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

Nurse hours

4.41 /day

Staff turnover

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Serious cites

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The Nursing Center at La Posada runs 40 certified beds in Palm Beach Gardens under for-profit individual ownership, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so the weekday numbers are the stronger part of that story. Inspections turned up 9 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent visit on October 30, 2024. All three CMS star ratings, health inspection, quality measures, and staffing, land at 3 out of 5.

Nurse hours

3.54 /day

Staff turnover

31%

Serious cites

0

Pruitthealth-Evans runs 149 beds in Columbia County under for-profit LLC ownership, and its inspection record cuts both ways. A May 2025 visit and a 4/5 health inspection rating look solid on paper, but the 13 deficiencies on file include five at harm or jeopardy level and four tied to abuse, the kind of findings that matter more than a star rating. Staffing tells a similar mixed story: turnover at 31.1% beats the 45.8% national average, which suggests people stay, yet total nurse hours land about 8% under the national benchmark and weekends drop roughly a fifth below weekday coverage. Fewer aides on Saturdays and Sundays is when families tend to notice.

Nurse hours

3.79 /day

Staff turnover

48%

Serious cites

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Treutlen County Health and Rehabilitation runs 50 certified beds as a nonprofit, and its inspection record is the strongest thing it has going: four total deficiencies, none at the harm level, and a survey completed in March 2026. Staffing tells a more mixed story. At 3.79 nurse hours per resident day, it sits just under the national average of 3.86, and weekend coverage drops roughly 17% from weekday levels, worth asking how that plays out on a Saturday. Annual turnover of 47.8% edges past the national 45.8%. That one abuse-related deficiency on record is the detail I'd want explained directly before deciding anything.

Nurse hours

3.53 /day

Staff turnover

36%

Serious cites

0

Pruitthealth - Franklin runs 78 certified beds under corporate for-profit ownership, and the staffing picture is the main thing to watch. At 3.53 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 24% below the home's own weekday coverage, that's when gaps tend to show up. Turnover is the counterweight: 36.2% against a national 45.8% means this building holds onto its nurses better than most. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated April 2026. Quality measures score well and inspections are solid; the staffing number is what keeps this from being an easier call.

Nurse hours

5.35 /day

Staff turnover

51%

Serious cites

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Fair Oaks runs a nonprofit home of 51 beds in Crystal Lake, and its strongest number is nurse staffing: 5.35 hours per resident day, roughly 39% above the national average. That's real coverage, though weekends drop about 17% below the home's own weekday level, so care thins out when families tend to visit. The tradeoff shows up elsewhere. Staff turnover sits at 50.7%, above the 45.8% national average, and the record carries 29 deficiencies, including two at the harm level and one abuse-related, plus $31,230 in fines. The last inspection was June 2024. Strong daily staffing, but a compliance history worth asking about directly.

Nurse hours

3.63 /day

Staff turnover

31%

Serious cites

0

Eagle Valley Meadows runs 114 beds under corporate ownership, and the staffing math is the first thing to look at: 3.63 nurse hours per resident day sits about 6% under the national average, and weekends drop roughly 15% below the home's own weekday coverage. That said, turnover at 31.4% is well below the 45.8% national figure, so the staff who are there tend to stay. The split in CMS ratings tells the real story, a 5/5 on quality measures against a 1/5 on health inspections and 2/5 on staffing. Thirty-five deficiencies are on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025.

Nurse hours

3.28 /day

Staff turnover

45%

Serious cites

0

Elkhart Meadows is county-owned, and that shows up in its inspection record: six deficiencies total, none of them causing harm and none tied to abuse, with a survey done as recently as September 2025. State inspectors have handed it five stars for health inspections and five for quality measures. Staffing is where it gets thinner. At 3.28 nurse hours per resident day, it's roughly 15 percent under the national average of 3.86, and weekend coverage drops about 16 percent against its own weekday level. Turnover, at 44.7 percent, sits right at the national rate of 45.8, ordinary churn, not a crisis. Strong oversight, shaky day-to-day floor coverage.

Nurse hours

3.60 /day

Staff turnover

35%

Serious cites

0

Lowell Healthcare runs 86 certified beds under corporate for-profit ownership, and its staffing sits at 3.60 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 17% below its own weekday coverage, so families should ask how that gap gets covered. The good news: turnover is 34.6%, well under the 45.8% national figure, which suggests a steadier crew than most. Inspections are current, the last one in February 2026, with 12 deficiencies on record, none at harm or jeopardy level, none abuse-related. Quality measures score 5/5 and inspections 4/5, while staffing lands 3/5. Solid care outcomes, thinner staffing margins.

Nurse hours

3.87 /day

Staff turnover

23%

Serious cites

0

Prairie Village runs on city/county money out in Daviess County, and the numbers tell a mixed story. Nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average, but weekends drop roughly 18% below what the home staffs on weekdays, so coverage thins out when families tend to visit. The standout figure is turnover: 23.3% against a national average of 45.8%, meaning aides and nurses here tend to stay put, which matters for familiarity and consistency of care. Seventeen deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related. The last inspection was May 2025, so the picture is recent.

Nurse hours

3.76 /day

Staff turnover

29%

Serious cites

0

Pineknoll runs leaner than the average U.S. nursing home on daily nurse hours, 3.76 per resident versus 3.86 nationally, and weekends dip about 19% below its own weekday coverage, which is the gap families tend to notice when they visit on a Saturday. What stands out in the other direction is retention: 28.8% annual turnover against a national 45.8% means most of the people caring for your relative were there last year too, and continuity matters when residents can't advocate for themselves. The inspection record is clean where it counts, 8 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey was May 2025. Nonprofit ownership, roughly middling staffing scores, solid marks on inspections and quality measures.

Nurse hours

3.30 /day

Staff turnover

40%

Serious cites

0

Markle Health & Rehabilitation runs on leaner nursing hours than most homes, about 3.30 per resident per day against a national average near 3.86, and weekends get thinner still, roughly 17% below what the building staffs on weekdays. That's worth asking about directly, especially if your family member needs help at predictable times on Saturdays and Sundays. The tradeoff shows up elsewhere: a clean inspection record with just four deficiencies, none involving harm or abuse, and a survey as recent as June 2025. Staff turnover sits at 40%, better than the 45.8% national figure, which suggests people stay. Quality measures and inspections both rate at the top of CMS's scale; staffing lands in the middle.

Nurse hours

3.16 /day

Staff turnover

33%

Serious cites

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Glen Oaks runs lean on nurse staffing, 3.16 hours per resident day against a national average of 3.86, roughly 18% less. Weekends dip about 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection record shows 19 deficiencies, one abuse-related, though none rose to harm or jeopardy level, and the most recent survey was in late 2025, so that picture is current. Turnover cuts the other way: 33.3% annually against 45.8% nationally, which suggests people stay. Quality measures score well; staffing and inspections are middling. For-profit corporate ownership and 68 beds round out the profile.

Nurse hours

3.95 /day

Staff turnover

56%

Serious cites

0

Hamilton Pointe runs a county-owned home of 115 beds, and its nurse staffing sits slightly above the national average at 3.95 hours per resident day. That edge thins on weekends, when coverage drops roughly 15% below its own weekday level, and turnover runs 56.3% against a national 45.8%, you're likely meeting a lot of new aides. The quality scores look strong, but the inspection record is where the picture shifts: 44 deficiencies, one serious enough to reach harm or jeopardy, from an inspection dated August 2025. County ownership doesn't erase that paper trail. Ask about the plan behind that harm citation and how weekend coverage gets filled.

Nurse hours

3.90 /day

Staff turnover

—

Serious cites

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Delmar Gardens Of Lenexa runs 222 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.90 hours per resident day, just about 1% above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 6% below the home's own weekday level. The inspection record shows 23 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related, and the most recent inspection date is March 18, 2026. CMS rates health inspections 4 out of 5, quality measures 3, and staffing 3. For a family weighing this one, the staffing edge over average is real but slight, and the weekend dip is worth asking about directly.

Nurse hours

3.89 /day

Staff turnover

33%

Serious cites

0

Signature Healthcare of Monroe County Rehab and We sits in Tompkinsville with 104 certified beds, run by a for-profit limited liability company. Its last inspection came in November 2025 and turned up just two deficiencies, neither tied to harm or abuse, a clean record that helps explain the strong inspection rating. Nurse staffing runs 3.89 hours per resident day, only a hair above the national average of 3.86, and weekends drop roughly 20% below weekday coverage, so the floor can feel thinner on Saturdays and Sundays. Annual turnover of 32.9% is meaningfully better than the 45.8% national figure, which matters for consistency of care.

Nurse hours

3.54 /day

Staff turnover

44%

Serious cites

0

Camelot Brookside runs 120 beds in Jennings under for-profit LLC ownership, and its staffing is the weak spot: 3.54 nurse hours per resident day sits about 8% under the national average, with weekends dropping roughly 16% below its own weekday coverage. Turnover lands at 44.1%, a touch better than the 45.8% national figure. The inspection record is where it earns ground, 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with a recent April 2026 inspection. Quality measures score well. That mix of thin daily coverage against a clean harm record is the tension here: care looks safe on paper, but the hours available to deliver it are leaner than most.

Nurse hours

4.17 /day

Staff turnover

46%

Serious cites

0

Hibbard runs a 93-bed for-profit home in Dover Foxcroft, and its staffing is the strongest part of the picture: 4.17 nurse hours per resident day, about 8% above the national average. That helps offset weekends, when coverage drops roughly 16% below the home's own weekday level. Turnover sits at 46.1%, essentially the national rate of 45.8%, no better, no worse, and worth asking about, since steady caregivers matter more than raw hours. The inspection record is where the concern lies: 44 deficiencies on file, including one abuse-related finding, though none reached harm or jeopardy level. Maine's most recent visit was June 5, 2025. Ask to see the plan of correction for that abuse citation.

Nurse hours

3.59 /day

Staff turnover

32%

Serious cites

0

Agawam West Rehab and Nursing runs 164 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 15% below its own weekday coverage, which matters if your visits tend to fall on Saturdays or Sundays. The inspection record shows 31 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations; the last survey was in September 2025. Turnover is the genuine bright spot at 31.6% against a national 45.8%, suggesting aides and nurses tend to stay. Quality measures score well even as the health inspection rating lags, so the day-to-day care may look steadier than the survey history implies.

Nurse hours

4.19 /day

Staff turnover

63%

Serious cites

0

Mission Point's nurse staffing sits at 4.19 hours per resident day, roughly 9% above the national average, and its quality measure rating comes in at the top tier. The catch is consistency: weekend coverage drops about 20% below what the home runs on weekdays, so care can look different depending on when your family visits. Turnover is the bigger concern at 62.5%, well above the 45.8% national figure, and the inspection record shows 15 deficiencies, one serious enough to involve harm or jeopardy, plus a $15,990 fine. Ownership is corporate for-profit, which often means tight margins. Recent inspections in late 2025 help, but ask specifically how they hold staffing steady on Saturdays and Sundays.

Nurse hours

3.67 /day

Staff turnover

62%

Serious cites

0

The Villa At Traverse Point runs a 61.9% annual staff turnover rate against a national average of 45.8%, meaning roughly three of every five caregivers left within the year. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national figure, and weekends run roughly 20% thinner than weekdays, so the thinnest coverage lands when families visit most. Inspections look cleaner: a May 2025 survey with 15 deficiencies, none at harm level, though one abuse-related citation appears on the record. Ownership is for-profit corporate.