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HILLSTONE 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

9

States

1

Beds

398

Avg score

75.4

Avg turnover

37%

Federal fines

$159,708

All 9 homes

B

80/100

River Run Healthcare Of Portsmouth

Portsmouth, OH · Scioto County

CMS 5/525 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
18%
Serious cites
0

River Run Healthcare Of Portsmouth is a small for-profit home, just 25 certified beds, and its staffing sits at 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin weekend coverage matters more than the raw average suggests. Where this home stands out is turnover: 18.2% annually against a national rate of 45.8%, meaning the staff who are there tend to stay. The trade-off shows in its record, 35 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and a February 2025 inspection that's still fairly recent. Strong quality measures and steady staff, but the survey history and weekend hours are the things to ask about directly.

B

79/100

Bowerston Hills Nursing & Rehabilitation

Bowerston, OH · Carroll County

CMS 5/525 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
11%
Serious cites
0

Bowerston Hills is a small for-profit home in Carroll County, 25 beds, corporate-owned, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average, and weekends run about 4% leaner than weekdays, so coverage thins out exactly when families tend to visit. What stands out is the turnover: 11.1% against a national average of 45.8%, which suggests a stable crew that knows the residents. Inspections are recent and clean at the harm level, 16 deficiencies on record, none causing injury and none abuse-related. The low staffing score is the tradeoff worth weighing against that consistency.

B

78/100

Pine Ridge Skilled Nursing And Rehab

Morrow, OH · Warren County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
33%
Serious cites
0

Pine Ridge runs 50 beds in Morrow under for-profit LLC ownership, and the staffing number is the one to watch: 3.02 nurse hours per resident day, roughly 22% under the national average, with weekends dipping about 11% below its own weekday level. Turnover sits at 33.3%, which is actually better than the 45.8% national figure. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in November 2024. Quality measures score well, but the staffing rating is the weak spot. If you're considering this home, ask how they cover weekends and what the nurse-to-resident ratio looks like on a typical shift.

B

78/100

Colonial Nursing Center Of Rockford

Rockford, OH · Mercer County

CMS 3/534 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
45%
Serious cites
0

Colonial Nursing Center Of Rockford runs 34 certified beds under for-profit LLC ownership, and its staffing sits at 3.42 nurse hours per resident day, about 11% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday level, which matters when a resident needs help on a Saturday. Turnover is 44.8%, roughly in line with the national 45.8%. The health inspection record shows a 2-star rating with 33 deficiencies, none at harm or jeopardy level and none abuse-related; the most recent inspection was December 31, 2025. Quality measures score 5 stars, staffing 2. The gap between those two numbers is the story here.

B

76/100

Crystal Care Center Of Franklin Furnace

Franklin Furnace, OH · Scioto County

CMS 5/530 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
53%
Serious cites
0

Crystal Care Center of Franklin Furnace is a small for-profit home in Scioto County, just 30 certified beds, and its inspection record is genuinely strong. Ten deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, plus a recent inspection in April 2026. Where it comes up short is staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends run roughly 9% thinner than weekdays, and annual turnover of 53.3% is well above the 45.8% national figure. High turnover and thin weekend coverage matter most when a resident needs something at 2 a.m. on a Sunday. The care quality and inspection scores look good; the question is whether the staffing can hold that up.

B

75.5/100

Sienna Hills Nursing & Rehabilitation

Adena, OH · Belmont County

CMS 3/543 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
45%
Serious cites
0

Sienna Hills runs about 3.07 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekends dip another 17% below its own weekday coverage. Staff turnover sits at 44.8%, basically in line with the national average. The current inspection record shows 31 deficiencies, including one at the harm level and two tied to abuse, though the last inspection was recent, February 2025. Resident outcome measures look strong, but the staffing numbers are the weak point, and that's where the low staffing rating comes from.

B

75/100

Whitehouse Country Manor

Whitehouse, OH · Lucas County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
42%
Serious cites
0

Whitehouse Country Manor runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.97 hours per resident day, roughly 23% under the national average of 3.86. Weekend coverage drops another 13% below what the home staffs on weekdays, which matters most when families visit and when residents need attention. Turnover lands at 41.8%, a bit better than the 45.8% national figure, though the 2-out-of-5 staffing rating reflects how thin the day-to-day numbers are. The inspection record shows 37 deficiencies, five tied to abuse, none at the harm level, with the most recent survey in February 2025. Quality measures score 5 out of 5, so the clinical outcomes look strong even where staffing doesn't.

B

75/100

Roselawn Gardens Nursing & Rehabilitation

Alliance, OH · Stark County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
37%
Serious cites
0

Roselawn Gardens runs lean on nursing hours: 3.06 per resident day, roughly a fifth below the national average, and weekends drop another 13% below its own weekday staffing. That's the reason its staffing rating sits low. The tradeoff is a workforce that mostly sticks around, 36.7% turnover beats the national 45.8%, and strong marks on health inspections (4/5) and quality measures (5/5), with the last state visit in February 2025. Eighteen deficiencies are on record, none at the harm or jeopardy level, though one is abuse-related, which families should ask about directly.

C

62/100

Crystal Care Of Coal Grove

Coal Grove, OH · Lawrence County

CMS 3/557 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
49%
Serious cites
0

Crystal Care of Coal Grove runs 57 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.16 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday coverage. Turnover sits at 48.8%, a few points above the national figure, and the CMS staffing rating lands at 1 out of 5. The inspection record shows 25 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $159,708, though the most recent inspection was September 2025, so that picture is current, not stale. Quality measures score 5 out of 5, which is a genuine bright spot, but strong clinical metrics don't offset thin daily coverage.