692 of the 922 Medicare-certified nursing homes in Ohio (75%) are chain-owned, and all are listed below. They average 3.56 nursing hours per resident per day, 0.13 hours below the 3.69 for every home in Ohio. 42 of the 688 graded homes earn an A and 28 earn a D or F. Deupree Cottages in Cincinnati grades highest at A (99 out of 100).
How chain-owned homes in Ohio compare
This group set against every nursing home in Ohio, from the current CMS release.
Nursing hours per resident per day
3.56
All homes in Ohio: 3.69
Worse than the local average
Nurse staff turnover
48.6%
All homes in Ohio: 48.7%
Better than the local average
Average ElderGrade score
72/100
All homes in Ohio: 72.9/100
Worse than the local average
Grade spread
B
C
42 grade A, 405 grade B, 213 grade C, 28 grade D,
The best-graded chain-owned home in Ohio is
Deupree Cottages
in Cincinnati, OH — grade A,
99/100.
The Laurels of Huber Heights runs on thinner nursing coverage than most homes, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12 percent below its own weekday pace, when families tend to visit and problems tend to surface. Turnover is the bigger signal: 67.9 percent of nursing staff leaving annually, well above the 45.8 percent national figure, which means the people caring for residents are often new to the building. Its 32 deficiencies include six tied to abuse, though none rose to harm or jeopardy level, and the last full inspection was in August 2023. Resident care measures look strong; the staffing side is what pulls this for-profit home down.
Embassy Of Winchester runs 176 certified beds under corporate ownership, and its inspection record is the first thing that stands out: 81 deficiencies logged, six of them serious enough to cause harm or jeopardy, plus two tied to abuse. Federal fines total $198,607 across two penalties. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends run about 7% thinner than weekdays already are. Turnover is the one bright spot at 36.3%, better than the 45.8% national figure. Quality measure scores look strong on paper, but that contrast against the inspection history is worth asking about directly.
Northwood runs on thinner nursing coverage than most homes, 3.44 hours per resident day against a national average of 3.86, and weekends drop about another 10% below what it manages during the week. That's the pattern behind its one-star staffing rating, and with 58.1% annual turnover, roughly six in ten caregivers were replaced in a year. Inspectors have cited 39 deficiencies, including two at the harm level and two tied to abuse, with $34,976 in fines. The quality measures look strong, but those come largely from resident assessments the home reports, while the inspection and staffing scores rest on independent federal data.
The Convalarium of Dublin carries 60 deficiencies on its current record, including two at the harm or jeopardy level and four tied to abuse. That's the number that should worry you most, and it lines up with a one-star health inspection rating from CMS, meaning regulators have found serious, repeated problems here. Staffing sits at 3.98 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover is 46.4%, essentially matching the national rate, which means aides cycle through at a steady clip. The quality measure score looks strong, but inspections and abuse findings matter more.
Northwestern Healthcare Center runs 100 certified beds in Berea, and the staffing numbers are where the trouble starts: 3.45 nurse hours per resident day, about 11% under the national average, with weekends dipping roughly 8% below its own weekday level. That thin coverage shows up in the inspection record, too, 33 deficiencies on file, including four at the harm or jeopardy level and one tied to abuse, plus three fines totaling $152,195. Annual turnover sits at 60% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The quality measure stars look strong, and the most recent inspection was in August 2025, but a for-profit operator with this citation history and this much churn is worth a hard look before you decide.
Amherst Manor runs on thinner staffing than most homes its size. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 8% below its own weekday numbers, so the coverage gap widens exactly when families tend to visit. Annual turnover of 55.8% is ten points above the national rate, meaning the aides and nurses caring for residents are frequently new. The inspection record is current, with a March 2025 survey and 19 deficiencies, none rising to harm or abuse. Quality measures score well, but that one-star staffing rating is the number worth weighing against the 114 beds.
Centerville Post Acute runs about 3.01 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 9% below its own weekday coverage. That shortfall shows up in the staffing star rating, which sits at 1 out of 5 even though inspections and quality measures both come in at 4. Annual turnover is 59.4% against a national 45.8%, so nearly six in ten caregivers left last year, a rate that makes consistent care harder to hold onto. The current record carries 21 deficiencies, none at the harm level, one tied to abuse, with the most recent inspection in March 2025.
Majestic Care of Cedar Village runs 162 beds in Mason under for-profit, limited-liability ownership, and the numbers tell a mixed story. Nurses provide 3.19 hours per resident day, roughly 17% below the national average of 3.86, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Inspections paint a tougher picture: a 2/5 health inspection rating, 27 deficiencies on the current record including one at the harm level and two tied to abuse, plus a $62,205 fine. Staff turnover sits at 48.9%, above the 45.8% national average. Quality measures score 5/5, but that reflects resident outcomes, not the hands available to deliver care.
Continuing Healthcare at Beckett House runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record shows 46 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $44,060; the last inspection was June 12, 2025. Staff turnover of 36.6% is actually better than the 45.8% national figure, which matters for continuity, but it doesn't offset short staffing on the floor. The corporation that owns this 85-bed home is for-profit, and the quality measure score of 4/5 sits well above the staffing score of 2/5.
Seven Hills Health & Rehab Center runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, and thin enough that weekends run about 11% below the home's own weekday coverage. Staff turnover is the bigger worry: 58.9% annually against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 38 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $57,194 fine. A recent July 2025 inspection keeps the record current, but its two-out-of-five stars for health inspections and staffing tell you where the problems concentrate.
Concord Village runs a nursing staff of 3.57 hours per resident day, about 7 percent under the national figure, and weekend coverage dips roughly 5 percent below its own weekday levels. The bigger number is turnover: 75.3% of staff leave each year against a national average of 45.8%, which is the kind of churn that shows up as unfamiliar faces on a Tuesday night shift. Inspections look strong, a 5/5 health rating, most recent visit in June 2025, and 12 deficiencies with none at harm or jeopardy level and none abuse-related. So the care environment passes scrutiny; the question is whether the staffing can hold up between visits.
Tallmadge Health & Rehab Center runs 90 certified beds as a for-profit corporation, and the numbers tell a split story. Nurse staffing sits at 3.90 hours per resident day, roughly a hair above the national average of 3.86, but weekends drop about 11% below the home's own weekday level, and annual turnover is 56.2% against a national 45.8%, meaning the people around your family member change often. The inspection record is the bigger concern: 37 deficiencies, three at harm or jeopardy level, one abuse-related, and a CMS health inspection rating of 1 out of 5, though the quality measure rating is 4 out of 5.
Chardon Woods runs 161 certified beds in Geauga County under corporate ownership, and its staffing is the number that stands out for the wrong reason. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the coverage gap widens exactly when families tend to visit.
The inspection record is cleaner than most: 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent survey came in January 2025. Quality measures land mid-range at 3 stars while staffing sits at 1. A family weighing this one should ask how weekend coverage actually gets filled.
The Oaks runs leaner than most: 3.73 nurse hours per resident day against a national average of 3.86, with weekends roughly 8% thinner than weekdays. That staffing pattern helped earn a 1-out-of-5 CMS staffing rating, even as the quality measure score sits at 4. The inspection record is the bigger concern, 52 deficiencies, four at harm or jeopardy level, three tied to abuse, and $80,492 in fines across three penalties. A 2-out-of-5 health inspection rating reflects that history, and the most recent survey came in July 2025. For-profit, limited liability ownership means the operator carries limited personal exposure for what happens here. Ask about weekend nurse coverage and the abuse-related findings before deciding.
Scioto Rehabilitation & Care Center is a for-profit, limited-liability operation with 125 certified beds in Columbus, and its federal record is genuinely troubling. Inspectors have logged 89 deficiencies, including two at the harm or jeopardy level and two tied to abuse, and the home has been fined $100,257. Its staffing and health inspection ratings both sit at the lowest mark CMS gives, meaning nurse coverage and the care environment lag badly behind what most homes provide, while its quality measures look better on paper. The most recent inspection closed out December 31, 2024, so this is current, not a stale history. If you're considering it, ask directly about the abuse citations and how many nurses are actually on the floor per resident.
Edith Lane Of Cincinnati runs 167 certified beds as a for-profit corporation, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, so the thinnest shifts get even thinner. The inspection record is the harder read: 72 deficiencies currently on file, three at harm or jeopardy level and six tied to abuse, plus two fines totaling $159,338. Its last inspection was April 2025, so the record is recent, not stale. Quality measures score well, but that's a narrow slice of the picture, staffing and survey results are where families should focus when weighing this one.
King David runs 355 certified beds in Beachwood under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse coverage of 4.88 hours per resident day sits about 26% above the national average, but weekends run roughly 21% leaner than weekdays, and annual turnover hits 63.5% against a national 45.8%, so coverage depends heavily on who's still there. The inspection record is the harder read: a 1-out-of-5 health inspection rating, 64 deficiencies including one at the harm or jeopardy level and six tied to abuse, plus a $10,221 fine. Quality measure scores look strong on paper, but the last inspection closed in September 2025, and the staffing math doesn't erase what surveyors found.
Arbors At Gallipolis runs 99 certified beds under for-profit LLC ownership, and its strongest number is staff retention: 26.8% turnover against a national average of 45.8%, which matters because consistent caregivers tend to know residents' routines. The catch is raw staffing hours, at 3.72 per resident day, about 4% under the national average, and weekends dip roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Inspections are a bigger concern: 23 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in April 2025.
Arbors At Delaware runs on about 3.18 nurse staffing hours per resident day, roughly 18 percent under the national average, and weekends dip even further below its own weekday numbers. Annual turnover sits at 62.7 percent against a national average near 46 percent, so the people caring for residents are cycling through fast. The inspection record is heavy: 62 deficiencies, including one at the harm level and two tied to abuse, with a 1-star health inspection rating even though the quality measure score is strong at 5 stars. The most recent inspection was February 2, 2026, so the record is current, not stale.
Grand River Health & Rehab Center runs 80 certified beds in Painesville under corporate for-profit ownership, and its record has some hard edges. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below the home's own weekday level. Turnover lands near the national rate at 46%, so that's not the outlier here, the inspection history is. Thirty-four deficiencies are on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $66,420 and a 2-out-of-5 inspection rating. The most recent inspection was May 2025, so the picture is current. Quality measures score well at 4/5, but strong clinical numbers don't offset a thin staffing margin and a serious deficiency pattern.
Frequently asked questions
How many chain-owned nursing homes are there in Ohio?
There are 692 chain-owned Medicare-certified nursing homes in Ohio, 75% of the 922 nursing homes there.
Are chain-owned nursing homes better staffed?
In Ohio they average 3.56 total nursing hours per resident per day, against 3.69 for all nursing homes in Ohio, a difference of -0.13 hours. Staff turnover averages 48.6% against 48.7%.
Which chain-owned nursing home grades best in Ohio?