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.
Altercare Zanesville runs 99 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.65 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 51.3% against a 45.8% national average, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 48 deficiencies, four at harm or jeopardy level, two tied to abuse, and $198,156 in fines. The most recent inspection was May 2025.
The Gardens of Fairfax runs on thin staffing. At 3.71 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 17% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells the harder story: 68.8% of staff leave each year, well above the 45.8% national figure, so the people caring for residents keep changing.
The inspection record is heavy, 47 deficiencies, including one at the harm level and seven tied to abuse, plus 24 fines totaling $145,170. The most recent inspection was in February 2026, so the record is current. Corporate ownership is a for-profit limited liability company.
Majestic Care of Middletown runs 200 certified beds under for-profit LLC ownership, and its staffing sits about 11% under the national average at 3.43 nurse hours per resident day. Weekends drop roughly another 12% below its own weekday coverage, which is when falls and infections tend to get missed. Turnover, at 45.3%, is essentially the national rate. What separates this home is its inspection record: 60 deficiencies, including 7 tied to abuse and 2 at harm or jeopardy level, plus a $108,164 fine. The most recent inspection was June 2025. CMS rates its staffing and health inspections 1 out of 5 stars each.
Best Care Health and Rehabilitation runs 101 certified beds in Wheelersburg under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.51 nurse hours per resident day, it sits roughly 9% under the national average, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 56% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The record shows 43 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. Its last inspection was October 2024, and the health inspection and staffing ratings both came back at 2 out of 5.
Aventura At West Park runs on thin staffing: 3.69 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 9% below its own weekday levels, and annual turnover hits 68.8% against a national norm of 45.8%. That churn matters more than any single inspection finding. The record backs it up, 41 deficiencies, one serious enough to reach harm or jeopardy, seven tied to abuse, and a $16,801 fine, with the last inspection in April 2024. Corporate for-profit ownership, 125 beds, and a CMS staffing rating of 1 out of 5. What the quality measure score of 4 out of 5 reflects is the clinical data the home reports on its own residents; it doesn't offset what inspectors found or how fast the staff turns over. Ask about direct-care staffing on weekends before you decide anything.
Astoria Place Of Waterville runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, weekends drop roughly another 10% below its own weekday level, and turnover hits 47.6%. The inspection record is heavier: 48 deficiencies, including five at the harm or jeopardy level and five tied to abuse, with three fines totaling $59,889 and a 1-out-of-5 health inspection rating. Quality measures score well, but that reflects charted care, not the staffing and oversight under it.
Hawthorn Glen runs about 3.14 nursing hours per resident per day, roughly 19% under the national average, and weekends drop another 7% below its own weekday levels. Staff turnover sits at 66.2% against a national 45.8%, nearly two-thirds of the nursing staff leaving in a year. The current record shows 37 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was July 31, 2025, so the picture is current. Ownership is a for-profit corporation, and the staffing star comes in at 1 out of 5 while quality measures score 4, a split worth asking about directly.
Ridgewood Manor runs about 3.32 nurse staffing hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. Annual turnover sits at 71.2%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are likely to change often. The inspection record shows 39 deficiencies, including one at the harm level and two tied to abuse, with $87,789 in fines across two penalties. Quality measures look strong on paper, but staffing is where this home falls short, and that gap is what matters day to day.
Harmar Place in Marietta runs 86 certified beds as a nonprofit, and the numbers raise real questions. Nurse staffing sits at 3.67 hours per resident day, below the national average, and it drops another 12% on weekends, so care gets thinnest exactly when families tend to visit. Staff turnover of 56.1% means more than half the nursing workforce leaves each year, well above the national rate, and that churn shows in the record: 58 deficiencies, including 7 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $202,275. A recent March 2025 inspection and a 1-star health inspection rating don't offset the 4-star quality measure score.
Louisville Gardens runs 99 certified beds under for-profit LLC ownership, and the numbers worth your attention are on the staffing side. Nurse coverage sits at 3.82 hours per resident day, just under the national average, and weekends drop another 9% below what the home staffs on weekdays. Turnover is the harder number: 79.4% of nursing staff leaving annually against a national rate of 45.8%. The inspection record shows 53 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a $115,891 fine and a September 2025 inspection. Quality measures score well, but that sits alongside bottom-tier inspection and staffing ratings. Ask about weekend coverage and how they're holding onto caregivers.
Geneva Center runs 80 certified beds in Ashtabula County, and the staffing numbers are where your attention should go first. At 3.06 nurse hours per resident day, it sits about 21% under the national average, weekend coverage dips roughly 10% below its own weekday level, and turnover hits 66.7% against a national 45.8%. That combination means the people caring for your family member are stretched and often new. The current record carries 25 deficiencies, including one at the harm level and one abuse-related. A 3/5 inspection rating and 4/5 quality measures aren't alarming on their own, but with a last inspection dated April 2026 and staffing that thin, ask hard questions before you commit.
Altercare of Canal Winchester runs 72 certified beds under corporate for-profit ownership, and the numbers split sharply. Nurse staffing sits at 3.78 hours per resident per day, a bit under the national 3.86, and weekends drop roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Staff turnover is 60.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record carries 61 deficiencies, including five at harm or jeopardy level and three abuse-related, plus $66,791 in fines. Quality measures score well; inspections and staffing don't.
Avenue At Brooklyn runs 111 certified beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends dip about 7% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5%, well above the 45.8% national figure, which means the people providing care keep changing. The inspection record shows 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $56,301 in fines and a February 2025 inspection. Quality measures score well; staffing and inspections do not.
Medina Bsd Opco runs 60 beds as a for-profit corporation, and its staffing numbers tell two different stories. Overall nurse coverage sits slightly above the national average at 4.05 hours per resident day, but weekends drop about 19% below the home's own weekday level, so the people there Saturday and Sunday aren't getting the same attention as midweek. Meanwhile, 73.5% of staff turned over in a year, well above the 45.8% national figure, which means many caregivers are still learning the building. Eighteen deficiencies sit on the current record, two involving harm or jeopardy and one tied to abuse, with nine fines totaling $55,035. A 2/5 staffing rating and 2/5 inspection rating back that up.
Inniswood runs lean on nursing staff, 3.17 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops about 10% below its own weekday level. That thinness shows up in turnover, too: 59.3% of staff left last year, well above the 45.8% national figure. The inspection record is heavy: 47 deficiencies, five serious enough to involve harm or jeopardy, four tied to abuse, and a $169,562 fine. Ownership is for-profit corporate, and the last full inspection was July 2025. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.
Country Club Retirement Ctr Iv carries a one-star health inspection rating and a one-star staffing rating, and the numbers behind those marks are worth sitting with. State inspectors logged 45 deficiencies, four of them serious enough to involve actual harm or jeopardy, and three tied to abuse. Staff turnover runs at 69.8% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new to the building. The quality measure score is high, but that reflects charted care, not the hands available to deliver it. A for-profit limited liability company operates the 62-bed home, and its last full inspection was September 2024.
Aurora Manor runs on 3.57 nurse staffing hours per resident day, roughly 8 percent under the national average, and weekend coverage drops about 14 percent below what it manages on weekdays. Staff turnover sits at 66.7 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. Inspectors have cited 25 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with the most recent visit in January 2026. Corporate ownership and a two-star inspection history round out the picture. If you're considering this one, ask hard questions about abuse-prevention training and who actually staffs the weekend shifts.
Majestic Care Of Point Place runs a for-profit corporate operation with 82 certified beds in Toledo, and the numbers that stand out most are about people, not buildings. Nurses provide about 3.57 hours of care per resident per day against a national average of 3.86, and weekends dip roughly 14% below what the home manages Monday through Friday, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 58.4%, well above the 45.8% national figure, which means the people caring for your relative are cycling out faster than average. The current record carries 41 deficiencies, including one at the harm level and one tied to abuse. That abuse citation and the harm-level finding are the details worth pressing the administrator on directly.
Beavercreek Health and Rehab runs on thin staffing. At 3.27 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 7% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 67.1% of staff leave each year, against a national average of 45.8%, so the people caring for your relative are often new and still learning the building. Inspectors have cited 51 deficiencies, one serious enough to involve harm or jeopardy, and the most recent visit was September 2024. Ownership is a for-profit corporation. The quality measure rating is a middle-of-the-road 3, but that reflects charted care, not the hands actually available at the bedside.
Majestic Care Of Bryan runs 149 certified beds under for-profit LLC ownership, and its staffing is the clearest problem: 3.24 nurse hours per resident day, about 16% under the national average, with weekend coverage dropping roughly another 16% below its own weekday level. Turnover sits at 45.7%, essentially the national rate, so the issue isn't churn so much as how few hands are scheduled on any given day. The inspection record backs that up, 57 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with $74,055 in fines and a 2/5 inspection rating. The most recent inspection was December 2025. Quality measures score well, but staffing doesn't.
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?