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.
Luxe Rehabilitation and Care Center is a 172-bed for-profit home in Lancaster, and the federal numbers paint a rough picture. Nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86, with weekends running roughly 7 percent thinner than weekdays. Staff turnover is 49.2 percent, higher than the 45.8 percent national figure. What stands out most is the inspection record: 99 deficiencies, 6 at harm or jeopardy level, and 11 tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A 5/5 quality measure score doesn't offset a 1/5 inspection rating and a 1/5 staffing rating, and $70,768 in fines backs that up.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
Warren Nursing & Rehab runs a for-profit limited liability operation with 107 certified beds, and the raw staffing numbers look solid at first glance, 5.32 nurse hours per resident day, well above the national average of 3.86. But weekends dip about 17% below the home's own weekday coverage, and annual turnover sits at 53.2% against a national 45.8%, meaning the aides and nurses caring for residents are cycling through fast. The bigger problem is the inspection record: 61 deficiencies on file, five of them serious enough to put residents in harm's way, four fines totaling $26,448, and a spot in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Medina Center runs 3.18 nurse hours per resident day, roughly 18 percent under the national figure, and weekends drop about 14 percent below its own weekday staffing. Annual turnover sits at 72.1 percent against a national average of 45.8, so the people providing care change often. The record shows 100 deficiencies, four at harm or jeopardy level and eight abuse-related, plus $136,807 in fines, and CMS has placed the home in its Special Focus Facility program. Its quality measure stars look strong, but that measure reflects resident health outcomes rather than the inspection and staffing problems underneath them. An inspection in February 2025 is the most recent.
Aventura At Assumption Village runs on thinner nurse coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 9% below its own weekday level. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record lists 49 deficiencies, three of them serious enough to involve harm or jeopardy, though none are abuse-related; a single fine of $14,680 is on file. The most recent inspection was December 19, 2024. For-profit corporate ownership out of North Lima, 150 beds. The quality measure score looks good on paper, but that's a survey-based number, not a staffing one.
Continuing Healthcare Of Cuyahoga Falls runs 98 beds under for-profit LLC ownership, and the staffing numbers are what stands out first: 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. That gap matters when you're deciding which day to visit. The inspection record is heavier still, 93 deficiencies, two at harm or jeopardy level, seven tied to abuse, and four fines totaling $178,725. Annual turnover sits at 77.1% against a national 45.8%, meaning the aide who knows your mother this month may not be there the next. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
The Merriman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops about 12% below its own weekday levels. Staff turnover sits at 64.9% against a national 45.8%, so the people caring for residents are, more often than not, new to the building. Its inspection record carries 65 deficiencies, three of them at the harm or jeopardy level and six tied to abuse; two fines total $134,475, with the most recent inspection in January 2025. A 4/5 on quality measures doesn't offset a 1/5 on staffing and 1/5 on inspections. The corporate owners profit while the floor stays thin.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.
Sapphire Rehabilitation and Care Center is a 113-bed for-profit home in Columbus, and the federal numbers are not kind. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and it thins out further on weekends. The bigger problem is turnover: 78.6% annually, against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Its inspection record shows 87 deficiencies, including 8 at the harm or jeopardy level and 4 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and fines total $337,273. The quality measure score looks decent, but that's generated from resident assessment data, and it doesn't outweigh a documented staffing and safety record like this.
Canfield Healthcare Center runs 90 beds in Youngstown under corporate ownership, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident per day against a national average of 3.86, with weekends running about 12% thinner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters because that's roughly half the workforce cycling out in a year.
The inspection record is where things get serious. Fifty-four deficiencies, four at harm or jeopardy level, seven tied to abuse, and $211,331 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers. The 4/5 quality measure rating reflects resident assessments; the 1/5 on both inspections and staffing tells you what those numbers don't.
Addison Heights runs on 3.28 nurse staffing hours per resident day, roughly 15% under the national average, and weekends drop about 14% below its own weekday levels. Turnover sits at 69.5% against a national 45.8%. Those numbers have consequences: 78 deficiencies on record, including one at harm or jeopardy level and five tied to abuse, and CMS has placed the home in its Special Focus Facility program. The 5/5 quality measure score stands out against 1/5 staffing and inspection ratings, a split worth asking about directly. The last inspection was September 15, 2025.
Salem West Healthcare Center runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip another 11% below its own weekdays. Annual turnover sits at 56.1%, well above the 45.8% national figure, so the people left are often the newest. The inspection record is the real problem: 52 deficiencies, two at harm or jeopardy level, five tied to abuse, and a one-star health inspection rating. CMS has placed it in the Special Focus Facility program, its most serious watch list for homes with a pattern of persistent problems. A five-star quality measure score doesn't offset that, especially since those measures lean on self-reported data.
Cridersville Nursing and Rehab is a 50-bed for-profit home in Auglaize County, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.22 hours per resident per day, about 17% under the national average, and weekends run thinner than weekdays. That matters because turnover sits at 78.2%, well above the 45.8% national figure, so the people at the bedside keep changing.
The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 37 deficiencies, five at the harm or jeopardy level, and two tied to abuse. Three fines totaling $112,610. The quality measure rating looks better, but that's mostly self-reported data. Ask about direct-care staffing on evenings and weekends before you decide anything.
Beeghly Oaks is a for-profit LLC home in Youngstown with 115 certified beds, and the numbers here are hard to dress up. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and it thins out further on weekends, when coverage drops about 14% below its own weekday level. Staff turnover runs 55.8% a year against a national 45.8%, so the people caring for residents are changing constantly.
The inspection record is the bigger concern: 87 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and a $187,369 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems.
Country Lane Gardens runs on thin staffing: 3.14 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall shows up in the numbers, too. Annual turnover sits at 54.7%, well above the 45.8% national figure, and the home's 101 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse. Four fines total $318,627, CMS has placed it in the Special Focus Facility program, and the most recent inspection was March 5, 2026. A 5/5 quality measure score stands out against 1/5 marks for staffing and health inspections.
Dublin Post Acute is a for-profit, 120-bed home that federal regulators have placed in the Special Focus Facility program, which is reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 82 deficiencies, including six at the harm or jeopardy level and three tied to abuse, along with three fines totaling $197,547. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 54.7%, well above the 45.8% national figure, and the most recent inspection was January 26, 2026.
Stellar Care Center runs on thin margins where it counts. The raw staffing number looks fine on paper, 4.17 nurse hours per resident day, a bit above the national average, but weekends drop about 12% below its own weekday level, and 62.5% of staff turned over last year against a national rate of 45.8%. That churn shows up in a 1-out-of-5 health inspection rating and 106 deficiencies on the current record, three of them at the harm or jeopardy level and three tied to abuse. Two fines total $227,850, and CMS has placed this for-profit LLC in its Special Focus Facility program after a January 2026 inspection.
Avenue At Lyndhurst runs 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That schedule gap matters more when turnover sits at 72.4%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record is the harder problem: 59 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 1-out-of-5 inspection rating despite a recent visit in August 2025. Quality measures score 5 out of 5, but strong clinical numbers don't offset thin weekend coverage and a long list of cited problems. It's for-profit, LLC-owned, 102 beds.
The Arc At Cincinnati runs 3.56 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage, so the thinnest shifts are when families tend to visit. Annual turnover hits 58.3% compared to 45.8% nationally, meaning many of the people caring for residents are still learning the building. The current inspection record carries 85 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, with $233,690 in federal fines. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was December 2025.
Divine Rehabilitation And Nursing At Toledo runs 93 certified beds as a for-profit corporation, and the staffing numbers don't keep pace with what residents need. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 10% below the home's own weekday level, so the thinnest coverage lands when families often visit. The bigger problem is turnover: 70.5% annually against a national 45.8% means most of the people caring for your relative are new or on their way out.
The inspection record is worse. CMS counts 107 deficiencies, including 9 at harm or jeopardy level and 10 abuse-related, plus $72,324 in fines. The home is in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. Its last inspection was March 5, 2026.
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?