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LIONSTONE CARE

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

24

States

1

Beds

1,622

Avg score

66

Avg turnover

57%

Federal fines

$780,955

Flags across this group

1 of the group's homes carry a CMS abuse icon. 2 homes are in or a candidate for the Special Focus Facility programme.

All 24 homes

B

79/100

Ohio Valley Manor Care Center

Ripley, OH · Brown County

CMS 4/5140 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
54%
Serious cites
0

Ohio Valley Manor Care Center runs about 140 certified beds in Ripley, and the numbers here are quietly solid. Nurse staffing sits at 3.99 hours per resident day, a bit above the national average, and the latest inspection in August 2025 came back with 13 deficiencies, none of them causing harm or jeopardy, one was abuse-related, which you should ask about directly. The catch is turnover: 54.2% of staff leave each year, well past the national 45.8%, and weekend coverage drops roughly 10% below weekdays. Solid survey results, but a workforce that keeps changing is worth watching.

B

76/100

Maple Hills Skilled Nursing & Rehabilitation

Mcarthur, OH · Vinton County

CMS 3/542 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
55%
Serious cites
0

Maple Hills runs on thinner staffing than most homes its size, 3.23 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekday levels. That's a real gap when a resident needs help on a Saturday. Staff turnover sits at 54.5%, meaning more than half the nursing team leaves each year, which makes consistent care hard to build. The 46 deficiencies on record, one serious enough to reach harm or jeopardy, reflect that strain. Quality measures look strong on paper, but they measure clinical outcomes, not whether someone answers the call light. The corporation that owns this 42-bed home has been inspected recently, in June 2025, so the picture is current.

B

75/100

Gardens At St Henry The

Saint Henry, OH · Mercer County

CMS 4/525 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
39%
Serious cites
0

The Gardens at St Henry runs 25 beds in Mercer County under for-profit LLC ownership, and its inspection record is genuinely clean, seven deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with a survey completed in September 2025. The tension sits in the staffing column: 3.27 nurse hours per resident day falls roughly 15% under the national average, weekend coverage dips about 14% below its own weekday level, and CMS gives it a single star for staffing. Turnover at 38.5% is better than the 45.8% national figure, so the people who stay tend to stay. Quality measures and inspections score well; the daily hours on the floor are where this home is thinnest.

B

74/100

Cottingham Retirement Community

Cincinnati, OH · Hamilton County

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

Cottingham Retirement Community runs 60 certified beds in Cincinnati under for-profit LLC ownership, and its staffing is the first thing that stands out: 2.99 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekends dip about 9% under its own weekday numbers, and turnover sits at 47.7%, a bit above the national 45.8%. The inspection record is where the trouble concentrates, 19 deficiencies on file, including one at harm or jeopardy level and one abuse-related, with the most recent inspection dated February 2026. Quality measures score well, but the health inspection and staffing ratings both sit at two out of five, which is what pulls the overall picture down.

B

74/100

Shaker Gardens Nursing And Rehabilitation Center

Shaker Heights, OH · Cuyahoga County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
41%
Serious cites
0

Shaker Gardens runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, with weekends about 9% thinner than weekdays. That staffing gap sits alongside a 3/5 staffing star, but turnover at 40.8% actually beats the national 45.8%, so the people who are there tend to stay. The inspection record is the stronger part of the story: 17 deficiencies on file, none of them harm-level or abuse-related, and the most recent state visit was October 2024. Seven fines totaling $35,863 show the paperwork has slipped more than once, though nothing that endangered a resident.

B

74/100

Arlington Pointe Care Center

Middletown, OH · Butler County

CMS 4/5107 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
48%
Serious cites
0

Arlington Pointe, a 107-bed for-profit in Middletown, runs on thinner nurse coverage than most homes, 3.67 hours per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday levels. Turnover sits at 48.4%, a few points above the 45.8% national figure, which matters because that staffing category is where its federal rating lands at just 2 out of 5 stars even as inspections and quality measures each hold 4. The good news: nine deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with a clean inspection as recently as December 2025.

B

73/100

Greenbriar Nursing Center

Eaton, OH · Preble County

CMS 5/574 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
35%
Serious cites
0

Greenbriar runs a lean nursing floor. At 3.18 nurse hours per resident per day, it sits roughly 18% under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage is the main thing dragging down its rating, and the 2/5 staffing star reflects it. What offsets that is stability: turnover of 34.5% is well under the national 45.8%, so the aides and nurses who are there tend to stay. Inspections look solid too, with a 4/5 health inspection star, a recent February 2025 survey, and no deficiencies at the harm or jeopardy level.

B

72/100

Autumn Court

Ottawa, OH · Putnam County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
51%
Serious cites
0

Autumn Court runs lean on nursing hours, 3.14 per resident day against a national average of 3.86, and weekends dip roughly another 10% below what the home staffs on weekdays. That thin coverage sits alongside a 51.2% annual turnover rate, higher than the 45.8% national figure, and a staffing rating of 2 out of 5. The inspection record is cleaner: 13 deficiencies, none at the harm or jeopardy level, though one is abuse-related, with the last survey in October 2024. Quality measures score 5 out of 5. A for-profit corporation owns the 50-bed home. The clinical numbers look strong; the question is who's actually there on a Sunday.

B

70/100

Columbus Alzheimer's Care Ctr

Columbus, OH · Franklin County

CMS 3/599 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
35%
Serious cites
0

Columbus Alzheimer's Care Ctr runs on a for-profit LLC model with 99 certified beds, and its last inspection in August 2024 left a record of 35 deficiencies, two at the harm or jeopardy level and three tied to abuse. That inspection history is the main reason the health inspection side lands at the bottom of CMS's scale, even though the quality measure score sits at the top. Staffing tells a more mixed story: 3.10 nurse hours per resident day, roughly 20 percent under the national average, and weekends run about 7 percent thinner than weekdays. Turnover, at 35.2 percent, is actually better than the 45.8 percent national figure. One fine on record, $26,685. Families weighing this placement should ask directly about the abuse-related findings and how weekend coverage is handled.

C

67.5/100

Gardens At Celina

Celina, OH · Mercer County

CMS 4/525 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
58%
Serious cites
0

The Gardens at Celina runs 25 beds in Mercer County under for-profit LLC ownership, and its inspection record is the strong part: a 4-out-of-5 health inspection rating with 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Where it slips is staffing, which CMS rates 2 out of 5. Total nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and weekends run roughly 17% thinner than weekdays. Annual turnover is 58.1% against a national 45.8%, so more than half the nursing staff leaves each year. Inspectors were last on site in December 2025, so the record is current.

C

67/100

Brookview Healthcare Center

Defiance, OH · Defiance County

CMS 2/589 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
53%
Serious cites
0

Brookview Healthcare Center runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and the weekend gap makes that thin coverage thinner. Staff turnover sits at 53.2%, well above the norm, which matters for a place where residents need consistent hands. The record shows 24 deficiencies, one serious enough to cause harm or jeopardy, though none tied to abuse. Ownership is for-profit through a limited liability company. The quality measure score looks strong on paper, but that reflects charted care, not hours worked. The last inspection was March 2025, so the picture is fairly current.

C

67/100

Als Mount Vernon Inc

Mount Vernon, OH · Knox County

CMS 3/520 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
70%
Serious cites
0

Als Mount Vernon Inc runs 20 certified beds in Knox County, and its staffing is the part that stands out. Nurse hours come to 3.17 per resident day, roughly 18% under the national average of 3.86, and weekends drop about 5% below what the home already provides on weekdays. Annual turnover hits 70.4% against a national 45.8%, which means most of the people caring for residents this year likely won't be there next year. The inspection record shows 23 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Quality measures score well, but with that much churn and that few staff hours, the day-to-day consistency is the real question.

C

65/100

The Convalarium Of Dublin

Dublin, OH · Franklin County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
46%
Serious cites
0

The Convalarium of Dublin carries 60 deficiencies on its current record, including two at the harm or jeopardy level and four tied to abuse. That's the number that should worry you most, and it lines up with a one-star health inspection rating from CMS, meaning regulators have found serious, repeated problems here. Staffing sits at 3.98 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover is 46.4%, essentially matching the national rate, which means aides cycle through at a steady clip. The quality measure score looks strong, but inspections and abuse findings matter more.

C

64/100

Gardens Of Paulding The

Paulding, OH · Paulding County

CMS 2/550 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
57%
Serious cites
0

Gardens Of Paulding runs 50 certified beds under corporate for-profit ownership, and the numbers worth knowing are on the staffing side. Nurses provide 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 12% below what the home manages on weekdays. Turnover sits at 56.9% against a national 45.8%, which means more than half the nursing staff leaves within a year. Its inspection record shows 32 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was September 2025. Families should ask directly about weekend staffing and how the home keeps consistent caregivers.

C

63/100

Heatherdowns Rehab & Residential Care Center

Toledo, OH · Lucas County

CMS 2/584 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
69%
Serious cites
0

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.

C

63/100

Walnut Creek Nursing Center

Kettering, OH · Montgomery County

CMS 1/5139 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
61%
Serious cites
0

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.

C

62/100

Mccrea Manor Nsng And Rehab Ctr Llc

Alliance, OH · Stark County

CMS 2/584 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
68%
Serious cites
0

Mccrea Manor runs on thin staffing: 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less help than the typical home. Weekends are lighter still, and nearly 68% of staff turned over in the past year, well above the 46% national figure, that kind of churn means unfamiliar faces at the bedside. The good news is that care quality measures score well and the 32 deficiencies on record include none tied to harm, abuse, or jeopardy, with an inspection as recent as December 2025. The trade-off is straightforward: fewer hands per resident, especially on Saturdays and Sundays.

C

61.5/100

Oak Grove Manor

Mansfield, OH · Richland County

CMS 1/575 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
68%
Serious cites
0

Oak Grove Manor runs 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 16% below its own weekday level. That thin schedule is hard to sustain when 68.1% of staff turned over in a year, against a national average of 45.8%, new faces constantly, on a unit that never gets extra hands. Inspectors have logged 71 deficiencies, two involving harm or jeopardy and two tied to abuse, with a $15,593 fine and a July 2025 inspection on record. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.

C

61/100

Als Woodstock Inc

Woodstock, OH · Champaign County

CMS 1/542 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
60%
Serious cites
0

Als Woodstock runs 42 beds in Woodstock under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 59.5% against a national 45.8%, which means the aide helping your mother today is more likely than not to be gone within the year. The health inspection record shows 38 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $42,094; the last inspection was October 31, 2024. Resident care measures score well, but that's paperwork versus the floor.

C

60/100

Hawthorn Glen Nursing Center

Middletown, OH · Butler County

CMS 1/574 bedsFor-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
66%
Serious cites
0

Hawthorn Glen runs about 3.14 nursing hours per resident per day, roughly 19% under the national average, and weekends drop another 7% below its own weekday levels. Staff turnover sits at 66.2% against a national 45.8%, nearly two-thirds of the nursing staff leaving in a year. The current record shows 37 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was July 31, 2025, so the picture is current. Ownership is a for-profit corporation, and the staffing star comes in at 1 out of 5 while quality measures score 4, a split worth asking about directly.

C

55/100

East Park Care Center

Brook Park, OH · Cuyahoga County

CMS 2/557 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
72%
Serious cites
0

East Park Care Center runs on 3.08 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage slips about 9% below what it manages on weekdays. Staff turnover sits at 72.1% against a national rate near 46%, so the people around your family member change often. On its current record: 44 deficiencies, three involving harm or jeopardy, three tied to abuse, and $84,417 in fines across two penalties. The last inspection was in late October 2024. The five-star quality measure score reflects resident assessments, but the one-star inspection and staffing ratings describe what surveyors found and how thin the floor coverage is.

D

54/100

The Merriman

Akron, OH · Summit County

CMS 1/555 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
65%
Serious cites
0

Abuse icon on record

The Merriman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops about 12% below its own weekday levels. Staff turnover sits at 64.9% against a national 45.8%, so the people caring for residents are, more often than not, new to the building. Its inspection record carries 65 deficiencies, three of them at the harm or jeopardy level and six tied to abuse; two fines total $134,475, with the most recent inspection in January 2025. A 4/5 on quality measures doesn't offset a 1/5 on staffing and 1/5 on inspections. The corporate owners profit while the floor stays thin.

D

54/100

Cridersville Nursing And Rehab

Cridersville, OH · Auglaize County

CMS 1/550 bedsFor-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
78%
Serious cites
0

Cridersville Nursing and Rehab is a 50-bed for-profit home in Auglaize County, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.22 hours per resident per day, about 17% under the national average, and weekends run thinner than weekdays. That matters because turnover sits at 78.2%, well above the 45.8% national figure, so the people at the bedside keep changing. The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 37 deficiencies, five at the harm or jeopardy level, and two tied to abuse. Three fines totaling $112,610. The quality measure rating looks better, but that's mostly self-reported data. Ask about direct-care staffing on evenings and weekends before you decide anything.

D

54/100

Stellar Care Center

Woodsfield, OH · Monroe County

CMS 1/541 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
63%
Serious cites
0

Special Focus Facility

Stellar Care Center runs on thin margins where it counts. The raw staffing number looks fine on paper, 4.17 nurse hours per resident day, a bit above the national average, but weekends drop about 12% below its own weekday level, and 62.5% of staff turned over last year against a national rate of 45.8%. That churn shows up in a 1-out-of-5 health inspection rating and 106 deficiencies on the current record, three of them at the harm or jeopardy level and three tied to abuse. Two fines total $227,850, and CMS has placed this for-profit LLC in its Special Focus Facility program after a January 2026 inspection.