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

Nurse hours

3.51 /day

Staff turnover

43%

Serious cites

0

Vancrest Of Delphos runs a leaner nursing floor than most homes in the country, 3.51 nurse hours per resident day against a national average of 3.86, and weekends dip another 17% below its own weekday pace. That matters most on Saturdays and Sundays, when families tend to visit and when a fall or a change in condition can go unnoticed longer with fewer eyes on the hall. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the inspection record is genuinely clean: six deficiencies, none causing harm, none tied to abuse, with a survey dated April 2026. Quality measures score well. The pressure point here isn't care quality on paper, it's whether the daily staffing floor holds up when it counts.

Nurse hours

3.42 /day

Staff turnover

31%

Serious cites

0

Auburn Skilled Nursing and Rehab runs 44 certified beds in Salem, under for-profit LLC ownership. Nurse staffing sits at 3.42 hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is the bright spot: 30.8% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The inspection record shows 20 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. Quality measures score well; staffing is where the numbers lag.

Nurse hours

3.40 /day

Staff turnover

—

Serious cites

0

The Gardens at Camp Hill runs 95 beds under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage dips another 3% below its own weekday levels, so the thinnest shifts are the ones families tend to visit. The inspection record is where the real concern lives: 42 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $10,059 and a health inspection rating of 2 out of 5. Its quality measure score is strong, but that reflects charted care, not hands on the floor.

Nurse hours

3.87 /day

Staff turnover

27%

Serious cites

0

Morrell Nursing Center sits right at the national average for total nurse staffing, 3.87 hours per resident day against 3.86 nationwide, though weekends run about 17% thinner than weekdays, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 27%, well below the 45.8% national figure, so the people caring for residents tend to stick around. The 154-bed for-profit home holds a 4/5 inspection rating with five deficiencies on record, none at harm or jeopardy level and none abuse-related, and its last inspection was recent. The weaker spot is the 2/5 quality measure rating, which reflects resident-level clinical data rather than the hands-on care picture.

Nurse hours

3.73 /day

Staff turnover

43%

Serious cites

0

Nhc Healthcare - Mauldin runs 180 certified beds under corporate for-profit ownership, and its staffing sits slightly under the national average, 3.73 nurse hours per resident day against 3.86. That gap is small, but weekends tell a bigger story: coverage drops about 16% below the home's own weekday levels, which is when problems tend to surface. Turnover lands at 42.9%, a touch better than the 45.8% national figure. The inspection record shows eight deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $7,313. The most recent inspection was March 2025, so the picture is current. State surveyors rated health inspections 2 out of 5, lower than the staffing and quality scores.

Nurse hours

5.30 /day

Staff turnover

51%

Serious cites

0

Lakes At Litchfield runs a small house, 24 certified beds in Pawleys Island, and staffs it well above what most homes manage, at 5.30 nurse hours per resident day against a national average of 3.86. That's the number doing the most work here. Weekend coverage dips about 16% below its own weekday level, though, and turnover sits at 51.4%, higher than the 45.8% national figure, so the people providing that care are cycling through. The inspection record is clean at the harm level with four total deficiencies, one tied to abuse. A recent March 2026 inspection and strong survey history offset the quality-measure score, which lands mid-range.

Nurse hours

3.52 /day

Staff turnover

46%

Serious cites

0

Good Samaritan Society Scotland runs 45 beds as a nonprofit, and its inspection record is genuinely strong, a five-star health inspection rating with just five deficiencies on file, none of them causing harm, and a survey completed as recently as March 2025. Staffing is where the picture gets more mixed: 3.52 nurse hours per resident day sits about 9% under the national average, and weekends run roughly 15% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover lands at 45.5%, essentially matching the national rate. Two abuse-related deficiencies appear on the record despite the clean harm-free count, which is worth asking about directly.

Nurse hours

3.73 /day

Staff turnover

60%

Serious cites

0

Good Samaritan Society's St Martin Village runs 60 certified beds in Rapid City under nonprofit ownership, and its staffing numbers are a mixed picture. Nurses provide 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 16% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover sits at 60% against a 45.8% national figure, meaning most of the aides and nurses at the bedside are relatively new. The inspection record is the other thing to weigh. State surveyors last visited in March 2025 and logged 19 deficiencies, none serious enough to cause harm or put anyone in immediate jeopardy, though two are abuse-related, worth asking about directly.

Nurse hours

4.92 /day

Staff turnover

52%

Serious cites

0

West Tennessee Post Acute runs about 4.92 nurse hours per resident per day, roughly 27% above the national average of 3.86, that's real coverage on paper. The catch is consistency: weekend staffing drops about 20% below its own weekday level, so the aide who knows your mother on Tuesday may not be there Saturday. Staff turnover sits at 51.9%, above the national 45.8%, meaning half the workforce turns over each year. Fourteen deficiencies are on the current record, though none at harm or jeopardy level and none abuse-related. State inspectors last visited in May 2025. For-profit, limited liability ownership. The staffing numbers look better than the average; the retention numbers explain why that average can be hard to feel.

Nurse hours

3.47 /day

Staff turnover

26%

Serious cites

0

Alexandria Rehabilitation and Healthcare Center runs 3.47 nursing hours per resident day, about 10% under the national average, and weekends drop roughly 17% below its own weekday staffing. Turnover sits at 25.6%, well under the national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is the harder part: 40 deficiencies, two at harm or jeopardy level and four abuse-related, with the most recent inspection in April 2024. Quality measures score well, but staffing and health inspection stars both come in at 2 out of 5. Limited liability ownership, 111 beds. Ask about weekend coverage and how the abuse-related citations were resolved before deciding.

Nurse hours

3.43 /day

Staff turnover

37%

Serious cites

0

Shenandoah Nursing Home in Fishersville runs on thinner nurse staffing than most homes nationally, 3.43 hours per resident day against an average of 3.86, with weekends dropping about 15% below its own weekday levels. That pattern matters most on Saturdays and Sundays, when care needs don't take the weekend off. The tradeoff is a relatively stable workforce: 37% turnover beats the 45.8% national figure, and a 4/5 inspection rating with no harm-level or abuse deficiencies on a recent May 2024 survey suggests the care is consistent even when staffing is lean. Family members should ask how weekend coverage is handled on the specific unit their relative would live on.

Nurse hours

3.70 /day

Staff turnover

28%

Serious cites

0

Regency Harmony House runs a tight ship on inspections, a five-star health inspection rating and a recent survey date of November 2025, with 15 deficiencies on record and none at the harm or jeopardy level. Staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 22% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover is the bright spot: 27.5% against a national average of 45.8%, meaning the people caring for residents tend to stay. The weaker piece is the two-star quality measure rating, and three abuse-related deficiencies appear on the current record, worth asking about directly.

Nurse hours

4.19 /day

Staff turnover

42%

Serious cites

0

Agility Health and Rehabilitation runs 120 certified beds in University Place under for-profit LLC ownership, and its staffing sits at 4.19 nurse hours per resident day, roughly 9% above the national average. Turnover lands at 42.3%, a touch better than the 45.8% norm, though weekend coverage drops about 16% below its own weekday level, so care can thin out when families visit most. The inspection record is where things get harder to ignore: 41 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its most recent inspection was June 9, 2026, so the picture is current, not stale. Quality measures score well, but that record is worth asking about directly.

Nurse hours

4.80 /day

Staff turnover

40%

Serious cites

0

Life Care Center of South Hill runs a hundred beds in Puyallup, and the staffing is genuinely its strong suit, 4.80 nurse hours per resident day, roughly a quarter above the national average, with turnover at 40.2% sitting below the 45.8% norm. The catch is weekends, when hours drop about 18% below the home's own weekday level. On inspections, CMS rated it 4 of 5 stars, though the record shows 29 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $17,388. The last inspection was November 2025, so the picture is recent.

Nurse hours

4.40 /day

Staff turnover

—

Serious cites

0

Continuous Care Center Wheeling Hospital runs 4.40 nurse hours per resident per day, roughly 14% above the national average, and weekends dip about 11% below its own weekday staffing. That weekday strength is real, but the schedule thins out on Saturdays and Sundays. The current record shows 23 deficiencies, none at the harm or jeopardy level, though two are abuse-related. That combination, a clean recent inspection in August 2025 and a five-star health inspection rating, sits alongside a two-star quality measure rating, which suggests the day-to-day care measures aren't matching the inspection results. A church-affiliated nonprofit owns the 144-bed home, and its staffing rating lands at three stars. The numbers point to a place that inspects well and staffs better than average most days, with some gaps worth asking about directly.

Nurse hours

3.57 /day

Staff turnover

34%

Serious cites

0

Wellsburg Healthcare Center sits at 60 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a five-star health inspection rating with the most recent survey done in January 2025. The catch is the day-to-day staffing: 3.57 nurse hours per resident, roughly 8% under the national average, with weekends running about 15% thinner than weekdays. That gap is why CMS gives staffing only two stars, and 18 deficiencies on record include one at the harm level and one abuse-related. Turnover at 34% is better than the 45.8% national figure, which matters for continuity. Strong inspections, thin coverage, the tradeoff is real.

Nurse hours

5.11 /day

Staff turnover

68%

Serious cites

0

Dove Healthcare - Osseo runs a lean ship on direct care: 5.11 nurse hours per resident day, roughly a third more than the national average, and weekends stay within about 16% of weekday coverage. Inspections back that up, a four-star health inspection rating, nine deficiencies on record and none at the harm or jeopardy level, though one is abuse-related and worth asking about. The catch is retention: 68.3% annual turnover, well above the 45.8% national figure, which means the strong staffing numbers are being sustained by a constantly rotating crew. For-profit corporate ownership, 46 beds, last inspected February 2026.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

0

Stratford Villa Post-Acute is a small for-profit home in Livermore, 27 beds, run by a limited liability company. Its total nurse staffing of 4.27 hours per resident day sits about 11% above the national average, which sounds good until you notice weekends run roughly 5% thinner than weekdays, and CMS gives the home just 2 out of 5 stars for staffing. The inspection record is the bigger concern: 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus three fines totaling $46,779. The last inspection was in March 2024. Quality measures score a perfect 5, but that number can flatter a home whose actual oversight record tells a rougher story.

Nurse hours

3.56 /day

Staff turnover

33%

Serious cites

0

Nazareth Living Care Center runs 108 beds in El Paso under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 16% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is heavier, 60 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was January 2026. Ask about weekend coverage and how the abuse findings were resolved.

Nurse hours

3.77 /day

Staff turnover

59%

Serious cites

0

Avir At Comfort runs a 76-bed for-profit operation in Kendall County, and its inspection record looks solid on paper, a four-out-of-five health inspection rating with a survey as recent as August 2025. What the numbers don't show is consistency: nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and weekends drop about 25% below the home's own weekday coverage. That pattern matters when families visit on Saturdays and Sundays. Annual turnover of 59.4% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often. The 36 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level.