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

Nurse hours

3.71 /day

Staff turnover

42%

Serious cites

0

Windsor House at Canfield runs on thinner nurse coverage than most homes, 3.71 hours per resident day, about four percent under the national figure, and weekends dip roughly eleven percent below its own weekday levels, so the hours your family visits may not match the hours on the schedule. The record shows 23 deficiencies with none at the harm level, though two are abuse-related, which is worth asking about directly. Staff turnover sits at 42 percent, a touch better than the national 45.8, and the last inspection came January 8, 2026, so the picture is recent. Corporate-owned, 96 beds, with inspection and staffing both landing at four stars out of five.

Nurse hours

4.12 /day

Staff turnover

47%

Serious cites

0

Harrison Trail Health Campus sits in Hamilton County with 54 certified beds, run by a for-profit LLC. The staffing picture is decent but not uniform: 4.12 nurse hours per resident day runs about 7% above the national average, though weekends drop roughly 12% below what the home staffs on weekdays. Turnover lands at 46.9%, essentially tracking the national rate of 45.8%. Where it stands out is inspections, a perfect 5/5 health inspection rating with only 3 deficiencies on record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was February 26, 2026. Quality measures also score 5/5, while staffing earns 3/5, which tells you the clinical outcomes look strong even if the workforce numbers are only steady.

Nurse hours

4.16 /day

Staff turnover

47%

Serious cites

0

Norwich Springs runs a 54-bed for-profit home in Hilliard with nurse staffing at 4.16 hours per resident day, about 8% above the national average, though weekends run roughly 14% leaner than weekdays. Staff turnover sits at 46.9%, essentially level with the national figure. The current inspection record shows 12 deficiencies with none at the harm or jeopardy level and none abuse-related, and the last survey was in May 2024. Federal ratings put quality measures at 5 out of 5 and staffing at 4 out of 5, with health inspections at 3. The picture is a decently staffed home with a clean harm record, held back mainly by that middling inspection history.

Nurse hours

4.30 /day

Staff turnover

45%

Serious cites

0

Willows At Bowling Green runs about 50 beds under corporate ownership, and the numbers here are mostly steady. Nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, though weekends drop about 13% below the home's own weekday levels, worth asking about if your family visits on Saturdays and Sundays. Staff turnover of 44.8% lands right at the national rate, so people do leave, but no faster than elsewhere. The inspection record is the strongest signal: a single deficiency on file, none involving harm or abuse, with a survey completed at the end of 2025.

Nurse hours

4.17 /day

Staff turnover

40%

Serious cites

0

Enid Senior Care runs 102 certified beds under for-profit LLC ownership, and its staffing is the strongest part of the picture: 4.17 total nurse hours per resident day, about 8% above the national average, with a 4-out-of-5 CMS staffing rating to match. Turnover sits at 40.3%, better than the 45.8% national figure. The concerns are elsewhere. Sixteen deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and one fine totaling $34,805 has been levied. Inspections are recent, from November 2024, and there are no abuse-related citations. Weekend staffing drops roughly 11% below its own weekday level, so ask how that gap gets covered.

Nurse hours

3.26 /day

Staff turnover

48%

Serious cites

0

Meadowbrook Nursing Center runs about 65 beds in Chouteau under limited liability ownership, and the staffing numbers are the first thing I'd look at. At 3.26 nurse hours per resident day, it sits roughly 16 percent under the national average, and weekends dip below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover near 48 percent tops the national figure, so the people providing that care keep changing. The inspection record is harder to explain away: 34 deficiencies, two at harm or jeopardy level, three tied to abuse, and nearly $29,000 in fines. A five-star quality measure score can reflect good clinical documentation rather than good day-to-day care, and with a one-star inspection rating and a March 2026 survey, I'd ask pointed questions before deciding.

Nurse hours

5.08 /day

Staff turnover

51%

Serious cites

0

Regency Florence runs 5.08 nurse hours per resident day, well above the 3.86 national average, and weekends dip about 13% below its own weekday staffing. The corporate-owned home holds a 4/5 inspection rating from its most recent survey on April 24, 2026, but the record shows 30 deficiencies, including one at the harm level and five tied to abuse. Staff turnover sits at 51.4%, above the 45.8% national figure. The quality measure rating is 2/5, so the clinical numbers don't match the staffing picture. One fine of $7,443 is on file. Plenty of nursing hours and a recent clean-looking inspection star, against a deficiency list and turnover rate your family will want to ask about directly.

Nurse hours

4.64 /day

Staff turnover

47%

Serious cites

0

Cottage Grove Post Acute runs on 4.64 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and that shows up in a four-star staffing rating. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Saturday night. Turnover sits at 47%, just above the national figure, which means a good share of the people caring for your family member are still new. The inspection record is mixed: 26 deficiencies, including two at the harm level and two tied to abuse, one fine of $20,670, and a three-star health inspection rating.

Nurse hours

4.48 /day

Staff turnover

41%

Serious cites

0

Ashland Post Acute is a for-profit LLC with 87 beds, and its staffing is the strongest part of the picture: 4.48 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping only about 5% below weekdays. Turnover sits at 40.8%, better than the 45.8% national figure. The trouble is the inspection record, 54 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $31,369 fine. That history, not the staffing, is what holds the grade down to a C. The last inspection was May 2025, so the record is recent. If you're considering this home, ask directly what changed since those harm-level findings.

Nurse hours

5.14 /day

Staff turnover

60%

Serious cites

0

Laurel Hill runs nurse staffing at 5.14 hours per resident day, about a third above the national average, and that shows up in a 4-out-of-5 staffing rating. The catch is turnover: 60% of staff leave each year against a national 45.8%, and weekend coverage drops roughly 11% below weekdays, so the hours don't always land the same way. On the record side, 29 deficiencies include two at the harm level and three tied to abuse, with a $23,465 fine, and the last inspection was March 2025. The for-profit LLC structure, a 3-out-of-5 on both inspections and quality measures, it's a mixed picture, strong on raw staffing, weaker on consistency and compliance.

Nurse hours

4.95 /day

Staff turnover

45%

Serious cites

0

Marquis Wilsonville runs a 50-bed for-profit home in Clackamas County, and the staffing numbers are the first thing that stands out: 4.95 nurse hours per resident day, roughly 28% above the national average. Weekend coverage dips about 11% below its own weekday level, which is worth asking about if your family tends to visit Saturday or Sunday. Turnover sits at 44.6%, basically in line with the national figure. Inspections are recent and clean at the serious end, 10 deficiencies on record, none causing harm, none abuse-related, and a 5/5 inspection rating. Quality measures land at 3/5, the softer spot in an otherwise solid picture.

Nurse hours

4.08 /day

Staff turnover

38%

Serious cites

0

Saint Mary's Villa runs on more direct nursing time than most homes, 4.08 hours per resident day against a national average near 3.86, and it holds onto its nurses better than the typical facility, with turnover at 37.6% versus 45.8% nationally. That stability matters, though weekends thin out about 14% below weekday coverage, so a Saturday concern may take longer to answer. The inspection record shows 18 deficiencies, none serious enough to trigger a harm or jeopardy citation, plus one abuse-related finding worth asking about directly. Last inspected in September 2025, so the record is recent. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

3.35 /day

Staff turnover

42%

Serious cites

0

The Gardens at York Terrace runs about 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends dip another 12% below its own weekday coverage. Staff turnover sits at 42%, a little better than the 45.8% national figure, so the team is somewhat more stable than most. What stands out is the inspection record: three deficiencies on file, none at harm or jeopardy level, no abuse citations, and a clean five-star health inspection rating from a survey completed in December 2025. Pottsville's a for-profit corporate home with 80 beds, and the numbers say the care is being delivered carefully, just with a thinner staffing margin than average.

Nurse hours

3.74 /day

Staff turnover

39%

Serious cites

0

Quincy Retirement Community runs 94 beds as a nonprofit in Waynesboro, and its staffing sits a bit under the national average, 3.74 nurse hours per resident day against 3.86, with weekends about 7% thinner than weekdays, so coverage dips when families tend to visit. Turnover is the brighter spot: 38.8% versus 45.8% nationally, meaning fewer aides cycling out the door than at the typical home. The current record shows 15 deficiencies, including one at the harm level and one abuse-related, and the last inspection was recent, in February 2026. Read the inspection report yourself before deciding.

Nurse hours

3.92 /day

Staff turnover

43%

Serious cites

0

Asbury Health Center runs a bit above the national average for nurse staffing, 3.92 hours per resident day against 3.86, and its 42.8% turnover is slightly better than the 45.8% typical elsewhere. Weekends are thinner, though, with roughly 10% less coverage than weekdays, which is worth asking about if your family visits mainly on Saturdays or Sundays. The 23 deficiencies on record include one abuse-related citation, though none rose to the level of actual harm or jeopardy, and the most recent inspection was in June 2025. This is a nonprofit with a solid staffing score and a middle-of-the-road inspection history, steady, not spotless.

Nurse hours

3.66 /day

Staff turnover

49%

Serious cites

0

Hickory House runs 110 certified beds in Honey Brook under corporate for-profit ownership, and the staffing numbers are the weak spot. At 3.66 nurse hours per resident day, it sits roughly 5% under the national average, and weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover lands at 48.7%, a few points above the national rate. The inspection side is stronger: a 4-star health inspection rating, a clean record on harm-level deficiencies, and a recent survey in May 2026. But 16 total deficiencies with three tied to abuse is not nothing, and quality measures scoring 5/5 don't offset thinner daily staffing. Ask about weekend coverage and who's actually on the floor.

Nurse hours

3.64 /day

Staff turnover

38%

Serious cites

0

Julia Pound Care Center runs on thinner nurse coverage than most homes, 3.64 hours per resident day against a national average of 3.86, and weekends dip about 7% below what the building staffs on weekdays. That gap matters, because weekends are when families often can't visit and problems go unnoticed. Turnover sits at 37.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The record isn't clean, though: 37 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in June 2025. As a nonprofit, this home answers to a board rather than shareholders, which can mean steadier priorities, but the inspection history is the part I'd ask about directly.

Nurse hours

3.76 /day

Staff turnover

50%

Serious cites

0

Friendship Village of South Hills runs 89 certified beds under corporate for-profit ownership, and its staffing sits at 3.76 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends drop about 9% below its own weekday coverage, and annual turnover hits 50% against a national figure of 45.8%, so the same faces aren't always there. The current record shows 16 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is worth asking about directly. The last inspection was December 2, 2025, so the picture is recent. Quality and staffing measures both rate 4 out of 5, while inspections come in at 3.

Nurse hours

3.63 /day

Staff turnover

44%

Serious cites

0

Seneca Place runs 174 certified beds in Verona under nonprofit corporate ownership, and the numbers pull in different directions. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 11% below the home's own weekday coverage, a gap families often feel on Saturday and Sunday. Turnover lands at 43.8%, slightly better than the 45.8% national figure. What stands out most is the inspection record: 63 deficiencies, including 8 tied to abuse, with the most recent survey dated June 2025. None of those were cited at harm or jeopardy level, which matters, but the volume against a one-star health inspection rating is the fact worth weighing.

Nurse hours

3.57 /day

Staff turnover

47%

Serious cites

0

Third Avenue Health & Rehab runs 65 beds in Kingston under for-profit LLC ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, with weekends about 11% thinner than its own weekdays. Turnover runs 47.4%, a touch above the national 45.8%. The inspection record is the heavier part: 39 deficiencies, including one at the harm or jeopardy level and four tied to abuse, though the most recent inspection was just March 2026. Its quality measure score is perfect at 5/5, and staffing and health inspection each land at 3/5, a home where the clinical measures look strong but the survey history and weekend coverage are worth asking about directly.