm or jeopardy to a resident, plus one tied to abuse. Inspectors last visited in November 2025, so the picture is fairly current, and two fines totaling $40,745 have been levied. Nurse staffing looks decent on paper, 4.05 hours per resident day, slightly above the national average, but weekend coverage drops about 13% below weekday levels, and annual turnover sits at 63.5% against a national 45.8%. High churn with thinner weekend shifts is where care tends to slip.

Nurse hours

3.17 /day

Staff turnover

70%

Serious cites

0

Als Mount Vernon Inc runs 20 certified beds in Knox County, and its staffing is the part that stands out. Nurse hours come to 3.17 per resident day, roughly 18% under the national average of 3.86, and weekends drop about 5% below what the home already provides on weekdays. Annual turnover hits 70.4% against a national 45.8%, which means most of the people caring for residents this year likely won't be there next year. The inspection record shows 23 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Quality measures score well, but with that much churn and that few staff hours, the day-to-day consistency is the real question.

Nurse hours

3.36 /day

Staff turnover

55%

Serious cites

0

Meadow Grove runs a split personality. Inspectors have found 20 deficiencies on the current record, but none rose to harm or jeopardy, and none involved abuse, and the most recent visit was in March 2025, so the picture is current. Quality measures and inspections both score well above average. The staffing side is where it frays. At 3.36 nurse hours per resident day, this home runs about 13% under the national figure, and weekends dip another 5% below its own weekdays. Annual turnover of 55.1% sits nearly ten points above the national rate, which means the people at the bedside are often new. Corporate-owned and for-profit at 99 beds. Read the inspection record closely; watch the staffing.

Nurse hours

3.96 /day

Staff turnover

67%

Serious cites

0

Avenue At Broadview Heights runs 78 certified beds under corporate ownership, and its staffing ratio looks fine on paper, 3.96 nurse hours per resident day, a hair above the national average. But that average hides a real problem: weekends run about 11 percent thinner than weekdays, and 67 percent of staff turned over in a year against a national rate of 45.8 percent. The people caring for your family member keep changing. Inspectors have logged 46 deficiencies, three serious enough to risk harm and one tied to abuse, with the most recent visit in November 2024. Resident outcomes score well on paper, but consistent, familiar caregivers matter more day to day.

Nurse hours

3.87 /day

Staff turnover

57%

Serious cites

0

The Arc at Trotwood is a for-profit, limited-liability operation with 127 beds in Dayton, and its inspection record is the first thing to notice: 73 deficiencies, including two at the harm or jeopardy level and four tied to abuse. CMS gave it one star for health inspections and one star for staffing, even though its overall nurse staffing of 3.87 hours per resident day sits right at the national average of 3.86. That average hides a gap, weekend staffing runs about 16% below its own weekday level, and annual turnover is 57.4% against a national 45.8%. The quality measure star, 4 out of 5, is the one bright spot. The last inspection was May 2025.

Nurse hours

3.22 /day

Staff turnover

53%

Serious cites

0

Garden Park runs 60 beds in Cincinnati under corporate ownership, and its staffing numbers are the first thing to notice: 3.22 nurse hours per resident day against a national average of 3.86, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 53.1%, meaning more than half the nursing staff leaves each year. The inspection record shows why that matters, 52 deficiencies on file, three of them abuse-related, and a one-star health inspection rating despite a five-star quality measure score. Those quality numbers come from resident assessments, which can look strong even when the people documenting them are stretched thin. The last inspection was in August 2025, so the record is current. Worth asking about weekend coverage specifically.

Nurse hours

3.19 /day

Staff turnover

57%

Serious cites

0

Eagle Pointe runs on thin staffing, 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below what the home itself manages on weekdays. That matters most when family visits are scarcest and residents wait longer for help. The 57.1% annual turnover means more than half the nursing staff left within a year, against 45.8% nationally, so the people providing daily care keep changing. Twenty-seven deficiencies sit on the current record, four involving actual harm or jeopardy and six tied to abuse. A recent March 2025 inspection and strong marks on clinical quality measures don't erase those numbers. Ask hard questions about weekend coverage and who's actually on the floor.

Nurse hours

3.59 /day

Staff turnover

57%

Serious cites

0

Eastbrook runs on thin staffing. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 14% below its own weekday levels, meaning care gets leanest exactly when families tend to visit. Annual turnover of 57.1% is well above the 45.8% national figure, so the people caring for your relative are often new. The inspection history is heavier than you'd want: 43 deficiencies on record, including one at the harm level and one abuse-related, plus a $23,989 fine. Quality scores look strong on paper, but that staffing star tells the real story of what a shift actually feels like.

Nurse hours

2.95 /day

Staff turnover

63%

Serious cites

0

Lake Pointe runs on 2.95 nurse staffing hours per resident day, which is roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday level. Annual turnover sits at 63.2% against a national 45.8%, so the people caring for your family member are changing often. The record shows 29 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy, and the last inspection was in January 2026. Its quality measures score well; staffing does not. For-profit corporate ownership rounds out the picture.

Nurse hours

3.92 /day

Staff turnover

59%

Serious cites

0

The Pavilion At Piketon runs 155 certified beds under for-profit LLC ownership, and its inspection record looks decent on paper, a 4-out-of-5 health inspection rating and a clean 5 for quality measures, with the most recent survey done in April 2025. The staffing picture tells a different story. Total nurse hours sit at 3.92 per resident day, only slightly above the national average, and weekends drop about 10% below the home's own weekday coverage. That thin margin matters more when you see 59% annual turnover against a national average of 45.8%, and a staffing rating of 1 out of 5. Twenty-seven deficiencies are on the current record, including two at harm or jeopardy level and one abuse-related.

Nurse hours

3.13 /day

Staff turnover

46%

Serious cites

0

The staffing numbers at Arbors At Pomeroy run thin: 3.13 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. Turnover sits at 46%, essentially matching the national rate, so continuity isn't worse than typical, but the raw hours are. The inspection record is where the trouble concentrates: 56 deficiencies, four at harm or jeopardy level, six tied to abuse, and $66,911 in fines across three penalties, with the most recent inspection in February 2025. A for-profit limited liability company operates the 91-bed home. Quality measures score well; the staffing and inspection side is what drags it down.