SPRENGER HEALTH CARE SYSTEMS

Nurse hours

3.65 /day

Staff turnover

33%

Serious cites

0

Autumn Aegis runs a 99-bed for-profit home in Lorain, and the staffing picture is mixed. Nurses give residents 3.65 hours of care per day, about 5% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. That said, staff turnover sits at 32.9%, well below the 45.8% national average, which suggests people stay. The 21 deficiencies on record include nothing at the harm or jeopardy level and no abuse findings, and the most recent inspection was in May 2024. Quality measures score 5/5 while health inspections score 3/5. Steady hands, slightly light coverage, worth asking about weekend shifts specifically.

Nurse hours

3.44 /day

Staff turnover

45%

Serious cites

0

Sprenger Health Care of Port Royal runs 65 certified beds under corporate for-profit ownership, and its staffing sits at 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 12% thinner than its own weekdays. Turnover is 45.3%, essentially matching the national figure, so the instability here isn't unusual for the industry. What stands out is the inspection record: six deficiencies, one serious enough to involve harm or jeopardy, and a single $14,069 fine, with the most recent inspection dated March 12, 2026. Quality and staffing measures score well on paper, but that inspection history is the part worth asking about directly.

Nurse hours

3.67 /day

Staff turnover

43%

Serious cites

0

Elms Retirement Village in Wellington runs about 3.67 nursing hours per resident each day, roughly 5% under the national average, and weekends drop another 8% below its own weekday levels. Staff turnover sits at 42.6%, slightly better than the 45.8% national figure. What stands out is the inspection record: 16 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey in March 2024. The corporate-owned, 60-bed home earns top marks on health inspections and quality measures, but staffing lands mid-range, enough to explain why it lands where it does rather than at the top.

Nurse hours

3.21 /day

Staff turnover

45%

Serious cites

0

Rose Lane runs 171 certified beds in Massillon under corporate, for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends drop about 9 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 45.2 percent, basically in line with the national 45.8 percent, so that's not the standout problem here. The inspection record is: 32 deficiencies, two at harm or jeopardy level, one abuse-related, with the most recent inspection on January 29, 2026. The quality measure stars say one thing; the inspection history and the staffing gap say another.

Nurse hours

3.63 /day

Staff turnover

35%

Serious cites

0

Smithville Western runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 10% below its own weekday staffing. Turnover sits at 34.6%, which is better than the 45.8% national figure, and the last inspection was in July 2024. What holds the record back is the inspection history: 38 deficiencies, including one at the harm level and one abuse-related, plus a $42,777 fine. For-profit corporate ownership. The quality and staffing scores look strong on paper, so the real question is whether the care gaps that produced those 38 findings have actually been fixed.

Nurse hours

3.43 /day

Staff turnover

43%

Serious cites

0

Manor of Grande Village is a for-profit corporate home with 88 certified beds in Twinsburg, and its staffing sits about 11 percent under the national average at 3.43 nurse hours per resident day. That gap widens on weekends, when coverage drops roughly 9 percent below the home's own weekday level. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, but three are abuse-related, which is worth asking about directly. Staff turnover at 43.2 percent is slightly better than the 45.8 percent national figure, and the last inspection was in July 2024. Quality measures score well; staffing and inspections are more middling.

Nurse hours

3.58 /day

Staff turnover

63%

Serious cites

0

Sprenger Healthcare of Bluffton runs 60 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a recent September 2025 survey, five total deficiencies, and just one at the harm level. Where the numbers get shakier is staffing. At 3.58 nurse hours per resident day, it sits about 7% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover of 62.5% is well above the 45.8% national figure, which matters more than a single shift count because it hints at how often residents see unfamiliar faces. Good inspections, thinner coverage, high churn, that combination is what holds this home back from the top of the range.

Nurse hours

3.52 /day

Staff turnover

48%

Serious cites

0

Main Street Care Center runs 3.52 nurse hours per resident day, about 9% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage, which matters, since that's when families tend to visit and problems tend to surface. The inspection record is the bigger concern: 31 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $16,801 fine and a most recent inspection dated April 2026. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure. Corporate-owned and certified for 120 beds, the home's quality measure scores look strong on paper, but those numbers depend on the staffing and oversight underneath them.

Nurse hours

3.79 /day

Staff turnover

63%

Serious cites

0

Village Of The Falls runs 36 beds in Olmsted Falls, and the numbers split in two directions. The clinical side looks solid: a 4-out-of-5 inspection rating, 5 out of 5 on quality measures, and just four deficiencies on record, none of them causing harm or tied to abuse. Staffing is where it thins out, 3.79 nurse hours per resident day sits just under the national average, weekend coverage drops roughly 16% below the home's own weekday level, and 63.4% annual turnover is well above the 45.8% national figure. It's a for-profit corporate home that last saw an inspection in July 2023. Small homes can run lean, but that churn is worth asking about directly.

Nurse hours

3.25 /day

Staff turnover

53%

Serious cites

0

Heather Knoll Retirement Village has a clean inspection record, nine deficiencies on the books, none of them serious enough to cause harm or jeopardy, and nothing abuse-related. That's a genuinely good sign, and it lines up with the five-star ratings on health inspections and quality measures from CMS. The catch is staffing. At 3.25 nurse hours per resident day, this home runs about 16% below the national average, and weekends dip another 13% below its own weekday numbers. Annual turnover sits at 52.8%, higher than the 45.8% national figure. A corporation owns it, and the last inspection was March 2025. Ask who's actually on the floor on Saturday.

Nurse hours

3.33 /day

Staff turnover

51%

Serious cites

0

Anchor Lodge runs leaner than most homes on nurse staffing, 3.33 hours per resident day against a national average of 3.86, with weekends about 7% thinner than its own weekdays. Turnover sits at 51.1%, above the 45.8% national mark, which means a lot of the people caring for residents are still learning the building. The inspection record shows 34 deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $20,678. No abuse findings, and the last inspection was recent, in December 2025. Quality measures score well; staffing is where the gaps show.

Nurse hours

3.33 /day

Staff turnover

56%

Serious cites

0

Amherst Manor runs on thinner staffing than most homes its size. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 8% below its own weekday numbers, so the coverage gap widens exactly when families tend to visit. Annual turnover of 55.8% is ten points above the national rate, meaning the aides and nurses caring for residents are frequently new. The inspection record is current, with a March 2025 survey and 19 deficiencies, none rising to harm or abuse. Quality measures score well, but that one-star staffing rating is the number worth weighing against the 114 beds.