The 10 Worst Nursing Homes in Ohio

Updated as of February 01, 2024

A list of the ten worst skilled nursing homes in Ohio. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Ohio.

Compare the Worst Nursing Homes in Ohio

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Ohio skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Ohio. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in Ohio, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home Rating
East Ohio Regional Hospital Long Term Care
90 NORTH FOURTH STREET
MARTINS FERRY, OH
493.17
Continuing Healthcare of Cuyahoga Falls
300 EAST BATH ROAD
CUYAHOGA FALLS, OH
446.17
/
Astoria Place of Cincinnati
3627 HARVEY AVENUE
CINCINNATI, OH
415.17
Rating Not Available /
Continuing Healthcare of Gahanna
167 NORTH STYGLER ROAD
GAHANNA, OH
370.50
Ridgewood Manor
3231 MANLEY ROAD
MAUMEE, OH
370.17
Rating Not Available
Continuing Healthcare at Adams Lane
1856 ADAMS LANE
ZANESVILLE, OH
313.00
/
Kent Healthcare and Rehabilitation.
1290 FAIRCHILD AVENUE
KENT, OH
311.33
/
Beeghly Oaks Center For Rehabilitation and Healing
6505 MARKET STREET
YOUNGSTOWN, OH
308.00
Muskingum Skilled Nursing and Rehabilitation
501 PINECREST DRIVE
BEVERLY, OH
304.50
Hospitality Center For Rehabilitation and Healing
1301 NORTH MONROE DRIVE
XENIA, OH
302.83

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Ohio

Every month, we rank all of the skilled nursing facilities in Ohio. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Ohio is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Ohio nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Ohio nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Ohio

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Ohio have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in Ohio

If you run into an issue at a Ohio nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Ohio nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Ohio Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Ohio go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Cleveland

  • Willow Park Convalescent Home (298.833)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-01-19)
    • Provide safe, appropriate dialysis care/services for a resident who requires such services. (2023-12-06)
  • Eastbrook Healthcare Center (248.5)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2023-11-03)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2023-11-03)
  • Cleveland Nursing and Rehabilitation Center (210)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-10-11)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-10-11)
  • Cityview Healthcare and Rehabilitation (207.5)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-09-19)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-08-25)
  • University Manor Health and Reha (169.5)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-10-25)
    • Provide and implement an infection prevention and control program. (2023-10-25)
  • Fairfax Health Care Center (158)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2024-01-04)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-01-04)
  • Gardens of Euclid Beach (156)
    • Provide and implement an infection prevention and control program. (2023-12-12)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2023-09-12)
  • Cleveland Manor Nursing Home (107.333)
    • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (2023-04-24)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-04-21)
  • Crawford Manor Healthcare Center (102.667)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-01-18)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-01-18)
  • Rocky River Gardens Rehab and Nursing Ctr (96.333)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2023-12-18)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-07-11)

Worst Nursing Homes in Cincinnati

  • Astoria Place of Cincinnati (415.167)
    • Provide immediate access to any resident. (2024-01-19)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-12-11)
  • Carecore at The Meadows (224)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-09-07)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-09-07)
  • The Chateau at Mountain Crest Nursing and Rehab Ctr (217)
    • Ensure residents have reasonable access to and privacy in their use of communication methods. (2023-09-21)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-06-08)
  • Liberty Nursing Center of Colerain Inc (212)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-10-24)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-07-24)
  • Pleasant Ridge Healthcare Center (206.833)
    • Reasonably accommodate the needs and preferences of each resident. (2024-01-12)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-01-12)
  • Harrison Pavilion Care Center (206)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2024-01-17)
    • Conduct risk assessment and an All-Hazards approach. (2024-01-09)
  • Harmony Court Rehab and Nursing (202.833)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-01-23)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-01-23)
  • Burlington House Rehab and Alzheimer's Care Center (185.833)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2023-07-07)
    • Provide or obtain dental services for each resident. (2023-07-07)
  • Forest Hills Healthcare Center. (182.333)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-05-19)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-05-19)
  • Lakeridge Villa Health Care Center (178.167)
    • Ensure that residents are free from significant medication errors. (2023-06-30)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2022-06-07)

Worst Nursing Homes in Columbus

  • Bella Terrace Rehabilitation and Nursing Center (282.5)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-12-28)
    • Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. (2023-12-28)
  • Majestic Care of Columbus LLC (279.333)
    • Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2023-10-27)
    • Honor the resident's right to manage his or her financial affairs. (2023-10-27)
  • Vineyard Court Nursing Center (237.667)
    • Respond appropriately to all alleged violations. (2023-11-17)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-11-17)
  • Scioto Community (218.833)
    • Provide properly protected cooking facilities. (2023-12-04)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-12-04)
  • Eastland Rehabilitation and Nursing Center (202.667)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-12-28)
    • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (2023-12-28)
  • River Towne Center (199.333)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-11-20)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2023-11-20)
  • Capital City Gardens Rehabilitation and Nursing Ce (171.333)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-11-13)
    • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (2023-11-13)
  • Embassy of Woodview (169.5)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2023-10-04)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-10-04)
  • The Laurels of Gahanna (162)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-11-20)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-11-20)
  • Mother Angeline Mccrory Manor (144.333)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-10-27)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2023-10-27)

Worst Nursing Homes in Dayton

  • Friendship Village (208.333)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-01-08)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-01-08)
  • Village at The Greene (192.5)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-08-21)
    • Have proper power supply for life support equipment. (2023-02-24)
  • Garden Court Nursing and Rehabilitation Center (188)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-11-13)
    • Provide and implement an infection prevention and control program. (2023-11-13)
  • Laurelbrook Nursing Home (172.2)
    • Have generator or other power source capable of supplying service within 10 seconds. (2022-03-18)
    • Assess the resident when there is a significant change in condition (2022-03-17)
  • Carecore at Mary Scott (168.167)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-12-11)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-05-31)
  • Grandview Health Care Center (151.333)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2023-10-10)
    • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2023-10-10)
  • Sanctuary at Wilmington Place (144)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-12-11)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-12-11)
  • Widows Home of Dayton (129)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-12-15)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2023-12-15)
  • Centerville Health and Rehab (118)
    • Provide and implement an infection prevention and control program. (2022-12-27)
    • Reasonably accommodate the needs and preferences of each resident. (2022-09-20)
  • Riverside Nursing and Rehabilitation Center (117.333)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-08-25)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2023-08-22)

Worst Nursing Homes in Akron

  • The Merriman (146)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2023-11-13)
    • Provide and implement an infection prevention and control program. (2023-11-13)
  • Highland Square Nursing and Rehabilitation (137.333)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-12-28)
    • Honor the resident's right to manage his or her financial affairs. (2023-09-19)
  • Windsong Nursing and Rehab (122.167)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-12-01)
    • Reasonably accommodate the needs and preferences of each resident. (2022-11-17)
  • Divine Rehabilitation and Nursing at Canal Pointe (116.5)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-01-18)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-01-18)
  • Wyant Woods Healthcare Center (99.333)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2023-08-08)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-01-16)
  • Bath Manor Special Care Centre (94)
    • Have generator or other power source capable of supplying service within 10 seconds. (2024-01-17)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-12-20)
  • Regency Care of Copley (71.333)
    • Have proper power supply for life support equipment. (2023-10-03)
    • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (2023-07-27)
  • Washington County Nursing Home (54)
    • Ensure smoke barriers are constructed to a 1 hour fire resistance rating. (2023-07-09)
    • Have properly located and lighted "Exit" signs. (2023-07-09)
  • St Luke Lutheran Community-Portage Lakes (50.667)
    • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2023-11-16)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-11-16)
  • Hickory Ridge Nursing and Rehabilitation Center (32)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-08-17)
    • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (2023-03-11)

Worst Skilled Nursing Homes in Other States

See the worst skilled nursing homes in other states: