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Largest nursing home companies in Ohio
There are 918 Medicare-certified nursing homes in Ohio. The ten largest operators control 286 of them — 31% of the state.
This ranking counts what each company actually controls. CMS files list operators as separate legal entities, so a group running 65 buildings can appear as 4 unrelated companies. The rankings you find elsewhere count the paperwork; this one counts the buildings.
| Rank | Company | Ohio nursing homes | Legal entities CMS lists | Type |
|---|---|---|---|---|
| 1 | Foundations Health Solutions, LLC | 65 | 4 | Operator |
| 2 | SXCY MSTR Lsco, LLC | 37 | 31 | Operator |
| 3 | Trilogy Opco LLC | 35 | 17 | PE |
| 4 | BNV Dynasty LLC | 25 | 10 | Operator |
| 5 | PACS Group, Inc. | 24 | 11 | Operator |
| 6 | Embassy Healthcare Holdings Inc | 23 | 13 | PE |
| 7 | The Schroer Group, Inc. | 22 | 8 | Operator |
| 8 | Laurel Health Care Company | 20 | 5 | Operator |
| 9 | Otterbein Home | 19 | 7 | Operator |
| 10 | Ark Opco Group, LLC | 16 | 7 | Operator |
Ohio nursing home chains and corporations, explained
People search for Ohio nursing home companies in a dozen ways — largest nursing homes, top nursing home chains, nursing home corporations, biggest nursing home groups. They are all asking the same thing: who is actually behind the sign on the building. The answer is in CMS ownership filings, which are public, free, and almost unreadable in raw form.
How this is calculated
Every Medicare-certified nursing home files its owners with CMS. We take those filings, group entities whose facility portfolios overlap into a single corporate family, and count distinct facilities. Entities appearing only as lenders or mortgage holders are excluded — a bank holding paper on a building does not operate it. Full method on the methodology page.
Every nursing home operator in Ohio
All Ohio nursing homes with their full ownership chain, every legal entity, ownership percentages, association dates and change-of-ownership history. CSV and PDF.
Get the full dataset — $49Common questions
How many nursing homes are there in Ohio?
918 Medicare-certified nursing homes, per CMS enrollment files.
Who is the largest nursing home operator in Ohio?
FOUNDATIONS HEALTH SOLUTIONS, LLC, with 65 Ohio nursing homes across 4 separate legal entities on file with CMS.
Why do nursing home companies show up under many different names?
Operators commonly file a separate legal entity per facility, plus separate property, management and therapy companies. CMS records each one individually and nothing in the file links them.