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

Nurse hours

3.77 /day

Staff turnover

39%

Serious cites

0

Parkview Heights runs 3.77 nurse hours per resident day, a little under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. Turnover sits at 39.2%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. CMS gives four stars each for health inspections and staffing, but only two for quality measures. Corporate for-profit ownership of a 45-bed home. The staffing and inspection numbers are solid; the quality measure score is the piece worth asking about directly.

Nurse hours

3.90 /day

Staff turnover

40%

Serious cites

0

Oswego Operator runs 40 certified beds as a for-profit corporation, and its nurse staffing sits at 3.90 hours per resident day, just a hair above the national average of 3.86. Weekends drop about 14% below its own weekday coverage, so the care you'd see on a Saturday isn't quite what you'd see mid-week. Annual turnover comes in at 40%, which is better than the 45.8% national figure. The health inspection score is strong, and the most recent survey was late December 2025, so the record is current. But there are 18 deficiencies on file, one of them serious enough to reach harm or jeopardy level, and the quality measure score is weak at 2 out of 5.

Nurse hours

3.79 /day

Staff turnover

45%

Serious cites

0

Hillside Village Of De Soto Rehabilitation And Nur runs 49 certified beds under corporate ownership, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86. That gap is small, but the weekend pattern matters more: staffing drops about 9% below its own weekday level, so care thins out exactly when families tend to visit. Turnover is 45.2%, a hair under the national 45.8%, so retention here isn't the problem it is at many homes. Eighteen deficiencies appear on the current record, though none reached harm or jeopardy and none involved abuse, and the most recent inspection was January 7, 2026. The quality measure rating is strong; the health inspection record is solid.

Nurse hours

5.11 /day

Staff turnover

58%

Serious cites

0

Westchester Village of Lenexa runs a small house, 34 certified beds, and it's putting more nursing hours into each resident than most homes in the country do, roughly a third above the national average. That's the real story here, and it shows up in the staffing rating. What tempers it is turnover: more than half the nursing staff leaves within a year, well past the national rate, so the people delivering those hours keep changing. The inspection record is recent and clean at the serious end, 22 deficiencies on file, none tied to harm or abuse. Quality measures are the weak spot, scoring well below the staffing and inspection results.

Nurse hours

3.85 /day

Staff turnover

53%

Serious cites

0

Nhc Healthcare in Glasgow runs 194 certified beds under corporate ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. That headline number hides a wrinkle: weekends run about 15% thinner than weekdays, so care can look different depending on when you visit. Staff turnover is the bigger concern at 53.2%, well above the 45.8% national average, which matters because familiar faces tend to know residents' routines. Sixteen deficiencies sit on the current record, three tied to abuse, though none reached harm or jeopardy level, and one fine of $4,017 has been levied. The most recent inspection was in March 2026.

Nurse hours

4.88 /day

Staff turnover

35%

Serious cites

0

Knott County Health & Rehabilitation Center sits in Hindman with 92 certified beds under individual for-profit ownership. The numbers that stand out are on the staffing side: 4.88 total nurse hours per resident day, roughly a quarter above the national average, with turnover at 34.7% against a national 45.8%. Weekend coverage does dip about 12% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections tell a similar story, five deficiencies on record, none at harm or jeopardy level, none abuse-related, and the most recent survey was September 2025. The weak spot is quality measures, where CMS scores it 1 out of 5, meaning clinical outcomes like falls, infections, or antipsychotic use lag even though the hands-on care and survey record look solid.

Nurse hours

3.65 /day

Staff turnover

43%

Serious cites

0

Signature Healthcare at Rockford Rehab & Wellness sits in Louisville with 110 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no abuse deficiencies, and a survey completed in late February 2026. Quality measures also score five stars. Where it slips is staffing: 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86, earning just two stars. Weekend coverage drops about 15% below its own weekday levels, so care can thin out when families visit most. Turnover at 43% is slightly better than the 45.8% national figure, but nine deficiencies remain on record, three of them at harm or jeopardy level.

Nurse hours

3.38 /day

Staff turnover

41%

Serious cites

0

Seneca Place runs about 3.38 nurse hours per resident each day, roughly 12 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That thin weekend coverage sits alongside 34 deficiencies on the current record, 12 of them serious enough to cause harm or jeopardy, including 2 tied to abuse. The inspection history matters here too: the last survey was July 2025, so the record is recent, not stale. Turnover at 40.6 percent is actually a bit better than the national 45.8 percent, which suggests the problem isn't constant churn so much as how few hands are scheduled when they're needed most.

Nurse hours

3.57 /day

Staff turnover

34%

Serious cites

0

Park Terrace runs a tight ship on inspections, six deficiencies on record, none causing harm, and the state visited as recently as July 2025. That's a good sign. Staffing is where it thins out: 3.57 nurse hours per resident day sits about 7% under the national average, and weekends dip roughly 8% below the home's own weekday level, so your visit timing matters. Turnover at 33.8% is well below the national 45.8%, meaning caregivers tend to stick around, which helps continuity. Two abuse-related deficiencies are worth asking about directly. For-profit corporate ownership.

Nurse hours

3.91 /day

Staff turnover

41%

Serious cites

0

Coldspring Transitional Care Center runs 143 certified beds in Campbell County under for-profit limited liability ownership. Nurse staffing sits at 3.91 hours per resident day, barely above the national average, and weekends dip roughly 9% below what the home staffs during the week, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover of 41.1% is lower than the national 45.8%, which suggests somewhat steadier hands than average. The current record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. Quality measures score well; the health inspection side is where this home gives up ground.

Nurse hours

4.15 /day

Staff turnover

51%

Serious cites

0

The Springs At Oldham Reserve runs a 50-bed for-profit operation in La Grange, and its nurse staffing sits at 4.15 hours per resident day, roughly 8% above the national average of 3.86, though weekends run about 10% thinner than weekdays. Quality measure scores come in at the top of CMS's range, but staff turnover is 50.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the health inspection side, three deficiencies are on record with none tied to harm or abuse, and seven fines total $18,878. The last inspection was December 19, 2025.

Nurse hours

3.53 /day

Staff turnover

30%

Serious cites

0

Claiborne Rehabilitation runs 70 certified beds in Homer under for-profit LLC ownership, and its staffing story cuts two ways. Total nurse coverage sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 13% below the home's own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. Against that, annual turnover of 30.3% is notably better than the 45.8% national figure, meaning the caregivers tend to stay. The inspection record is where things get harder: 18 deficiencies, two at harm or jeopardy level, two abuse-related, and a $65,988 fine, with the most recent inspection in September 2025.

Nurse hours

4.23 /day

Staff turnover

37%

Serious cites

0

Eastside Center runs 4.23 nurse hours per resident day, about 9% above the national average, and its staff turnover of 37% beats the 45.8% national figure, both signs of a stable floor. Weekend coverage, though, dips roughly 9% below its own weekday levels, so care may thin out when families visit. The trouble sits in inspections: 33 deficiencies on record, including one at the harm level and one abuse-related, with a $11,190 fine and a two-star health inspection rating despite strong marks for staffing and quality measures. A recent April 2026 inspection means the record is current, not stale.

Nurse hours

5.13 /day

Staff turnover

29%

Serious cites

0

Maine Veterans Home in Caribou runs a lean 40 beds with nurse staffing at 5.13 hours per resident day, roughly a third above the national average, and weekend coverage stays within about 10 percent of weekday levels. Staff turnover of 28.6% sits well under the national figure, which suggests a steadier crew than most places. The tradeoffs show up elsewhere: 14 deficiencies on record, including one at the harm level and two tied to abuse, plus a $42,320 fine. Quality measures score at the bottom of CMS's scale even as inspections and staffing sit near the top. The most recent inspection was February 2026.

Nurse hours

4.07 /day

Staff turnover

36%

Serious cites

0

Complete Care at Multi Medical Center runs 4.07 nurse hours per resident per day, roughly 5% above the national average, and its 36.4% turnover is notably better than the 45.8% norm. Weekend staffing dips about 9% below weekdays, so ask how that plays out on Saturdays. The record shows 34 deficiencies with none at harm level, one abuse-related, and the most recent inspection was March 2026. A 5/5 quality measure rating and 4/5 inspection rating sit alongside a 3/5 on staffing, which fits a home doing well on outcomes but not standing out on hours.

Nurse hours

3.39 /day

Staff turnover

46%

Serious cites

0

Holly Hill runs 3.39 nursing hours per resident day, about 12% under the national average, and weekends get thinner still, roughly 12% below its own weekday coverage. That matters because the inspection record is where this home struggles: a 1-out-of-5 health inspection rating, 85 deficiencies on file, including one at the harm level and four tied to abuse. Turnover sits at 46.2%, essentially the national rate, so continuity isn't the standout problem here; the survey history is. The quality measure score of 5 out of 5 looks strong on paper, but it's measuring clinical outcomes, not whether the building is adequately staffed or safely run day to day. Ownership is for-profit corporate, and the last inspection was March 2024.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

Autumn Lake Healthcare At Chesapeake Woods runs about 3.98 nurse hours per resident day, a bit above the national average of 3.86, and its turnover of 39% comes in under the national 45.8%, so the day-to-day staffing picture is better than many. The trouble sits in the record: 49 deficiencies, including five tied to abuse and one at the harm or jeopardy level, plus two fines totaling $50,879. Weekend staffing also drops roughly 9% below weekday levels, which is when families tend to visit and notice. The most recent inspection was in December 2025, so the findings are current, not stale. A for-profit limited liability company owns the 98-bed home.

Nurse hours

3.84 /day

Staff turnover

36%

Serious cites

0

Tuckerman Rehabilitation runs 41 beds in North Bethesda, and its staffing sits right at the national average, 3.84 nurse hours per resident day against 3.86 nationally. Weekends dip about 9% below its own weekday numbers, so coverage thins when families tend to visit. Staff turnover is 35.7%, well under the 45.8% national figure, which matters for continuity of care. The record shows 23 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Its last inspection was February 2021, so that record is dated. Owned by a for-profit corporation. Strong marks on inspections and quality measures, middle-of-the-road on staffing.

Nurse hours

3.76 /day

Staff turnover

29%

Serious cites

0

Care One at Newton runs 202 certified beds under corporate ownership, and its most recent inspection in July 2025 turned up 47 deficiencies, five of them serious enough to cause harm or jeopardy, three tied to abuse. The health inspection rating sits at 1 out of 5. Staffing lands at 3.76 nurse hours per resident day, a bit under the national average, with weekends running about 5% thinner than weekdays. The genuinely bright spots: turnover at 29.3% beats the national 45.8% by a wide margin, and the quality measure score is perfect. Two fines totaling $20,186 round out the record.

Nurse hours

3.70 /day

Staff turnover

27%

Serious cites

0

Lighthouse runs 123 beds in Revere under limited liability ownership, and its nursing hours land at 3.70 per resident day, roughly 4% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts come when families often visit. Staff turnover is 26.5%, which is meaningfully better than the national 45.8%, people tend to stay. What pulls the record down is the inspection side: 38 deficiencies, one at harm or jeopardy level and four tied to abuse, with a 2/5 inspection rating. The last survey was February 2026. Quality measures score 4/5 and staffing 4/5, so the day-to-day care numbers look steadier than the compliance history.