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

Nurse hours

3.10 /day

Staff turnover

29%

Serious cites

0

ArchCare at Providence Rest runs lean on direct care: 3.10 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday staffing. That gap is the main reason it lands where it does despite strong marks elsewhere. Turnover sits at 29.4%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. Inspections look solid, a 5/5 health inspection rating and a recent March 2025 survey, though the record still carries 17 deficiencies, including one at the harm level and one abuse-related. A 5/5 quality measure rating rounds things out. Nonprofit ownership, 200 beds.

Nurse hours

3.29 /day

Staff turnover

45%

Serious cites

0

Dunkirk Rehabilitation & Nursing Center is a small for-profit home in Chautauqua County, 40 beds, that just came through a health inspection in April 2025 with a strong result. The state surveyors found nine deficiencies on the current record, though, and one of them rose to the level of actual harm or jeopardy; three were abuse-related, which is the category families tend to care about most. Where the home looks weaker is staffing: 3.29 nurse hours per resident per day sits about 15% under the national average, and weekends run roughly 12% thinner than weekdays. That gap is the number worth asking about directly, because it's the one thing inspection scores won't show you.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Terence Cardinal Cooke Health Care Center is a 679-bed nonprofit in Manhattan, and the numbers tell a mixed story. Nurses provide 3.38 hours per resident day, roughly 13 percent under the national average, and weekends run about 10 percent thinner than weekdays, worth asking about if your family visits Saturdays or Sundays. Staff turnover sits at 39.6 percent, which is actually better than the 45.8 percent national figure, so people tend to stay. The current record shows 25 deficiencies, none at the harm or jeopardy level, though two are abuse-related, and the last inspection was in October 2024. Quality measures score well; staffing and inspections sit in the middle.

Nurse hours

4.02 /day

Staff turnover

32%

Serious cites

0

Bethany Gardens runs a 100-bed for-profit operation in Rome, and its staffing numbers are the main thing working in its favor. At 4.02 nurse hours per resident day, it sits about 4% above the national average, though weekends run roughly 10% thinner than its own weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Turnover is the standout: 31.7% against a national average of 45.8%, which suggests a steadier crew than most. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related. Its last inspection was September 2024.

Nurse hours

3.39 /day

Staff turnover

53%

Serious cites

0

Our Lady of Peace runs 250 beds in Lewiston under nonprofit ownership, and its inspection record is genuinely strong, a 4 out of 5 health inspection rating with the most recent survey in October 2024. The catch is staffing. At 3.39 nurse hours per resident day, it sits about 12% under the national average, weekends drop roughly another 10% below its own weekday levels, and turnover runs 53.3% against a national 45.8%. Eleven deficiencies sit on the current record, including one at the harm level and four tied to abuse. Quality measures score 5 out of 5, so resident outcomes look good on paper, but the people providing that care are stretched thinner than average and leaving faster.

Nurse hours

3.66 /day

Staff turnover

36%

Serious cites

0

Linden Place runs 105 certified beds under corporate for-profit ownership, and its last inspection came on January 10, 2026, recent enough that the findings reflect current conditions. That record carries 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, which is a lot to weigh against a 4-out-of-5 quality measure score. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, and weekends drop about 10% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover at 36% is better than the 45.8% national figure, meaning the crew here is comparatively stable.

Nurse hours

4.65 /day

Staff turnover

34%

Serious cites

0

Trinity Place runs on a nonprofit model in Albemarle with 76 certified beds, and the staffing numbers are the standout: 4.65 nurse hours per resident day, roughly a fifth above the national average, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 34.1% against a national 45.8%, which matters more than any single inspection score. The trade-off shows up in quality measures, where the home earns just 2 of 5 stars, and in a record carrying three deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $8,788. Its last inspection was November 2025. Strong hands on deck, uneven clinical results.

Nurse hours

3.25 /day

Staff turnover

42%

Serious cites

0

Grantsbrook runs about 3.25 nurse hours per resident each day, roughly 16 percent under the national average, and weekends dip another 14 percent below its own weekday staffing. Turnover sits at 42 percent, a touch better than the 45.8 percent national figure. The inspection record shows 17 deficiencies, none at the harm level, but one tied to abuse. A May 2025 inspection is recent. Quality measures score well, and the inspection rating is strong, though the staffing rating lands lower, that gap between good clinical numbers and thinner daily coverage is the tension here, and it's worth asking how the floor feels on a Sunday.

Nurse hours

3.49 /day

Staff turnover

49%

Serious cites

0

Harnett Woods runs on thin staffing, and that's the main thing to know. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends dip another 6% below what the home itself manages Monday through Friday. That's a real gap on the days families tend to visit. Turnover is 48.8%, a few points above the national figure, so the aides and nurses caring for your relative are likelier than average to be new. What holds the scores up is inspections: a recent survey in July 2025, nine deficiencies with none at harm level and one abuse-related, plus strong marks on clinical quality measures. Strong care documentation, lean coverage. If you're considering it, ask how weekends are actually staffed.

Nurse hours

3.84 /day

Staff turnover

53%

Serious cites

0

Vancrest of St Mary's runs a tight ship on the clinical side: a five-star health inspection record with just ten deficiencies, none of them causing harm or involving abuse, and the most recent visit from state surveyors came in December 2025. Quality measures also score five stars. Staffing is where the picture softens. At 3.84 nurse hours per resident day, it sits just under the national average, and weekend coverage drops roughly ten percent from its own weekday level, worth asking about if your family visits Saturdays and Sundays. Annual turnover of 52.6% runs well above the 45.8% national figure, meaning more than half the nursing staff turns over each year. Good care when people are there; keeping them there is the harder part.

Nurse hours

3.77 /day

Staff turnover

34%

Serious cites

0

Piqua Manor runs 99 certified beds under corporate ownership, and its nurse staffing sits at 3.77 hours per resident day, just under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so if you're visiting on a Saturday or Sunday, expect a thinner floor than midweek. What stands out more is retention: 34.4% annual turnover is meaningfully better than the 45.8% national figure, which suggests less churn among the people doing the daily care. Inspections in March 2026 turned up 19 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. Two abuse citations on record is a real thing to ask about directly.

Nurse hours

3.93 /day

Staff turnover

45%

Serious cites

0

St. Catherine's Manor runs a 55-bed for-profit home in Fayette County, and the numbers tell a mixed story. Its overall nurse staffing sits at 3.93 hours per resident day, slightly above the national average, but weekends drop about 9% below its own weekday levels, and CMS rates staffing just 2 out of 5 stars, with turnover at 44.9%, roughly in line with the national figure. The quality measure score is a perfect 5 out of 5, yet the record shows 20 deficiencies, including two tied to abuse, though none rose to harm or jeopardy. The last inspection came in December 2025. Strong clinical measures paired with thin weekend coverage and a long deficiency list, that's the tension here.

Nurse hours

4.06 /day

Staff turnover

46%

Serious cites

0

Shelby Pointe runs 45 beds in Richland County under corporate ownership, and its overall nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average of 3.86. That headline number looks fine until you notice weekends run about 13% leaner than weekdays, and turnover lands at 46.2%, essentially matching the national 45.8%. Inspections are recent, from January 2025, and the record shows 15 deficiencies with none at the harm level and nothing abuse-related, which is a meaningful distinction. Quality measures score well, but staffing carries a much lower mark, the gap between those two tells you more about this home than either one alone.

Nurse hours

3.68 /day

Staff turnover

38%

Serious cites

0

Briar Hill runs on a for-profit LLC structure with 54 beds in North Baltimore, and its inspection record is genuinely strong: a five-star health inspection rating, no deficiencies at the harm or jeopardy level, nothing abuse-related, and a survey as recent as June 2024. The staffing picture is more mixed. At 3.68 nurse hours per resident day it sits about 5% under the national average, and weekends drop roughly 10% below its own weekday levels, which matters if your family visits on Saturdays and Sundays. Turnover at 38% beats the 45.8% national figure, so the crew tends to stick around longer than is typical. Ten deficiencies on record, all at lower severity.

Nurse hours

3.62 /day

Staff turnover

31%

Serious cites

0

The Meadows of Delphos runs 54 beds under corporate ownership, and its staffing sits a bit thin, 3.62 nurse hours per resident day, roughly 6% under the national average, with weekends dropping about 9% below its own weekday levels. The good news is that people tend to stay: turnover is 31.4%, well below the 45.8% national figure, which usually means steadier caregivers who know the residents. Inspections in January 2025 turned up 13 deficiencies, none causing harm, though one is abuse-related, and the health and quality ratings both landed at 4 out of 5. It's a decent home on paper, with a staffing edge worth asking about directly.

Nurse hours

4.12 /day

Staff turnover

35%

Serious cites

0

Ohio Living Breckenridge Village runs a 72-bed nonprofit home in Willoughby, and the staffing numbers are the strongest part of the picture: 4.12 nurse hours per resident day, roughly 7% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 34.6% against a national 45.8%, which matters because familiar aides tend to notice changes sooner. The current record shows five deficiencies, one serious enough to reach harm or jeopardy level, none tied to abuse. That single high-level citation is the thing worth asking about directly before you tour.

Nurse hours

3.43 /day

Staff turnover

23%

Serious cites

0

Genoa Retirement Village runs on 3.43 nurse hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly 14% below its own weekday coverage. That thinner weekend presence is worth asking about directly, since it's when families often visit and when problems can surface. The tradeoff is stability: turnover sits at 23.1% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. For-profit, limited liability ownership under a 68-bed roof.

Nurse hours

3.63 /day

Staff turnover

44%

Serious cites

0

Vancrest Of Hicksville runs 61 certified beds under for-profit limited liability ownership, and its staffing sits at 3.63 nurse hours per resident day, about 6% under the national figure of 3.86. Weekends drop roughly 13% below the home's own weekday coverage, which matters when you're thinking about who's on the floor on a Sunday. Turnover lands at 43.6%, slightly better than the 45.8% national rate. The current record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2024. A strong quality measure score and solid inspection history carry real weight here, though the thinner staffing numbers are the tradeoff worth knowing about.

Nurse hours

3.58 /day

Staff turnover

46%

Serious cites

0

Arbors At Fairlawn is a for-profit corporation home with 88 certified beds, and its strongest numbers are in clinical quality measures, where it scores 5 out of 5. The staffing picture is thinner. At 3.58 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekend coverage drops roughly 12% below its own weekday levels. Turnover runs at 46.1%, essentially matching the national rate. The inspection record carries 36 deficiencies, including 3 at the harm or jeopardy level and 1 tied to abuse, with the most recent inspection in June 2024. Quality measures look good on paper, but the harm-level findings and weekend staffing gap are what a family should ask about directly.

Nurse hours

3.48 /day

Staff turnover

51%

Serious cites

0

Doylestown Health Care Center runs 78 certified beds under corporate for-profit ownership, and its staffing sits at 3.48 nurse hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, and annual turnover hits 50.8% against a 45.8% national figure. The current inspection record shows 25 deficiencies, including two at the harm or jeopardy level and four tied to abuse; the most recent inspection was September 12, 2024. Its quality measure score is perfect at 5/5, but a 2/5 inspection rating and 3/5 on staffing tell a different story, strong charted outcomes on top of thin, churning coverage and a documented compliance history.