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

Nurse hours

4.12 /day

Staff turnover

27%

Serious cites

0

Sixty West in Rocky Hill runs a tight ship on nurse staffing, 4.12 hours per resident day against a national average of 3.86, with weekend coverage dipping about 13% below its own weekday levels. The inspection record is clean where it matters most: 16 deficiencies on file but none at the harm or jeopardy level, and the most recent survey was in June 2025, so the picture is current. Staff turnover sits at 27.1% versus 45.8% nationally, meaning caregivers tend to stick around. One thing worth asking about directly: four of those deficiencies are abuse-related, which is a small share but not zero. For-profit LLC ownership, 95 beds.

Nurse hours

4.25 /day

Staff turnover

30%

Serious cites

0

Sunrise Health & Rehabilitation Center runs 237 certified beds under corporate for-profit ownership, and the staffing picture is genuinely better than most: 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 8% below its own weekday level. Turnover sits at 29.7%, well under the 45.8% national figure, which matters for whether your parent sees the same faces month to month. The tradeoff is inspection history, 29 deficiencies on record, though none at harm or jeopardy level and none abuse-related, with the last survey in August 2024. Quality measures score well; the health inspection side is where the record shows the most wear.

Nurse hours

3.60 /day

Staff turnover

34%

Serious cites

0

River Valley Rehabilitation Center runs 150 certified beds in Blountstown under corporate, for-profit ownership. Its last health inspection, in March 2025, left four deficiencies on record, none involving harm, jeopardy, or abuse. Nurse staffing sits at 3.60 hours per resident per day, roughly 7% under the national average of 3.86, and weekends run about 10% lighter than weekdays. What offsets that thinness is retention: annual turnover of 33.6% beats the 45.8% national figure, which suggests care here isn't constantly being delivered by strangers. The inspection record is recent and clean at the serious end, which is the part that matters most.

Nurse hours

3.57 /day

Staff turnover

28%

Serious cites

0

The Pavilion At Crescent Lake runs 92 certified beds under for-profit LLC ownership in Putnam County, and its staffing sits at 3.57 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, so coverage thins out right when families tend to visit. What stands out is retention: 27.9% annual turnover against a national average of 45.8%, meaning aides and nurses here tend to stay. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 8, 2026.

Nurse hours

3.92 /day

Staff turnover

30%

Serious cites

0

Westminster Woods On Julington Creek runs a tight ship. Sixty beds in Jacksonville, nonprofit-owned, and zero deficiencies on its current record, none at the harm level, none abuse-related, with its last inspection in November 2024. Nurse staffing sits at 3.92 hours per resident day, just above the national average, though weekends dip about 8% below its own weekday level. The number that stands out is turnover: 30.2% versus a national average of 45.8%, meaning far fewer caregivers cycling through than at a typical home. Federal ratings put inspections and quality measures at the top of the scale. For a family weighing options, this is about as clean a record as you'll find.

Nurse hours

3.81 /day

Staff turnover

26%

Serious cites

0

Florida Presbyterian Homes runs 68 certified beds as a church-affiliated nonprofit in Lakeland, and its staff retention is the standout number: 26.3% turnover against a national average of 45.8%, meaning most of the people caring for residents stick around. Total nurse staffing sits at 3.81 hours per resident day, a hair under the 3.86 national figure, and weekends run roughly 7% leaner than weekdays, so coverage thins out a bit on Saturdays and Sundays. The inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in February 2024. The quality and staffing measure ratings both come in at the top of CMS's scale.

Nurse hours

3.79 /day

Staff turnover

33%

Serious cites

0

Westminster Point Pleasant runs a nonprofit home of 120 beds in Bradenton, and the numbers suggest steady, unspectacular care. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekends dip about 8% below its own weekday coverage, worth asking about if your family visits on Saturdays. Staff turnover is the real bright spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows 12 deficiencies, none at the harm level, though one is abuse-related and worth reading in full. That last inspection was recent, August 2025, so the picture is current rather than stale.

Nurse hours

3.80 /day

Staff turnover

28%

Serious cites

0

Life Care Center of Palm Bay runs 141 certified beds under corporate for-profit ownership, and its nursing hours come in just under the national average, 3.80 per resident day against 3.86. Weekends thin out further, roughly 10% below the home's own weekday staffing, so ask how that plays out on a Sunday. What stands out is retention: 28.2% annual turnover against a national average of 45.8%, meaning far fewer unfamiliar faces than most places. The tradeoff shows in the inspection record, 8 deficiencies, 2 at harm or jeopardy level, though none abuse-related, with the most recent state visit in January 2025. Strong marks across inspection, quality, and staffing categories round out the picture.

Nurse hours

4.09 /day

Staff turnover

32%

Serious cites

0

Garden Isle Healthcare in Lihue runs on unusually steady staffing for a for-profit home: 4.09 nurse hours per resident day, about 6% above the national average, with weekend coverage dipping only 7% below weekdays. Turnover sits at 31.5% against a national 45.8%, which matters more than any single number here, it means fewer unfamiliar faces on the floor. The tradeoff shows up in inspections. The current record carries 38 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in February 2025. Ownership is a for-profit corporation, and CMS gives it 3 of 5 stars on health inspections but 5 of 5 on both quality measures and staffing. Read those together: strong day-to-day care, a longer paper trail of cited problems.

Nurse hours

3.60 /day

Staff turnover

16%

Serious cites

0

Hale Anuenue runs on a paradox: the numbers that predict daily care are strong, and the ones that predict trouble are not. Staffing sits at 3.60 hours per resident day, a bit under the national 3.86, but turnover is 16.2% against a national 45.8%, a stable crew that knows the residents, even if the shifts are a touch thin and weekends run about 11% lighter than weekdays. The alarm is the inspection record: 28 deficiencies, two at harm or jeopardy level, three tied to abuse, with the last visit in February 2024. Federal quality measures score 5/5, yet inspectors keep finding serious problems.

Nurse hours

3.97 /day

Staff turnover

18%

Serious cites

0

Covenant Living - Windsor Park runs about 3.97 nurse hours per resident day, a bit above the national average, and weekends dip roughly 7% below its own weekday coverage, worth asking about if your family visits mainly on Saturdays. The staffing numbers look strong otherwise: a 5/5 CMS staffing rating and 18.3% turnover, less than half the national rate, mean aides and nurses tend to stay. Inspections are another story. The February 2025 survey left 18 deficiencies on record, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $50,525. Quality measures score 5/5, so call and ask directly how those abuse and harm findings were resolved.

Nurse hours

4.30 /day

Staff turnover

32%

Serious cites

0

Little Sisters Of The Poor runs 76 certified beds on the North Side, and the staffing numbers are the first thing worth noticing: 4.30 nurse hours per resident day, roughly 11% above the national average of 3.86. That coverage thins on weekends, dropping about 13% below the home's own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 31.5%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The tradeoff is in the inspection record: 22 deficiencies, including 2 at the harm level and 2 tied to abuse, plus one fine of $9,272. The most recent inspection was March 2025, so the picture is current.

Nurse hours

4.44 /day

Staff turnover

27%

Serious cites

0

Waterford Crossing runs on 4.44 nurse hours per resident day, about 15% above the national average, and its staff turnover of 27.4% is well below the 45.8% national figure, a combination that usually shows up in day-to-day care. Weekend staffing dips roughly 15% below weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the most recent visit in March 2026. Corporate for-profit ownership, 87 beds, and strong marks across inspections, quality measures, and staffing.

Nurse hours

4.25 /day

Staff turnover

31%

Serious cites

0

Blair Ridge runs about 4.25 nurse hours per resident each day, roughly 10% above the national average, though weekends drop about 12% below its own weekday coverage. Staff turnover sits at 30.6%, well under the 45.8% national figure, which matters for continuity of care. The inspection record shows 14 deficiencies with none at the harm level, but one abuse-related citation is on file. Ownership is for-profit corporate, and the last full inspection was July 29, 2025. Quality measures score strongly, while the health inspection rating lands at 3 of 5, a mixed picture worth weighing against your family's priorities.

Nurse hours

4.37 /day

Staff turnover

36%

Serious cites

0

Western Prairie Senior Living in Ulysses runs a 60-bed for-profit operation, and the staffing numbers are the first thing to notice: 4.37 nurse hours per resident day, roughly 13% above the national average, with a 36% turnover rate that beats the 45.8% national figure. That combination matters because consistent hands are the hardest thing to keep in rural Kansas, and they're keeping more of them than most. Weekend coverage dips about 11% below weekday levels, which is worth asking about directly. The 21 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was December 2025, so the picture isn't stale. The tradeoff sits in the health inspection rating, which is middling even while quality measures and staffing both score at the top.

Nurse hours

5.02 /day

Staff turnover

27%

Serious cites

0

The Episcopal Church Home is a small nonprofit in Louisville, 26 certified beds, and its staffing is the strongest thing about it. At 5.02 nurse hours per resident day, it runs about 30 percent above the national average, and weekend coverage only dips roughly 7 percent below weekdays, which is a smaller gap than many homes carry. Turnover sits at 27 percent against a national average near 46 percent, so the people caring for residents tend to stay. What pulls the record down is the inspection side: seven deficiencies on file, one serious enough to involve harm or jeopardy, and a $10,364 fine. The most recent inspection was August 2025, so that record is current, not stale history.

Nurse hours

3.88 /day

Staff turnover

28%

Serious cites

0

Signature Healthcare at Jefferson Place sits right at the national average for total nurse staffing, 3.88 hours per resident day against 3.86, so this isn't a home running thin, but it isn't running rich either. What stands out is retention: 27.9% turnover against a 45.8% national average means the people caring for residents tend to stay, which matters more for daily life than a small staffing edge. The 12 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in mid-2025, so the picture is current. Weekend coverage dips about 13% below weekdays, worth asking about if your family visits Saturdays or Sundays.

Nurse hours

4.31 /day

Staff turnover

34%

Serious cites

0

Norway Center runs about 4.31 nurse hours per resident each day, roughly 12% above the national average, and its staff turnover of 34.1% sits well below the 45.8% norm, a sign people tend to stay. Weekend coverage dips about 11% from weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The home carries 10 deficiencies on its current record, none at the harm level and none abuse-related, with its most recent inspection in April 2025. For-profit corporate ownership, 42 beds, and quality measures that score at the top of CMS's range.

Nurse hours

3.68 /day

Staff turnover

21%

Serious cites

0

Care One At Lowell runs 160 certified beds under a for-profit limited liability company, and its last health inspection came in May 2025. The record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse, worth asking about directly. Nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 9% below its own weekday levels, so coverage thins out when families tend to visit. What stands out in the other direction is turnover: 20.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Consistent caregivers matter, especially for residents who need routine.

Nurse hours

4.10 /day

Staff turnover

20%

Serious cites

0

Aberjona runs on 4.10 nurse hours per resident day, roughly six percent above the national average, and its staff turnover of 20% sits far below the typical 45.8%. That retention matters more than any single inspection result, it means the people caring for residents here tend to stick around. The home carries six deficiencies on its current record, none of them involving harm or jeopardy and none abuse-related, and its last inspection was in May 2025. One thing worth asking about directly: weekend staffing drops about 14% below weekday levels, so if your family visits primarily on Saturdays or Sundays, it's fair to ask how coverage is handled then.