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

Nurse hours

3.68 /day

Staff turnover

30%

Serious cites

0

Grandview Center in Cumberland runs 72 certified beds under for-profit LLC ownership, and the staffing picture is mixed. Total nurse coverage sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 12% below its own weekday level, so care thins out when families tend to visit. Turnover is the bright spot: 30% against a national average near 46%, meaning aides and nurses here stick around longer than at most homes. The inspection record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Quality measures score well and inspections are solid; staffing is the number pulling the overall picture down.

Nurse hours

4.27 /day

Staff turnover

53%

Serious cites

0

White Oak Manor in Spartanburg runs 60 beds under corporate ownership, and the direct-care hours are genuinely above average, about 10% more nurse time per resident than the typical American nursing home. Turnover is the trouble spot: 52.7% of staff leave each year, well past the national 45.8%, and weekend coverage drops roughly 12% below the home's own weekday level. Seven deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. The last inspection was March 2026, and CMS gives four stars for both health inspections and staffing, three for quality measures. Strong daily hours, real churn underneath.

Nurse hours

3.44 /day

Staff turnover

44%

Serious cites

0

Nhc Healthcare - Bluffton runs on thinner staffing than most homes nationally, 3.44 nurse hours per resident day against a 3.86 average, and weekends drop about 14% below its own weekday coverage. Turnover sits at 44.1%, roughly in line with the national figure, so the workforce is fairly stable even if the floor is leaner. Inspections are a real strength: four stars, 10 deficiencies on record with none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was January 30, 2026, so the picture is current. For-profit corporate ownership, 120 beds. Families weighing this one should look hardest at weekend coverage and ask how the abuse citation was resolved.

Nurse hours

3.80 /day

Staff turnover

41%

Serious cites

0

Nhc Healthcare, Pulaski runs 102 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.80 nurse hours per resident day. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts are predictable. Annual turnover of 41% actually beats the 45.8% national figure, which matters for continuity. The health inspection side is the weak spot: a 2-out-of-5 star rating, seven deficiencies on record with two at harm or jeopardy level, no abuse citations, and nothing inspected since October 2022, nearly three years without a fresh look. Quality measures score 5/5, staffing 4/5. Ask what that care actually looks like on a Sunday.

Nurse hours

3.68 /day

Staff turnover

42%

Serious cites

0

Nhc Healthcare, Lawrenceburg runs 96 beds under corporate for-profit ownership, and its last health inspection was in April 2025, recent enough that the record reflects current conditions. The inspection history shows seven deficiencies, none at the harm or jeopardy level, though two are abuse-related, which families should ask about directly. Nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, and weekends run roughly 15% thinner than weekdays, so coverage can feel different depending on when you visit. Staff turnover of 42.4% is slightly better than the national rate of 45.8%. Quality measures score well; staffing is the weaker spot.

Nurse hours

3.66 /day

Staff turnover

34%

Serious cites

0

Life Care Center of Greeneville runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86. Weekend coverage drops roughly 8% below its own weekday levels, so ask how that gap gets filled on Saturdays and Sundays. Staff turnover is 33.8%, which is meaningfully better than the 45.8% national average; keeping caregivers in place matters for residents who need consistency. The inspection record shows 18 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The last inspection was June 25, 2025, so the record is current.

Nurse hours

3.76 /day

Staff turnover

42%

Serious cites

0

Holston Health & Rehabilitation Center runs 94 certified beds in Knoxville under for-profit LLC ownership, and its inspection record is the strongest part of the story: six total deficiencies with none at the harm or jeopardy level, and the most recent inspection came in December 2024. Three of those six deficiencies are abuse-related, which is worth asking about directly. Staffing sits at 3.76 nurse hours per resident day, slightly under the national average, and weekends run about 11% thinner than weekdays. Annual turnover of 41.7% is a bit better than the national rate. Quality measures score well. The weak spot is consistent coverage, not care problems on paper.

Nurse hours

4.18 /day

Staff turnover

42%

Serious cites

0

Adamsville Healthcare and Rehabilitation Center runs 125 certified beds under corporate for-profit ownership, and the numbers are mostly steady. Nurse staffing sits at 4.18 hours per resident day, about 8% above the national average, though weekends drop roughly 15% below what the home staffs during the week, worth asking about if your family member needs more attention on Saturdays and Sundays. Turnover is 42%, a touch better than the 45.8% national figure. The home carries 20 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in July 2025.

Nurse hours

4.47 /day

Staff turnover

61%

Serious cites

0

Nhc Place Sumner runs on more nursing hours than most homes, 4.47 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday pace, so coverage thins out when families tend to visit. The bigger number to sit with is turnover: 61.1% of staff leaving in a year, well above the 45.8% national figure, which means the people caring for your relative are often new. Inspections are a genuine strength here: a perfect health inspection rating, seven total deficiencies with none at the harm level and nothing abuse-related, and the most recent state visit in March 2026. Quality measures also score 5/5. Ownership is for-profit, a limited liability company.

Nurse hours

3.67 /day

Staff turnover

43%

Serious cites

0

Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.

Nurse hours

3.38 /day

Staff turnover

45%

Serious cites

0

Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.

Nurse hours

3.94 /day

Staff turnover

28%

Serious cites

0

St. Catherine Center runs on a nonprofit model with 165 certified beds, and the staffing picture is genuinely strong: 3.94 nurse hours per resident day, just above the national average, with weekend coverage dipping about 8% below weekdays. Staff turnover sits at 28.2%, well under the 45.8% national figure, which matters more than any single inspection score for day-to-day consistency. The tradeoff shows up in quality measures, rated 2 out of 5, and in 12 deficiencies on the current record, one serious enough to reach harm or jeopardy level. A single $13,065 fine and a recent April 2026 inspection round out the picture. Good people, uneven clinical results.

Nurse hours

3.68 /day

Staff turnover

36%

Serious cites

0

Monument Healthcare Pioneer Trail runs 72 certified beds under corporate ownership, and its inspection record carries some weight: 16 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse. Two fines totaling $19,747 are on file. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends run about 13% thinner than weekdays. Where it stands out is retention, 36.2% turnover against a national 45.8% means caregivers tend to stay. Its last inspection was April 2025, so the record is fairly current.

Nurse hours

3.59 /day

Staff turnover

44%

Serious cites

0

Holladay Healthcare Center runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 11% below its own weekday levels, so coverage thins out when families tend to visit. Turnover at 43.8% is slightly better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 25 deficiencies, none at harm or jeopardy level, but three tied to abuse, worth asking about directly. A 2/5 health inspection rating against a 5/5 quality measure rating suggests the clinical metrics look better than the survey history.

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

The Terrace Transitional runs 3.34 nursing hours per resident per day, about 13 percent under the national average of 3.86, and weekends dip another 13 percent below its own weekday numbers. That's a real gap if your parent needs help on a Saturday. Turnover sits at 43.8 percent, slightly better than the 45.8 percent national figure, so the same faces are somewhat more likely to stick around. The current record shows 26 deficiencies, including one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was August 2024. Family complaints tend to surface in surveys, and a 2-out-of-5 inspection rating reflects that.

Nurse hours

3.64 /day

Staff turnover

43%

Serious cites

0

Rocky Mountain Care - Maple Dell runs 76 certified beds in Payson under corporate for-profit ownership, and the inspection record is where the trouble sits. State surveyors have cited 80 deficiencies, six of them serious enough to cause harm or put residents in jeopardy, and four tied to abuse. That last inspection was in August 2024, so the findings are recent, not old history. Staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends run about 10% thinner than weekdays, meaning the thinnest coverage lands when families often visit. Turnover of 43.4% is slightly better than the national 45.8%, so retention isn't the weak spot here.

Nurse hours

4.08 /day

Staff turnover

30%

Serious cites

0

Woodbine runs about 307 beds in Alexandria, and the staffing picture is genuinely better than average, 4.08 nurse hours per resident day against a national 3.86. Weekend coverage dips roughly 9% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 29.7%, well under the 45.8% national figure, which matters for whether you see the same faces. The record shows 20 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Its last full inspection was May 2023, so the picture may be somewhat dated.

Nurse hours

3.81 /day

Staff turnover

27%

Serious cites

0

Potomac Falls runs a tight ship on staffing stability, 27% turnover is well below the 45.8% national figure, which matters more than most families realize. Aides who stay put know the residents. The trade-off shows up in raw hours: 3.81 per resident day sits just under the national average, and weekends dip about 10% below weekdays, so coverage thins out exactly when families tend to visit. The 37 deficiencies on record, including two at harm level, are worth asking about directly, especially since the last full inspection was December 2021. Three years without a fresh look means you're relying on older findings.

Nurse hours

4.96 /day

Staff turnover

56%

Serious cites

0

Belvoir Woods runs on a for-profit corporate model with 56 certified beds, and the staffing numbers there are genuinely above average, 4.96 nurse hours per resident day, roughly 28% higher than the national figure. That's more direct care time than most homes provide, though weekends dip about 6% below its own weekday levels, so coverage isn't perfectly even. Turnover sits at 56.2%, well above the 45.8% national rate, meaning the faces around your family member may change often. The 23 deficiencies on record are worth noting, but none reached harm or jeopardy level and none were abuse-related, and the most recent inspection was in March 2026.

Nurse hours

3.75 /day

Staff turnover

56%

Serious cites

0

Riverside Lifelong Health & Rehabilitation Patri runs 60 certified beds in Williamsburg under nonprofit ownership, and its inspection record is genuinely strong, a 4/5 health inspection rating with 13 deficiencies on file, none of them at the harm or jeopardy level. The quality measure score is a perfect 5/5. The staffing numbers tell a different story: 3.75 nurse hours per resident day sits just under the national average of 3.86, weekends drop roughly 14% below weekday coverage, and annual turnover is 56.3% against a national 45.8%. Three abuse-related deficiencies also appear on the record. The care outcomes look good on paper, but that thin, churning workforce is the thing to ask about directly.