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

Nurse hours

4.47 /day

Staff turnover

44%

Serious cites

0

Poplar Springs runs on decent nurse coverage: 4.47 hours per resident day, roughly 16% above the national average, and turnover at 43.8% comes in slightly under the national figure. The catch is weekends, when staffing drops about 17% below what the building manages Monday through Friday. On the record, inspectors logged 20 deficiencies, two tied to abuse, though none rose to harm or jeopardy level; the most recent visit was July 2025. The quality measure rating sits at 1 out of 5, which tends to reflect resident outcomes rather than raw hours worked. A for-profit LLC structure rounds out the picture.

Nurse hours

4.99 /day

Staff turnover

49%

Serious cites

0

Fountainbleau Lodge runs 33 beds in Cape Girardeau, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends drop about 18% below its own weekday level, so coverage thins out when families tend to visit. Turnover is 48.7%, a bit above the national 45.8%. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,827. The most recent inspection was September 2025, so the picture is fairly current.

Nurse hours

4.03 /day

Staff turnover

60%

Serious cites

0

Continental Care runs a 100-bed for-profit operation in Butte, and the staffing numbers cut both ways. Nurses put in 4.03 hours per resident day, comfortably over the 3.86 national figure, yet weekends drop roughly 16% below the home's own weekday coverage, so the hours look better on paper than they may feel on a Saturday. The bigger concern is retention: 60.2% annual turnover against a 45.8% national average means a lot of unfamiliar faces. Inspectors cited 50 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, with a $59,180 fine and a May 2025 inspection.

Nurse hours

4.49 /day

Staff turnover

46%

Serious cites

0

Trellis Paradise runs 4.49 nurse hours per resident day, roughly 16 percent above the national figure, though weekends drop about 20 percent below its own weekday staffing. Turnover sits at 46.3 percent, essentially level with the national rate, and the staffing star comes in at 3 of 5 despite the raw hours. The health inspection record is the stronger side: 28 deficiencies on file, none at harm or jeopardy level and none abuse-related, with a recent July 2025 inspection. It's a for-profit LLC with 83 beds. The care numbers look solid; the question a family should ask is who's actually on the floor on a Sunday.

Nurse hours

4.04 /day

Staff turnover

46%

Serious cites

0

North Westchester Restorative Therapy & Nrsg Crt runs 4.04 nurse hours per resident day, a bit above the national average, but weekends drop roughly 17% below its own weekday staffing. The 120-bed home is owned by a for-profit limited liability company, and turnover among nurses sits at 45.6%, essentially the national rate. On its current record are 18 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was August 7, 2024, and CMS gives it 4 out of 5 stars for health inspections and 5 for quality measures, with 3 for staffing.

Nurse hours

4.99 /day

Staff turnover

—

Serious cites

0

Gem City runs 4.99 nurse hours per resident day, roughly 29% above the national average of 3.86, that's real bedside coverage, though weekends dip about 9% below the home's own weekday level. The catch is inspections: 24 deficiencies on the current record and a 2-star health inspection rating, with the most recent survey dated July 1, 2025. None of those deficiencies rose to harm or jeopardy, and none were abuse-related. Quality measures score 5 stars, but staffing stars sit at 2 despite the high hours, and the home is for-profit, owned by a limited liability company. Strong daily nurse time paired with a long deficiency list is the tension here.

Nurse hours

3.10 /day

Staff turnover

40%

Serious cites

0

Woodside Village runs on 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below its own weekday staffing. Turnover sits at 40.4%, a bit better than the 45.8% national figure, which matters since fewer staff cycling through means more familiar faces. The current record shows 29 deficiencies, none at harm or jeopardy level but four tied to abuse, worth asking about directly. The last inspection was January 30, 2025, so the picture is recent. A for-profit LLC with 75 beds, this is a home where the quality measures look stronger than the staffing numbers.

Nurse hours

3.83 /day

Staff turnover

46%

Serious cites

0

Lanfair Center runs 84 certified beds in Lancaster under corporate for-profit ownership. Nurse staffing sits at 3.83 hours per resident day, essentially level with the national 3.86 but thinner on weekends, when coverage drops about 16% below its own weekday level. Staff turnover is 45.5%, right in line with the 45.8% national figure, neither a red flag nor a strength. The current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection came in May 2025. CMS gives it three stars for health inspections and three for staffing, against a perfect five for quality measures, so the clinical metrics look strong, but the staffing and inspection sides are more workmanlike.

Nurse hours

4.96 /day

Staff turnover

—

Serious cites

0

Village Health Care runs 106 certified beds in Gresham under corporate for-profit ownership, and its nurse staffing sits at 4.96 hours per resident day, roughly 28% above the national average of 3.86. That's a real cushion, though weekends dip about 10% below the home's own weekday levels. The trouble shows up in its inspection record: 44 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $21,890. Its last inspection was June 5, 2026, so the picture is current. Strong daily staffing, but a citation history that warrants questions before you sign anything.

Nurse hours

4.56 /day

Staff turnover

33%

Serious cites

0

Marshall Manor West runs a government hospital district home with 118 certified beds, and the staffing numbers are stronger than most: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 32.8% compared to 45.8% nationally. That retention matters, since consistent caregivers know residents' routines. The catch is the inspection record. The current file holds 31 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, and state surveyors were last in the building on February 4, 2026. Weekend staffing drops about 23% below weekday levels, which is when families tend to visit and notice. Their quality scores look strong, but quality measures come from the home's own reporting, the surveyor findings are the harder evidence.

Nurse hours

3.45 /day

Staff turnover

—

Serious cites

0

Orem Rehabilitation runs 3.45 nursing hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and care needs don't pause. The inspection record shows 29 deficiencies, five serious enough to involve harm or jeopardy, and seven tied to abuse, with a $38,357 fine and a May 2025 inspection that's still fairly recent. A 5/5 on quality measures sits alongside a 2/5 on inspections and 3/5 on staffing, which tells you the clinical metrics look better on paper than the survey history and weekend coverage suggest. For-profit corporate ownership rounds out the picture.

Nurse hours

3.93 /day

Staff turnover

48%

Serious cites

0

Stonehenge Of Orem is a small for-profit home, 34 beds, limited liability ownership that changed hands within the past year, and its record on inspections is genuinely clean. Two deficiencies total, none causing harm or jeopardy, no abuse findings, and a March 2026 inspection that's still recent. Nurse staffing sits at 3.93 hours per resident day, just above the national average, though weekends run about 16% lighter than weekdays, so coverage depends on when you visit. Turnover is 47.7%, slightly above the national figure, which matters more at a building this size where losing a few aides reshapes the whole floor. The care numbers look strong; the question is whether new ownership keeps them there.

Nurse hours

3.81 /day

Staff turnover

47%

Serious cites

0

Mira Vista Care Center runs 61 certified beds in Mount Vernon under corporate for-profit ownership, and its staffing sits slightly under the national average, 3.81 nurse hours per resident day against 3.86 nationally, with weekend coverage dropping roughly 19% below its own weekday levels. Staff turnover is 47.2%, a bit above the 45.8% national figure. The current inspection record shows 41 deficiencies, none at the harm or jeopardy level, though 6 are abuse-related, and the most recent inspection was in March 2026. What stands out is the split: a 5/5 on quality measures and 4/5 on staffing against a 3/5 inspection rating, so the day-to-day care metrics look stronger than the survey history suggests.

Nurse hours

4.20 /day

Staff turnover

39%

Serious cites

0

Life Care Center of Skagit Valley runs 4.20 nursing hours per resident day, about 9% above the national average, and its staff turnover of 39.3% is lower than the 45.8% typical elsewhere, both points in its favor. The catch is how thin weekends get: staffing drops roughly 16% below the home's own weekday level, so care may look different depending on when you visit. Inspections tell a mixed story too, 52 deficiencies on the current record, including one at the harm level and two tied to abuse, with $86,222 in fines across two cases. A 150-bed corporate-owned home that scores well on quality measures but carries a heavy inspection record.

Nurse hours

4.11 /day

Staff turnover

—

Serious cites

0

Kendall Lakes runs on more nurse hours than most homes in the country, 4.11 per resident day against a national average of 3.86, though weekends drop about 10% below its own weekday pace, so a Saturday shift isn't staffed like a Tuesday. The inspection record is genuinely clean: 11 deficiencies logged, none at the level where a resident was harmed or put in jeopardy, nothing tied to abuse, and the last full survey came in August 2025. This is a for-profit corporate home with 150 certified beds, and its staffing star sits lower than its inspection and quality scores for a reason, the weekday average carries the number, and the weekend dip is where families should ask questions.

Nurse hours

3.39 /day

Staff turnover

36%

Serious cites

0

The Healthcare Center Of Eastview runs 92 beds in Birmingham under individual for-profit ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is 36.2%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours fall short. The current record shows 8 deficiencies, none at harm or jeopardy level but one tied to abuse, and the last inspection was September 2023. Quality measures score well; the inspection history is the weaker piece.

Nurse hours

3.84 /day

Staff turnover

64%

Serious cites

0

Rocket City Rehabilitation runs 159 beds under for-profit LLC ownership, and its nurse staffing sits at 3.84 hours per resident day, basically level with the national average. But look closer at how that time is distributed: weekend coverage drops about 14% below the home's own weekday levels, and annual turnover hits 63.8% against a national 45.8%. The inspection record is where the real concern sits, a 1-out-of-5 health inspection rating, 20 deficiencies on file, three serious enough to involve harm or jeopardy, and one tied to abuse. That last inspection was February 2023, so the picture is nearly two years old.

Nurse hours

3.80 /day

Staff turnover

51%

Serious cites

0

Nhc Healthcare, Moulton runs 136 beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits just under the national average at 3.80 hours per resident day, and weekends drop roughly 12% below the home's own weekday coverage, a gap families often feel on Saturday and Sunday. Staff turnover is 50.8%, higher than the 45.8% national figure, so expect some churn among caregivers. On the plus side, the inspection record is clean where it matters: nine deficiencies, none at harm or jeopardy level, none abuse-related, and quality measures score well above average. The catch is that last inspection was November 2019, so that record is aging.

Nurse hours

3.60 /day

Staff turnover

46%

Serious cites

0

Pine Haven Rehabilitation and Wellness Center is a 172-bed for-profit home in Eight Mile, individually owned. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 45.7%, essentially matching the national rate, which means this home isn't bleeding staff faster than anyone else, but it isn't holding onto them either. The current record shows 25 deficiencies, one abuse-related, none at the harm level, and the last full inspection was back in October 2022, so that record is getting old.

Nurse hours

4.29 /day

Staff turnover

57%

Serious cites

0

Barfield Health Care runs about 4.29 nurse hours per resident per day, roughly 11% above the national average, and its quality measure rating sits at the top of the federal scale. Those are real strengths. But weekends run about a quarter thinner than weekdays, and staff turnover hits 57.1% against a national 45.8%, that's a lot of churn for a building this size, and thin weekend coverage is where problems tend to surface. The inspection record shows three deficiencies, none at harm level but one abuse-related, and the last full inspection was April 2021, so that picture is over four years old. For-profit corporate ownership, 113 beds. Worth asking how they hold staffing steady on Saturdays and Sundays.