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 West Columbus runs 97 beds under individual for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, with weekends roughly 11% thinner than weekdays. That matters more when you see 60.7% of staff turning over each year against a 45.8% national rate, meaning the people delivering care keep changing. The inspection record is the harder problem: 51 deficiencies logged, two at harm or jeopardy level, seven tied to abuse, and one fine of $26,685, with the last inspection on June 9, 2025. Resident outcomes score well on CMS quality measures, but the staffing and inspection results point to real risk worth weighing before you decide.
Adams Lane runs about 2.80 nurse hours per resident per day, roughly 27 percent below the national average of 3.86. Weekends are thinner still, with staffing dropping about 16 percent below its own weekday levels, so the weakest coverage lands when families tend to visit. The record shows 34 deficiencies, four at the harm or jeopardy level and two related to abuse, plus $33,203 in fines across two penalties. Staff turnover sits at 46.2 percent, a hair above the national 45.8, and the last inspection came in February 2025, so the findings are recent. This corporate-owned, 114-bed home has a documented pattern worth weighing before you decide.
Harrison Pavilion runs on 3.31 nursing hours per resident day, about 14 percent under the national average, and weekends drop roughly another 15 percent below its own weekday level. That thin coverage shows up in the numbers: 69.3 percent annual turnover, well above the 45.8 percent national figure, and a one-star staffing rating from CMS. The health inspection record is heavier than most, 67 deficiencies, three flagged at harm or jeopardy level, three abuse-related, and the last inspection was September 2025. A four-star quality measure score stands out against all of that, but quality measures come from resident assessments, not from how many hands are on the floor.
Troy Rehabilitation and Healthcare Center runs 155 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.05 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends drop about 11% below its own weekday staffing, and annual turnover sits at 48.3%, slightly above the national rate. The current record shows 36 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $35,968 fine. Its last inspection was April 7, 2026, and CMS gives it one star for staffing against four for quality measures.
What that mix suggests is a home where care planning may look fine on paper while the floor runs thin, especially on weekends. If you're considering it, ask directly how many nurses and aides are on duty on a Saturday evening, and how they cover callouts.
Eastland runs on thin nursing coverage: 3.34 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover sits at 52.7%, well above the 45.8% national figure, which means the people caring for residents keep changing. The inspection record backs that up, 46 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $237,624 in fines across three penalties.
Worth noting the split: residents' quality measures score 5 out of 5, while staffing scores 1 and inspections 2. That gap usually tells you the care model itself is sound on paper but the workforce behind it isn't stable enough to deliver it consistently. Ask about weekend coverage and turnover directly.
Dixon Healthcare Center runs on thinner nursing coverage than most homes, about 3.47 nurse hours per resident each day, roughly 10% under the national average, and weekends drop another 13% below its own weekday levels. The bigger worry is who's left to provide that care: annual turnover hits 61.2%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces.
The inspection record is where things get serious. Ninety deficiencies are on file, six of them involving actual harm or jeopardy, and thirteen tied to abuse. Three fines total $195,872. A recent April 2026 inspection is a good sign on paper, but the quality measure score is doing heavy lifting against a staffing picture and inspection history that tell a rougher story.
Mccrea Manor runs on thin staffing: 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less help than the typical home. Weekends are lighter still, and nearly 68% of staff turned over in the past year, well above the 46% national figure, that kind of churn means unfamiliar faces at the bedside. The good news is that care quality measures score well and the 32 deficiencies on record include none tied to harm, abuse, or jeopardy, with an inspection as recent as December 2025. The trade-off is straightforward: fewer hands per resident, especially on Saturdays and Sundays.
Centerville Health and Rehab is a 120-bed for-profit home in Dayton, and the staffing numbers are the first thing I'd flag. At 3.03 nurse hours per resident per day, it runs about 21% below the national average, with weekends even thinner than weekdays. That thin coverage shows up in a 66.7% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for your family member are, more often than not, new to the building. On the plus side, the quality measure rating is strong and no deficiency reached actual harm. But 56 deficiencies, five abuse-related, and a recent July 2025 inspection mean I'd ask hard questions before moving anyone in.
Lakeridge Villa runs about 3.09 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday staffing. That thin coverage helps explain a 1-out-of-5 staffing rating and a 69.4% annual turnover rate, well above the 45.8% national figure. The inspection record shows 40 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level. Hamilton County families comparing options should weigh whether the 4-out-of-5 quality measure score holds up when the people delivering that care keep changing.
Bennington Glen is a for-profit home in Marengo with a clean recent inspection, 4 out of 5 stars, dated April 2026, with 23 deficiencies on record but only one at the harm level and none tied to abuse. The problem sits elsewhere: nurse staffing runs 2.83 hours per resident day, roughly 27% under the national average, and weekends drop about 12% below the home's own weekday coverage. Turnover is the other flag at 63.5%, well above the 45.8% national figure, which matters because you're trusting a rotating cast with daily care. Good inspections don't cancel out thin staffing; they just mean nothing has gone badly wrong yet. Ask specifically who's on the floor on Saturday.
Crystal Care of Coal Grove runs 57 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.16 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday coverage. Turnover sits at 48.8%, a few points above the national figure, and the CMS staffing rating lands at 1 out of 5. The inspection record shows 25 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $159,708, though the most recent inspection was September 2025, so that picture is current, not stale. Quality measures score 5 out of 5, which is a genuine bright spot, but strong clinical metrics don't offset thin daily coverage.
Crystal Care Center of Ashland runs on a for-profit LLC structure, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, with weekend coverage dipping a few points further. Turnover is high at 55.9%, and the health inspection record shows 23 deficiencies, two serious enough to reach harm or jeopardy level, along with one fine of $17,345. The last inspection was in May 2025. Quality measures score well, but the staffing shortfall is the number that matters most for day-to-day care.
Oak Grove Manor runs 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 16% below its own weekday level. That thin schedule is hard to sustain when 68.1% of staff turned over in a year, against a national average of 45.8%, new faces constantly, on a unit that never gets extra hands. Inspectors have logged 71 deficiencies, two involving harm or jeopardy and two tied to abuse, with a $15,593 fine and a July 2025 inspection on record. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.
Longmeadow Care Center runs about 3.06 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage slips another 7% below its own weekday levels. Staff turnover sits at 61.2% against a national figure near 45.8%, so the people caring for residents are, more often than not, new to the building. The inspection record tells its own story: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $47,486 fine. The most recent state inspection was in April 2025, so the findings are current rather than stale. Corporate for-profit ownership. The quality-measure scores look strong on paper, but a one-star inspection rating and thin, churning staffing are what families actually live with day to day.
Rocky River Gardens runs on 3.21 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends drop another 14 percent below its own weekdays. That thin coverage shows up in the numbers: a one-star CMS staffing rating, 58.7 percent annual turnover against a national 45.8 percent, and a one-star health inspection rating backed by 44 deficiencies on record, five of them at harm or jeopardy level and three tied to abuse. The $68,068 in fines across three actions and an April 2024 inspection round out a pattern that's hard to read kindly. Its five-star quality measure score stands alone against all of it.
Stillwater runs 3.56 nurse hours per resident day, about 8% under the national average, and weekend staffing barely dips below its own weekday numbers, that part is steady. The bigger issue is retention: 66.1% of nursing staff turned over in a year, well above the 45.8% national figure, and CMS gives the home just one star for staffing. Its current record carries 25 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection dated April 2026. Quality measures score well and inspections land mid-range, which is why the overall picture comes out average despite the thin staffing and churn.
Als Woodstock runs 42 beds in Woodstock under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 59.5% against a national 45.8%, which means the aide helping your mother today is more likely than not to be gone within the year. The health inspection record shows 38 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $42,094; the last inspection was October 31, 2024. Resident care measures score well, but that's paperwork versus the floor.
The nurse staffing number here is the first thing I'd look at. At 3.43 hours per resident day, it runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday level, so coverage is thinnest when families tend to visit. Annual turnover of 67.3% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. Inspections tell a similar story: 32 deficiencies on record, including one at the harm level and four tied to abuse, plus a $183,316 fine. The last inspection was September 2023, so that record has had time to age without a fresh look.
The Pavilion at Stow runs about 51 beds under corporate ownership, and its staffing is the number that stands out: 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, with weekends dipping another 7% below its own weekday level. That thin coverage shows up in the 1-out-of-5 staffing rating. Turnover sits at 72.1% against a national 45.8%, so the aides and nurses cycling through are often new. Inspections last happened in August 2023, and the record carries 27 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy. Health and quality measures both land mid-range at 3 stars, which suggests care isn't falling apart, but the workforce behind it keeps changing.
Glendora Health Care Center runs about 49 beds in Wooster, and its nurse staffing sits at 3.34 hours per resident per day, roughly 13% under the national average, with weekends a bit thinner than weekdays. The bigger concern is turnover: 67.6% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. Inspections back that up. The home has 38 deficiencies on its current record, including four tied to abuse and one at the harm or jeopardy level, plus a $17,080 fine. Federal inspectors last visited in September 2024.
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?