10,187 Chain-Owned Nursing Homes in the United States

Nurse hours

3.94 /day

Staff turnover

25%

Serious cites

0

Southfield Village is county-owned, and that shows in the staffing: 3.94 nurse hours per resident day, just above the national average, with a 4-out-of-5 staffing rating. Weekend coverage dips only about 5% below weekdays, which is mild, and turnover sits at 25% against a national 45.8%, people tend to stay. The catch is inspections. Twenty-one deficiencies are on record, none involving harm or abuse, and the last visit was January 13, 2026, so it's recent. A 2-out-of-5 inspection rating alongside 5-out-of-5 quality measures describes a home that cares for residents well but has real documentation and process problems to clean up.

Nurse hours

7.02 /day

Staff turnover

39%

Serious cites

0

University Place in West Lafayette runs a small 30-bed home with church-affiliated nonprofit ownership, and its staffing numbers stand out. At 7.02 nurse hours per resident day, it's roughly 82% above the national average of 3.86, more than double the typical direct care. Turnover sits at 39.3%, below the 45.8% national figure, and weekend staffing dips only about 5% from weekdays, which is a mild drop. The trade-off is the inspection record: 20 deficiencies, one at the harm level, with a 3-star health inspection rating. The most recent inspection was in November 2025. Quality measures rate 4 stars. You're getting a well-staffed home with a longer-than-ideal deficiency list, though nothing abuse-related.

Nurse hours

3.41 /day

Staff turnover

40%

Serious cites

0

State Center Specialty Care runs 39 certified beds as a nonprofit operation, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover lands at 40%, a bit better than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 22, 2026. The quality and staffing stars both come in at 5 out of 5, while health inspections sit at 3. Worth asking how the home covers weekends and what those 20 deficiencies involved.

Nurse hours

4.10 /day

Staff turnover

35%

Serious cites

0

Highland Ridge runs a nonprofit home in Williamsburg with 59 certified beds, and the staffing picture is the strongest thing it has going: 4.10 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 34.9%, well under the national 45.8%, which suggests people tend to stay. The trouble is on the inspection side, 16 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse, plus a $36,752 fine. The most recent inspection was September 2025. Good staffing doesn't erase a record like that.

Nurse hours

4.70 /day

Staff turnover

44%

Serious cites

0

Edgewater runs on a nonprofit model with 40 certified beds in West Des Moines, and the staffing numbers are the story here: 4.70 nurse hours per resident day, roughly 22% above the national average. Weekend coverage dips about 15% below its own weekday level, so care thins out on Saturdays and Sundays even though the overall floor is high. Annual turnover sits at 44%, essentially matching the national rate. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed June 19, 2025. Quality measures score strongly; health inspections are the softer spot.

Nurse hours

4.89 /day

Staff turnover

24%

Serious cites

0

Walnut Ridge runs on unusually generous staffing for a 60-bed for-profit home, 4.89 nurse hours per resident day, roughly a quarter above the national average, and that's the main reason it holds up well under scrutiny. Weekend coverage dips about 8% from weekday levels, so ask how that plays out on a Sunday. Turnover sits at 24.4%, well under the 45.8% national figure, which suggests people stay. The tradeoff is a longer deficiency record: 13 citations on file, including one tied to abuse, though none rose to actual harm or jeopardy. A July 2025 inspection means the state looked recently.

Nurse hours

5.08 /day

Staff turnover

31%

Serious cites

0

Mount St. Mary is a small nonprofit home in Wichita, just 24 certified beds, and the staffing numbers are the story here. At 5.08 nurse hours per resident day, it runs about a third above the national average, and weekend coverage dips only slightly below its own weekday level, which is better than many homes manage. Staff turnover sits at 31%, well under the national 45.8%, so the people caring for residents tend to stick around. The 14 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in March 2025. For a family weighing a move, the picture is steady hands and recent oversight.

Nurse hours

4.17 /day

Staff turnover

23%

Serious cites

0

Westgate Center runs on 4.17 nurse hours per resident day, roughly 8% above the national average of 3.86, and its staff turnover sits at 22.9% against a national figure near 46%. That combination matters more than any single number: enough hands on deck, and a workforce stable enough to know the residents. Weekend staffing dips about 4% below its own weekday level, a small slide rather than a cliff. The 18 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection closed out in May 2026. For-profit operation under a limited liability company, 65 certified beds.

Nurse hours

4.54 /day

Staff turnover

35%

Serious cites

0

Thomas Upham House runs on a small scale, 42 certified beds in Medfield, corporate-owned, and the staffing numbers are its clearest strength. At 4.54 nurse hours per resident day, it sits about 18% above the national average, and weekend coverage dips only around 8% below weekday levels, a smaller drop than many homes show. Annual turnover of 35% beats the 45.8% national figure, which matters for whether caregivers actually know the residents. The current inspection record lists 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Its most recent inspection was in November 2025, so the picture is current rather than stale.

Nurse hours

4.29 /day

Staff turnover

40%

Serious cites

0

Medilodge Of Gaylord runs on strong staffing numbers, 4.29 nurse hours per resident day, about 11% above the national average, and its staff turnover of 39.7% actually beats the national rate of 45.8%, which matters for continuity of care. Weekends dip roughly 14% below weekday coverage, so ask how that gap gets filled. The concern is the inspection record: 35 deficiencies, two severe enough to involve harm or jeopardy, two tied to abuse, and the most recent inspection only dates to March 2026. A regulatory history like that, at a for-profit limited liability company, is the piece worth pressing the administrator on before you decide.

Nurse hours

5.77 /day

Staff turnover

40%

Serious cites

0

The Inn at Freedom Village runs on unusually heavy staffing, 5.77 nurse hours per resident day, roughly half again the national average of 3.86, and that shows up in its CMS staffing rating and its clean record on harm: ten deficiencies total, none at the harm or jeopardy level, none abuse-related. Weekend coverage dips about 12% below weekdays, so ask how that plays out on a Sunday. Staff turnover sits at 40.4%, a bit better than the 45.8% national figure, which matters at a 39-bed home where residents see the same faces or don't. Ownership is for-profit corporate, and the last inspection was in March 2026.

Nurse hours

4.37 /day

Staff turnover

34%

Serious cites

0

Coventry House Inn runs 32 certified beds in St. Joseph, and the numbers show a home that leans hard on its nursing staff. At 4.37 hours per resident day, it's giving residents about 13% more nursing time than the typical American nursing home, a real difference in a small building where that attention gets spread across fewer people. Turnover sits at 34.1%, well under the national 45.8%, so the aides and nurses here tend to stick around longer than most. The inspection record shows 31 deficiencies, none of them involving harm or abuse, and the most recent visit was in January 2026, so the state has looked recently. Weekend staffing dips about 11% below weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays.

Nurse hours

3.78 /day

Staff turnover

37%

Serious cites

0

Fisher Senior Care and Rehabilitation runs 53 certified beds in Mayville under for-profit LLC ownership, and the numbers behind its grade are mostly about consistency. Nurse staffing sits at 3.78 hours per resident day, a hair under the national 3.86, but weekends dip about 10% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 37%, better than the 45.8% national average. Inspections turned up 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2026. The five-star marks in staffing and quality measures show what steady care looks like here.

Nurse hours

4.41 /day

Staff turnover

32%

Serious cites

0

Good Samaritan Society - Maplewood runs a nonprofit home with 71 certified beds in Saint Paul, and its staffing is the strongest part of the picture: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 12 percent below its own weekdays. Turnover sits at 32 percent, well under the national 45.8 percent, which matters for consistent care. The inspection record is where it gets shakier, 33 deficiencies on file, including one at the harm level and two tied to abuse, and a 2-out-of-5 inspection rating from CMS. The most recent inspection was August 28, 2025, so that record is current, not stale.

Nurse hours

4.20 /day

Staff turnover

33%

Serious cites

0

St Francis Home runs on a church-affiliated nonprofit model in Breckenridge, and the numbers back up the staffing side: 4.20 nurse hours per resident day, roughly 9% above the national average, with a 5/5 CMS staffing rating. Weekend coverage dips about 12% below its own weekday level, worth knowing if you visit Saturdays or Sundays. Turnover sits at 32.6%, well under the 45.8% national figure, which matters for whether your parent sees the same faces. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2026. Eight findings is a real number, not a spotless one, but the severity is what counts here.

Nurse hours

4.21 /day

Staff turnover

30%

Serious cites

0

Good Samaritan Society's Robbinsdale home runs a split personality in the federal data. Nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average, and only 30.1% of staff left last year against a national rate near 46%. Those numbers suggest people stay and care is present. The inspection record tells a different story: 52 deficiencies on file, four tied to abuse, and a one-star health inspection rating, even though nothing on the current record rises to actual harm or jeopardy. Weekends run about 12% thinner than weekdays, so timing matters. A recent June 2026 inspection means the state has looked lately. Strong staffing, a rough survey history.

Nurse hours

4.70 /day

Staff turnover

23%

Serious cites

0

Covenant Living of Golden Valley runs on a church-affiliated nonprofit model, and the numbers behind it look steady. Nurses provide 4.70 hours of care per resident each day, roughly 22% more than the national average, and weekend coverage dips only about 7% below weekday levels, a modest gap compared to many homes. Annual turnover sits at 22.5%, about half the national rate, which suggests a staff that sticks around. The inspection record supports that: a May 2025 survey with just four deficiencies, none involving harm or abuse. Residents' quality measures rate well too. What you're looking at is consistency, adequate hands on deck, stable caregivers, and a clean recent state review.

Nurse hours

4.64 /day

Staff turnover

25%

Serious cites

0

Harmony Gardens runs on nurse staffing of 4.64 hours per resident day, roughly a fifth more than the national average, and its 24.7% turnover is well under half the national rate, people tend to stay. Weekends dip about 9% below weekday coverage, worth knowing if you visit then. The tradeoff sits on the inspection side: 23 deficiencies on the current record, including one at the harm level and three tied to abuse, which pulls the health inspection rating down to 3 out of 5. The most recent inspection was March 2026. Strong staffing and steady retention are real strengths here; the deficiency history is the part to ask about directly before deciding.

Nurse hours

4.69 /day

Staff turnover

32%

Serious cites

0

Park View Health Care Center runs on more nurse time than most homes get, 4.69 hours per resident day against a national average of 3.86. Weekend coverage dips about 15% below its own weekday level, which is normal, but worth knowing if you're planning visits around care needs. Staff turnover sits at 32% while the national average is 45.8%, so the crew here tends to stick around longer than elsewhere. On inspections, the record is clean: two deficiencies total, neither at the harm level, none abuse-related, and the most recent look came March 31, 2026. As a nonprofit with 92 beds, it's turning in strong numbers across staffing and quality alike.

Nurse hours

5.05 /day

Staff turnover

46%

Serious cites

0

Elim Wellspring runs about 5.05 nurse hours per resident day, roughly a third more staffing than the national average of 3.86, and weekends dip only about 14% below its own weekday level, which is a smaller drop than many homes show. The record is clean where it counts: two deficiencies total, none causing harm and none tied to abuse, with an inspection completed in December 2025. Staff turnover sits at 46.3%, nearly identical to the national 45.8%, so retention here looks typical rather than exceptional. As a nonprofit, it isn't managing to a quarterly earnings number. The staffing and inspection numbers are doing the talking.