During the first quarter of 2026, Harbor Healthcare of Ironton emerged as the largest nursing home in Lawrence County, based on data from the Centers for Medicare and Medicaid Services (CMS).
Records indicate the center offered 125 beds—31 more than the county average for that time period—and cared for an average of 109.9 residents.
The CMS issued an overall rating of 3 out of 5 to Harbor Healthcare of Ironton, which is slightly under Ohio’s average rating of 3.2 for nursing homes.
Riverview Post Acute followed as Lawrence County’s second largest provider, with 100 beds, while Sanctuary at Ohio Valley was third with 93 beds available in the quarter.
Harbor Healthcare of Ironton received no fines or penalties during this reporting period.
Altogether, Lawrence County had three for-profit nursing homes operating in Ohio.
The U.S. Census Bureau estimates that the population of older adults nationwide is rising, while numbers among younger groups are shrinking. Between 2020 and 2024, Americans age 65 and older grew by 13%, as those under 18 declined by 1.7%. Over the past hundred years, the U.S. older adult population has increased sharply, climbing from 4.9 million in 1920 to more than 61 million by 2024.
A study published in 2021 estimates that about half of those in this age category—roughly 28 million people—may need long-term services or supports. It also forecasts that more than one-third could eventually require 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 organization. “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 | Harbor Healthcare of Ironton | 3 |
| 2 | Riverview Post Acute | 3 |
| 3 | Sanctuary at Ohio Valley | 4 |
| 4 | Crystal Care of Coal Grove | 3 |
This article’s data comes from the Centers for Medicare and Medicaid Services. View the source data here.


