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

Nurse hours

3.05 /day

Staff turnover

25%

Serious cites

0

Aliya Of Highwood runs lean on nurses, 3.05 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time. Weekend coverage holds almost level with weekdays, down only about 1%, so the shortfall is steady rather than a weekend problem. Turnover sits at 24.6%, well under the 45.8% national figure, meaning the staff who are there tend to stay. The tradeoff shows up in its record: 31 deficiencies, two at harm or jeopardy level and one abuse-related, though the most recent inspection was January 2026 and its health inspection and quality measure ratings are strong. The staffing rating is where the gap sits.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

Miller's Merry Manor in Warsaw runs about 3.98 nurse hours per resident day, a bit above the national average, though weekends drop roughly 12% from weekday coverage, worth asking about if your family visits then. Staff turnover sits at 39.1%, better than the 45.8% national figure, which matters for consistency of care. The 19 deficiencies on record include two tied to abuse, and while none rise to harm or jeopardy level, that combination deserves direct questions about how incidents are handled. Inspections are recent, from April 2025, and the for-profit corporate owner is working from a four-star inspection and quality record against a three-star staffing score.

Nurse hours

3.42 /day

Staff turnover

46%

Serious cites

0

Heritage Healthcare is county-owned, which matters here: 24 deficiencies on its current record, two of them abuse-related, none at the harm or jeopardy level. The health inspection rating sits at 2 out of 5, and the most recent inspection was August 2025, so that record is recent. Nurse staffing runs 3.42 hours per resident day, about 11 percent under the national average of 3.86, and weekends drop roughly 11 percent below its own weekday levels. Turnover is 45.5 percent, essentially the national rate. Residents' quality measures score 5 out of 5, and staffing still rates 4 out of 5. The gap between those numbers and the inspection record is what a family should weigh.

Nurse hours

3.91 /day

Staff turnover

37%

Serious cites

0

Paddock Springs runs 60 beds in Warsaw under corporate for-profit ownership, and its last health inspection came in January 2026. The record shows seven deficiencies, one serious enough to cause harm or jeopardy, but nothing abuse-related. Staffing sits at 3.91 nurse hours per resident day, barely above the national figure of 3.86, and weekend coverage dips about 2% below weekdays, enough to notice if your family visits Saturdays. What stands out is retention: turnover is 37.3%, well under the 45.8% national average, which suggests a steadier crew than most. Quality measures score strongly, while the staffing star rating lags at 2 out of 5, so the people there are consistent even if the raw hours aren't generous.

Nurse hours

3.99 /day

Staff turnover

60%

Serious cites

0

Milner Community Health Care runs about 3.99 nurse hours per resident per day, a bit above the national average, and its most recent inspection came back in July 2025 with a four-star health inspection rating. The catch is staff retention: turnover sits near 60%, well above the national figure, and weekend coverage dips below weekday levels, so the people at the bedside change more than families might expect. Twelve deficiencies are on record, one serious enough to involve harm, though none tied to abuse. For a nonprofit home of this size, the care numbers look solid on paper; the question worth asking on a visit is who's actually staying.

Nurse hours

3.77 /day

Staff turnover

48%

Serious cites

0

North River Health Campus is county-owned, which is unusual in this business, and its inspection record is genuinely clean, ten deficiencies on the books, none of them causing harm or jeopardy, none tied to abuse. That matters more than the raw count. The staffing picture is more mixed: 3.77 nurse hours per resident day sits just under the national average, and weekends run about 12% thinner than weekdays, so coverage depends on when you visit or call. Turnover at 48.1% is slightly worse than the national 45.8%, meaning CNAs and nurses cycle through. Ask which caregivers actually know your parent, and how the weekend shift is covered.

Nurse hours

3.29 /day

Staff turnover

47%

Serious cites

0

Northcrest Specialty Care runs 94 beds in Waterloo under nonprofit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 32 deficiencies, including one at the harm level and one tied to abuse. Annual turnover of 46.7 percent tracks close to the national figure. Quality and staffing measures score well, but a recent February 2026 inspection and that deficiency count are what a family should ask about directly.

Nurse hours

3.32 /day

Staff turnover

55%

Serious cites

0

Stratford Specialty Care runs 53 certified beds as a nonprofit, and its staffing numbers are the first thing worth noticing: 3.32 nurse hours per resident day sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Annual turnover hits 55% against a national 45.8%, so aides and nurses are cycling through faster than typical. The inspection record shows 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. A May 2025 inspection keeps that record current, and the 2/5 health inspection rating reflects those findings. Quality and staffing both rate 4/5, which is why the overall picture lands where it does, decent care measures, thinner coverage on the floor.

Nurse hours

4.23 /day

Staff turnover

39%

Serious cites

0

Cottage Grove Place runs a respectable nursing floor on paper: 4.23 nurse hours per resident day sits about 9% above the national average, and staff turnover at 38.6% is meaningfully better than the 45.8% typical elsewhere. The quality measure rating reflects that, and so does staffing. The trouble is the inspection record, 23 deficiencies on file, two of them serious enough to involve harm or jeopardy to a resident, and the most recent survey dates to May 2025. Weekend coverage also dips about 8% below weekday levels, so the care you'd see on a Sunday isn't quite what the staffing average implies. Good people, uneven execution on the regulatory side.

Nurse hours

3.62 /day

Staff turnover

41%

Serious cites

0

Linn Manor Care Center is a 38-bed nonprofit in Marion, and its staffing record is the strongest part of the picture: 3.62 nurse hours per resident day, a bit under the national average of 3.86, with turnover at 40.5% compared to 45.8% nationally. Weekends run about 11% thinner than weekdays, which is worth asking about if your family visits then. The inspection record is where the concern sits, 17 deficiencies on file, two of them at the harm or jeopardy level and two abuse-related. The last inspection was February 2026. Quality measures land mid-range, and staffing is graded well above average. Small homes can be worth a close look, but read those inspection reports before deciding.

Nurse hours

4.90 /day

Staff turnover

55%

Serious cites

0

Medicalodges Columbus runs 4.90 nurse hours per resident day, roughly 27% above the national average, and weekends dip only about 8% below its own weekday levels. That staffing cushion is real, but it comes with churn: 55.3% annual turnover against a 45.8% national figure, meaning the people providing that care keep changing. The inspection record is the harder read, 21 deficiencies, two of them serious enough to involve harm or jeopardy, and $36,322 in fines across two events, with the most recent inspection in February 2025. Strong quality measures and steady hours don't erase a two-star health inspection history.

Nurse hours

4.60 /day

Staff turnover

56%

Serious cites

0

Parsons Presbyterian Manor runs a nonprofit home with 43 certified beds, and its nurse staffing sits at 4.60 hours per resident day, about 19 percent above the national average of 3.86. That's the strongest part of the picture, and it shows in a five-star staffing rating. Other numbers pull the other way. Staff turnover hits 56 percent against a national average near 46, and weekend coverage drops roughly 11 percent below its own weekday level. Inspections look strong on the star rating, yet the record holds 19 deficiencies, two at harm or jeopardy level and two tied to abuse, plus one fine of $14,433. High marks on paper, real gaps in the details.

Nurse hours

3.58 /day

Staff turnover

22%

Serious cites

0

Good Samaritan Society - Atwood runs a tight ship on retention: 22.2% annual turnover against a national average of 45.8% means aides and nurses tend to stay, and that kind of continuity matters for residents who need familiar faces. The staffing rating reflects that stability, though total nurse hours of 3.58 per resident day sit about 7% under the national figure, with weekends running roughly 11% lighter than weekdays. The inspection record is where it gets harder to explain. Twenty-six deficiencies, four at harm or jeopardy level, two tied to abuse, and $68,956 in fines across three penalties, all reflected in a one-star health inspection rating despite a June 2025 survey. The quality measure score sits at two stars. Strong retention and a clean staffing score don't offset a record like that.

Nurse hours

3.69 /day

Staff turnover

41%

Serious cites

0

Trinity Manor runs about 46 beds in Dodge City under for-profit LLC ownership, and its most recent inspection wrapped up in January 2025, so the record you're looking at is current, not stale. The health inspection side holds up reasonably well, but 15 deficiencies on file include two at the harm or jeopardy level and one tied to abuse, which is the kind of thing worth asking about directly rather than glossing over. Staffing sits slightly under the national average at 3.69 nurse hours per resident day, and weekends run thinner than weekdays by roughly 12%, so coverage can dip when it matters. Turnover at 40.5% is better than average, though two fines totaling $29,773 suggest the problems weren't just paperwork.

Nurse hours

4.40 /day

Staff turnover

45%

Serious cites

0

Sunporch Of Smith County runs on a nonprofit model with just 22 certified beds, and the staffing numbers stand out: 4.40 nurse hours per resident day, roughly 14% above the national average, earning a top staffing rating. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.8%, essentially in line with the national rate. Inspections are the strongest signal here, a five-star health inspection rating, last visit in October 2024, and nine deficiencies on record with none at the harm level and none abuse-related. The weaker spot is the two-star quality measure rating, which reflects clinical outcomes rather than the inspection or staffing picture. Small homes live and die by who's on shift, so visit at different times and watch the care firsthand.

Nurse hours

3.75 /day

Staff turnover

47%

Serious cites

0

Signature Healthcare at North Hardin runs 136 certified beds as a for-profit LLC, and its staffing sits just under the national mark, 3.75 nurse hours per resident day against 3.86 nationwide. Weekends thin out further, dropping roughly 13% below the home's own weekday coverage, and turnover lands at 47.1% versus 45.8% nationally, so the people caring for residents are changing over at a steady clip. Inspectors were last in on May 29, 2025, and the current record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related. Ownership, weekend dips, and that deficiency count are the things worth asking about directly.

Nurse hours

4.02 /day

Staff turnover

51%

Serious cites

0

Maple Grove Senior Living runs about 90 certified beds in Shelbyville under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, 4.02 hours per resident day. That edge shrinks on weekends, though, when coverage drops roughly 11% below what the home staffs during the week, and annual turnover of 50.5% tops the national figure of 45.8%. The inspection record shows six deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the most recent state visit was in January 2026. Quality and staffing measures both score well; the inspection side is where the picture gets less tidy.

Nurse hours

6.05 /day

Staff turnover

66%

Serious cites

0

Louisiana Extended Care Hospital Of Lafayette runs on a small 28-bed license under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 6.05 hours per resident day, roughly 57% above the national average, and weekend coverage barely dips below weekday levels, that kind of consistency matters in a building this size. The catch is turnover: 65.6% annually against a national average of 45.8%, meaning the people providing that generous staffing are cycling through quickly. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 2026. Quality measures look strong; inspections are mid-tier.

Nurse hours

4.14 /day

Staff turnover

42%

Serious cites

0

Lorien Health Systems in Columbia runs 205 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 8% below its own weekday level, so ask how that plays out on Saturdays. Staff turnover is 41.5%, a bit better than the 45.8% national figure. What pulls the record down is the inspection side: 53 deficiencies on file, including one at the harm level and five tied to abuse, plus a $16,042 fine. The last inspection was January 2026. Strong staffing numbers, a harder inspection history, worth weighing both.

Nurse hours

4.33 /day

Staff turnover

45%

Serious cites

0

Future Care Homewood runs 4.33 nursing hours per resident day, which is about 12% above the national average of 3.86, genuinely good staffing on paper. The catch is weekends, when coverage drops roughly 12% below the home's own weekday level, so the hours aren't distributed evenly. Turnover sits at 44.8%, essentially the national average, and there's a long deficiency history: 64 citations on the current record, including 2 abuse-related, though none rose to harm or jeopardy level. The last inspection was May 2025, so the record is recent. That B reflects a home that staffs above average but carries a heavy citation load from its for-profit, LLC ownership.