Ayden Healthcare

Ayden Healthcare is a for-profit nursing home chain operating exclusively in Ohio, with a total of 11 facilities as of February 1, 2026. These facilities serve Medicare and Medicaid residents and include nursing homes such as Ayden Healthcare of Belle Springs, Fairfield, Greenville, Jackson, Madeira, Oregon, Piqua, Rosemount Pavilion, Toledo, Waterville, and Wauseon.

The chain comprises a mix of corporate and limited liability company (LLC) entities: 5 facilities are organized as for-profit corporations and 6 as for-profit LLCs. Ownership at individual facility levels includes trusts and individuals—for example, Buckeye Family Trust and individuals like Solomon Kazarnovsky and Abba Stein hold ownership roles in specific facilities.

There are 11 facilities in a single state (Ohio), with average staffing hours per resident around 3.35 hours/day. The chain’s average overall CMS rating is approximately 2.6 stars; average health inspection rating is 2.1, staffing 1.7, and quality measures 4.8.

Ayden Healthcare operates stand-alone skilled nursing facilities providing long-term and post-acute care, licensed for both Medicare and Medicaid residents. No additional specialty lines (e.g., memory care, rehab-only units), beyond standard skilled nursing, were identified in the sources reviewed.

CMS-affiliated data indicates the chain has slightly better-than-average staffing hours/resident/day (3.4 versus national 3.9) but higher-than-average nurse turnover (50.6% vs national 46.4%), and lower fines per home ($26,245 vs national $33,448). ProPublica has documented recent serious deficiencies at specific locations, including failure to provide appropriate care at Greenville (Dec 2023) and failures related to abuse and nutrition at Waterville (Aug 2023).