ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

692 Chain-Owned Nursing Homes in Ohio

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.

Every chain-owned nursing home in Ohio

Showing 81 to 100 of 692, best-graded first.

B

82/100

Pine Grove Healthcare Center

Geneva, OH · Ashtabula County

CMS 5/567 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
28%
Serious cites
0

Pine Grove runs lean on nurse hours, 3.38 per resident per day against a national average of 3.86, and weekends dip about 7% below its own weekday coverage. That's the weak spot, and it's why staffing lands mid-range even though turnover is unusually low at 27.8%, well under the 45.8% national figure. Where it separates itself is on inspections and quality, both top marks, with just one deficiency on record, nothing at harm or jeopardy level, and no abuse citations. A fresh April 2026 inspection means the picture is current, not stale. Corporate for-profit ownership, 67 beds. The tradeoff is simple: fewer hands per resident, but steady ones and a clean regulatory record.

B

82/100

Siena Gardens Rehabilitation & Transitional Care

Cincinnati, OH · Clermont County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
27%
Serious cites
0

Siena Gardens runs leaner on nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday coverage. The tradeoff shows up elsewhere: staff turnover of 27% is well under the 45.8% national figure, suggesting people tend to stay. Inspections are another strong point, with a 5-star health inspection rating and a visit as recent as September 2025. The record does carry 11 deficiencies, none at the harm level, though one is abuse-related, which is worth asking about directly.

B

82/100

Gateway Springs Health Campus

Hamilton, OH · Butler County

CMS 4/553 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
45%
Serious cites
0

Gateway Springs Health Campus runs a tight ship on the clinical side. The 53-bed for-profit home logged a 5/5 on its last federal health inspection in January 2024, with five total deficiencies and none rising to harm or jeopardy, a clean record compared to what a lot of Ohio homes carry. Nurse staffing sits at 4.20 hours per resident day against a national average of 3.86, so there's more direct care here than typical, though weekend coverage dips about 12% below the weekday pace. Turnover at 44.6% tracks close to the 45.8% national figure. If you're weighing this one, the inspection history is the strongest signal.

B

81.5/100

Kingston Health Center Of Perrysburg

Perrysburg, OH · Wood County

CMS 3/562 bedsFor-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
45%
Serious cites
0

Kingston Health Center Of Perrysburg runs on more nursing time than most homes, 4.72 hours per resident day against a national average of 3.86, roughly a fifth more hands-on care. The catch is weekends, when coverage drops about 16% below the home's own weekday level, so the staffing picture depends on which day you visit. Turnover sits at 45.1%, about even with the national rate, and the home carries ten deficiencies with none tied to harm, jeopardy, or abuse. Its last inspection was September 2024, and it scores 4 out of 5 on CMS's health inspection, quality measure, and staffing ratings alike. Owned by a for-profit limited liability company, it's a steady home rather than an exceptional one.

B

81/100

Mayfair Village Nursing Care Center

Columbus, OH · Franklin County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
40%
Serious cites
0

Mayfair Village runs about 99 beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends thin out further, running about 9% below the home's own weekday coverage, so the quietest shifts are the leanest ones. Turnover lands at 39.8%, which is actually better than the 45.8% national figure, meaning fewer caregivers cycling out than at a typical home. The current record shows 65 deficiencies, none at harm or jeopardy level but five tied to abuse; the last inspection was April 2026. Quality measures score well, though inspection results drag the overall picture down.

B

81/100

Ohio Living Swan Creek

Toledo, OH · Lucas County

CMS 4/534 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
46%
Serious cites
0

Ohio Living Swan Creek runs 34 certified beds in Toledo, and the nursing hours look solid on paper: 4.02 per resident day, roughly 4% above the national average. But that average hides a dip, weekends run about 13% thinner than weekdays, which is when families tend to visit and notice. Staff turnover sits at 45.7%, essentially matching the national rate, so retention isn't the problem here. The inspection record is: 25 deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $34,873 fine. A 5/5 on quality measures and 4/5 on staffing sit alongside a 2/5 inspection rating and a recent April 2026 survey. The care metrics look strong; the compliance history is what pulls this down.

B

81/100

Aventura At Humility House

Austintown, OH · Mahoning County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
54%
Serious cites
0

Aventura at Humility House runs 70 certified beds in Austintown under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, about 12 percent under the national average, with weekends running roughly 8 percent lighter than weekdays. Annual turnover is 53.7 percent against a 45.8 percent national rate, so the aides and nurses at the bedside are cycling through faster than is typical. The inspection record is where the picture darkens. Thirty-seven deficiencies are on file, including four at the harm or jeopardy level and one tied to abuse. The last inspection closed in April 2025, and quality and staffing measures both score relatively well, but a two-star health inspection rating with that many serious findings is the part a family needs to weigh.

B

81/100

Kingston Health Center Of Sylvania

Sylvania, OH · Lucas County

CMS 3/5127 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
52%
Serious cites
0

Kingston Health Center Of Sylvania runs 127 beds under for-profit LLC ownership, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average of 3.86. That's a real edge, though weekends dip about 12% below the home's own weekday coverage, so care may thin out when families visit. The harder numbers are elsewhere: 51.7% annual turnover against a 45.8% national average, and 37 deficiencies on the current record, including one at harm or jeopardy level and five tied to abuse. A 5/5 quality measure rating and a recent January 2026 inspection offset some of that, but the inspection history carries weight.

B

81/100

Avalon By Otterbein At Perrysburg

Perrysburg, OH · Wood County

CMS 3/560 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
48%
Serious cites
0

Avalon By Otterbein runs about 4.73 nursing hours per resident each day, roughly a quarter more than the national average of 3.86, which is the strongest thing in its file. Weekend coverage dips about 6% below its own weekday level, and staff turnover sits at 47.5% against a national 45.8%, so the people delivering that care keep changing. Inspectors found 39 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the most recent visit was in August 2025. Quality measures score well; the inspection and staffing stars land in the middle. The nonprofit ownership is a point in its favor, but the deficiency count is what holds this one back.

B

81/100

Canfield Acres Llc Dba Windsor House At Canfield

Canfield, OH · Mahoning County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
42%
Serious cites
0

Windsor House at Canfield runs on thinner nurse coverage than most homes, 3.71 hours per resident day, about four percent under the national figure, and weekends dip roughly eleven percent below its own weekday levels, so the hours your family visits may not match the hours on the schedule. The record shows 23 deficiencies with none at the harm level, though two are abuse-related, which is worth asking about directly. Staff turnover sits at 42 percent, a touch better than the national 45.8, and the last inspection came January 8, 2026, so the picture is recent. Corporate-owned, 96 beds, with inspection and staffing both landing at four stars out of five.

B

81/100

Harrison Trail Health Campus

Harrison, OH · Hamilton County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
47%
Serious cites
0

Harrison Trail Health Campus sits in Hamilton County with 54 certified beds, run by a for-profit LLC. The staffing picture is decent but not uniform: 4.12 nurse hours per resident day runs about 7% above the national average, though weekends drop roughly 12% below what the home staffs on weekdays. Turnover lands at 46.9%, essentially tracking the national rate of 45.8%. Where it stands out is inspections, a perfect 5/5 health inspection rating with only 3 deficiencies on record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was February 26, 2026. Quality measures also score 5/5, while staffing earns 3/5, which tells you the clinical outcomes look strong even if the workforce numbers are only steady.

B

81/100

Norwich Springs Health Campus

Hilliard, OH · Franklin County

CMS 4/554 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
47%
Serious cites
0

Norwich Springs runs a 54-bed for-profit home in Hilliard with nurse staffing at 4.16 hours per resident day, about 8% above the national average, though weekends run roughly 14% leaner than weekdays. Staff turnover sits at 46.9%, essentially level with the national figure. The current inspection record shows 12 deficiencies with none at the harm or jeopardy level and none abuse-related, and the last survey was in May 2024. Federal ratings put quality measures at 5 out of 5 and staffing at 4 out of 5, with health inspections at 3. The picture is a decently staffed home with a clean harm record, held back mainly by that middling inspection history.

B

81/100

Willows At Bowling Green The

Bowling Green, OH · Wood County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
45%
Serious cites
0

Willows At Bowling Green runs about 50 beds under corporate ownership, and the numbers here are mostly steady. Nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, though weekends drop about 13% below the home's own weekday levels, worth asking about if your family visits on Saturdays and Sundays. Staff turnover of 44.8% lands right at the national rate, so people do leave, but no faster than elsewhere. The inspection record is the strongest signal: a single deficiency on file, none involving harm or abuse, with a survey completed at the end of 2025.

B

80.5/100

Flint Ridge Nrsg & Rehab Ctr

Newark, OH · Licking County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
43%
Serious cites
0

Flint Ridge runs a for-profit LLC operation with 99 certified beds in Newark, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average. That headline number has some slack in it, though: weekends drop about 15% below the home's own weekday coverage, so the help you get depends on when you visit. Turnover lands at 43%, a touch better than the 45.8% national figure, and the current record shows 57 deficiencies, two of them serious enough to involve harm or jeopardy. No abuse findings. The last inspection was in May 2025. Quality measures score well, but the inspection history is where the real story sits.

B

80.5/100

Parkside Health Care Center

Columbiana, OH · Columbiana County

CMS 3/575 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
30%
Serious cites
0

Parkside runs leaner on nursing hours than most homes, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly a fifth below its own weekday staffing. What stands out in the other direction is retention: turnover at 29.6% is well below the 45.8% national figure, which suggests people tend to stay. The inspection record shows 30 deficiencies, none rising to actual harm or jeopardy, but five tied to abuse, a category worth asking about directly. State inspectors were last in during August 2025, so the picture is current.

B

80.5/100

Vancrest Health Care Center Of Eaton

Eaton, OH · Preble County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
32%
Serious cites
0

Vancrest Health Care Center of Eaton runs on 4.09 nurse hours per resident per day, roughly 6% above the national average of 3.86, and its staff turnover of 32.1% sits well below the 45.8% national figure, a sign people stick around here more than they do at the typical home. The tradeoff shows up on weekends, when staffing drops about 18% below its own weekday level. Twelve deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 26, 2026. A 3/5 on inspections and 4/5 on quality measures rounds out a record that's steady rather than spotless.

B

80.5/100

Otterbein At Granville

Granville, OH · Licking County

CMS 5/522 bedsNon-profit
Nurse hours
4.46 /day
Staff turnover
56%
Serious cites
0

Otterbein At Granville is small, 22 certified beds, and it's run by a nonprofit corporation, which tends to mean steadier oversight than you'd get at a for-profit chain. Nurse staffing sits at 4.46 hours per resident day, about 16 percent above the national average of 3.86, and both its health inspection and quality measure ratings come back perfect from CMS. The catch is turnover: 55.6 percent annually against a national average of 45.8, and weekend staffing drops roughly 19 percent below its own weekday level. Six deficiencies are on record with none at the harm level, though one is abuse-related. The inspection is recent, dated April 2026.

B

80/100

Schoenbrunn Healthcare

New Philadelphia, OH · Tuscarawas County

CMS 2/595 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
32%
Serious cites
0

Schoenbrunn Healthcare runs 95 beds in New Philadelphia under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.33 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays. That shortfall sits behind a CMS staffing rating of 2 out of 5. What stands out is the inspection record, 42 deficiencies, one at harm or jeopardy level and four abuse-related, with a health inspection rating of 1 out of 5. Staff turnover is 32.1%, better than the national 45.8%, so people tend to stay. Ask about the abuse citations and weekend coverage before deciding.

B

80/100

Logan Elm Health Care Center

Circleville, OH · Pickaway County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
35%
Serious cites
0

Logan Elm runs 3.93 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.1% is well below the typical 45.8%, people tend to stay here. The catch is weekends, when coverage drops about 14% below weekday levels, and the staffing star comes in at 3 out of 5. Inspections are a genuine strength: a 5/5 health inspection star, a recent survey in March 2026, and 8 deficiencies with none at harm level. Worth noting, though, that 3 of those are abuse-related, which is worth a direct question to the administrator before you decide.

B

80/100

Otterbein Lebanon Retirement Community

Lebanon, OH · Warren County

CMS 5/5154 bedsNon-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
40%
Serious cites
0

Otterbein Lebanon runs on more nursing hours than most homes, about 4.00 per resident day against a national average near 3.86. Weekend coverage dips roughly 7% below its own weekday level, which is typical but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 39.8%, better than the 45.8% national figure. The record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. Inspectors were last on site in September 2025, and the health inspection rating came back 4 out of 5 stars, with quality measures at 5. It's a nonprofit corporation with 154 certified beds.

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?
Deupree Cottages in Cincinnati, OH, grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 688 graded chain-owned homes in Ohio, 42 grade A and 28 grade D or F.
Do chain-owned nursing homes in Ohio accept Medicaid?
690 of the 692 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Ohio