193 of the 323 Medicare-certified nursing homes in Wisconsin (60%) are chain-owned, and all are listed below. They average 3.89 nursing hours per resident per day, 0.32 hours below the 4.21 for every home in Wisconsin. Nurse staff turnover runs 49.3%, 2.4 points higher than the 46.9% across all homes there. Rennes Health And Rehab Center-Appleton in Appleton grades highest at A (96 out of 100).
How chain-owned homes in Wisconsin compare
This group set against every nursing home in Wisconsin, from the current CMS release.
Madison Health and Rehabilitation Center runs 83 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends drop about 12% below its own weekday coverage. The bigger concern is retention: annual turnover hits 66.7% against a national 45.8%, meaning nearly seven in ten staff left within the year. CMS has cited 57 deficiencies, nine at harm or jeopardy level and two tied to abuse, with four fines totaling $289,198. Federal regulators have placed the home in the Special Focus Facility program, reserved for the most persistently troubled nursing homes.
Montello Care Center has real staffing depth, 4.71 nurse hours per resident day, about 22% above the national average, but that's roughly where the good news ends. The home carries 67 deficiencies on its current record, including 4 at the harm or jeopardy level and 16 tied to abuse, and CMS has fined it three times for a total of $163,039. Staff turnover sits at 64% against a national average near 46%, and weekend coverage drops about 10% below weekday levels, so the hours on paper may not hold steady when families visit. A one-star health inspection rating and a December 2025 inspection round out the picture.
Ingleside Manor runs 74 deficiencies on its current record, six of them serious enough to cause harm or jeopardy and six tied to abuse. That record, plus four fines totaling nearly $200,000, is why CMS placed this Mount Horeb nonprofit in its Special Focus Facility program, a designation reserved for the country's worst-performing homes. The staffing numbers look better than they are: 4.15 nurse hours per resident day sits about 7% above the national average, but weekend coverage drops roughly 13% below the home's own weekday level, and annual turnover of 80.6% is nearly double the national rate. Inspectors were last on site October 13, 2025.
The nurse staffing here runs about 3.65 hours per resident day against a national average of 3.86, so it's understaffed on paper before you get to weekends, which dip roughly 10% below the facility's own weekday level. Annual turnover sits at 60.3% compared to 45.8% nationally, meaning more than half the nursing staff leaves each year. Fifty-five deficiencies sit on the current record, ten of them at the harm or jeopardy level and twelve abuse-related, with six fines totaling $182,024, and CMS has placed Evansville Manor in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. A 4/5 quality measure rating doesn't offset a 1/5 inspection rating.
Edenbrook Sheboygan runs on 3.26 nursing hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below what the home manages on weekdays. Staff turnover sits at 55.1% against a 45.8% national average, so nearly half the nursing team is new each year, which matters more when you're relying on that team for daily care. The inspection record is where things get serious: 37 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with $202,946 in fines across three penalties. The most recent inspection was April 2025. Corporate-owned, 121 beds.
The numbers here are hard to dress up. Nurse staffing sits at 3.63 hours per resident day against a national average of 3.86, and weekends run about 9% thinner than weekdays, meaning the shifts where families often visit are the ones with the least coverage. Staff turnover of 64.8% is well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 125 deficiencies, including 12 at harm or jeopardy level and 11 abuse-related, with $187,064 in fines. CMS has placed this corporate-owned home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
St Elizabeth Nursing Home runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.8%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record shows 59 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, with two fines totaling $31,171 and a survey as recent as April 2026. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 2 out of 5.
Bayshore Nursing & Rehab runs 112 certified beds in Glendale under for-profit LLC ownership, and the numbers say more about it than any single rating could. Staffing sits at 3.96 nurse hours per resident day, just above the national figure, but weekends drop about 10% below the home's own weekday level, and 56.4% of staff left over the past year against a national rate of 45.8%. The inspection record is where the concern concentrates: 140 deficiencies, 14 at harm or jeopardy level, 15 tied to abuse, and CMS has placed the home in its Special Focus Facility program after a September 2025 inspection. Families deserve to weigh that record carefully.
Waters Edge runs 128 certified beds in Kenosha under corporate for-profit ownership, and the numbers here are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, weekend coverage drops another 11% below its own weekday level, and annual turnover hits 63.2% against a national 45.8%. Those staffing figures match a one-star CMS staffing rating and a one-star health inspection rating. The deficiency record shows 74 total, including 8 at harm or jeopardy level and 7 tied to abuse, along with a $54,055 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes. The most recent inspection was September 30, 2025.
Bradley Estates runs 198 beds on Milwaukee's north side, and the numbers behind its record are hard to explain away. State inspectors have cited 155 deficiencies, 14 of them serious enough to put residents in immediate harm, and 22 tied to abuse, that volume doesn't come from paperwork slip-ups. Staff turnover sits at 70%, well above the 45.8% national figure, and weekend coverage drops about 17% below what the building manages on weekdays, which matters because that's when families visit and problems surface. Four fines total $305,374, and the federal government has placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.
Greendale Park Nursing and Rehab runs 105 certified beds under for-profit LLC ownership, and the staffing picture is more complicated than the headline number. Total nurse coverage of 4.14 hours per resident day sits about 7% above the national average, but weekends drop roughly 9% below the home's own weekday level, so the coverage families see on a Tuesday isn't what they get on a Saturday. Turnover runs 78% against a national average of 45.8%, meaning the people at the bedside change constantly. The inspection record shows 78 deficiencies, 10 at harm or jeopardy level and 6 abuse-related, with $184,477 in fines across two events and a survey completed January 27, 2026.
Nurse staffing at Rivers Edge runs about 12% under the national average, and weekends are thinner still, roughly 15% below the home's own weekday coverage. That's a real problem when the same record shows 68.2% annual turnover, far above the 45.8% norm, because thin weekend shifts land on aides who may be new to the building. The inspection history is the louder signal: 107 deficiencies, six at harm or jeopardy level, 21 tied to abuse, and four fines totaling $406,985. For-profit corporate ownership, 58 beds, and a December 2025 inspection that's already on the books. Ask about weekend coverage, abuse-prevention training, and what's changed since that visit.
Watertown Health Care Center runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home itself staffs Monday through Friday. That thin coverage sits behind a staffing rating of 1 out of 5, with 73.6% of nursing staff turning over annually against a national 45.8%, meaning the people caring for your family member are, more often than not, new to the building. Inspections paint a similar picture: 69 deficiencies on the current record, 10 serious enough to put residents in harm's way, five tied to abuse, and $278,229 in fines across five penalties. The last inspection was November 2024.
Frequently asked questions
How many chain-owned nursing homes are there in Wisconsin?
There are 193 chain-owned Medicare-certified nursing homes in Wisconsin, 60% of the 323 nursing homes there.
Are chain-owned nursing homes better staffed?
In Wisconsin they average 3.89 total nursing hours per resident per day, against 4.21 for all nursing homes in Wisconsin, a difference of -0.32 hours. Staff turnover averages 49.3% against 46.9%.
Which chain-owned nursing home grades best in Wisconsin?