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

Nurse hours

4.13 /day

Staff turnover

57%

Serious cites

0

Cedar Ridge Village runs 40 beds in West Des Moines under corporate ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 15% below what the home staffs on weekdays. That gap matters if your family tends to visit Saturday or Sunday. Annual turnover is 56.5%, well above the 45.8% national figure, so the people caring for your relative may not be the ones who were there a year ago. The current record shows 20 deficiencies, three tied to abuse, with none at the harm level; the last inspection was in August 2025.

Nurse hours

3.85 /day

Staff turnover

24%

Serious cites

0

Wheat State Manor runs on a paradox: the hands-on care is there, but the paperwork and follow-through aren't. Staffing sits at 3.85 hours per resident day, essentially matching the national average, and annual turnover of 24.1% is roughly half the national rate, a genuinely good sign that the people here tend to stay. Weekends run about 17% lighter than weekdays, so ask how that plays out on a Saturday. Where it slips is oversight: 37 deficiencies on record, including one at the harm level and two tied to abuse, with a 2/5 inspection rating and 1/5 on quality measures. One fine, $7,960. The last inspection was January 2026.

Nurse hours

4.19 /day

Staff turnover

51%

Serious cites

0

Trinity Trace runs on more nursing hours than most homes nationally, 4.19 per resident day against an average of 3.86, and weekends dip about 20% below its own weekday coverage, so families should ask who's actually on the floor Saturday and Sunday. The inspection record is clean where it matters: 12 deficiencies, none causing harm or jeopardy, none tied to abuse, and a survey as recent as December 2025. Turnover sits at 51.3%, above the 45.8% national figure, which is worth asking about directly. As a nonprofit with 116 beds, it isn't chasing margin, but steady leadership and weekend consistency are the open questions here.

Nurse hours

3.62 /day

Staff turnover

40%

Serious cites

0

Medilodge At The Shore runs 126 certified beds under corporate for-profit ownership, and its 3.62 nurse staffing hours per resident day sits about 6% under the national average of 3.86. Weekends are thinner still, roughly 17% below the home's own weekday staffing, so coverage loosens when families tend to visit. Turnover lands at 40%, better than the 45.8% national figure, though the inspection record carries 37 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. The last inspection was August 15, 2025. Ask about weekend coverage, the abuse citation, and how the home plans to fix what that harm-level deficiency turned up.

Nurse hours

4.39 /day

Staff turnover

41%

Serious cites

0

West Bloomfield Health and Rehabilitation Center runs on better-than-average nurse coverage, 4.39 hours per resident day against a national 3.86, and staff turnover sits below the national figure, which matters for whether your family member sees the same faces week to week. The catch is weekends, when staffing drops about 16% below the home's own weekday level, and a record showing 30 deficiencies, including one at the harm level and two tied to abuse. That combination, steady weekday care with thinner weekend coverage and a state survey from April 2025, is what pulls the inspection rating down to the middle. Ask specifically who covers the floor on Saturdays and Sundays.

Nurse hours

3.95 /day

Staff turnover

54%

Serious cites

0

Medilodge Of Plymouth runs a 39-bed for-profit home in Wayne County with a solid recent inspection history, its last survey was July 2025, and none of the 17 deficiencies on record rose to harm or jeopardy level. Staffing sits slightly above the national average at 3.95 nurse hours per resident day, though weekends run about 18% leaner than weekdays, so coverage thins out when families tend to visit. The bigger concern is turnover: 53.8% annually against a national 45.8%, meaning more than half the nursing staff leaves each year. One abuse-related deficiency also appears on the current record.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

0

Cascade Senior Care Center in Jackson runs 4.27 nurse hours per resident day, roughly 11% above the national average of 3.86, which is the strongest thing in its file. Weekends dip about 8% below its own weekday staffing, so coverage thins out on Saturdays and Sundays. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and one abuse-related, and the most recent inspection was June 4, 2025. CMS gives it middling marks for health inspections and staffing, with quality measures scoring better. For-profit individual ownership, 108 certified beds. The staffing is real, but so are those deficiencies.

Nurse hours

4.62 /day

Staff turnover

—

Serious cites

0

Nurse staffing at Anna House runs about 20% above the national average, at 4.62 hours per resident day, though weekends come in roughly 9% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. That combination, solid overall staffing but a recent serious finding, is why it lands in the middle of the pack rather than at the top. It's a nonprofit home with 105 beds, last inspected in September 2024, and CMS gives it three stars each for health inspections, quality measures, and staffing. Nothing here is alarming, but ask directly about that harm-level deficiency and how weekend coverage actually works.

Nurse hours

4.05 /day

Staff turnover

53%

Serious cites

0

Columbia Post Acute runs about 4.05 nurse hours per resident day, roughly 5% above the national average, and its staffing, inspection, and quality measure ratings all land at 4 out of 5. The catch is consistency: weekend staffing drops about 20% below weekday levels, and annual turnover sits at 52.9% against a national 45.8%. Its current record shows 13 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, with the last inspection in November 2024. For-profit ownership under an LLC is worth keeping in mind when you ask about retention and who's actually on the floor on Saturdays and Sundays.

Nurse hours

3.81 /day

Staff turnover

55%

Serious cites

0

Avera Creighton Care Centre is a 47-bed nonprofit home in Knox County, and its inspection record is the strongest thing it has going: a four-star health inspection rating, a recent survey in December 2025, and eleven deficiencies on file with none rising to harm or jeopardy. The staffing picture is where it gets shaky, CMS gives it one star for staffing, and annual turnover runs at 55.1 percent against a national average of 45.8 percent, meaning more than half the caregiver workforce turns over each year. Two of those deficiencies are abuse-related, which is worth asking about directly. Quality measures hold at four stars, so the care itself scores reasonably well when it happens.

Nurse hours

3.60 /day

Staff turnover

53%

Serious cites

0

Sodus Rehabilitation & Nursing Center runs 130 certified beds under corporate ownership, and its 3.60 nurse staffing hours per resident day sit about 7% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 19% below the home's own weekday levels, and annual turnover of 52.6% runs well above the 45.8% national figure. Its current record shows 25 deficiencies, two of them abuse-related and none flagged at the harm or jeopardy level, with the most recent inspection in October 2024. Quality and staffing ratings both land at 4 out of 5, while health inspections come in at 3.

Nurse hours

3.63 /day

Staff turnover

33%

Serious cites

0

Anson Health And Rehabilitation runs a tight ship on paper: zero deficiencies on its current record, no harm-level or abuse citations, and a February 2026 inspection that came back clean enough for top marks from CMS on both health inspections and quality measures. Staffing is where the picture gets more mixed. At 3.63 nurse hours per resident day, this 95-bed for-profit home sits about 6% under the national average, and weekends run roughly 19% thinner than its own weekdays, so coverage isn't evenly spread across the week. Turnover, though, is genuinely low at 32.9% against a 45.8% national figure, which suggests the staff who are there tend to stay.

Nurse hours

4.63 /day

Staff turnover

43%

Serious cites

0

Bayview runs 4.63 nursing hours per resident per day, about 20 percent above the national figure of 3.86, though weekends dip roughly 15 percent below its own weekday coverage. Turnover sits at 43.1 percent, slightly better than the 45.8 percent national average, and the current record shows just two deficiencies, neither at the harm level and none tied to abuse. The last inspection was November 20, 2025. Inspections came back strong at 4 out of 5 stars, with quality measures and staffing each at 3. That split tells the story: this is a corporately owned 60-bed home that inspects well and staffs above average on weekdays, but the weekend gap and middling quality scores are worth asking about directly.

Nurse hours

4.72 /day

Staff turnover

45%

Serious cites

0

Kingston Health Center Of Perrysburg runs on more nursing time than most homes, 4.72 hours per resident day against a national average of 3.86, roughly a fifth more hands-on care. The catch is weekends, when coverage drops about 16% below the home's own weekday level, so the staffing picture depends on which day you visit. Turnover sits at 45.1%, about even with the national rate, and the home carries ten deficiencies with none tied to harm, jeopardy, or abuse. Its last inspection was September 2024, and it scores 4 out of 5 on CMS's health inspection, quality measure, and staffing ratings alike. Owned by a for-profit limited liability company, it's a steady home rather than an exceptional one.

Nurse hours

3.33 /day

Staff turnover

41%

Serious cites

0

Medicalodges Dewey runs on thinner staffing than most homes, 3.33 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Turnover sits at 40.7%, a bit better than the 45.8% national figure, and the last inspection in November 2024 earned a 4 out of 5 on health inspections despite 22 deficiencies on record, including three tied to abuse. None of those deficiencies rose to the level of actual harm or jeopardy, which is the distinction that matters most. The corporate owner operates for profit, and the numbers suggest a home that's neither failing nor excelling.

Nurse hours

3.65 /day

Staff turnover

—

Serious cites

0

Talihina Manor runs 69 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average of 3.86. Weekend coverage dips about 2% below its own weekday levels, which matters in a small rural home where backup staff are harder to call in. The inspection record shows 21 deficiencies, one of them abuse-related, though none rose to harm or jeopardy level. Its last inspection was July 2025, so the picture is current. Quality measures score well; staffing and health inspections land in the middle. For a family weighing this home, the questions worth asking are about weekend coverage and how that abuse deficiency was resolved.

Nurse hours

4.91 /day

Staff turnover

45%

Serious cites

0

Regency Hermiston runs about 4.91 nurse staffing hours per resident day, roughly 27% above the national average of 3.86, which earns it a 4-star staffing rating. But that cushion thins on weekends, when hours drop about 17% below the facility's own weekday level, so coverage isn't uniform across the week. Turnover sits at 44.7%, essentially matching the national average of 45.8%. The current inspection record carries 29 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, along with 2 fines totaling $59,777; the most recent inspection was April 11, 2025. This is a corporately owned, 105-bed home where strong weekday staffing is offset by a crowded, sometimes serious deficiency history.

Nurse hours

4.75 /day

Staff turnover

—

Serious cites

0

Gateway Care and Retirement runs 59 beds in Portland under for-profit LLC ownership, and its staffing is where the trouble sits: Medicare rates it 1 out of 5 stars for nurse staffing, well below what most Oregon homes manage. That thin coverage matters more given the inspection record, 34 deficiencies logged, three of them abuse-related, though none rose to the level of immediate harm. Quality measures land mid-pack at 3 stars, and the last full inspection was in May 2025, so the picture is current. For a family weighing this one, the question isn't whether the place is safe today; it's whether the staffing numbers hold up when a resident needs help fast.

Nurse hours

5.62 /day

Staff turnover

52%

Serious cites

0

Presbyterian Communities of South Carolina in Summerville runs a 48-bed nonprofit home where the nursing hours are the story: 5.62 per resident day, roughly 46 percent above the national average, and all three CMS star ratings, health inspections, quality measures, staffing, sit at 4 out of 5. The record is clean where it counts, just two deficiencies and none involving harm, jeopardy, or abuse, with an inspection as recent as August 2025. The two soft spots are worth knowing. Weekend staffing drops about 16 percent below weekday levels, so ask what weekends actually look like. And turnover is 52.4 percent, above the 45.8 percent national figure, meaning plenty of aides are still learning the building.

Nurse hours

5.39 /day

Staff turnover

—

Serious cites

0

Avera Rosebud Country Care Center runs on about 5.39 nurse hours per resident per day, which is roughly 40% more than the national average, a real staffing cushion for a 30-bed home in Gregory County. Weekends dip about 11% below weekday levels, so coverage isn't perfectly even, but the floor stays high. The current record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspectors were last on site in May 2026. Quality measures score lower than staffing and inspections here, so the clinical numbers families track monthly are the softer spot.