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Lionstone Care

24 nursing homes · 1 state · 1,622 beds

average official
inspection rating

Lionstone Care at a glance

Nursing homes
24
States
1
Licensed beds
1,622
Average rating
2.5★
Rated 4★ or better
29%

Is Lionstone Care a good nursing home group?

Across 24 rated homes, Lionstone Care averages 2.5★ on official inspection ratings — below the roughly 3.0★ national average. 29% of its rated homes earn 4★ or better, while 58% sit at 1–2★. That’s below the national average, so it pays to look closely at the specific home you’re considering rather than the group as a whole.

A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.

Lionstone Care quality vs. the national average

Across the 24 homes with an official inspection rating, Lionstone Care averages 2.5★. 29% are rated 4★ or better, and 58% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.

Lionstone Care compared with all rated nursing homes nationwide
MeasureLionstone CareNational average
Average rating2.5★3.0★
Homes rated 4★ or better29%40%
Homes rated 1–2★58%41%

How Lionstone Care’s homes are distributed

  • 5★3
  • 4★4
  • 3★3
  • 2★6
  • 1★8

Lionstone Care nursing home ratings by state

Where Lionstone Care operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.

StateHomesAvg. rating
Ohio242.5★

Highest-rated Lionstone Care homes

The best-rated Lionstone Care nursing homes we have on record, by official inspection rating.

Lowest-rated Lionstone Care homes

The lowest-rated Lionstone Care homes we have on record — the ones to look at most closely and ask the most questions about.

About Lionstone Care

Lionstone Care, presented on its official site as an assisted living and skilled nursing care management company, operates a network of facilities across multiple states, with a significant presence in Ohio. The organization describes itself as bringing streamlined leadership, marketing support, and clinical integration—including therapy services, occupancy improvement strategies, and facility enhancements—to the facilities it manages.

According to CMS‑based analysis, as of June 1, 2026, Lionstone Care manages 22 facilities all located in Ohio, with an average overall CMS rating of approximately 2.6 stars, health inspection and staffing below average, but strong quality measures. The chain includes both corporation-run (12 facilities) and LLC-run (10 facilities), and none are hospital‑based or very large.

CMS-affiliated data show Lionstone Care has notable variation across its homes: some receive high ratings while others are rated much lower. Additionally, one facility had safety concerns flagged, and the chain’s average nurse staffing hours per resident stand at around 3.35 hours/day.

In practical terms, Lionstone Care markets itself as hands‑on, with principals maintaining a regular presence in facilities, focusing on rebranding, marketing, and improving operations, including boosting occupancy by about 15%, in‑house therapy, and raising CMS star ratings. The company emphasizes values like long‑term focus, respect, empowerment, and relationships.

Headquarters
Mayfield Heights, Ohio

Leadership

Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.

Where Lionstone Care operates

Lionstone Care runs nursing homes in Ohio. Pick a state to see every Lionstone Care home there alongside every other nursing home in the area.

All homes Lionstone Care runs

Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.

Frequently asked questions about Lionstone Care

How many nursing homes does Lionstone Care operate?
Lionstone Care operates 24 nursing homes across 1 state with about 1,622 licensed beds in total.
What states does Lionstone Care operate in?
Lionstone Care runs nursing homes in Ohio. Its largest presence is in Ohio.
Is Lionstone Care a good nursing home group?
Across 24 rated homes, Lionstone Care averages 2.5★ on official inspection ratings — below the roughly 3.0★ national average. 29% of its rated homes earn 4★ or better, while 58% sit at 1–2★. That’s below the national average, so it pays to look closely at the specific home you’re considering rather than the group as a whole.
Where is Lionstone Care headquartered?
Lionstone Care is headquartered in Mayfield Heights, Ohio.
How are these ratings determined?
The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.

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