Home / Owners / Orion Operating Services LLC
Nursing homes owned by Orion Operating Services LLC
The CMS ownership file lists Orion Operating Services LLC with an ownership interest in 11 certified nursing homes with 926 beds in Ohio (4), Wisconsin (3), Kentucky (2), Michigan (2).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Orion Operating Services LLC as a direct owner of 11 homes, and with operational or managerial control of 8 homes. Its earliest ownership association date on file is October 8, 2004, the latest December 9, 2019.
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 Atrium Centers (11).
The homes' record in brief
11 of the 11 homes have a CMS overall rating, averaging 2.9 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 288 health citations; 12 citations were rated actual harm or immediate jeopardy, 4 immediate jeopardy. At their latest standard inspections they averaged 7.4 health deficiencies (national 9.2).
1 home was fined in the last three years, $200,694 across 2 fines. Average nursing staff turnover was 44.1% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.30 | 3.75 |
| Registered nurses | 0.68 | 0.62 |
| Weekdays | 3.47 | 3.92 |
| Weekends | 2.90 | 3.33 |
| Share of nursing hours by contract staff | 0.9% | 5.3% |
Daily payroll records of 11 homes, summed. Weekends ran 16% 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 |
|---|---|---|---|---|---|---|---|
| Crittenden County Health & Rehabilitation Center | Marion | KY | Direct owner (5% or more); Operational or managerial control, since October 2004 | 100% | 3 | 12 | |
| Salem Springlake Health & Rehabilitation Center | Salem | KY | Direct owner (5% or more); Operational or managerial control, since October 2004 | 100% | 3 | 14 | |
| The Timbers of Cass County | Dowagiac | MI | Direct owner (5% or more); Operational or managerial control, since December 2008 | 100% | 2 | 42 | |
| Grayling Nursing & Rehabilitation Community | Grayling | MI | Direct owner (5% or more), since January 2007 | 100% | 4 | 17 | |
| Austinburg Nsg and Rehab Ctr | Austinburg | OH | Direct owner (5% or more); Operational or managerial control, since May 2007 | 100% | 3 | 17 | |
| Lexington Court Care Center | Lexington | OH | Direct owner (5% or more); Operational or managerial control, since November 2006 | 100% | 4 | 23 | |
| Woodside Village Care Center | Mount Gilead | OH | Direct owner (5% or more); Operational or managerial control, since November 2006 | 100% | 3 | 29 | |
| Blossom Nursing and Rehab Center | Salem | OH | Direct owner (5% or more); Operational or managerial control, since August 2007 | 100% | 4 | 22 | |
| Frederic Nursing and Rehab Community | Frederic | WI | Direct owner (5% or more), since December 2007 | 100% | 3 | 28 | |
| Tomah Nursing and Rehab | Tomah | WI | Direct owner (5% or more), since December 2007 | 100% | 2 | 27 | |
| Mulder Health Care Facility | West Salem | WI | Direct owner (5% or more); Operational or managerial control, since December 2019 | 100% | 1 | 57 | $200,694 |
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.