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

Nurse hours

3.48 /day

Staff turnover

45%

Serious cites

0

Roselawn Manor runs 49 beds under corporate ownership, and its nurse staffing sits about 10% under the national average at 3.48 hours per resident day. Weekends drop roughly 13% below its own weekday coverage, which matters because that's when families often visit and when problems tend to surface. The inspection record shows 12 deficiencies, four of them abuse-related, though none rose to the level of actual harm or jeopardy. Staff turnover at 44.7% is essentially the national rate, so this isn't a retention crisis, it's a coverage one. State inspectors last visited in July 2023, and the quality measure rating is strong even as staffing lags.

Nurse hours

3.57 /day

Staff turnover

44%

Serious cites

0

Altercare Coshocton runs 74 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.3%, roughly in line with the national 45.8%, so retention isn't the standout problem here. What is: 21 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with no abuse citations. The most recent inspection was December 8, 2025. Quality measures look strong on paper, but the inspection history and below-average staffing are the parts worth asking about directly.

Nurse hours

3.47 /day

Staff turnover

40%

Serious cites

0

Addison Healthcare Center runs 55 certified beds in Masury under for-profit limited liability ownership, and its strongest numbers sit on the clinical side, five out of five stars on CMS quality measures, four on health inspections, with the most recent survey in March 2026. The catch is direct care time. At 3.47 nurse hours per resident day, this home sits roughly 10 percent under the national figure, and weekends dip another 13 percent below its own weekday staffing, so coverage thins exactly when families tend to visit. Thirteen deficiencies sit on the current record, none at harm or jeopardy level, though three are abuse-related. Turnover of 39.6 percent actually beats the national rate, which matters for continuity. A solid home, with a real staffing question.

Nurse hours

3.27 /day

Staff turnover

33%

Serious cites

0

Grand Rapids Care Center runs 32 certified beds under corporate for-profit ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the bright spot: 33.3% against a national 45.8%, which suggests people stay. The health inspection rating of 4 and quality measure rating of 5 look strong, but 17 deficiencies sit on the current record, three tied to abuse, though none reached harm or jeopardy. Last inspected April 12, 2024, so that record is reasonably current.

Nurse hours

— /day

Staff turnover

45%

Serious cites

0

Amberwood Manor runs 48 beds in New Philadelphia under limited liability ownership, and its staffing sits at 3.40 nurse hours per resident day, roughly 12 percent under the national average of 3.86. Weekends drop another 12 percent below the home's own weekday coverage, so the thinnest hours land when families tend to visit. Turnover runs 44.8 percent, which is close to the national 45.8 percent, so retention isn't the outlier here; raw hours are. The health inspection rating came in at 3 out of 5, with 25 deficiencies on record, none at harm or jeopardy level but two tied to abuse. Quality measures scored 5 out of 5, and the last inspection was January 23, 2025.

Nurse hours

3.38 /day

Staff turnover

28%

Serious cites

0

Pine Grove runs lean on nurse hours, 3.38 per resident per day against a national average of 3.86, and weekends dip about 7% below its own weekday coverage. That's the weak spot, and it's why staffing lands mid-range even though turnover is unusually low at 27.8%, well under the 45.8% national figure. Where it separates itself is on inspections and quality, both top marks, with just one deficiency on record, nothing at harm or jeopardy level, and no abuse citations. A fresh April 2026 inspection means the picture is current, not stale. Corporate for-profit ownership, 67 beds. The tradeoff is simple: fewer hands per resident, but steady ones and a clean regulatory record.

Nurse hours

3.39 /day

Staff turnover

27%

Serious cites

0

Siena Gardens runs leaner on nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends drop roughly another 11% below its own weekday coverage. The tradeoff shows up elsewhere: staff turnover of 27% is well under the 45.8% national figure, suggesting people tend to stay. Inspections are another strong point, with a 5-star health inspection rating and a visit as recent as September 2025. The record does carry 11 deficiencies, none at the harm level, though one is abuse-related, which is worth asking about directly.

Nurse hours

4.20 /day

Staff turnover

45%

Serious cites

0

Gateway Springs Health Campus runs a tight ship on the clinical side. The 53-bed for-profit home logged a 5/5 on its last federal health inspection in January 2024, with five total deficiencies and none rising to harm or jeopardy, a clean record compared to what a lot of Ohio homes carry. Nurse staffing sits at 4.20 hours per resident day against a national average of 3.86, so there's more direct care here than typical, though weekend coverage dips about 12% below the weekday pace. Turnover at 44.6% tracks close to the 45.8% national figure. If you're weighing this one, the inspection history is the strongest signal.

Nurse hours

3.39 /day

Staff turnover

48%

Serious cites

0

Lindsay Nursing & Rehab runs 106 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, and annual turnover is 47.8%, a couple points above the national figure. The current inspection record shows 17 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Inspectors were last on site in December 2024. Quality measures score well, staffing and health inspections sit in the middle.

Nurse hours

4.50 /day

Staff turnover

42%

Serious cites

0

Avamere Rehabilitation of Lebanon runs on solid staffing numbers, 4.50 nurse hours per resident day, roughly 17% above the national average, with a 4-out-of-5 staffing rating and turnover at 42.3%, slightly better than the national 45.8%. Weekend coverage dips about 10% below weekday levels, but that's a mild gap in context. Where the picture darkens is inspections: 60 deficiencies on the current record, three tied to abuse and one serious enough to trigger a harm-or-jeopardy finding. The single $20,303 fine and a September 2025 inspection make this a recently reviewed home with a troubled compliance history. For-profit, limited-liability ownership rounds it out. Strong care hours, weak oversight record.

Nurse hours

5.15 /day

Staff turnover

48%

Serious cites

0

Avamere Rehabilitation of Clackamas runs 87 certified beds in Gladstone, and it's a for-profit corporation. The staffing numbers are the strongest thing here: 5.15 nurse hours per resident day, roughly a third above the national average, and weekends dip only about 11% below weekdays, which matters because that's when families tend to visit and problems tend to surface. What pulls it down is the inspection record, 16 deficiencies on file, two serious enough to reach harm or jeopardy level, and three fines totaling $175,773. Turnover sits at 47.5%, slightly above the national 45.8%, so the people caring for residents keep changing. The most recent inspection was December 2025, so that record is current.

Nurse hours

4.62 /day

Staff turnover

51%

Serious cites

0

Regency Prineville runs on a fairly strong clinical footing for a 44-bed for-profit home. Nurse staffing sits at 4.62 hours per resident day, roughly 20% above the national average, and the most recent inspection in January 2026 came back clean enough to earn a five-star health inspection rating. The catch is consistency: weekend coverage drops about 14% below weekday levels, and annual turnover of 51.1% runs above the 45.8% national figure, which matters in a building this small. Eight deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. Solid care when fully staffed, thinner on weekends.

Nurse hours

4.34 /day

Staff turnover

49%

Serious cites

0

Secora Rehabilitation of Cascadia runs a 53-bed for-profit home in Portland, and its staffing is genuinely better than most: 4.34 nurse hours per resident day, roughly 12 percent above the national average, which is what earns it a 4 out of 5 on CMS staffing. That strength carries real weight. But the inspection record is where families should slow down. Forty-seven deficiencies on the current record, including two tied to abuse, with the last inspection in March 2025. Staff turnover sits at 49.2 percent, above the national 45.8, and weekend coverage drops about 10 percent below its own weekday level. So the care hours look solid on paper, yet the people delivering them keep leaving, and the state has found problems repeatedly. Ask specifically how they've addressed the abuse-related citations.

Nurse hours

8.31 /day

Staff turnover

—

Serious cites

0

Cascade Manor runs on 8.31 nurse hours per resident day, roughly double the national average of 3.86, a striking number for a 32-bed nonprofit home, and one that likely explains why its staffing rating holds at 4 out of 5. The trade-off shows up in its record: 16 deficiencies, two of them serious enough to cite harm or jeopardy, plus one $10,033 fine. Nothing on file involves abuse. Weekend staffing dips about 9% below weekdays, so care thins out slightly when families tend to visit. The last inspection was April 2026; state surveyors have seen this building recently.

Nurse hours

3.70 /day

Staff turnover

25%

Serious cites

0

Rosewood Gardens runs a tight ship on the things that matter most. Four deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a February 2026 inspection that's still fresh, that's a clean paper trail for a 146-bed for-profit. Staff retention is unusually steady at 24.8% turnover against a national average near 46%, so you're less likely to see a rotating cast of unfamiliar aides. The tradeoff is daily coverage: 3.70 nurse hours per resident sits about 4% under the national figure, and weekends dip roughly 6% below the home's own weekday staffing. Ask specifically who's on the floor on Saturday and Sunday afternoons.

Nurse hours

3.66 /day

Staff turnover

44%

Serious cites

0

Maybrook Hills runs 240 certified beds in Altoona under for-profit limited liability ownership, and its staffing sits at 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 15% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 43.8%, slightly better than the 45.8% national figure, so the workforce is a bit more stable than average even with the thinner weekend hours. The current record carries 55 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was August 2025.

Nurse hours

3.84 /day

Staff turnover

46%

Serious cites

0

Ivy Hill runs 145 beds in Philadelphia under for-profit LLC ownership, and its staffing sits right at the national mark, 3.84 nurse hours per resident day against 3.86 nationally, with weekends dipping about 7% below its own weekday levels. Turnover matches the national average at 45.8%, so retention isn't the problem here. The inspection record is: 47 deficiencies on file, four tied to abuse, though none reached harm or jeopardy level, and the most recent look came in March 2026. Quality measures score well and staffing holds up, but that inspection history is the piece worth asking about directly.

Nurse hours

3.53 /day

Staff turnover

25%

Serious cites

0

Uniontown Nursing And Rehab runs 120 certified beds as a for-profit LLC, and its nursing hours come in around 3.53 per resident day, roughly 8% under the national average of 3.86. Weekend staffing dips about 7% below its own weekday level, so coverage thins out when families tend to visit. Turnover sits at 25%, well below the 45.8% national figure, which means the aides and nurses here tend to stick around. Inspections in July 2025 turned up 21 deficiencies, none at the harm or jeopardy level, though one was abuse-related; that record lands a mid-range inspection rating while resident outcome measures score at the top.

Nurse hours

3.45 /day

Staff turnover

29%

Serious cites

0

Gardens At Easton runs 181 certified beds under for-profit LLC ownership, and its inspection record is the strongest thing going for it: a 4/5 health inspection rating, a survey as recent as May 2025, and ten deficiencies on file with none rising to harm or jeopardy. The staffing picture is more mixed, 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday coverage. What offsets that is retention: 29.3% turnover against a national average of 45.8% means the aides and nurses here tend to stay, which matters more for daily care than a raw hours number. One abuse-related deficiency is worth asking about directly.

Nurse hours

4.15 /day

Staff turnover

63%

Serious cites

0

Maple Winds runs 4.15 nurse hours per resident day, roughly 8% above the national average, and its quality measure rating sits at the top of the scale. The catch is who's delivering that care and how consistently. Annual staff turnover is 62.9% against a national average of 45.8%, and weekend staffing drops about 8% below the home's own weekday level, so the coverage families see on a Tuesday may not be what shows up on a Sunday. The health inspection side is weaker than the quality scores suggest: 62 deficiencies on the current record, three tied to abuse, with the last inspection dated May 2026 at a 2-out-of-5 inspection rating. For-profit, limited liability ownership. Ask about weekend coverage and how they hold onto aides.