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.
Community Skilled Healthcare in Warren runs 99 certified beds as a nonprofit corporation, and the numbers are hard to get past. Nurse staffing sits at 3.68 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 59.8% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 69 deficiencies, including 3 at harm or jeopardy level and 13 abuse-related, plus $186,582 in fines, and CMS has placed the home in its Special Focus Facility program.
Rolling Hills Rehab And Care Ctr runs 75 certified beds in Bridgeport under for-profit limited liability ownership, and the numbers behind its record are hard to read as anything but serious. Nurse staffing sits at 3.03 hours per resident day, roughly 22% under the national average of 3.86, with weekends about 7% thinner than weekdays, and annual turnover of 63.3% against a national 45.8%. Its current record carries 77 deficiencies, including one at the harm or jeopardy level and nine abuse-related, plus a $90,558 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and it holds one out of five stars on both health inspections and staffing.
Heritage Healthcare of Lyndhurst runs on thin staffing: 3.65 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger problem is who stays, turnover hits 73.1% a year, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces. The inspection record backs that up: 73 deficiencies, including four at harm or jeopardy level and four tied to abuse, plus $149,620 in fines across two penalties. That combination, one-star inspections and one-star staffing, corporate for-profit ownership, a recent April 2025 survey, is what drives the grade down, whatever the quality measures say.
Trotwood Health & Rehab is a 67-bed for-profit home in Dayton, and its record reflects serious, ongoing problems. Nurse staffing sits at 3.28 hours per resident day, roughly 15% below the national average, and weekends run even leaner. Staff turnover is the number that should stop you cold: about 89% annually, nearly double the national rate. On inspections, CMS gives this home 1 out of 5 stars, with 85 deficiencies on record, four at the harm level and seven tied to abuse. It's in the Special Focus Facility program, carries a $77,000 fine, and was last inspected in July 2024.
Continuing Healthcare of Gahanna runs 94 beds under for-profit LLC ownership, and the staffing numbers tell a story on their own: 3.11 nurse hours per resident day against a national average of 3.86, with weekends dipping another 12% below its own weekday levels. That thin coverage sits alongside 111 deficiencies on the current record, including 8 at the harm or jeopardy level and 11 tied to abuse. Staff turnover of 55.8% runs well above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One fine of $170,581 is on file, and the most recent inspection was April 21, 2026.
Marietta Heights runs nurse staffing at 4.16 hours per resident day, roughly 8% above the national average, so the raw coverage number looks fine on paper. But weekends drop about 20% below its own weekday levels, and annual turnover sits at 70.8% against a national 45.8%, meaning the people providing that care are cycling through fast. The record shows 132 deficiencies, 13 of them at harm or jeopardy level and 8 abuse-related, plus $439,979 in CMS fines across four events. That combination landed it in the Special Focus Facility program. If you're considering this home, ask specifically how weekend coverage is staffed and what's changed since the March 2026 inspection.
Kirtland Woods of Journey runs on 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend shifts are thinner still. That staffing level comes with a 77.7% annual turnover rate, well over the national 45.8%, meaning the aides and nurses your family member sees are constantly changing. The inspection record is where things get serious: 54 deficiencies, four at harm or jeopardy level, five tied to abuse, and two fines totaling $314,178. It's a for-profit LLC with 177 beds, and its most recent inspection was May 5, 2026. If you're considering this one, ask hard questions about direct-care coverage on evenings and weekends before you decide anything.
Carecore At Mentor runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends are thinner still, about 11% below its own weekday staffing. That gap matters because needs don't take weekends off. The workforce itself is unstable: 72.2% annual turnover against a national 45.8%. Inspectors have cited 32 deficiencies, six at harm or jeopardy level, one tied to abuse, and fined the home $35,457. Its last inspection was July 2024. A for-profit LLC operation with one-star ratings on both health inspections and staffing, and the record is recent enough to reflect how it runs now.
Meadows of Marion runs a for-profit corporate operation with 99 certified beds, and its nurse staffing sits at 4.15 hours per resident day, roughly 8% above the national average of 3.86. That's a real cushion, though weekends dip about 9% below the home's own weekday level, so the coverage your family member gets on a Saturday isn't quite what it is midweek. The inspection record is thin: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey completed January 27, 2025. Few problems and recent eyes on the building. The staffing edge and the clean deficiency sheet are what's carrying this one.
Crocker Pointe runs 96 certified beds in Westlake under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86. The bigger thing to notice is the weekend gap: care hours drop about 10% below the home's own weekday level, so a Saturday or Sunday shift is where you'd want to ask questions. What stands out in the other direction is the record itself: zero deficiencies, none at the harm or jeopardy level, and nothing abuse-related, with a state inspection completed January 28, 2025. No home is perfect, but a clean survey plus recent review is a real signal.
Champion Creek runs 4.46 nurse hours per resident day, roughly 16% above the national average, and weekends dip about 13% from its own weekday level, a real gap, though the floor stays higher than most homes' weekday staffing. The home has no deficiencies on its current record at any level, including none tied to abuse, and its last inspection was August 2025. It's a for-profit corporation with 99 certified beds. What the numbers describe is a home that has kept a clean inspection record while staffing above average, with the usual weekend thinning that families should ask about directly.
Overbrook Landing is a for-profit corporation running 83 certified beds in Xenia, and its inspection record is about as clean as it gets: zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related. That last inspection was recent, too, January 2026, so this isn't a case of a stale, years-old survey carrying an empty record. What the federal data doesn't show is a staffing level sitting comfortably above the national average, and that's usually what separates a home that stays clean from one that just hasn't been caught yet. With no grade computed here, the numbers themselves are the story: nothing wrong on paper, but little cushion either. Ask about actual nurse hours per resident before you decide.
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?