Home / Owners / Lionstone HZ Opco Holdings LLC
Nursing homes owned by Lionstone HZ Opco Holdings LLC
The CMS ownership file lists Lionstone HZ Opco Holdings LLC with an ownership interest in 11 certified nursing homes with 721 beds in Ohio (11).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Lionstone HZ Opco Holdings LLC as a direct owner of 11 homes. Its earliest ownership association date on file is January 1, 2023, the latest January 1, 2023.
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 (11).
The homes' record in brief
11 of the 11 homes have a CMS overall rating, averaging 2.4 stars against a national average of 3. 11 are for profit, 0 nonprofit; 11 are certified for Medicaid.
Across the inspections on file the homes carry 389 health citations; 17 citations were rated actual harm or immediate jeopardy, 4 immediate jeopardy. At their latest standard inspections they averaged 7.1 health deficiencies (national 9.2).
5 homes were fined in the last three years, $256,324 across 12 fines. Average nursing staff turnover was 56.6% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.27 | 3.75 |
| Registered nurses | 0.58 | 0.62 |
| Weekdays | 3.41 | 3.92 |
| Weekends | 2.92 | 3.33 |
| Share of nursing hours by contract staff | 7.9% | 5.3% |
Daily payroll records of 11 homes, summed. Weekends ran 14% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| McCrea Manor Nsng and Rehab Ctr LLC | Alliance | OH | Direct owner (5% or more), since January 2023 | 100% | 2 | 31 | |
| Gardens at Celina | Celina | OH | Direct owner (5% or more), since January 2023 | 100% | 4 | 21 | |
| Columbus Alzheimer's Care Ctr | Columbus | OH | Direct owner (5% or more), since January 2023 | 100% | 3 | 35 | $26,685 |
| Cridersville Nursing and Rehab | Cridersville | OH | Direct owner (5% or more), since January 2023 | 100% | 1 | 31 | $103,270 |
| Brookview Healthcare Center | Defiance | OH | Direct owner (5% or more), since January 2023 | 100% | 2 | 25 | |
| The Convalarium of Dublin | Dublin | OH | Direct owner (5% or more), since January 2023 | 100% | 1 | 64 | $85,281 |
| Oak Grove Manor | Mansfield | OH | Direct owner (5% or more), since January 2023 | 100% | 1 | 69 | $15,593 |
| Autumn Court | Ottawa | OH | Direct owner (5% or more), since January 2023 | 100% | 4 | 14 | $25,495 |
| Gardens of Paulding the | Paulding | OH | Direct owner (5% or more), since January 2023 | 100% | 2 | 31 | |
| Gardens at St. Henry the | Saint Henry | OH | Direct owner (5% or more), since January 2023 | 100% | 4 | 7 | |
| Heatherdowns Rehab & Residential Care Center | Toledo | OH | Direct owner (5% or more), since January 2023 | 100% | 2 | 61 |
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.