Nursing Homes in Ohio: Staffing, Turnover, and Penalties
Ohio has 922 Medicare- or Medicaid-certified nursing homes in 362 cities. On CMS's August 2026 figures, nurse aides there log 2.09 hours per resident per day, 10% below the US average of 2.32, and 48.7% of nursing staff leave in a year (US 45.8%).
Ohio averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
Aide hours per resident a day
2.09
US 2.32
All nursing hours per resident a day
3.69
US 3.86
Nursing staff turnover
48.7%
US 45.8%
Fines per home, 3 years
0.6
US 0.9
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Cincinnati (70), Columbus (31), Cleveland (19). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Ada (1)
- Adena (1)
- Akron (12)
- Alliance (5)
- Amelia (1)
- Amherst (1)
- Andover (1)
- Archbold (1)
- Arlington (1)
- Ashland (4)
- Ashtabula (3)
- Athens (2)
- Aurora (4)
- Austinburg (1)
- Austintown (2)
- Avon (4)
- Avon Lake (1)
- Baltic (1)
- Barberton (2)
- Barnesville (2)
- Batavia (2)
- Bay Village (1)
- Beachwood (3)
- Beavercreek (2)
- Bellaire (1)
- Bellbrook (1)
- Bellefontaine (2)
- Bellevue (2)
- Bellville (1)
- Belpre (2)
- Berea (3)
- Bethel (1)
- Beverly (1)
- Bidwell (2)
- Blanchester (2)
- Bluffton (2)
- Boardman (3)
- Bolivar (1)
- Bowerston (2)
- Bowling Green (3)
- Brecksville (1)
- Brewster (1)
- Bridgeport (1)
- Broadview Heights (2)
- Brooklyn (1)
- Brook Park (2)
- Brookville (1)
- Brunswick (3)
- Bryan (2)
- Bucyrus (2)
- Burbank (1)
- Burton (1)
- Cadiz (1)
- Calcutta (1)
- Caldwell (1)
- Cambridge (3)
- Canal Fulton (2)
- Canal Winchester (3)
- Canfield (1)
- Canton (9)
- Carlisle (1)
- Carroll (1)
- Carrollton (1)
- Celina (2)
- Centerburg (1)
- Centerville (4)
- Chagrin Falls (2)
- Champion (1)
- Chardon (3)
- Chesterville (1)
- Cheviot (1)
- Chillicothe (4)
- Cincinnati (70)
- Circleville (4)
- Cleveland (19)
- Cleveland Heights (1)
- Clyde (1)
- Coal Grove (1)
- Coldwater (1)
- Columbiana (2)
- Columbus (31)
- Concord (1)
- Conneaut (1)
- Coolville (1)
- Copley (2)
- Cortland (2)
- Coshocton (2)
- Covington (1)
- Crestline (1)
- Cridersville (2)
- Cuyahoga Falls (4)
- Dalton (1)
- Dayton (19)
- Defiance (2)
- Delaware (5)
- Delphos (2)
- Dover (4)
- Doylestown (1)
- Dublin (5)
- East Cleveland (2)
- East Liverpool (2)
- East Palestine (1)
- Eaton (3)
- Edgerton (1)
- Elyria (2)
- Englewood (3)
- Euclid (3)
- Fairborn (3)
- Fairfield (3)
- Fairlawn (3)
- Fairview Park (1)
- Findlay (4)
- Fostoria (3)
- Fowler (1)
- Frankfort (2)
- Franklin (2)
- Franklin Furnace (1)
- Fremont (4)
- Gahanna (3)
- Galion (2)
- Gallipolis (1)
- Garfield Heights (2)
- Geneva (3)
- Genoa (1)
- Georgetown (2)
- Germantown (1)
- Gibsonburg (1)
- Girard (1)
- Grand Rapids (1)
- Granville (1)
- Greenfield (2)
- Green Springs (1)
- Greenville (4)
- Grove City (2)
- Hamilton (11)
- Harrison (2)
- Hartville (1)
- Heath (1)
- Hicksville (1)
- Highland Heights (1)
- Hilliard (4)
- Hillsboro (3)
- Holgate (1)
- Holland (2)
- Hopedale (1)
- Howland (1)
- Huber Heights (1)
- Hudson (3)
- Huntsburg (1)
- Huron (2)
- Ironton (2)
- Jackson (2)
- Jamestown (1)
- Jefferson (1)
- Johnstown (1)
- Kalida (1)
- Kent (3)
- Kenton (1)
- Kettering (5)
- Kingsville (1)
- Kirtland (1)
- Lagrange (1)
- Lakeside (1)
- Lakeview (1)
- Lakewood (3)
- Lancaster (5)
- Lebanon (4)
- Leipsic (1)
- Lewis Center (1)
- Lexington (1)
- Liberty TWP (1)
- Lima (7)
- Lisbon (1)
- Logan (1)
- London (1)
- Lorain (4)
- Louisville (4)
- Loveland (5)
- Lucasville (2)
- Lyndhurst (2)
- Macedonia (1)
- Madison (2)
- Maineville (1)
- Mansfield (6)
- Maple Heights (1)
- Marengo (1)
- Marietta (4)
- Marion (6)
- Marysville (3)
- Mason (3)
- Massillon (6)
- Masury (2)
- Maumee (4)
- Mayfield Heights (2)
- Mayfield Village (1)
- McArthur (1)
- McConnelsville (2)
- McDermott (1)
- Medina (7)
- Mentor (4)
- Miamisburg (3)
- Middleburg Heights (4)
- Middlefield (1)
- Middleport (1)
- Middletown (5)
- Milan (1)
- Milford (3)
- Millersburg (3)
- Mineral Ridge (1)
- Minerva (2)
- Minster (1)
- Monclova (1)
- Monroe (1)
- Montpelier (1)
- Moraine (1)
- Morrow (1)
- Mount Gilead (1)
- Mount Vernon (6)
- Napoleon (2)
- Navarre (2)
- New Albany (3)
- Newark (5)
- Newbury (1)
- New Carlisle (1)
- Newcomerstown (1)
- New Concord (1)
- New Lebanon (1)
- New Lexington (1)
- New London (1)
- New Middletown (1)
- New Philadelphia (3)
- Newton Falls (1)
- Niles (1)
- North Baltimore (1)
- North Canton (2)
- Northfield (1)
- North Lima (3)
- North Olmsted (3)
- North Randall (1)
- North Ridgeville (3)
- North Royalton (1)
- Norwalk (3)
- Oak Harbor (1)
- Oakwood Village (2)
- Oberlin (2)
- Olmsted Falls (2)
- Olmsted TWP (1)
- Oregon (4)
- Orrville (2)
- Orwell (1)
- Ottawa (2)
- Oxford (1)
- Painesville (3)
- Parma (6)
- Parma Heights (1)
- Pataskala (2)
- Paulding (1)
- Payne (1)
- Pemberville (1)
- Peninsula (1)
- Perrysburg (6)
- Pickerington (2)
- Piketon (2)
- Piqua (2)
- Pleasantville (1)
- Poland (3)
- Pomeroy (1)
- Port Clinton (1)
- Portsmouth (5)
- Ravenna (2)
- Reynoldsburg (1)
- Richfield (2)
- Richmond Heights (2)
- Ripley (1)
- Rittman (2)
- Rockford (2)
- Rocky River (2)
- Sagamore Hills (1)
- Saint Henry (1)
- Saint Marys (1)
- Salem (5)
- Sandusky (4)
- Seaman (1)
- Sebring (1)
- Seven Hills (1)
- Shadyside (1)
- Shaker Heights (1)
- Shelby (2)
- Sidney (4)
- Solon (1)
- Somerset (1)
- Somerville (1)
- South Point (1)
- Spencerville (1)
- Springboro (1)
- Springfield (11)
- St Clairsville (4)
- Steubenville (4)
- St Marys (3)
- Stow (4)
- Streetsboro (1)
- Strongsville (3)
- Struthers (1)
- Sunbury (1)
- Swanton (2)
- Sylvania (5)
- Tallmadge (4)
- The Plains (1)
- Thornville (1)
- Tiffin (3)
- Tipp City (1)
- Toledo (15)
- Trotwood (1)
- Troy (2)
- Twinsburg (3)
- Uhrichsville (1)
- Union City (1)
- Upper Sandusky (2)
- Urbana (2)
- Vandalia (1)
- Van Wert (2)
- Vermilion (2)
- Versailles (1)
- Wadsworth (3)
- Walnut Creek (1)
- Walton Hills (1)
- Wapakoneta (1)
- Warren (5)
- Warrensville Heights (1)
- Washingtn C H (1)
- Washington Court Hou (3)
- Waterville (2)
- Wauseon (2)
- Waverly (1)
- Waynesville (1)
- Wellington (1)
- Wellston (2)
- West Carrollton (1)
- West Chester (2)
- Westerville (4)
- West Jefferson (1)
- West Lafayette (1)
- Westlake (7)
- West Liberty (1)
- West Union (2)
- Wheelersburg (2)
- Whitehall (1)
- Whitehouse (1)
- Wickliffe (1)
- Willard (2)
- Williamsburg (1)
- Willoughby (2)
- Wilmington (2)
- Wintersville (2)
- Woodsfield (2)
- Woodstock (1)
- Wooster (7)
- Worthington (2)
- Xenia (4)
- Yellow Springs (1)
- Youngstown (14)
- Zanesville (6)
Largest nursing home chains in Ohio
CMS links 369 of Ohio's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in OH | Homes nationwide |
|---|---|---|
| Foundations Health Solutions | 64 | 64 |
| Communicare Health | 37 | 110 |
| Trilogy Health Services | 31 | 123 |
| Saber Healthcare Group | 27 | 126 |
| Lionstone Care | 24 | 24 |
| Pacs Group | 24 | 274 |
| Altercare | 22 | 22 |
| Embassy Healthcare | 21 | 33 |
| Aom Healthcare | 20 | 20 |
| Ciena Healthcare/Laurel Health Care | 20 | 81 |
| Otterbein Seniorlife | 19 | 20 |
| Arbors at Ohio | 16 | 16 |
| CCH Healthcare | 16 | 33 |
| HCF Management | 15 | 22 |
| Vancrest Health Care Centers | 13 | 13 |
Chain as recorded in the CMS Provider Information file, August 2026 release