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.
Bethesda Care Center runs 89 certified beds as a nonprofit, and its overall nurse staffing of 4.05 hours per resident day sits about 5% above the national figure. That headline number looks fine until you notice weekends run roughly 14% thinner than weekdays, which matters if your family member needs help on a Saturday.
Staff turnover is the bigger concern: 60% a year against a national average near 46%, meaning most of the people caring for residents are relatively new. Inspections add pressure too, a 2/5 health inspection rating, 26 deficiencies on record including one at the harm level, and a $64,604 fine. The last inspection was May 2024.
Summit Acres runs 95 beds in Caldwell under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 40.5%, a bit better than the 45.8% national figure. What stands out more is the inspection record: 52 deficiencies, including one at the harm level and nine tied to abuse, with a $16,801 fine and a 2-out-of-5 inspection rating. The 5-out-of-5 quality measure score reflects resident care metrics, not the supervision and safety problems inspectors documented.
Presidential Post-Acute runs 99 beds in Marion under corporate for-profit ownership, and its staffing numbers are the first thing to notice: 3.01 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about 12% below the home's own weekday level, and turnover sits at 48.8% against a national 45.8%, both worth asking about directly. The inspection record shows 17 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating and a 2/5 staffing rating. Quality measures score better at 4/5, and the most recent inspection was March 2026. Ask how the abuse deficiency was resolved and what weekend coverage looks like.
Arbors At Milford runs 4.56 nurse hours per resident day, about 18% above the national average of 3.86, which is the strongest thing this home has going for it. The catch is consistency: weekend staffing drops roughly 13% below its own weekday level, and 53.1% of nursing staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. Its inspection record carries 47 deficiencies, 7 of them at the harm or jeopardy level and 4 abuse-related, along with four fines totaling $117,782. Corporate-owned and 90 beds, it was last inspected March 12, 2026. Strong hours on paper, thin coverage on weekends, and a serious deficiency history.
Grafton Oaks runs on 3.39 nurse hours per resident per day, roughly 12 percent under the national average, and weekend coverage slips about 8 percent below its own weekday level. Staff turnover sits at 68.9 percent against a national average of 45.8, most of the people caring for your relative likely weren't there a year ago. The inspection record carries 16 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was February 2026. The 5/5 quality measure rating reflects charted clinical measures, but staffing is where this home is thinnest, and that gap is what a family should weigh when deciding.
Nurse staffing at Arbors At Stow sits at 3.90 hours per resident day, barely above the national average of 3.86, and weekends run about 11% thinner than weekdays. More telling is the turnover: 53.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, five at harm or jeopardy level, eight involving abuse, and four fines totaling $252,801, with the most recent inspection dated March 2026. A 5/5 quality measure rating stands in odd contrast to a 1/5 inspection rating, but quality measures come from self-reported data, while inspections and fines come from what surveyors actually found.
Majestic Care Of Clyde, a for-profit LLC home with 74 beds, runs lean on nursing staff, 3.11 hours per resident day against a national average of 3.86. Weekends dip about 13% below its own weekday numbers, and annual turnover sits at 52.5%, well above the 45.8% national figure. Its inspection record shows 50 deficiencies, none flagged at harm or jeopardy level, though 11 are abuse-related, and the last state visit was in November 2024. Despite the strong quality measure rating, the low staffing and inspection history are what pull its overall standing down.
Wyant Woods runs 180 certified beds as a for-profit corporation, and its 3.01 nurse staffing hours per resident day land about 22 percent under the national average of 3.86, with weekends dipping roughly 8 percent below its own weekday levels. Turnover sits at 40.9 percent, slightly better than the national 45.8 percent, so the issue here isn't retention as much as raw hours per resident. The inspection record carries 61 deficiencies, including 3 at harm or jeopardy level and 9 abuse-related, plus $153,317 in fines across 2 penalties, and CMS scored its last inspection 1 out of 5 in April 2025. Its quality measure rating is 5 out of 5, which can reflect charted outcomes more than day-to-day coverage.
Washington Square runs on thin nursing coverage: 3.18 direct care hours per resident per day against a national average near 3.86, with weekends about a tenth leaner than weekdays. Turnover sits right at the national mark, so the problem isn't churn so much as how few hands are on deck at any given time. The inspection record is where the real trouble shows, 63 deficiencies on file, four serious enough to put residents in harm's way, seven tied to abuse, and nearly $47,000 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Family members should visit unannounced, at different times of day, and watch how many aides are actually on the floor.
Country Club Retirement Center runs on thinner nursing coverage than most homes, 3.38 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday levels. That staffing picture, plus a two-star inspection rating and 42 deficiencies on record (three at harm or jeopardy level, seven tied to abuse), is where the real story sits. Turnover is 45.5%, essentially matching the national rate, so the problem isn't retention, it's how few hours each resident actually gets. The 2024 inspection is recent enough to reflect current conditions. A four-star quality measure score is the one bright spot, but quality measures come from resident assessments, not from how the place is run day to day.
Cityview runs 146 beds on Cleveland's east side, and the corporate owner's staffing shows it: 3.02 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover sits at 48.4%, slightly above the national 45.8%. The inspection record is the harder problem, 55 deficiencies, six at harm or jeopardy level, eight tied to abuse, and $193,120 in fines across five penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with persistent serious problems. The last inspection was November 2022. Resident satisfaction surveys look strong, but that measure doesn't capture whether enough hands are present.
Burlington House runs 122 certified beds under for-profit LLC ownership in Cincinnati, and the staffing numbers are the first thing to look at. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.5% is slightly better than the 45.8% national figure, which helps. The inspection record is the bigger concern: 31 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with the last inspection in May 2024. Quality measure scores look strong, but that record deserves direct questions before you decide.
Versailles Rehabilitation runs on about 3.0 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop further below its own weekday pace. Staff turnover sits at 51.2%, higher than the 45.8% national figure. Inspections look better: the most recent visit in May 2025 produced a 4-star health inspection rating and strong quality measures, but the record still carries 23 deficiencies, including one at the harm level and four tied to abuse. The low staffing star tells you where the risk concentrates, a corporate-owned home where the care depends heavily on who happens to be on the floor.
Aventura At Oakwood Village runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and its weekend shifts dip about 8% below its own weekday coverage, so the thinnest days are the ones families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, which means the aides and nurses who know your mother's routines are frequently new. The current deficiency record carries 42 citations, including one at the harm or jeopardy level and eight tied to abuse. Inspectors were last on site in May 2025. The two-star health inspection rating and one-star staffing rating describe a building where the problems are chronic rather than isolated.
Gardens Of Paulding runs 50 certified beds under corporate for-profit ownership, and the numbers worth knowing are on the staffing side. Nurses provide 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 12% below what the home manages on weekdays. Turnover sits at 56.9% against a national 45.8%, which means more than half the nursing staff leaves within a year. Its inspection record shows 32 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was September 2025. Families should ask directly about weekend staffing and how the home keeps consistent caregivers.
Vista Care Center of Milan runs 2.64 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on time than the typical home, with weekends staffed about 15% thinner than weekdays. That staffing shortfall sits behind a 2-out-of-5 CMS staffing rating and 50% annual turnover, slightly above the national 45.8%. Meanwhile, 33 deficiencies sit on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, with the most recent inspection in October 2024. A single $12,834 fine is relatively modest, but the harm-level and abuse findings are the ones worth asking the administrator about directly before you decide.
Crawford Manor is a 50-bed for-profit in Cleveland, and the numbers split in two directions. The quality measures look strong, but everything about how the place is run and inspected tells a different story: a one-star health inspection rating, 47 deficiencies on the current record including three at the harm level and seven tied to abuse, plus two fines totaling $25,366. Staffing sits at 3.79 hours per resident day, slightly under the national average, and it thins out on weekends by roughly 14 percent. Turnover at 42.9 percent is a bit better than the national figure, but that's faint comfort. The last inspection was December 2023, so the record may not reflect what's happening now.
Lincoln Crawford runs 96 beds under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, with weekends dropping about 11% below its own weekday coverage. Annual turnover is 55.4% against a national 45.8%, so the staff caring for residents is changing over at a high rate. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was August 2025. Quality measures score well, but that sits against a two-out-of-five inspection rating and thin, uneven staffing.
The Sanctuary at Tuttle Crossing has enough nurses on paper, 4.30 hours per resident day, about 11% above the national average, but that cushion thins out on weekends, when staffing drops roughly 14% below its own weekday level. The bigger issue is who stays: annual turnover of 73.1% sits far above the 45.8% national average, meaning many of the aides and nurses you'd meet may not be there next year. Then there's the inspection record, a 1 out of 5 star rating, 39 deficiencies logged, and two tied to abuse, one serious enough to put a resident in harm's way. That history, not the daily hours, is what's driving the grade.
Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.
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?