Nana's List

Who owns Ohio nursing homes

Ownership shapes staffing and cost decisions. Here is how Ohio nursing homes compare by ownership type, and which chains operate the most homes.

CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.

By ownership type

OwnershipHomesAverage Medicare starsTypical nursing hoursShare fined
For profit7833.03.49 hrs33%
Non profit1273.84.30 hrs17%
Government123.84.10 hrs17%

Largest chains in Ohio

74% of Ohio nursing homes belong to a chain. Counts are homes we list in Ohio.

  • Foundations health sOlutions64 homes · average 4.1 of 5 Medicare stars
  • Communicare health37 homes · average 3.3 of 5 Medicare stars
  • Trilogy health sErvices31 homes · average 4.3 of 5 Medicare stars
  • Saber healthcare group27 homes · average 3.1 of 5 Medicare stars
  • LionsTone care24 homes · average 2.5 of 5 Medicare stars
  • Pacs group24 homes · average 2.2 of 5 Medicare stars
  • Altercare22 homes · average 3.3 of 5 Medicare stars
  • EmbasSy healthcare21 homes · average 2.6 of 5 Medicare stars
  • Aom healthcare20 homes · average 2.7 of 5 Medicare stars
  • Ciena healthcare/Laurel health care20 homes · average 2.7 of 5 Medicare stars
  • Otterbein sEniorlife19 homes · average 3.2 of 5 Medicare stars
  • Arbors at ohio16 homes · average 2.6 of 5 Medicare stars
  • Cch healthcare16 homes · average 2.7 of 5 Medicare stars
  • Hcf management15 homes · average 3.5 of 5 Medicare stars
  • VancresT health care centers13 homes · average 4.0 of 5 Medicare stars

Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.