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

AYDEN HEALTHCARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

11

States

1

Beds

1,040

Avg score

72.1

Avg turnover

47%

Federal fines

$35,483

All 11 homes

A

90/100

Ayden Healthcare Of Wauseon

Wauseon, OH · Fulton County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
15%
Serious cites
0

Ayden Healthcare of Wauseon runs a tight ship on the things families often can't see day to day. Staff turnover of 14.6% is strikingly low next to the 45.8% national rate, which usually means people stick around and know the residents, and while overall nurse hours (3.74 per resident day) sit just under the national 3.86, the bigger caveat is weekends, when coverage drops roughly 11% below weekday levels. The health inspection record is the weak spot: 41 deficiencies, including one at harm level and two tied to abuse, with the most recent inspection in August 2024. Quality measures score well, but that inspection history and family-owned for-profit structure deserve your questions on a visit.

B

77/100

Ayden Healthcare Of Belle Springs.

Bellefontaine, OH · Logan County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
36%
Serious cites
0

Ayden Healthcare of Belle Springs runs 99 certified beds in Bellefontaine under corporate for-profit ownership, and its nurse staffing sits at 3.30 hours per resident day, about 14% under the national average. Weekends dip roughly 8% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover at 36.1% beats the national 45.8%, which suggests some stability in who's actually showing up. The current record carries 21 deficiencies, including one at harm or jeopardy level and two tied to abuse; the last inspection was March 2025. CMS gave quality measures 5 out of 5 stars, but health inspections and staffing each landed at 3.

B

75/100

Ayden Healthcare Of Waterville

Waterville, OH · Lucas County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
45%
Serious cites
0

Ayden Healthcare of Waterville runs 99 certified beds under for-profit limited liability ownership, and the staffing numbers tell a story of their own: 3.47 nurse hours per resident day sits about 10% under the national average, and weekends drop roughly another 9% below the home's own weekday level. That thin coverage lines up with a one-star health inspection rating and 42 deficiencies on the current record, including two at the harm-or-jeopardy level and three tied to abuse. One fine totaling $75,286 is on file, and the last inspection came in March 2026. Turnover at 44.9% is essentially the national rate, so the problem here isn't retention, it's what's happening on the floor when staff are there.

B

75/100

Ayden Healthcare Of Toledo

Toledo, OH · Lucas County

CMS 3/598 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
60%
Serious cites
0

Ayden Healthcare of Toledo runs 98 certified beds under for-profit LLC ownership, and its staffing tells a mixed story: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends dip roughly 10% below its own weekday coverage. That thinner weekend presence matters more given 60% annual turnover, well above the 45.8% national figure. The current inspection record carries 62 deficiencies, including one at harm or jeopardy level and one abuse-related citation, with the last inspection dated July 2024. Its quality measure rating is strong, but that sits alongside a one-star health inspection rating, worth asking about directly before deciding.

B

72/100

Ayden Healthcare Of Jackson

Jackson, OH · Jackson County

CMS 4/582 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
44%
Serious cites
0

Ayden Healthcare of Jackson runs on 3.06 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 8% below what the home staffs on weekdays. The state's inspection record shows a recent look in May 2025, and the home scores well on health inspections and quality measures, though its staffing rating sits at the low end. Staff turnover of 43.8% is close to the national figure, so retention isn't the standout problem, daily coverage is. Twenty-eight deficiencies sit on the current record, including one at the harm level and one tied to abuse, which is the kind of detail worth asking about directly before you decide.

B

70/100

Ayden Healthcare Of Greenville

Greenville, OH · Darke County

CMS 1/592 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
44%
Serious cites
0

Ayden Healthcare of Greenville runs a 92-bed for-profit operation where the staffing numbers are the first thing you notice. At 3.15 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level. Turnover lands at 44.3%, roughly in line with the 45.8% national figure, so that's not the outlier here, the daily coverage is. The inspection record shows 38 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus a $15,593 fine. A recent December 2025 inspection means the record is current.

C

69/100

Ayden Healthcare Of Rosemount Pavilion

Portsmouth, OH · Scioto County

CMS 2/5117 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
51%
Serious cites
0

Ayden Healthcare of Rosemount Pavilion runs 117 certified beds in Portsmouth under corporate for-profit ownership, and the staffing numbers are where the story sits. At 3.15 nurse hours per resident day, this home lands roughly 18 percent under the national average of 3.86, and weekend coverage drops another 10 percent below its own weekday pace, so the thinnest shifts come when families tend to visit. Annual turnover of 51.4 percent tops the national 45.8 percent, which means many of the aides and nurses you'd meet are still new to the building. The record shows 42 deficiencies, including one at harm or jeopardy level and three tied to abuse. Quality measures score well; staffing is the weak point.

C

68/100

Ayden Healthcare Of Oregon

Oregon, OH · Lucas County

CMS 2/599 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
59%
Serious cites
0

Ayden Healthcare Of Oregon runs 99 certified beds in Lucas County under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.54 nurse hours per resident day, it sits about 8 percent under the national average, with weekends dipping roughly 12 percent below its own weekday levels. Annual turnover of 59.2 percent runs well above the 45.8 percent national figure. A one-star inspection rating and 48 deficiencies on record, none at harm or jeopardy level, none abuse-related, tell you the problems are chronic paperwork and process issues rather than acute danger. The five-star quality measure rating and a recent May 2024 inspection complicate the picture, suggesting clinical outcomes look better than the staffing and compliance record would predict.

C

67/100

Ayden Healthcare Of Piqua

Piqua, OH · Miami County

CMS 1/599 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
48%
Serious cites
0

Ayden Healthcare of Piqua runs about 3.04 nurse hours per resident day, roughly 21% under the national average, and weekend coverage drops another 11% below its own weekday level, so the thinnest shifts are when families tend to visit. Staff turnover sits at 48.1%, slightly above the national rate, meaning nearly half the nursing staff turns over in a year. The inspection record is the heavier concern: 41 deficiencies, seven tied to abuse and two serious enough to put residents at risk of harm. A $19,890 fine and a June 2025 inspection round out the picture. The quality measure rating looks better than the staffing and inspection scores suggest, but federal quality scores are drawn from self-reported assessment data, while the deficiency record is what surveyors found on site.

C

67/100

Ayden Healthcare Of Fairfield

Fairfield, OH · Butler County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
51%
Serious cites
0

Ayden Healthcare of Fairfield runs 90 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident per day, roughly a fifth below the national average, and weekends dip another 8 percent below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 51.4 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. Its current inspection record carries 59 deficiencies, including two at the level where harm or jeopardy to residents was found and three tied to abuse. One fine totaling $141,833 is on file. The last inspection was September 18, 2024.

C

63/100

Ayden Healthcare Of Madeira

Cincinnati, OH · Hamilton County

CMS 1/5115 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
65%
Serious cites
0

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.