399 of the 656 Medicare-certified nursing homes in Pennsylvania (61%) are chain-owned, and all are listed below. They average 3.66 nursing hours per resident per day, 0.23 hours below the 3.89 for every home in Pennsylvania. Nurse staff turnover runs 46.7%, 2.2 points higher than the 44.5% across all homes there. Willowbrooke Court Skilled Care Center At Brittany in Lansdale grades highest at A (99 out of 100).
How chain-owned homes in Pennsylvania compare
This group set against every nursing home in Pennsylvania, from the current CMS release.
Shenandoah Senior Living runs on 3.13 nurse hours per resident per day, roughly 19% under the national average, and weekends drop about 8% below what the home itself staffs during the week. That thinner coverage matters more given the inspection record: 39 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $76,285. Annual turnover sits at 46.9%, just above the national figure. The most recent inspection was in May 2026. A for-profit limited liability company owns the 119-bed home. Whatever the quality measures suggest, the health inspection history is where the real trouble shows.
Birchwood runs 3.34 total nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekend staffing drops another 8% below its own weekday level. Turnover sits at 53.9%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 52 deficiencies, including three at the harm or jeopardy level and three abuse-related, with two fines totaling $123,390; the last inspection was March 2026. It's a for-profit LLC with 121 beds, and its quality measure score stands out against a staffing picture that doesn't.
Kadima Rehabilitation & Nursing At Latrobe runs 107 certified beds as a for-profit LLC, and the numbers that stand out most are about people, not beds. Annual staff turnover hits 71.4 percent here against a national average of 45.8 percent, that's a building where most of the caregivers you meet this year likely won't be there next year. Federal inspectors have logged 70 deficiencies on the current record, including four serious enough to involve harm or jeopardy and seven tied to abuse. The staffing and health inspection ratings both sit at the lowest mark CMS gives, and the most recent inspection was March 19, 2026. That combination, thin, unstable staffing plus a long paper trail, is what drives the low grade.
Wyndmoor Hills runs on 3.10 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips another 5% below its own weekday levels. That thin staffing sits alongside a one-star inspection rating and 82 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse. Staff turnover is 47.7%, a bit above the national 45.8%, and the home has paid three fines totaling $102,309. The most recent inspection was January 10, 2025. Ownership is for-profit, through a limited liability company. Quality measures score better than the rest, but they don't offset what the inspection and staffing numbers show.
Lakewood Rehabilitation & Healthcare Center runs 110 certified beds in Nanticoke under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.45 nurse hours per resident day, it sits about 11% under the national average of 3.86, weekends dip roughly 8% below its own weekday levels, and annual turnover hits 58.9% against a national 45.8%. The inspection record is the harder problem: 100 deficiencies on file, six at harm or jeopardy level, nine abuse-related, and four fines totaling $291,613, with the most recent inspection dated April 2026 giving a 1-star health inspection rating. Quality measures score well at 4 stars, but staffing earns 2, a gap worth asking about directly.
Bryn Mawr Extended Care Center runs 3.10 nursing hours per resident per day, roughly 20% under the national average of 3.86, and weekends drop about 11% below its own weekday staffing. That thin coverage shows up in the inspection record: 51 deficiencies, four of them at the level where a resident was harmed or put in immediate jeopardy, plus two tied to abuse. Annual turnover sits at 37.7%, actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled. A 160-bed for-profit corporation with a one-star health inspection rating and $35,925 in fines. The most recent inspection was March 12, 2026, so that record is current.
Kinzua Nursing and Rehab runs 106 certified beds in Warren under for-profit LLC ownership, and the numbers show a home operating below average on several fronts at once. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 4% below the home's own weekday levels, so coverage is thinnest when families tend to visit. Staff turnover is 48.9%, higher than the 45.8% national average, which matters because consistent caregivers know residents' routines. The current record carries 34 deficiencies, including one at the harm or jeopardy level, plus a single $223,355 fine. The last inspection was December 11, 2025, so the record is recent.
Quality Life Services - Apollo runs 177 certified beds under for-profit LLC ownership, and its nursing staff provides 3.25 hours of care per resident each day, roughly 16 percent below the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, and annual turnover sits at 61.7 percent against a national rate of 45.8, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 73 deficiencies, three of them at the harm or jeopardy level and five tied to abuse, with one fine of $43,759 and a survey from May 2025.
River's Bend is a 198-bed for-profit home in Harrisburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and it drops about 10% further on weekends, so coverage is thinnest exactly when families tend to be there. The inspection record is the bigger concern: 56 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with the most recent inspection in March 2026. Staff turnover runs 48.1%, above the national rate, which means caregivers are cycling through. One fine of $19,841 is on file. Ask direct questions about weekend staffing and how abuse allegations get handled.
Oak Ridge runs 142 certified beds in Taylor under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits roughly 14% under the national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 45%, basically level with the national figure, so that's not the differentiator here. The inspection record is: 65 deficiencies, six at harm or jeopardy level, nine abuse-related, and two fines totaling $104,143. CMS scored its last inspection on February 6, 2026, one star, with staffing also one star.
Fairview Manor runs on 3.16 nurse hours per resident per day, roughly 18 percent below the national average, and weekends drop about 16 percent below its own weekday staffing. That thin coverage shows up in the federal ratings, where staffing gets one star out of five. The inspection record carries 21 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with the most recent inspection dated April 10, 2026. Annual turnover sits at 47.5 percent, a bit above the national 45.8 percent. For-profit corporate ownership, 121 beds, and a record that leans on quality measures for its better marks rather than on staffing or inspections.
Meadow View runs 3.14 nursing hours per resident per day, about 19 percent under the national average of 3.86, and weekends drop roughly another 10 percent below its own weekday staffing. That thin coverage sits behind a 2-out-of-5 CMS staffing rating and 60 percent annual turnover, well above the 45.8 percent national figure, so the aide or nurse your family sees most weeks may not be there long. The current record shows 31 deficiencies, including one at the harm level and three abuse-related, with a single $105,587 fine. A September 2025 inspection is recent enough to trust the picture, though a 4-out-of-5 quality measure rating suggests some care processes work despite the staffing strain.
Kadima Rehabilitation & Nursing At Irwin runs 120 certified beds in North Huntingdon under for-profit LLC ownership, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average, and it thins further on weekends, dropping about 9% below the home's own weekday level. Staff turnover is 65.6%, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. The inspection history is the harder read: a one-star health inspection rating, 62 deficiencies on the current record, three at harm or jeopardy level, and six tied to abuse. That last inspection was recent, in December 2025.
Pottstown Skilled Nursing and Rehabilitation Center runs about 3.33 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends drop another 12% below its own weekday numbers. Staff turnover sits at 49.6% against a national average of 45.8%, so the people showing up are changing often. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2025. CMS gives it middling marks on health inspections but just one star each for quality measures and staffing. Ownership is a for-profit corporation. The care is licensed and monitored, but thin staffing and heavy turnover are the patterns worth weighing.
The numbers at Mountain City start with the nursing hours: 3.35 per resident day against a national average of 3.86, and weekends run about a tenth thinner than weekdays, so coverage is weakest exactly when families tend to visit. Fifty-one deficiencies sit on the current record, five of them serious enough to involve harm or jeopardy, six tied to abuse, plus a $171,403 fine. Turnover at 36.2% is actually better than the 45.8% national figure, which tells you the problem here isn't retention so much as how few hours each resident gets. State inspectors were last in on February 7, 2025.
Gettysburg Center runs on thinner staffing than most homes its size, and that gap shows up on weekends when coverage drops another 8 percent below its own weekday level. The 34 deficiencies on record, four of them serious enough to put residents in harm's way, three tied to abuse, point to problems that go beyond paperwork. Annual turnover sits at 52.7 percent, meaning more than half the nursing staff leaves each year, which makes consistent care hard to sustain. A for-profit corporation operates the 118-bed building, and its most recent inspection was in March 2026.
Carnegie Park Post Acute runs 180 beds in Pittsburgh under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.31 nurse hours per resident day, roughly 14 percent under the national average, with weekends running about 10 percent thinner than weekdays. Annual turnover hits 65.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. The inspection record shows 43 deficiencies, including one at the harm level and two abuse-related, and the last inspection was in March 2026. A single $10,419 fine and a 1-out-of-5 staffing rating round out the picture.
Crawford Care Center runs 157 certified beds in Saegertown under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 6% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 63% against a national 45.8% means most of the people caring for your relative are new to the building. The inspection record backs that up: 51 deficiencies currently on file, two at harm or jeopardy level, one abuse-related, and a $151,253 fine. Its last inspection was April 30, 2026.
Clepper Manor runs 54 beds in Sharon under corporate ownership, and its staffing numbers sit a bit under where they need to be. Nurse coverage comes to 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below the home's own weekday levels, so the thinnest coverage lands exactly when families tend to visit and when problems surface. Annual turnover of 59.6% is well above the 45.8% national figure, meaning more than half the staff turns over yearly. Twelve deficiencies sit on the current record, including two at harm or jeopardy level and two tied to abuse, plus a single fine of $169,599. The April 2025 inspection is recent, and the three-out-of-five marks across inspection, quality, and staffing confirm a home that's adequate on paper but carrying real risk underneath.
Abbeyville runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends dip another 8% below its own weekday coverage. Staff turnover sits at 55.1% against a national 45.8%, which means the people caring for residents are, more often than not, still learning the building. The current record carries 34 deficiencies, two tied to abuse, though none reached the harm or jeopardy level CMS tracks most closely. A for-profit limited liability company owns the 172 beds, and the most recent inspection was April 2026. Three stars for health inspections, two for quality measures, two for staffing.
Frequently asked questions
How many chain-owned nursing homes are there in Pennsylvania?
There are 399 chain-owned Medicare-certified nursing homes in Pennsylvania, 61% of the 656 nursing homes there.
Are chain-owned nursing homes better staffed?
In Pennsylvania they average 3.66 total nursing hours per resident per day, against 3.89 for all nursing homes in Pennsylvania, a difference of -0.23 hours. Staff turnover averages 46.7% against 44.5%.
Which chain-owned nursing home grades best in Pennsylvania?