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Nursing homes owned by Lionstone Als Opco Holdings LLC

The CMS ownership file lists Lionstone Als Opco Holdings LLC with an ownership interest in 4 certified nursing homes with 145 beds in Ohio (4).

Average overall
2.0 of 5
Fines, 3 years
$251,618
Special focus
0 + 1 candidates
Abuse icon
0 homes

CMS ownership and Care Compare data as of September 1, 2026

What the ownership file says

CMS lists Lionstone Als Opco Holdings LLC as a direct owner of 4 homes. Its earliest ownership association date on file is July 1, 2022, the latest July 1, 2022.

Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.

CMS also groups these homes into the chain Lionstone Care (4).

The homes' record in brief

4 of the 4 homes have a CMS overall rating, averaging 2.0 stars against a national average of 3. 4 are for profit, 0 nonprofit; 4 are certified for Medicaid.

Across the inspections on file the homes carry 210 health citations; 5 citations were rated actual harm or immediate jeopardy, 2 immediate jeopardy. At their latest standard inspections they averaged 9.5 health deficiencies (national 9.2).

2 homes were fined in the last three years, $251,618 across 9 fines. Average nursing staff turnover was 61.7% (national 45.8%).

Staffing at these homes, January to March 2026

Hours per resident per dayThese homesUnited States
All nursing staff3.433.75
Registered nurses0.880.62
Weekdays3.553.92
Weekends3.153.33
Share of nursing hours by contract staff12.4%5.3%

Daily payroll records of 4 homes, summed. Weekends ran 11% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.

Every home it owns

HomeCityStateRole in the CMS fileShareOverallCitationsFines
Maple Hills Skilled Nursing & RehabilitationMcArthurOH Direct owner (5% or more), since July 2022100% 345
Als Mount Vernon IncMount VernonOH Direct owner (5% or more), since July 2022100% 323
Stellar Care CenterWoodsfieldOH Direct owner (5% or more), since July 2022100% 1103$209,524
Als Woodstock IncWoodstockOH Direct owner (5% or more), since July 2022100% 139$42,094

Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.

Staff pay reports

Staff pay at homes Lionstone Als Opco Holdings LLC owns

No staff pay figure at homes Lionstone Als Opco Holdings LLC owns has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.

Official wage estimates, United States

JobMedianMiddle halfEmployed
Nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270
All employers
CNAs (nursing assistants)$20.32$17.91 to $22.701,448,910
LPNs and LVNs$30.96$28.37 to $36.55648,410
Registered nurses$46.90$38.62 to $54.023,379,720

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.

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How staff pay reports work · CNA pay by state

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