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Foundations Health Solutions nursing homes
64 nursing homes with 6,198 beds in Ohio (64).
CMS affiliated entity 225 · data as of September 1, 2026
The group's record in brief
CMS links 64 certified nursing homes in 1 state to Foundations Health Solutions: 64 for profit, 0 nonprofit. 64 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 1,070 health citations; 27 citations were rated actual harm or immediate jeopardy, 6 of them immediate jeopardy. At their latest standard inspections the homes averaged 3.8 health deficiencies (national average 9.2).
6 homes in the group were fined in the last three years, $374,548 in all across 23 fines. Average nursing staff turnover across its homes was 40.0% (national 45.8%).
Staffing across the group
Daily payroll records from 63 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 14% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.53 | 3.75 |
| Registered nurses | 0.60 | 0.62 |
| Weekdays | 3.68 | 3.92 |
| Weekends | 3.16 | 3.33 |
| Share of nursing hours by contract staff | 0.2% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
60 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 4.2 overall, 4.1 health inspections, 2.3 staffing, 4.3 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 32 | |
| 4 of 5 | 13 | |
| 3 of 5 | 11 | |
| 2 of 5 | 4 | |
| 1 of 5 | 0 |
Across the group: 27 citations rated actual harm or immediate jeopardy, and an average of 3.53 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.