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692 Chain-Owned Nursing Homes in Ohio

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.

Every chain-owned nursing home in Ohio

Showing 581–600 of 692, best-graded first.

C

64/100

Avenue At North Ridgeville

North Ridgeville, OH · Lorain County

CMS 2/5 103 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
47%
Serious cites
0

Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.

C

63.5/100

Aventura At Shiloh Springs

Trotwood, OH · Montgomery County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
—
Serious cites
0

Aventura At Shiloh Springs runs on 3.07 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekend coverage drops about 8% below its own weekday level. That thin staffing shows up in its one-star CMS staffing rating even as residents' clinical measures earn five stars. The inspection record is heavier: 59 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a two-star health inspection rating. This for-profit corporation's 84-bed home was last inspected January 8, 2026, so the record is current, not stale. Ask about weekend nurse coverage and how the abuse-related findings were resolved.

C

63/100

Ayden Healthcare Of Madeira

Cincinnati, OH · Hamilton County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
65%
Serious cites
0

Ayden Healthcare of Madeira runs about 3.07 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65% against a national 45.8%, so the people showing up are frequently new. The current record carries 80 deficiencies, three of them abuse-related, none flagged at harm or jeopardy level, and the last inspection was in December 2025. The 4/5 quality measure score reflects how residents' conditions are tracked, but with 1/5 on both staffing and health inspections, the daily reality is thin coverage and constant churn.

C

63/100

Carecore At Lima

Lima, OH · Allen County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
63%
Serious cites
0

Carecore At Lima runs on 3.11 nurse hours per resident day, about 19 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. That thin margin matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 62.7 percent against a national average of 45.8 percent, roughly three in five caregivers left over the year. The inspection record shows 55 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse. One fine of $33,534 is on file. The quality measure score is perfect, which tells you charted outcomes look good. The staffing and inspection scores don't. Ask about weekend coverage and turnover before you decide.

C

63/100

Buckeye Care And Rehabilitation

Lancaster, OH · Fairfield County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
59%
Serious cites
0

Buckeye Care and Rehabilitation runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends about 12% leaner than weekdays. That shortage shows up in a 58.6% annual turnover rate, well above the 45.8% norm, and a 1-out-of-5 CMS staffing rating. The 35 deficiencies on record, one involving harm, four tied to abuse, carry a single $20,678 fine and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset those numbers, especially under for-profit LLC ownership. The most recent inspection was January 8, 2026, so the record is current, not stale.

C

63/100

Shelby Skilled Nursing And Rehabilitation

Sidney, OH · Shelby County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
65%
Serious cites
0

Shelby Skilled Nursing runs on a thinner staffing line than most homes: 3.27 nurse hours per resident day against a national average of 3.86, with a 1-out-of-5 staffing rating and 65.3% annual turnover, well above the 45.8% typical elsewhere. The good news is that the care processes look solid on paper, with 4s for both inspection and quality measures, and a recent August 2024 survey. But 21 deficiencies sit on the current record, two of them abuse-related, and none rose to the harm level.

C

63/100

Autumnwood Care Center

Tiffin, OH · Seneca County

CMS 2/5 93 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
46%
Serious cites
0

Autumnwood Care Center in Tiffin runs 93 certified beds under corporate ownership, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, and weekends dip about 12% below its own weekday coverage, the gap families feel when they visit on a Saturday. Turnover is essentially average at 45.5%, but the inspection record is the heavier story: 45 deficiencies, three of them serious enough to put residents at risk of harm. The last state inspection was in April 2026, so the record is current, not stale. Nothing here suggests abuse, but the pattern of low staffing and repeated inspection problems is worth asking about directly before committing.

C

63/100

Hamilton Respiratory And Nursing Center

Hamilton, OH · Butler County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
73%
Serious cites
0

Hamilton Respiratory And Nursing Center runs on 3.23 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover sits at 72.6% against a national figure of 45.8%, so the people providing most of the hands-on care are cycling through faster than the residents can get to know them. Thirty-five deficiencies sit on the current record, including one abuse-related citation, though none rose to the harm or jeopardy level. Ownership is for-profit, through a limited liability company. The clinical quality scores look strong, but that staffing number is where the day-to-day reality lives.

C

63/100

Hillsboro Post Acute

Hillsboro, OH · Highland County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
67%
Serious cites
0

Hillsboro Post Acute is a 99-bed for-profit home in Highland County, and its numbers tell two different stories. The care side looks strong on paper: top marks from CMS on health inspections and quality measures, last inspected in May 2025, with nine deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it frays. At 3.17 nurse hours per resident day, it runs about 18 percent under the national average, weekends drop roughly 13 percent below its own weekdays, and annual turnover hits 67.1 percent against a national 45.8. Inspectors can find a well-run building while residents still wait longer for hands-on help, and that gap is what pulls the overall picture down to a middling grade.

C

63/100

Bellbrook Health And Rehab

Bellbrook, OH · Greene County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
62%
Serious cites
0

Bellbrook Health and Rehab runs 65 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the headline number suggests. Total nurse hours sit at 3.92 per resident day, barely above the national 3.86, while weekend coverage dips about 4% below weekdays and annual turnover hits 61.5% against a 45.8% national rate. That churn shows up in the federal stars: one out of five for staffing, two for health inspections, despite a five for quality measures. The inspection record carries 37 deficiencies, one abuse-related and none flagged at harm level, plus a single fine of $75,323. The most recent survey closed January 15, 2026, so the record is current, not stale.

C

63/100

St Leonard Hcc

Centerville, OH · Montgomery County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
50%
Serious cites
0

St Leonard HCC runs 150 beds under corporate for-profit ownership, and the numbers show where that pressure lands. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it thins out further on weekends, about 8% below the home's own weekday coverage. Staff turnover is 50.3%, meaning roughly half the workforce leaves each year, which matters for anyone who needs consistent caregivers. The inspection record is heavier: 40 deficiencies, including three at the harm level and three tied to abuse, plus two fines totaling $89,700. The 2024 inspection is recent enough to be relevant. Quality measures look better than staffing and inspection results, but families should ask directly about those harm-level findings.

C

63/100

Heatherdowns Rehab & Residential Care Center

Toledo, OH · Lucas County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
69%
Serious cites
0

Heatherdowns runs on 3.09 nurse hours per resident per day, roughly a fifth less than the national average of 3.86, and weekends drop about 9% below what it manages during the week. That thin coverage is the backdrop for a 68.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The current record lists 54 deficiencies, including two at the harm or jeopardy level and one tied to abuse, following a February 2025 inspection. The 5/5 quality measure score and 2/5 inspection rating sit oddly against those numbers; the staffing rating is 1/5.

C

63/100

The Laurels Of Kettering

Kettering, OH · Montgomery County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
61%
Serious cites
0

The Laurels of Kettering runs on thin nursing coverage: 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 13 percent below what the home staffs on weekdays. Annual turnover sits at 60.9 percent, well above the 45.8 percent national figure, so the people showing up are often new. That instability shows up in the inspection record, 57 deficiencies, including three tied to abuse and two serious enough to put residents in harm's way, and a $41,974 fine. The quality measure score looks strong, but it's the only number here that does.

C

63/100

West Park Care Center Llc

Columbus, OH · Franklin County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
64%
Serious cites
0

West Park runs on thin staffing: 3.31 nurse hours per resident per day, roughly 14% under the national average, with weekends dipping about 6% below its own weekday level. That shortfall shows in the numbers that matter most, a 1-star staffing rating, 30 deficiencies on the current record including four serious enough to cause harm, and a $24,115 fine. Staff turnover sits at 63.6% against a national average of 45.8%, meaning nearly two-thirds of the nursing team leaves in a year. The 4-star quality measure rating and a recent March 2025 inspection are the bright spots, but quality scores reflect a narrow set of clinical measures, not day-to-day coverage.

C

63/100

Walnut Creek Nursing Center

Kettering, OH · Montgomery County

CMS 1/5 139 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
61%
Serious cites
0

Walnut Creek Nursing Center runs on thinner staffing than most homes its size, 3.08 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That shortfall shows up in the numbers: a one-star CMS staffing rating and 61.3% annual turnover, well above the 45.8% national figure. The inspection record carries 48 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its two-star health inspection rating sits alongside a four-star quality measure score, a split worth asking about directly. Corporate-owned and certified for 139 beds, last inspected March 2025. Staffing and safety records are where the questions should start.

C

63/100

Divine Rehabilitation And Nursing At Sylvania

Sylvania, OH · Lucas County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
59%
Serious cites
0

Divine Rehabilitation and Nursing at Sylvania runs 99 beds under corporate ownership, and the staffing numbers are where you'd want to start. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 8% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 58.6% is well above the 45.8% national figure, so the people providing care keep changing. The inspection side is harder to look past: 85 deficiencies on the current record, including four at the harm level and four tied to abuse, with $193,489 in fines across four events. The most recent inspection was March 2025. Quality measures score well, but that's resident outcome data, not proof the building is safely run day to day.

C

63/100

Divine Rehabilitation And Nursing At Shane Hill

Rockford, OH · Mercer County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
57%
Serious cites
0

Divine Rehabilitation and Nursing at Shane Hill runs 69 certified beds in Rockford under corporate for-profit ownership, and the numbers show a building where staffing is stretched. Nurse coverage sits at 3.68 hours per resident day, below the national average of 3.86, with weekends dropping roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover of 56.8% tops the national rate of 45.8%, meaning more than half the nursing staff leaves each year. The current record holds 23 deficiencies, four of them abuse-related, none flagged at harm level. A 3/5 inspection rating and 2/5 marks for both quality measures and staffing round out the picture.

C

63/100

Woodlands Health And Rehab Center

Ravenna, OH · Portage County

CMS 1/5 95 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
60%
Serious cites
0

Woodlands Health and Rehab Center is a 95-bed for-profit home in Ravenna, and the staffing numbers are where the trouble starts. At 3.37 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 9% below its own weekday levels, and 60% of staff turned over in a year versus 45.8% nationally, that's a lot of unfamiliar faces. Its inspection record shows 25 deficiencies, including two at the harm level and three tied to abuse, with one $14,680 fine and a last survey in September 2024. The 4/5 quality measure score looks better on paper, but that rating partly reflects what staff document, and thin, churning staffing makes those numbers harder to trust.

C

63/100

The Pavilion At Canal Fulton For Nursing And Rehab

Canal Fulton, OH · Stark County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
60%
Serious cites
0

The Pavilion at Canal Fulton runs about 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends dip further below its own weekday levels. That thin coverage shows up in the staffing rating, one out of five stars, and in a turnover rate of 60.4 percent, well above the 45.8 percent national figure. The current record lists 17 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Inspectors were last on site in June 2025, and the health inspection rating sits mid-range at three stars. A for-profit corporation owns the 60-bed home, and the quality measure score of four stars is the strongest number here.

C

63/100

Indianspring Of Oakley

Cincinnati, OH · Hamilton County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
63%
Serious cites
0

Indianspring Of Oakley runs 144 certified beds in Cincinnati under for-profit LLC ownership, and the staffing numbers are where the trouble sits. Nurses provide 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself staffs during the week, so the thinnest coverage lands when families tend to visit. Annual turnover of 63% against a 45.8% national rate means aides and nurses cycle through constantly, which matters more than any single number because unfamiliar caregivers miss changes in condition. The record shows 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $17,345. A recent July 2025 inspection and decent quality scores don't offset that staffing picture.

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?
Deupree Cottages in Cincinnati, OH — grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 688 graded chain-owned homes in Ohio, 42 grade A and 28 grade D or F.
Do chain-owned nursing homes in Ohio accept Medicaid?
690 of the 692 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Ohio