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

Nurse hours

3.65 /day

Staff turnover

37%

Serious cites

0

Parkview runs 228 beds in Paducah under corporate for-profit ownership, and its nurse staffing sits at 3.65 hours per resident day, about 6% under the national average of 3.86. Weekends get thinner still, roughly 14% below the home's own weekday coverage, which matters most when families visit and when problems tend to surface. Turnover is the brighter spot: 37.4% against a national 45.8%, meaning caregivers stick around longer here than at the typical home. The inspection record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $5,519 and a recent April 2026 survey. Quality measures score well; staffing and inspections land mid-range.

Nurse hours

4.46 /day

Staff turnover

34%

Serious cites

0

Hyden Health And Rehabilitation Center runs on unusually strong nurse staffing for a for-profit home, 4.46 hours per resident day, about 16% above the national average, and weekend coverage only dips around 13% below its own weekday level, which is a smaller drop than many places manage. Staff turnover sits at 33.7%, well under the national 45.8%, and its last inspection in October 2024 produced no deficiencies at the harm or jeopardy level and no abuse citations. The tradeoff shows up in the quality measures, which score low, and in ten total deficiencies on record. One fine of $5,346 is modest. The day-to-day care presence looks solid; the clinical outcomes data is where questions remain.

Nurse hours

3.94 /day

Staff turnover

44%

Serious cites

0

Middlesboro Nursing and Rehabilitation sits in Bell County with 95 certified beds and a for-profit corporate owner. The last inspection in September 2024 turned up a single deficiency, none of it at the harm level and nothing abuse-related, which is about as clean a federal record as you'll find. CMS gives it five stars for both inspections and quality measures. The catch is staffing, where two stars reflects a thinner crew than the inspection results would suggest: 3.94 nurse hours per resident day, only slightly above the 3.86 national average, and weekends run roughly 11% leaner than weekdays. Turnover at 44% is a hair under the national 45.8%.

Nurse hours

3.39 /day

Staff turnover

39%

Serious cites

0

Greenville Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and seven deficiencies on the current record, none of them serious enough to cause harm or involve abuse. The last state visit was in July 2025. Where it slips is staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends run about 11 percent thinner than weekdays. Turnover sits at 39 percent, which is actually better than the 45.8 percent national figure, so the people who stay tend to stay. This is a for-profit, limited-liability operation with 60 beds. Read the pattern honestly: clean inspections, thin coverage.

Nurse hours

3.98 /day

Staff turnover

52%

Serious cites

0

Zachary Manor runs 110 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 12% below the home's own weekday levels, and annual turnover of 51.8% tops the national 45.8%. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though two are abuse-related, with the most recent inspection dated February 2026. Federal ratings land at three stars for health inspections and quality measures, four for staffing. The staffing number looks solid on paper; the turnover and weekend dip are where that advantage gets tested.

Nurse hours

4.01 /day

Staff turnover

50%

Serious cites

0

St Mary's D'youville Pavilion runs 210 beds under nonprofit ownership, and the staffing numbers are genuinely better than most: 4.01 nurse hours per resident day against a national average of 3.86, with weekends only about 2% lighter than weekdays. That consistency matters. What pulls the record down is inspection history, 28 deficiencies on file, including one at the harm level and one abuse-related, plus a $22,205 fine and a one-star health inspection rating, though the most recent survey was March 2025. Staff turnover sits at 50%, above the 45.8% national figure. Quality measures score well. The pattern here is a home that's well-staffed on paper but has real compliance problems to ask about directly.

Nurse hours

4.75 /day

Staff turnover

51%

Serious cites

0

Brewer Center for Health & Rehabilitation runs a for-profit operation with 111 certified beds, and its nurse staffing sits at 4.75 hours per resident day, roughly a quarter above the national average. That's a meaningful cushion, though weekend coverage drops about 10% from weekday levels, so families should ask how that gap gets filled. Staff turnover is 51%, higher than the 45.8% national figure, which matters for continuity of care. On inspections, the home holds a 4-out-of-5 star rating from CMS, and its 30 deficiencies include none at the harm or jeopardy level and none related to abuse. The most recent inspection was April 30, 2026.

Nurse hours

4.34 /day

Staff turnover

27%

Serious cites

0

Ross Manor runs on 4.34 nurse hours per resident per day, about 12% above the national average, and its staff turnover of 27.3% sits well below the 45.8% national figure, a sign people tend to stay. Weekends thin out roughly 9% from weekday coverage, worth knowing if your visits land on Saturdays. The tradeoffs show up elsewhere: 38 deficiencies on the current record, including one at the harm level and three tied to abuse, plus an $8,018 fine. Quality measures rate low even as staffing rates high, and the last inspection was April 2025.

Nurse hours

3.80 /day

Staff turnover

33%

Serious cites

0

Autumn Lake Healthcare at Ballenger Creek in Frederick is a for-profit corporate home with 130 certified beds, and its inspection record is the thing to look at first: 63 deficiencies on file, including 2 at the harm or jeopardy level and 7 tied to abuse. A June 2025 inspection means that record is current, not stale. Staffing sits at 3.80 hours per resident day, just under the national average of 3.86, and weekends run about 8% thinner than weekdays. Turnover is 32.7%, which is meaningfully better than the 45.8% national figure, that's a real strength here. The quality measure rating of 5/5 contrasts sharply with the 1/5 inspection score, so if you're weighing this home, ask pointed questions about the abuse-related findings before anything else.

Nurse hours

3.50 /day

Staff turnover

24%

Serious cites

0

Adelphi Nursing and Rehabilitation Center runs 170 certified beds as a for-profit LLC, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 12% below its own weekday coverage. Turnover is the bright spot: 23.8% against a national 45.8%, so the aides and nurses who are there tend to stay. The tradeoff shows up in the inspection record: 77 deficiencies, none at harm or jeopardy level but three tied to abuse, and a 2-out-of-5 health inspection rating. Quality measures score 4 out of 5, and the last survey was February 2025.

Nurse hours

3.38 /day

Staff turnover

45%

Serious cites

0

Autumn Lake Healthcare at Catonsville runs 136 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover lands at 44.7%, essentially tracking the national figure of 45.8%. The inspection record carries 79 deficiencies, including four tied to abuse, though none reached harm or jeopardy level; the most recent survey was August 2025, and CMS scores inspections and staffing at 2 out of 5 stars each while quality measures earn 5. The split tells you where to look: ask about weekend coverage and the abuse-related findings directly.

Nurse hours

4.07 /day

Staff turnover

43%

Serious cites

0

Autumn Lake Healthcare At Crofton runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86. Weekend coverage drops about 11% below the home's own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The 42.7% annual turnover rate is slightly better than the 45.8% national figure, which matters for continuity of care. On the record: 37 deficiencies, none at harm or jeopardy level, but four abuse-related citations. The last inspection was September 2025. Quality measures score well; staffing and health inspections land in the middle.

Nurse hours

3.42 /day

Staff turnover

36%

Serious cites

0

Autumn Lake Healthcare At Birch Manor runs about 3.42 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover sits at 35.9%, better than the 45.8% national figure, though the 85 deficiencies on record, six abuse-related, none at harm or jeopardy level, and a three-star inspection rating suggest the care record has gaps worth asking about directly. The five-star quality measure score and recent June 2025 inspection cut the other way. For-profit, LLC-owned, 118 beds.

Nurse hours

3.45 /day

Staff turnover

22%

Serious cites

0

Autumn Lake Healthcare at Cherry Lane is a 155-bed for-profit home in Laurel, and its numbers tell a mixed story. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends running about 8% thinner than weekdays, a real gap if your family visits or calls on Saturdays and Sundays. Turnover, though, is genuinely low at 21.9% against a national 45.8%, which matters because consistent caregivers know your relative. The inspection record shows 43 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last state visit was August 2025. Quality measures score well; staffing is where this home runs lean.

Nurse hours

3.91 /day

Staff turnover

38%

Serious cites

0

Lochearn is a 200-bed for-profit in Baltimore with 30 deficiencies on its record, but none of them reached harm or jeopardy level, and none were abuse-related. That matters more than the raw count. Its last inspection was in January 2026, so the picture is current. Staffing sits at 3.91 hours per resident day, barely above the national average, and weekends run about 12% leaner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Turnover is 38.1%, better than the 45.8% national figure. Federal inspectors rate quality measures at the top and health inspections near the top, with staffing more middling.

Nurse hours

3.51 /day

Staff turnover

27%

Serious cites

0

Autumn Lake Healthcare at Silver Spring runs 148 certified beds under for-profit LLC ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so the gaps show up when families tend to visit. What stands out is retention: 27.4% annual turnover against a national average of 45.8%, meaning the aides and nurses here tend to stay. The current inspection record carries 38 deficiencies, three tied to abuse, though none at the harm or jeopardy level. Its last inspection was March 27, 2026.

Nurse hours

3.63 /day

Staff turnover

39%

Serious cites

0

Autumn Lake Healthcare at Oak Manor runs 145 beds in Burtonsville under for-profit LLC ownership, and its staffing sits at 3.63 nurse hours per resident day, roughly 6% under the national average, with weekends about 8% lighter than its own weekdays. Turnover of 38.7% actually beats the national 45.8%, so the people who stay tend to stay. What stands out more is the inspection record: 40 deficiencies, including one at harm or jeopardy level and one tied to abuse, plus a single fine of $11,381. The most recent inspection was April 2026, so the record is current. Quality measures score well; the staffing and inspection numbers are where the caution lies.

Nurse hours

3.48 /day

Staff turnover

33%

Serious cites

0

Villa Rosa runs on 3.48 nurse hours per resident day, roughly 10 percent under the national average, and weekends dip about 11 percent below its own weekday staffing. That gap matters more than the headline number, since consistent coverage is what keeps small problems from becoming big ones. Turnover sits at 32.8 percent, well below the 45.8 percent national average, so the staff who are there tend to stay. Against 48 deficiencies on the current record, none at the harm level, four abuse-related, the two-star health inspection rating is doing most of the work holding this one back, even though quality measures scored four stars and the last inspection was recent.

Nurse hours

3.58 /day

Staff turnover

32%

Serious cites

0

Brentwood Rehabilitation and Healthcare Center runs 159 beds in Danvers under for-profit limited liability ownership, and its staffing is the weak spot: 3.58 nurse hours per resident day sits about 7% under the national average of 3.86, with weekends roughly 10% thinner than weekdays. Its 31.6% annual turnover is notably better than the 45.8% national figure, though. Inspections look solid, a 4/5 health inspection rating, 20 deficiencies on record with none at harm or jeopardy level and none abuse-related, and the most recent survey was April 2026. Quality measures also rate 4/5. The tension here is steady oversight against thin daily coverage, especially on weekends.

Nurse hours

3.55 /day

Staff turnover

13%

Serious cites

0

Care One At Lexington runs 211 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86, with weekends about 7% thinner than weekdays. That 13% annual turnover, though, is remarkably low against the national 45.8%, so the aides and nurses here tend to stay. The inspection record is the harder read: 41 deficiencies, one serious enough to reach harm or jeopardy level, and a $51,765 fine, with the most recent survey dated December 24, 2025. Quality measures score well, but consistent staffing and a clean survey history are what families should weigh.