Every Medicare-certified nursing home in Ohio, graded on inspections, staffing, turnover
and enforcement history.
30 homes
in the state sit in the federal Special Focus programme.
Valley Oaks runs on 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and that thin margin holds steady on weekends, so there's no extra coverage when families visit. The bigger strain is turnover: 88.1% of nursing staff left last year, nearly double the national rate of 45.8%. Consistent caregivers are hard to keep when nearly everyone is new. The record isn't alarming on safety, 14 deficiencies, none causing harm, none tied to abuse, and the most recent inspection was March 2026. Quality measures score well, but that staffing number sits at the bottom of CMS's scale, and it's the piece families feel daily.
Wayside Farm runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 11% below its own weekdays. That thin coverage shows up in the inspection record: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $165,448 in fines across two penalties. Staff turnover, at 45.3%, is essentially the national rate, so retention isn't the outlier here, daily staffing is. The 4/5 quality measure score reflects resident care measures, but those can look fine while hands-on time lags. The last inspection was August 2024. If you're considering this one, ask directly how many nurses are on the floor on a Saturday.
The Ohio Veterans Home in Sandusky runs on state government ownership, and its staffing numbers are genuinely strong, 4.86 nurse hours per resident per day, about a quarter more than the national average, with staff turnover at 36.2% against a national 45.8%. Weekend coverage dips roughly 9% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. The friction sits in its inspection record: 23 deficiencies on file, including 3 at the harm or jeopardy level and 7 tied to abuse, with the last inspection in January 2024. Strong day-to-day care numbers and a troubled regulatory history can coexist at the same address.
Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.
Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.
Aventura At Shiloh Springs runs on 3.07 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekend coverage drops about 8% below its own weekday level. That thin staffing shows up in its one-star CMS staffing rating even as residents' clinical measures earn five stars. The inspection record is heavier: 59 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a two-star health inspection rating. This for-profit corporation's 84-bed home was last inspected January 8, 2026, so the record is current, not stale. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
Ayden Healthcare of Madeira runs about 3.07 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65% against a national 45.8%, so the people showing up are frequently new. The current record carries 80 deficiencies, three of them abuse-related, none flagged at harm or jeopardy level, and the last inspection was in December 2025. The 4/5 quality measure score reflects how residents' conditions are tracked, but with 1/5 on both staffing and health inspections, the daily reality is thin coverage and constant churn.
Carecore At Lima runs on 3.11 nurse hours per resident day, about 19 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. That thin margin matters most on Saturdays and Sundays, when families often visit and problems surface.
Staff turnover sits at 62.7 percent against a national average of 45.8 percent, roughly three in five caregivers left over the year. The inspection record shows 55 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse. One fine of $33,534 is on file.
The quality measure score is perfect, which tells you charted outcomes look good. The staffing and inspection scores don't. Ask about weekend coverage and turnover before you decide.
Buckeye Care and Rehabilitation runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends about 12% leaner than weekdays. That shortage shows up in a 58.6% annual turnover rate, well above the 45.8% norm, and a 1-out-of-5 CMS staffing rating. The 35 deficiencies on record, one involving harm, four tied to abuse, carry a single $20,678 fine and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset those numbers, especially under for-profit LLC ownership. The most recent inspection was January 8, 2026, so the record is current, not stale.
Shelby Skilled Nursing runs on a thinner staffing line than most homes: 3.27 nurse hours per resident day against a national average of 3.86, with a 1-out-of-5 staffing rating and 65.3% annual turnover, well above the 45.8% typical elsewhere. The good news is that the care processes look solid on paper, with 4s for both inspection and quality measures, and a recent August 2024 survey. But 21 deficiencies sit on the current record, two of them abuse-related, and none rose to the harm level.
Autumnwood Care Center in Tiffin runs 93 certified beds under corporate ownership, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, and weekends dip about 12% below its own weekday coverage, the gap families feel when they visit on a Saturday. Turnover is essentially average at 45.5%, but the inspection record is the heavier story: 45 deficiencies, three of them serious enough to put residents at risk of harm. The last state inspection was in April 2026, so the record is current, not stale. Nothing here suggests abuse, but the pattern of low staffing and repeated inspection problems is worth asking about directly before committing.
Hamilton Respiratory And Nursing Center runs on 3.23 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover sits at 72.6% against a national figure of 45.8%, so the people providing most of the hands-on care are cycling through faster than the residents can get to know them. Thirty-five deficiencies sit on the current record, including one abuse-related citation, though none rose to the harm or jeopardy level. Ownership is for-profit, through a limited liability company. The clinical quality scores look strong, but that staffing number is where the day-to-day reality lives.
Hillsboro Post Acute is a 99-bed for-profit home in Highland County, and its numbers tell two different stories. The care side looks strong on paper: top marks from CMS on health inspections and quality measures, last inspected in May 2025, with nine deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it frays. At 3.17 nurse hours per resident day, it runs about 18 percent under the national average, weekends drop roughly 13 percent below its own weekdays, and annual turnover hits 67.1 percent against a national 45.8. Inspectors can find a well-run building while residents still wait longer for hands-on help, and that gap is what pulls the overall picture down to a middling grade.
Bellbrook Health and Rehab runs 65 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the headline number suggests. Total nurse hours sit at 3.92 per resident day, barely above the national 3.86, while weekend coverage dips about 4% below weekdays and annual turnover hits 61.5% against a 45.8% national rate. That churn shows up in the federal stars: one out of five for staffing, two for health inspections, despite a five for quality measures. The inspection record carries 37 deficiencies, one abuse-related and none flagged at harm level, plus a single fine of $75,323. The most recent survey closed January 15, 2026, so the record is current, not stale.
St Leonard HCC runs 150 beds under corporate for-profit ownership, and the numbers show where that pressure lands. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it thins out further on weekends, about 8% below the home's own weekday coverage. Staff turnover is 50.3%, meaning roughly half the workforce leaves each year, which matters for anyone who needs consistent caregivers. The inspection record is heavier: 40 deficiencies, including three at the harm level and three tied to abuse, plus two fines totaling $89,700. The 2024 inspection is recent enough to be relevant. Quality measures look better than staffing and inspection results, but families should ask directly about those harm-level findings.
Heatherdowns runs on 3.09 nurse hours per resident per day, roughly a fifth less than the national average of 3.86, and weekends drop about 9% below what it manages during the week. That thin coverage is the backdrop for a 68.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The current record lists 54 deficiencies, including two at the harm or jeopardy level and one tied to abuse, following a February 2025 inspection. The 5/5 quality measure score and 2/5 inspection rating sit oddly against those numbers; the staffing rating is 1/5.
The Laurels of Kettering runs on thin nursing coverage: 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 13 percent below what the home staffs on weekdays. Annual turnover sits at 60.9 percent, well above the 45.8 percent national figure, so the people showing up are often new. That instability shows up in the inspection record, 57 deficiencies, including three tied to abuse and two serious enough to put residents in harm's way, and a $41,974 fine. The quality measure score looks strong, but it's the only number here that does.
West Park runs on thin staffing: 3.31 nurse hours per resident per day, roughly 14% under the national average, with weekends dipping about 6% below its own weekday level. That shortfall shows in the numbers that matter most, a 1-star staffing rating, 30 deficiencies on the current record including four serious enough to cause harm, and a $24,115 fine. Staff turnover sits at 63.6% against a national average of 45.8%, meaning nearly two-thirds of the nursing team leaves in a year. The 4-star quality measure rating and a recent March 2025 inspection are the bright spots, but quality scores reflect a narrow set of clinical measures, not day-to-day coverage.
Walnut Creek Nursing Center runs on thinner staffing than most homes its size, 3.08 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That shortfall shows up in the numbers: a one-star CMS staffing rating and 61.3% annual turnover, well above the 45.8% national figure. The inspection record carries 48 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its two-star health inspection rating sits alongside a four-star quality measure score, a split worth asking about directly. Corporate-owned and certified for 139 beds, last inspected March 2025. Staffing and safety records are where the questions should start.
Divine Rehabilitation and Nursing at Sylvania runs 99 beds under corporate ownership, and the staffing numbers are where you'd want to start. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 8% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 58.6% is well above the 45.8% national figure, so the people providing care keep changing.
The inspection side is harder to look past: 85 deficiencies on the current record, including four at the harm level and four tied to abuse, with $193,489 in fines across four events. The most recent inspection was March 2025. Quality measures score well, but that's resident outcome data, not proof the building is safely run day to day.