During the first quarter of 2026, Kingston of Ashland was identified as Ashland County’s second largest nursing home, the Centers for Medicare and Medicaid Services (CMS) reported.
The facility offered a total of 110 beds—13 above the county average for the same period—and cared for an average of 91 residents each day.
Kingston of Ashland received an overall rating of 3 out of 5 from CMS, a score that came in just below the Ohio state average of 3.2 for nursing homes.
The Good Shepherd held the top spot as the largest nursing home in the county with 125 beds available, followed by Brethren Care Village Health Care Center in third place with 79 beds.
Kingston of Ashland reported no fines or penalties in the first quarter of 2026.
Altogether, three for-profit nursing homes operated in Ashland County, Ohio.
U.S. Census Bureau estimates show the population of older adults in the country continues to rise, while the younger population shrinks. From 2020 to 2024, Americans age 65 and older grew by 13%, while those under 18 declined by 1.7%. The nation’s older adult population has expanded substantially over the past century, rising from 4.9 million in 1920 to over 61 million by 2024.
Research published in 2021 found that nearly half of adults in this age group—about 28 million—could require long-term services and supports. The study also projects that over a third may ultimately need nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education group. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | The Good Shepherd | 4 |
| 2 | Kingston of Ashland | 3 |
| 3 | Brethren Care Village Health Care Center | 4 |
| 4 | Crystal Care Center of Ashland | 2 |
The data in this article comes from the Centers for Medicare and Medicaid Services. Original source data is available here.

