Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Park Terrace runs on thin staffing even before you look closely: 3.74 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which is when families tend to visit and notice. The bigger issue is who's left to provide that care, turnover sits at 65.8%, well above the 45.8% national figure, meaning two out of three staff members cycle out in a year. The inspection record backs that up: 109 deficiencies, six serious enough to cause harm, twelve tied to abuse, and $121,954 in fines. State inspectors were last in on March 20, 2025.
Trotwood Health & Rehab is a 67-bed for-profit home in Dayton, and its record reflects serious, ongoing problems. Nurse staffing sits at 3.28 hours per resident day, roughly 15% below the national average, and weekends run even leaner. Staff turnover is the number that should stop you cold: about 89% annually, nearly double the national rate. On inspections, CMS gives this home 1 out of 5 stars, with 85 deficiencies on record, four at the harm level and seven tied to abuse. It's in the Special Focus Facility program, carries a $77,000 fine, and was last inspected in July 2024.
Community Skilled Healthcare in Warren runs 99 certified beds as a nonprofit corporation, and the numbers are hard to get past. Nurse staffing sits at 3.68 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 59.8% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 69 deficiencies, including 3 at harm or jeopardy level and 13 abuse-related, plus $186,582 in fines, and CMS has placed the home in its Special Focus Facility program.
Divine Rehabilitation And Nursing At Toledo runs 93 certified beds as a for-profit corporation, and the staffing numbers don't keep pace with what residents need. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 10% below the home's own weekday level, so the thinnest coverage lands when families often visit. The bigger problem is turnover: 70.5% annually against a national 45.8% means most of the people caring for your relative are new or on their way out.
The inspection record is worse. CMS counts 107 deficiencies, including 9 at harm or jeopardy level and 10 abuse-related, plus $72,324 in fines. The home is in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. Its last inspection was March 5, 2026.
Highland Oaks is a for-profit home in Morgan County with 99 certified beds, and the numbers tell a split story. The quality measures CMS tracks look strong, but the inspection record is another matter: 105 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, and six tied to abuse. That inspection history is why CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Staffing sits about 5% under the national average, weekend coverage drops roughly 10% below weekday levels, and nearly half the nursing staff turns over each year.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
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.
Canfield Healthcare Center runs 90 beds in Youngstown under corporate ownership, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident per day against a national average of 3.86, with weekends running about 12% thinner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters because that's roughly half the workforce cycling out in a year.
The inspection record is where things get serious. Fifty-four deficiencies, four at harm or jeopardy level, seven tied to abuse, and $211,331 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers. The 4/5 quality measure rating reflects resident assessments; the 1/5 on both inspections and staffing tells you what those numbers don't.
Salem West Healthcare Center runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip another 11% below its own weekdays. Annual turnover sits at 56.1%, well above the 45.8% national figure, so the people left are often the newest. The inspection record is the real problem: 52 deficiencies, two at harm or jeopardy level, five tied to abuse, and a one-star health inspection rating. CMS has placed it in the Special Focus Facility program, its most serious watch list for homes with a pattern of persistent problems. A five-star quality measure score doesn't offset that, especially since those measures lean on self-reported data.
Country Lane Gardens runs on thin staffing: 3.14 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall shows up in the numbers, too. Annual turnover sits at 54.7%, well above the 45.8% national figure, and the home's 101 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse. Four fines total $318,627, CMS has placed it in the Special Focus Facility program, and the most recent inspection was March 5, 2026. A 5/5 quality measure score stands out against 1/5 marks for staffing and health inspections.
Kimes runs on 3.11 nursing hours per resident per day, roughly a fifth below the national average, and the weekend gap makes it thinner still, about 16% less staff on Saturdays and Sundays than during the week. The bigger red flag is turnover at 87.2%, nearly double the national figure, which means the people caring for residents are, more often than not, new to the building. The current inspection record shows 51 deficiencies, including three tied to abuse and one serious enough to cause harm or jeopardy, and the last inspection was in October 2024. A one-star inspection rating and two-star quality measures reflect a home that has struggled on multiple fronts, not just one bad survey.
Marietta Heights runs nurse staffing at 4.16 hours per resident day, roughly 8% above the national average, so the raw coverage number looks fine on paper. But weekends drop about 20% below its own weekday levels, and annual turnover sits at 70.8% against a national 45.8%, meaning the people providing that care are cycling through fast. The record shows 132 deficiencies, 13 of them at harm or jeopardy level and 8 abuse-related, plus $439,979 in CMS fines across four events. That combination landed it in the Special Focus Facility program. If you're considering this home, ask specifically how weekend coverage is staffed and what's changed since the March 2026 inspection.
Continuing Healthcare of Gahanna runs 94 beds under for-profit LLC ownership, and the staffing numbers tell a story on their own: 3.11 nurse hours per resident day against a national average of 3.86, with weekends dipping another 12% below its own weekday levels. That thin coverage sits alongside 111 deficiencies on the current record, including 8 at the harm or jeopardy level and 11 tied to abuse. Staff turnover of 55.8% runs well above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One fine of $170,581 is on file, and the most recent inspection was April 21, 2026.
The Arc At Cincinnati runs 3.56 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage, so the thinnest shifts are when families tend to visit. Annual turnover hits 58.3% compared to 45.8% nationally, meaning many of the people caring for residents are still learning the building. The current inspection record carries 85 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, with $233,690 in federal fines. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was December 2025.
Luxe Rehabilitation and Care Center is a 172-bed for-profit home in Lancaster, and the federal numbers paint a rough picture. Nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86, with weekends running roughly 7 percent thinner than weekdays. Staff turnover is 49.2 percent, higher than the 45.8 percent national figure. What stands out most is the inspection record: 99 deficiencies, 6 at harm or jeopardy level, and 11 tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A 5/5 quality measure score doesn't offset a 1/5 inspection rating and a 1/5 staffing rating, and $70,768 in fines backs that up.
Gardens of Mayfield Village runs 99 beds as a for-profit corporation, and the numbers that matter most here are staffing and oversight. Nurses provide 3.22 hours per resident day, roughly 17% under the national average, weekends run about 7% thinner than weekdays, and 71.2% of staff turn over in a year against a national 45.8%, so the people delivering care keep changing. The inspection record shows 106 deficiencies, five at harm or jeopardy level and six tied to abuse, with $155,225 in fines and CMS placing the home in its Special Focus Facility program. The quality measure rating is high, but that's self-reported chart data; the staffing and inspection ratings sit at the bottom.
Momentous Health At Richfield has 72 certified beds and an individual for-profit owner, and the numbers here are hard to get past. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, roughly 16% below what residents elsewhere typically receive, while annual turnover hits 64% compared with 45.8% nationally, meaning most of the people providing daily care are new to the building within a year. The deficiency record is the bigger problem: 103 total, including 3 at the harm or jeopardy level and 8 abuse-related. CMS has fined this home $158,534 and placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Warren Nursing & Rehab runs a for-profit limited liability operation with 107 certified beds, and the raw staffing numbers look solid at first glance, 5.32 nurse hours per resident day, well above the national average of 3.86. But weekends dip about 17% below the home's own weekday coverage, and annual turnover sits at 53.2% against a national 45.8%, meaning the aides and nurses caring for residents are cycling through fast. The bigger problem is the inspection record: 61 deficiencies on file, five of them serious enough to put residents in harm's way, four fines totaling $26,448, and a spot in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Medina Center runs 3.18 nurse hours per resident day, roughly 18 percent under the national figure, and weekends drop about 14 percent below its own weekday staffing. Annual turnover sits at 72.1 percent against a national average of 45.8, so the people providing care change often. The record shows 100 deficiencies, four at harm or jeopardy level and eight abuse-related, plus $136,807 in fines, and CMS has placed the home in its Special Focus Facility program. Its quality measure stars look strong, but that measure reflects resident health outcomes rather than the inspection and staffing problems underneath them. An inspection in February 2025 is the most recent.
Aventura At Assumption Village runs on thinner nurse coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 9% below its own weekday level. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record lists 49 deficiencies, three of them serious enough to involve harm or jeopardy, though none are abuse-related; a single fine of $14,680 is on file. The most recent inspection was December 19, 2024. For-profit corporate ownership out of North Lima, 150 beds. The quality measure score looks good on paper, but that's a survey-based number, not a staffing one.
Continuing Healthcare Of Cuyahoga Falls runs 98 beds under for-profit LLC ownership, and the staffing numbers are what stands out first: 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. That gap matters when you're deciding which day to visit. The inspection record is heavier still, 93 deficiencies, two at harm or jeopardy level, seven tied to abuse, and four fines totaling $178,725. Annual turnover sits at 77.1% against a national 45.8%, meaning the aide who knows your mother this month may not be there the next. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.
Sapphire Rehabilitation and Care Center is a 113-bed for-profit home in Columbus, and the federal numbers are not kind. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and it thins out further on weekends. The bigger problem is turnover: 78.6% annually, against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Its inspection record shows 87 deficiencies, including 8 at the harm or jeopardy level and 4 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and fines total $337,273. The quality measure score looks decent, but that's generated from resident assessment data, and it doesn't outweigh a documented staffing and safety record like this.
Addison Heights runs on 3.28 nurse staffing hours per resident day, roughly 15% under the national average, and weekends drop about 14% below its own weekday levels. Turnover sits at 69.5% against a national 45.8%. Those numbers have consequences: 78 deficiencies on record, including one at harm or jeopardy level and five tied to abuse, and CMS has placed the home in its Special Focus Facility program. The 5/5 quality measure score stands out against 1/5 staffing and inspection ratings, a split worth asking about directly. The last inspection was September 15, 2025.
Astoria Place Of Cincinnati runs 97 beds under for-profit LLC ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends about 10 percent thinner than weekdays. Turnover tells its own story: 66.7 percent of staff leave each year, against a national rate near 46 percent. On inspections it holds a 1-out-of-5 star rating, with 72 deficiencies on record, including 4 at the harm or jeopardy level and 13 tied to abuse. Two fines total $147,294, and CMS has placed it in the Special Focus Facility program for homes with a persistent pattern of poor care.
Fair Haven Shelby County is a 90-bed county-run home in Sidney with a staffing picture that splits in two directions. Nurses provide 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 5% thinner than weekdays, but turnover sits at 33.3%, well below the 45.8% national figure, which matters for consistency of care.
The inspection record is where the trouble is. CMS rates health inspections 1 out of 5, and the current record carries 56 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The home is in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Bethany Nursing Home runs about 86 beds under for-profit LLC ownership, and its staffing sits modestly above the national average at 4.00 nurse hours per resident day. That edge fades on weekends, when coverage drops roughly 8% below its own weekday level, and nearly half its staff turns over each year, 49.2%, a bit worse than the 45.8% national figure. The inspection record is the real concern: a 1-star health inspection rating, 45 deficiencies on file, including 3 tied to abuse, though none reached harm or jeopardy. A 5-star quality measure score stands out against that. The last inspection was March 2026, so the record is current.
Dublin Post Acute is a for-profit, 120-bed home that federal regulators have placed in the Special Focus Facility program, which is reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 82 deficiencies, including six at the harm or jeopardy level and three tied to abuse, along with three fines totaling $197,547. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 54.7%, well above the 45.8% national figure, and the most recent inspection was January 26, 2026.
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.
Avenue At Lyndhurst runs 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That schedule gap matters more when turnover sits at 72.4%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record is the harder problem: 59 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 1-out-of-5 inspection rating despite a recent visit in August 2025. Quality measures score 5 out of 5, but strong clinical numbers don't offset thin weekend coverage and a long list of cited problems. It's for-profit, LLC-owned, 102 beds.
Rolling Hills Rehab And Care Ctr runs 75 certified beds in Bridgeport under for-profit limited liability ownership, and the numbers behind its record are hard to read as anything but serious. Nurse staffing sits at 3.03 hours per resident day, roughly 22% under the national average of 3.86, with weekends about 7% thinner than weekdays, and annual turnover of 63.3% against a national 45.8%. Its current record carries 77 deficiencies, including one at the harm or jeopardy level and nine abuse-related, plus a $90,558 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and it holds one out of five stars on both health inspections and staffing.
Saint Luke Lutheran Home is a 166-bed nonprofit in North Canton, but nonprofit status isn't shielding residents here. Nurse staffing sits at 3.71 hours per resident day, under the national average, and weekends run thinner than weekdays. The bigger flag is turnover: 81.7% annually, far above the 45.8% national figure, meaning caregivers are constantly changing. Its inspection record shows 85 deficiencies, four at harm or jeopardy level, seven abuse-related, and one fine near $98,000. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. The last inspection was January 2023, so that record is getting old, which matters when you're weighing how current the picture really is.
Cardinal Woods runs on 3.02 nurse staffing hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop about 11 percent below what the home staffs on weekdays. That thin coverage sits alongside a 67 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses at the bedside keep changing. The current inspection record shows 42 deficiencies, five at harm or jeopardy level and eight tied to abuse, with $27,318 in fines and a survey that dates to August 2024. The quality measures look better than the rest, but they don't offset what's happening with staffing and oversight.
Highland Square is a for-profit corporation home with 91 beds, and the numbers that stand out most are the ones CMS rates lowest. Nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average, and weekends run about 9% leaner than weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 61.3%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The inspection record shows 57 deficiencies, five at harm or jeopardy level and eight tied to abuse, with $299,782 in fines across five penalties. Its quality measure rating is high, but that's self-reported data, and the last inspection was February 2025.
Aurora Manor runs on 3.57 nurse staffing hours per resident day, roughly 8 percent under the national average, and weekend coverage drops about 14 percent below what it manages on weekdays. Staff turnover sits at 66.7 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. Inspectors have cited 25 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with the most recent visit in January 2026. Corporate ownership and a two-star inspection history round out the picture. If you're considering this one, ask hard questions about abuse-prevention training and who actually staffs the weekend shifts.
Aventura At West Park runs on thin staffing: 3.69 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 9% below its own weekday levels, and annual turnover hits 68.8% against a national norm of 45.8%. That churn matters more than any single inspection finding. The record backs it up, 41 deficiencies, one serious enough to reach harm or jeopardy, seven tied to abuse, and a $16,801 fine, with the last inspection in April 2024. Corporate for-profit ownership, 125 beds, and a CMS staffing rating of 1 out of 5. What the quality measure score of 4 out of 5 reflects is the clinical data the home reports on its own residents; it doesn't offset what inspectors found or how fast the staff turns over. Ask about direct-care staffing on weekends before you decide anything.
Astoria Place Of Waterville runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, weekends drop roughly another 10% below its own weekday level, and turnover hits 47.6%. The inspection record is heavier: 48 deficiencies, including five at the harm or jeopardy level and five tied to abuse, with three fines totaling $59,889 and a 1-out-of-5 health inspection rating. Quality measures score well, but that reflects charted care, not the staffing and oversight under it.
Dixon Healthcare Center runs on thinner nursing coverage than most homes, about 3.47 nurse hours per resident each day, roughly 10% under the national average, and weekends drop another 13% below its own weekday levels. The bigger worry is who's left to provide that care: annual turnover hits 61.2%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces.
The inspection record is where things get serious. Ninety deficiencies are on file, six of them involving actual harm or jeopardy, and thirteen tied to abuse. Three fines total $195,872. A recent April 2026 inspection is a good sign on paper, but the quality measure score is doing heavy lifting against a staffing picture and inspection history that tell a rougher story.
The Laurels of West Columbus runs 97 beds under individual for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, with weekends roughly 11% thinner than weekdays. That matters more when you see 60.7% of staff turning over each year against a 45.8% national rate, meaning the people delivering care keep changing. The inspection record is the harder problem: 51 deficiencies logged, two at harm or jeopardy level, seven tied to abuse, and one fine of $26,685, with the last inspection on June 9, 2025. Resident outcomes score well on CMS quality measures, but the staffing and inspection results point to real risk worth weighing before you decide.
King David runs 355 certified beds in Beachwood under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse coverage of 4.88 hours per resident day sits about 26% above the national average, but weekends run roughly 21% leaner than weekdays, and annual turnover hits 63.5% against a national 45.8%, so coverage depends heavily on who's still there. The inspection record is the harder read: a 1-out-of-5 health inspection rating, 64 deficiencies including one at the harm or jeopardy level and six tied to abuse, plus a $10,221 fine. Quality measure scores look strong on paper, but the last inspection closed in September 2025, and the staffing math doesn't erase what surveyors found.
Arbors At Gallipolis runs 99 certified beds under for-profit LLC ownership, and its strongest number is staff retention: 26.8% turnover against a national average of 45.8%, which matters because consistent caregivers tend to know residents' routines. The catch is raw staffing hours, at 3.72 per resident day, about 4% under the national average, and weekends dip roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Inspections are a bigger concern: 23 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in April 2025.
Arbors At Delaware runs on about 3.18 nurse staffing hours per resident day, roughly 18 percent under the national average, and weekends dip even further below its own weekday numbers. Annual turnover sits at 62.7 percent against a national average near 46 percent, so the people caring for residents are cycling through fast. The inspection record is heavy: 62 deficiencies, including one at the harm level and two tied to abuse, with a 1-star health inspection rating even though the quality measure score is strong at 5 stars. The most recent inspection was February 2, 2026, so the record is current, not stale.
Welcome Nursing Home in Oberlin runs a for-profit operation with 99 certified beds, and its staffing numbers are genuinely better than most: 4.09 nurse hours per resident per day, about 6% above the national average, with a 4/5 staffing rating to match. Turnover sits at 27.7%, well under the 45.8% national figure, which matters for consistency of care. The catch is inspections. The current record carries 22 deficiencies, including four tied to abuse, though none rose to the harm or jeopardy level. A 2/5 health inspection rating against a 4/5 on quality measures suggests the day-to-day clinical picture looks steadier than the survey history does. Weekend staffing drops roughly 13% below weekday levels, so ask how that plays out on Saturdays and Sundays.
Shady Lawn Nursing Home is a for-profit LLC operation in Dalton with 98 certified beds, and the numbers split sharply depending on where you look. The health inspection record is the real problem: 37 deficiencies on file, three of them serious enough to put residents in harm's way, plus five tied to abuse, and a single $40,950 fine. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 6% below what the home itself manages during the week. Turnover at 42.1% is slightly better than the 45.8% national figure, so retention isn't the weak spot here, the inspection history is.
Summit Acres runs 95 beds in Caldwell under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 40.5%, a bit better than the 45.8% national figure. What stands out more is the inspection record: 52 deficiencies, including one at the harm level and nine tied to abuse, with a $16,801 fine and a 2-out-of-5 inspection rating. The 5-out-of-5 quality measure score reflects resident care metrics, not the supervision and safety problems inspectors documented.
Arbors At Milford runs 4.56 nurse hours per resident day, about 18% above the national average of 3.86, which is the strongest thing this home has going for it. The catch is consistency: weekend staffing drops roughly 13% below its own weekday level, and 53.1% of nursing staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. Its inspection record carries 47 deficiencies, 7 of them at the harm or jeopardy level and 4 abuse-related, along with four fines totaling $117,782. Corporate-owned and 90 beds, it was last inspected March 12, 2026. Strong hours on paper, thin coverage on weekends, and a serious deficiency history.
Windsor Lane runs on a for-profit LLC model with 89 certified beds, and its staffing is genuinely better than most: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39.8% compared to 45.8% nationally. That's a real strength, though weekends dip about 8% below the home's own weekday coverage. The trouble sits in inspections. A 2-out-of-5 health inspection rating and 42 deficiencies on record, one at harm or jeopardy level, seven abuse-related, tell you the day-to-day care environment has drawn repeated federal citations, most recently in July 2024. Strong quality scores and solid staffing numbers are offset by that inspection history, which is what pulls the overall picture down to average.
Grafton Oaks runs on 3.39 nurse hours per resident per day, roughly 12 percent under the national average, and weekend coverage slips about 8 percent below its own weekday level. Staff turnover sits at 68.9 percent against a national average of 45.8, most of the people caring for your relative likely weren't there a year ago. The inspection record carries 16 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was February 2026. The 5/5 quality measure rating reflects charted clinical measures, but staffing is where this home is thinnest, and that gap is what a family should weigh when deciding.
Nurse staffing at Arbors At Stow sits at 3.90 hours per resident day, barely above the national average of 3.86, and weekends run about 11% thinner than weekdays. More telling is the turnover: 53.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, five at harm or jeopardy level, eight involving abuse, and four fines totaling $252,801, with the most recent inspection dated March 2026. A 5/5 quality measure rating stands in odd contrast to a 1/5 inspection rating, but quality measures come from self-reported data, while inspections and fines come from what surveyors actually found.
Majestic Care Of Clyde, a for-profit LLC home with 74 beds, runs lean on nursing staff, 3.11 hours per resident day against a national average of 3.86. Weekends dip about 13% below its own weekday numbers, and annual turnover sits at 52.5%, well above the 45.8% national figure. Its inspection record shows 50 deficiencies, none flagged at harm or jeopardy level, though 11 are abuse-related, and the last state visit was in November 2024. Despite the strong quality measure rating, the low staffing and inspection history are what pull its overall standing down.
Wyant Woods runs 180 certified beds as a for-profit corporation, and its 3.01 nurse staffing hours per resident day land about 22 percent under the national average of 3.86, with weekends dipping roughly 8 percent below its own weekday levels. Turnover sits at 40.9 percent, slightly better than the national 45.8 percent, so the issue here isn't retention as much as raw hours per resident. The inspection record carries 61 deficiencies, including 3 at harm or jeopardy level and 9 abuse-related, plus $153,317 in fines across 2 penalties, and CMS scored its last inspection 1 out of 5 in April 2025. Its quality measure rating is 5 out of 5, which can reflect charted outcomes more than day-to-day coverage.
Country Club Retirement Center runs on thinner nursing coverage than most homes, 3.38 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday levels. That staffing picture, plus a two-star inspection rating and 42 deficiencies on record (three at harm or jeopardy level, seven tied to abuse), is where the real story sits. Turnover is 45.5%, essentially matching the national rate, so the problem isn't retention, it's how few hours each resident actually gets. The 2024 inspection is recent enough to reflect current conditions. A four-star quality measure score is the one bright spot, but quality measures come from resident assessments, not from how the place is run day to day.
Cityview runs 146 beds on Cleveland's east side, and the corporate owner's staffing shows it: 3.02 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover sits at 48.4%, slightly above the national 45.8%. The inspection record is the harder problem, 55 deficiencies, six at harm or jeopardy level, eight tied to abuse, and $193,120 in fines across five penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with persistent serious problems. The last inspection was November 2022. Resident satisfaction surveys look strong, but that measure doesn't capture whether enough hands are present.
Burlington House runs 122 certified beds under for-profit LLC ownership in Cincinnati, and the staffing numbers are the first thing to look at. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.5% is slightly better than the 45.8% national figure, which helps. The inspection record is the bigger concern: 31 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with the last inspection in May 2024. Quality measure scores look strong, but that record deserves direct questions before you decide.
Versailles Rehabilitation runs on about 3.0 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop further below its own weekday pace. Staff turnover sits at 51.2%, higher than the 45.8% national figure. Inspections look better: the most recent visit in May 2025 produced a 4-star health inspection rating and strong quality measures, but the record still carries 23 deficiencies, including one at the harm level and four tied to abuse. The low staffing star tells you where the risk concentrates, a corporate-owned home where the care depends heavily on who happens to be on the floor.
Vista Care Center of Milan runs 2.64 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on time than the typical home, with weekends staffed about 15% thinner than weekdays. That staffing shortfall sits behind a 2-out-of-5 CMS staffing rating and 50% annual turnover, slightly above the national 45.8%. Meanwhile, 33 deficiencies sit on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, with the most recent inspection in October 2024. A single $12,834 fine is relatively modest, but the harm-level and abuse findings are the ones worth asking the administrator about directly before you decide.
Crawford Manor is a 50-bed for-profit in Cleveland, and the numbers split in two directions. The quality measures look strong, but everything about how the place is run and inspected tells a different story: a one-star health inspection rating, 47 deficiencies on the current record including three at the harm level and seven tied to abuse, plus two fines totaling $25,366. Staffing sits at 3.79 hours per resident day, slightly under the national average, and it thins out on weekends by roughly 14 percent. Turnover at 42.9 percent is a bit better than the national figure, but that's faint comfort. The last inspection was December 2023, so the record may not reflect what's happening now.
Lincoln Crawford runs 96 beds under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, with weekends dropping about 11% below its own weekday coverage. Annual turnover is 55.4% against a national 45.8%, so the staff caring for residents is changing over at a high rate. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was August 2025. Quality measures score well, but that sits against a two-out-of-five inspection rating and thin, uneven staffing.
The Sanctuary at Tuttle Crossing has enough nurses on paper, 4.30 hours per resident day, about 11% above the national average, but that cushion thins out on weekends, when staffing drops roughly 14% below its own weekday level. The bigger issue is who stays: annual turnover of 73.1% sits far above the 45.8% national average, meaning many of the aides and nurses you'd meet may not be there next year. Then there's the inspection record, a 1 out of 5 star rating, 39 deficiencies logged, and two tied to abuse, one serious enough to put a resident in harm's way. That history, not the daily hours, is what's driving the grade.
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.