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

Nurse hours

3.55 /day

Staff turnover

29%

Serious cites

0

Good Samaritan Society-Westbrook runs 32 certified beds as a nonprofit corporation, and its staffing story is mixed. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 29% against a national 45.8% means aides and nurses here tend to stay, which matters for consistency of care. On inspections, the record shows 14 deficiencies with none at harm or jeopardy level and nothing abuse-related, most recently surveyed March 2026. Quality measures score low, so ask what those specifically reflect.

Nurse hours

4.09 /day

Staff turnover

34%

Serious cites

0

Aurora Health And Rehabilitation runs 120 certified beds in Columbus under corporate for-profit ownership, and its staffing is the clearest strength: 4.09 nurse hours per resident day, roughly 6% above the national average, with a 34.1% turnover rate that beats the 45.8% national figure. Weekends, though, run about 17% below its own weekday staffing, so coverage thins when families tend to visit. The weaker side is inspections and quality, both rated 2 out of 5, with 14 deficiencies on record, one serious enough to involve harm or jeopardy. No abuse deficiencies appear. The most recent inspection was January 22, 2026, so the record is current.

Nurse hours

4.22 /day

Staff turnover

34%

Serious cites

0

Desoto Healthcare Center runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 33.7% sits well below the 45.8% national figure, a sign people tend to stay. Weekends are the soft spot, with staffing about 20% thinner than weekdays, which matters most when families visit. The inspection record is mixed: 17 deficiencies on file, including two at harm or jeopardy level and two tied to abuse, with one fine of $9,318. A September 2025 inspection is recent enough to reflect current conditions. Ownership is corporate for-profit, and the 120-bed size is mid-range for the area.

Nurse hours

4.17 /day

Staff turnover

54%

Serious cites

0

Trend Health And Rehab Of Houston runs 60 certified beds in Chickasaw County under for-profit LLC ownership. Its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average, but weekends drop about 18% below its own weekday level, and annual turnover of 53.5% runs higher than the 45.8% national figure. That churn matters more when you consider the inspection record: 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2, 2025. CMS gives it 2 out of 5 stars for both health inspections and quality measures, while staffing earns 4. The day-to-day coverage looks stronger than the paper trail behind it.

Nurse hours

5.03 /day

Staff turnover

24%

Serious cites

0

The staffing numbers jump out first: 5.03 nurse hours per resident day is about a third more than the national average, and turnover at 23.6% is roughly half the national rate, which matters because stable aides know the residents. But weekends run nearly a quarter thinner than weekdays, so the coverage you see Monday isn't what you get Sunday. The inspection record is the real caution here, 17 deficiencies, five serious enough to involve harm or jeopardy, and $44,252 in fines, all from a survey dated October 2025. Corporate-owned, 60 beds. Strong staffing, shaky oversight. Ask what those five harm-level findings were before you decide.

Nurse hours

3.63 /day

Staff turnover

43%

Serious cites

0

Life Care Center of Brookfield runs about 3.63 nursing hours per resident day, roughly 6% under the national average, and weekends dip another 16% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. The inspection record is the real concern: 40 deficiencies on file, eight of them serious enough to put residents at harm or jeopardy, and four tied to abuse. One fine totaling $45,159. Staff turnover sits at 43%, slightly better than the 45.8% national figure, and the quality measures look strong on paper. But a one-star inspection rating with recent findings from December 2024 is what a family should weigh hardest here.

Nurse hours

3.54 /day

Staff turnover

32%

Serious cites

0

Chaffee Nursing Center runs 3.54 nurse hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. That pattern matters more than the raw total, since gaps tend to show up when fewer people are watching. Turnover sits at 31.7%, well below the 45.8% national figure, which suggests the staff who are there tend to stay. The last inspection was in February 2025 and produced nine deficiencies, none at the harm level and none abuse-related. Quality measure scores are the weak spot here at 2 out of 5, so ask what those measures cover and whether they've been improving.

Nurse hours

3.33 /day

Staff turnover

57%

Serious cites

0

Good Samaritan Society - Bloomfield runs 70 certified beds as a nonprofit, and its clinical quality scores are genuinely strong, a five out of five on CMS quality measures. The staffing picture is thinner than that suggests. At 3.33 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so coverage depends on when you visit. Turnover at 56.5 percent runs well above the 45.8 percent national figure. The current record carries 20 deficiencies, none at harm or jeopardy level, though two are abuse-related. That July 2025 inspection is recent, and the two-star health inspection rating reflects it.

Nurse hours

3.98 /day

Staff turnover

—

Serious cites

0

Colonial Haven runs on city government ownership in Beemer, and its last inspection came in April 2025 with no deficiencies at the harm or jeopardy level, a clean record on the serious stuff. Two of its ten deficiencies are abuse-related, though, which is worth asking about directly. Nurse staffing sits at 3.98 hours per resident day, about 3% above the national average, but weekends drop roughly 15% below its own weekday level, so coverage isn't even across the week. The five-star inspection rating shows the survey history is strong; the three-star quality measure rating is middling. With 34 beds, it's small enough that you can ask specific questions about who's on duty Saturday and Sunday.

Nurse hours

5.62 /day

Staff turnover

56%

Serious cites

0

Langdon Place Of Dover runs a small house, 30 beds, and staffs it well above what most homes manage, at 5.62 nurse hours per resident day against a national average of 3.86. That staffing cushion is the main thing working in its favor. The tradeoffs show up elsewhere: weekend coverage drops roughly 18% below weekday levels, and turnover sits at 55.6%, meaning more than half the nursing staff leaves within a year. Six deficiencies on record, none involving harm or abuse, and a recent February 2025 inspection. The care hours are real; the question is whether they hold steady when weekends and turnover test them.

Nurse hours

3.31 /day

Staff turnover

25%

Serious cites

0

Careone At Middletown runs 127 certified beds in Atlantic Highlands under for-profit LLC ownership, and its staffing numbers cut both ways. Nurses provide 3.31 hours per resident day, about 14% under the national average of 3.86, and weekends dip roughly 16% below the home's own weekday coverage. Turnover sits at 25.4%, well under the 45.8% national figure, so the people who stay tend to stay. Inspections are a different story: a 2/5 health inspection rating, 20 deficiencies on record including three at harm or jeopardy level and one abuse-related, and $8,788 in fines. The most recent inspection was January 2025.

Nurse hours

4.29 /day

Staff turnover

—

Serious cites

0

Champlain Valley Physicians Hosp Med Ctr S N F is a 95-bed nonprofit in Plattsburgh, and its numbers pull in different directions. The health inspection side looks solid, a 4 out of 5, with the last survey in January 2025 and no deficiencies rising to harm or jeopardy. But staffing is a real problem at 1 out of 5, meaning nurse hours per resident fall well below the national average, and quality measures sit at just 2. That combination, decent inspections on paper but thin staffing day to day, is worth weighing carefully. There are 17 deficiencies on record, four of them abuse-related, which a family should ask about directly before deciding.

Nurse hours

3.95 /day

Staff turnover

59%

Serious cites

0

Greene Meadows runs a 120-bed for-profit home in Catskill, and the picture depends on which numbers you weight. Nurse staffing sits at 3.95 hours per resident day, a bit above the national average, and the quality measure rating comes in strong, but weekends drop roughly 20% below weekday coverage, so the hours aren't spread evenly across the week. Turnover is the number I'd ask about: 58.6% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. Twenty-four deficiencies sit on the current record, none at harm level and none abuse-related, with the last inspection in September 2023.

Nurse hours

3.43 /day

Staff turnover

27%

Serious cites

0

Ghent Rehabilitation & Nursing Center runs 120 certified beds under corporate for-profit ownership, and its staffing story is a mixed bag. Nurses provide 3.43 hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly 21% below the home's own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover sits at 27.2%, well below the national 45.8%, so the staff who are there tend to stay. The inspection record shows 25 deficiencies, including three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was September 2023.

Nurse hours

3.60 /day

Staff turnover

38%

Serious cites

0

Madison Health And Rehabilitation runs 100 certified beds in Mars Hill under for-profit limited liability ownership, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage, so care thins out exactly when families visit. Turnover sits at 37.9%, better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record is the weak spot: five deficiencies, including one at the harm level and one tied to abuse, plus a $9,110 fine and a 2/5 inspection rating. Quality measures score 5/5, but the most recent inspection was February 2026, so read that record closely.

Nurse hours

4.11 /day

Staff turnover

42%

Serious cites

0

Carolina Care runs on solid ground where it counts. State inspectors visited in April 2026 and came away with five stars, nine deficiencies total and none of them causing harm or tied to abuse, that's a clean record by any measure. Nurse time comes in at 4.11 hours per resident day, about 6% above the national average, though weekends dip roughly 17% below weekdays, so ask how that gap gets covered. Staff turnover sits at 42.3%, slightly better than the 45.8% national figure. The for-profit LLC ownership is worth knowing about, and staffing earned three stars against five for inspections and quality, that spread is the real story here.

Nurse hours

3.50 /day

Staff turnover

37%

Serious cites

0

Hendersonville Health and Rehabilitation runs 3.50 nurse hours per resident per day, about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday staffing. That thinner weekend coverage is the number I'd ask about directly. Turnover sits at 37.1%, better than the 45.8% national figure, so the crew that is there tends to stay. The record is clean where it matters most: 11 deficiencies, none causing harm or jeopardy, none abuse-related, and a September 2025 inspection. Owned by a for-profit LLC with 130 beds. Ask how they cover a Saturday call-out.

Nurse hours

4.12 /day

Staff turnover

43%

Serious cites

0

St Vincent's in Bismarck has a staffing story that looks fine on paper, 4.12 nurse hours per resident day, about 7% above the national average, and a compliance story that doesn't. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the record shows why: 35 deficiencies, three at the level that caused actual harm or put residents in immediate jeopardy, and four tied to abuse. Two fines totaling $44,606. Weekend staffing drops roughly 17% below the home's own weekday level, and 42.9% of staff turned over last year, slightly better than average, but still nearly half the workforce. Inspectors were last in on April 3, 2025.

Nurse hours

3.91 /day

Staff turnover

27%

Serious cites

0

Andover Village runs on thin but steady staffing. At 3.91 nurse hours per resident day, it's basically level with the national figure, and its weekend coverage dips about 16% below weekdays, not unusual, but worth knowing if your family visits on Saturdays and Sundays. What stands out is retention: 26.5% turnover against a national average near 46% means the aides and nurses here tend to stay, which matters more for daily care than any single inspection score. The record shows 9 deficiencies, none involving harm or abuse, and the most recent inspection was July 2024 with a 4-star health rating. It's a for-profit LLC with 99 beds. Solid, not spotless.

Nurse hours

4.38 /day

Staff turnover

62%

Serious cites

0

Dunbar Health & Rehab Center runs 68 certified beds in Dayton under corporate for-profit ownership, and its nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average of 3.86. That looks good on paper until you notice weekends run about 16% leaner than weekdays, and annual turnover hits 62.1% against a national 45.8%, meaning the people caring for residents are cycling out fast. The current inspection record shows 27 deficiencies, none at harm or jeopardy level but three tied to abuse, with the last full inspection in May 2025. Quality measure scores are strong; the inspection picture is where the caution lives.