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.
Capital City Gardens runs 3.33 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly another 13 percent below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.5 percent against a national 45.8, meaning more than half the nursing staff leaves within a year. The current inspection record shows 37 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with one fine totaling $196,256. Inspectors were last in on April 22, 2026. The quality measure score is high; the staffing and inspection scores are both 1 out of 5.
Hopewell Grove runs on 3.25 nurse hours per resident per day, about 16% under the national figure of 3.86, and weekends drop roughly another 10% below what the building manages Monday through Friday. That thin coverage shows up in the inspection record: 45 deficiencies, three of them serious enough to put residents in harm's way, and a $32,380 fine, all inspected as recently as February 2026. Staff turnover sits at 46.4%, essentially the national rate, so the churn isn't the outlier here, the shortfall in hands-on time is. For-profit corporate ownership, 100 beds, and a one-star inspection history. Ask about weekday-to-weekend staffing before you visit.
Legends Care runs 65 beds in Massillon under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday levels. Annual turnover hits 57.8%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the heavier concern: 72 deficiencies, four at harm or jeopardy level, eleven abuse-related, and $317,114 in fines. A recent inspection in June 2025 means the record is current. Resident care measures look strong, but staffing and compliance don't.
Hillsboro Health and Rehab runs on 2.11 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops about 9% below what it manages on weekdays. The inspection record backs up what those numbers suggest: 19 deficiencies, three of them serious enough to put residents in harm's way, three tied to abuse, plus a $119,308 fine. Its last full inspection was October 2023, so that record has had time to stand. The quality measure score looks better on paper, but measures are largely self-reported, and no quality number outweighs that little direct care time.
Astoria Skilled Nursing And Rehabilitation runs 83 beds in Canton under corporate ownership, and the numbers that stand out are the ones about people. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national figure, and it thins out further on weekends, about 15% below the home's own weekday level. Staff turnover is 63.1%, well above the 45.8% national average, which means the aides and nurses your family member sees are frequently new. The health inspection record shows 48 deficiencies, including five at the harm level and four tied to abuse, with $147,894 in fines. The quality measure score looks strong, but that's built on charted data, not on how the place is actually run day to day.
Edgewood Manor runs 80 certified beds in Port Clinton under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.19 nurse hours per resident day, it sits about 17% under the national average, weekend coverage dips roughly 9% below its own weekday level, and 55.4% annual turnover means more than half the staff left within the year. The inspection record shows 33 deficiencies, including one at the harm level and five tied to abuse, with the most recent visit in July 2024.
Gardens Of Euclid Beach runs on thin nursing coverage: 3.42 hours per resident day against a national average of 3.86, with weekends dipping about 12% below its own weekday levels. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure. The inspection record is the harder read: 60 deficiencies, two at harm or jeopardy level, two tied to abuse, and a single $200,605 fine, with the most recent inspection in September 2025. A for-profit limited liability company operates the 99-bed home. Its quality measure score looks strong, but staffing and inspection results sit at the bottom of CMS's scale, and those are the measures families feel day to day.
Cardinal Woods runs on 3.02 nurse staffing hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop about 11 percent below what the home staffs on weekdays. That thin coverage sits alongside a 67 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses at the bedside keep changing. The current inspection record shows 42 deficiencies, five at harm or jeopardy level and eight tied to abuse, with $27,318 in fines and a survey that dates to August 2024. The quality measures look better than the rest, but they don't offset what's happening with staffing and oversight.
Continuing Healthcare At Forest Hill runs 88 certified beds in St. Clairsville under corporate ownership, and the staffing numbers are the first thing to look at. At 3.04 nurse hours per resident day, it sits roughly 21 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday level. That thin coverage shows up in the federal staffing rating of 1 out of 5, and turnover runs 56.3 percent against a national 45.8 percent, more than half the nursing staff leaving in a year. The current record carries 45 deficiencies, two of them serious enough to involve harm or jeopardy. Its last inspection was in January 2026.
University Manor runs on 3.01 nurse staffing hours per resident per day, about 22 percent under the national average of 3.86, and weekends dip roughly 6 percent below its own weekdays, so coverage is thinnest exactly when families tend to visit. Its inspection record carries 47 deficiencies, including two at the harm or jeopardy level and six tied to abuse, plus $32,394 in fines. Staff turnover sits at 47.8 percent against a national 45.8, and the last inspection was December 5, 2024. As a nonprofit corporation, it isn't chasing shareholder returns, but that structure hasn't translated into stronger numbers here.
Altercare Newark South runs 47 beds in Licking County under corporate ownership, and the staffing numbers are where the trouble shows. At 3.43 nurse hours per resident day, it sits about 11% under the national average, weekends dip another 11% below its own weekdays, and turnover hits 66.7% against a national 45.8%, so the people caring for residents keep changing, and there are fewer of them on Saturdays and Sundays. That staffing pattern earned a 1 out of 5 from CMS. Inspectors logged 24 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $252,477. The most recent inspection was in May 2025. Resident care measures score well; the workforce behind them is the open question.
Avenue Care and Rehabilitation Center is a for-profit, limited-liability operation in Warrensville Heights with 97 certified beds, and its staffing numbers tell a hard story. Nurses provide 3.58 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 9% below the home's own weekday level. Annual turnover sits at 67.5%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record is heavier still: 53 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $34,146 in fines across two penalties. Federal ratings put staffing and health inspections at 1 out of 5 stars each, though quality measures score 4. The last inspection was August 13, 2025.
Twinsburg Post Acute runs 114 certified beds under corporate for-profit ownership, and the numbers that stand out most are on the staffing side. Nurse coverage sits at 3.56 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 64.3% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. The inspection record is the heavier concern: 73 deficiencies, seven of them serious enough to involve harm or jeopardy, plus a $70,756 fine and a one-star health inspection rating. The most recent inspection was March 2024.
Hudson Elms runs on 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits at 76.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection record backs that up: 45 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with the last inspection in June 2023. Corporate ownership and one $17,610 fine round out the picture. Quality measure scores look strong on paper, but that's family-reported data, and it's hard to see how it holds up when the floor staff keeps changing.
Jag Healthcare Mansfield runs on 3.15 nurse hours per resident day, roughly 19 percent under the national figure, and weekends dip another 12 percent below what it manages on weekdays. Staff turnover sits at 53.7 percent against a national average of 45.8 percent, so the people caring for residents keep changing. The inspection record shows 58 deficiencies, including one at the harm level and four tied to abuse, plus a $130,240 fine. Federal ratings put staffing and health inspections at one star each. It's a 66-bed for-profit corporate home last inspected in July 2025. The pattern here is thin coverage, heavy turnover, and repeated citations, worth weighing if you're considering this one.
New Lebanon Rehabilitation and Healthcare Center runs on 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits at 58.9% against a 45.8% national figure, so the people caring for residents are changing often. Its inspection record carries 63 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $96,413 fine. Quality measure scores look strong, but those depend on the staff actually present to document and deliver care. This is a for-profit corporate home with 120 beds; the September 2025 inspection is recent, and the pattern in the numbers is consistent.
Buckeye Terrace runs 70 certified beds in Westerville under for-profit LLC ownership, and its nurse staffing sits at 3.18 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 5 percent below its own weekday numbers. Annual turnover hits 64.5 percent, well above the 45.8 percent national figure, which means the aides and nurses caring for residents are, on average, fairly new to the building. The health inspection record shows 70 deficiencies, including one at the harm level and seven tied to abuse, with a single fine of $140,849. Inspectors were last on site in December 2025.
The Gardens of St. Francis runs on 1.48 nurse staffing hours per resident day, roughly 62% below the national average, and weekend coverage drops about 15% below what it manages on weekdays. Turnover sits at 65.6% against a national rate of 45.8%, so a large share of the staff you'd meet is relatively new. The record shows 40 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $45,250 fine. Inspections are recent, and the quality measure score is strong, but that staffing number is the one worth weighing hardest.
Embassy of Woodview runs 95 certified beds in Columbus under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average, and weekends run about 5% thinner than weekdays, with annual turnover at 68.9% against a national 45.8%. The inspection record is heavy: 47 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $151,043 in fines and a May 2025 inspection. Quality measures score well, but that's largely self-reported data, while staffing and inspections come from what surveyors actually found.
East Park Care Center runs on 3.08 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage slips about 9% below what it manages on weekdays. Staff turnover sits at 72.1% against a national rate near 46%, so the people around your family member change often. On its current record: 44 deficiencies, three involving harm or jeopardy, three tied to abuse, and $84,417 in fines across two penalties. The last inspection was in late October 2024. The five-star quality measure score reflects resident assessments, but the one-star inspection and staffing ratings describe what surveyors found and how thin the floor coverage is.
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?