Lionstone Care

PBJ Takeaway: Lionstone Care

22 Facilities1 States100% For-ProfitAvg. Overall Rating: 2.5Avg. Staffing Rating: 1.7Staffing Rating: 1.7

Lionstone Care operates 22 nursing homes across 1 state, all classified as for-profit. Its average CMS overall rating is 2.5 stars.

Across the portfolio, facilities report an average of 3.30 total nurse HPRD, including 0.60 RN hours, below the national ratio of 3.77 HPRD.

36% of Lionstone Care facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 33 fines ($632,305) for the chain's nursing homes.

320 Consulting

Lionstone Care Key Metrics

Providers ⓘ

States

Avg. Rating

2.5

Total Fines

$632,305

– Lionstone Care

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Lionstone Care

Overall

2.5

Health Inspection

2.1

Staffing

1.7

Quality Measures

4.6

Lionstone Care Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
OH	Brookview Healthcare Center	Defiance	3.21	0.45	3	2
OH	Als Woodstock Inc ⚠	Woodstock	3.10	0.45	1	1
OH	Als Mount Vernon Inc	Mount Vernon	3.58	1.13	3	1
OH	Gardens at Celina	Celina	3.51	0.94	5	2
OH	Autumn Court	Ottawa	3.17	0.28	5	2
OH	Gardens at St Henry the	Saint Henry	3.43	0.65	5	3
OH	Cridersville Nursing and Rehab	Cridersville	3.43	0.61	2	2
OH	Maple Hills Skilled Nursing & Rehabilitation	Mcarthur	3.27	1.09	3	2
OH	Gardens of Paulding the	Paulding	3.35	0.75	3	3
OH	Shaker Gardens Nursing and Rehabilitation Center	Shaker Heights	3.21	0.85	5	2
OH	The Merriman ⚠	Akron	3.24	0.47	2	1
OH	Greenbriar Nursing Center	Eaton	3.02	0.28	4	1
OH	Columbus Alzheimer'S Care Ctr ⚠	Columbus	3.22	0.53	2	2
OH	Oak Grove Manor ⚠	Mansfield	3.24	0.41	1	1
OH	Walnut Creek Nursing Center	Kettering	3.31	0.49	2	1
OH	Hawthorn Glen Nursing Center ⚠	Middletown	3.19	0.58	1	1
OH	Heatherdowns Rehab & Residential Care Center	Toledo	3.17	0.28	2	1
OH	East Park Care Center ⚠	Brook Park	3.11	0.45	1	1
OH	The Convalarium of Dublin ⚠	Dublin	3.98	1.04	1	2
OH	Cottingham Retirement Community	Cincinnati	3.09	0.56	3	2
OH	Mccrea Manor Nsng and Rehab Ctr Llc	Alliance	3.16	0.40	2	1
OH	Stellar Care Center ⚠	Woodsfield	3.69	0.85	2	2

1–20 of 22

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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