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

Nurse hours

3.98 /day

Staff turnover

52%

Serious cites

0

The Willows At Fritz Farm runs a 54-bed for-profit operation in Lexington, and its numbers land mostly in decent territory. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, though weekend coverage dips roughly 6% below what the home provides on weekdays, worth asking about if you're planning visits or worrying about a Saturday fall. Staff turnover is 52% against a national 45.8%, meaning more than half the nursing staff left within a year. The current inspection record shows nine deficiencies, none involving harm or abuse, and the most recent state visit was in May 2026.

Nurse hours

4.57 /day

Staff turnover

47%

Serious cites

0

Harbor Hill Center runs 4.57 nurse hours per resident day, about 18% above the national average of 3.86, but weekends dip roughly 12% below its own weekday staffing, so coverage isn't as steady as the headline number suggests. Staff turnover sits at 46.7%, essentially right at the national 45.8%, meaning the people caring for residents change over about as fast as they do anywhere. The bigger concern is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating. A January 2026 inspection is recent, so that record is current, not stale.

Nurse hours

3.93 /day

Staff turnover

54%

Serious cites

0

Sedgewood Commons runs 91 certified beds in Falmouth under corporate for-profit ownership, and its nurse staffing sits at 3.93 hours per resident day, modestly above the national average of 3.86, with weekends dipping about 5% below its own weekday levels. That staffing picture earned a 4-out-of-5 CMS staffing star, and the home's 53.5% annual turnover does run hotter than the 45.8% national figure, which matters for continuity of care. Its current record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2025. Health inspection and quality measure stars each landed at 3 out of 5, so the picture is steady rather than standout.

Nurse hours

3.20 /day

Staff turnover

42%

Serious cites

0

Autumn Lake Healthcare at Chevy Chase runs 172 beds under corporate for-profit ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover lands at 42%, a touch better than the 45.8% national figure. The inspection record shows 45 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 2025. All three CMS star ratings, health inspections, quality measures, staffing, sit at 3 out of 5.

Nurse hours

4.68 /day

Staff turnover

40%

Serious cites

0

Autumn Lake Healthcare at Bridgepark runs on a for-profit corporate model with 106 certified beds, and its staffing is its clearest strength, 4.68 nurse hours per resident day, roughly a fifth above the national average. Weekend coverage dips about 7% below weekday levels, though, and turnover sits at 40.4%, better than the 45.8% national figure but still meaning four in ten caregivers left within the year. The harder reading is the inspection record: 71 deficiencies, including one at the harm level and four tied to abuse, with a 2-out-of-5 health inspection rating on the most recent survey in June 2025. The quality and staffing stars look better, but the deficiency history is what a family should ask about directly.

Nurse hours

3.31 /day

Staff turnover

51%

Serious cites

0

Autumn Lake Healthcare at Braddock Heights runs about 3.31 nurse hours per resident each day, roughly 14% under the national figure of 3.86, and weekends dip another 6% below what the home staffs on weekdays. Annual turnover sits at 51.1%, higher than the 45.8% national average, so familiar faces cycle through. On paper the care record looks steadier: a 4-out-of-5 health inspection rating, 57 deficiencies logged with none rising to harm or jeopardy, though 7 are abuse-related and the last inspection was August 2024. Owned by an individual for profit. The numbers point to a home that inspects reasonably well but runs lean on the floor.

Nurse hours

3.94 /day

Staff turnover

39%

Serious cites

0

Julian J Levitt Family Nursing Home runs 200 certified beds as a nonprofit corporation. Nurse staffing sits at 3.94 hours per resident day, modestly above the national average of 3.86, though weekends run about 8% thinner than weekdays. Staff turnover is 38.7%, better than the 45.8% national figure, which matters for continuity of care. The inspection record is where the picture gets more complicated: 21 deficiencies, two of them at the harm or jeopardy level, and one fine of $11,468. The most recent inspection was in May 2025, so the record is current rather than stale. Quality measures score well, staffing is average, and the health inspection side carries real weight, families should ask specifically about those two harm-level findings.

Nurse hours

4.00 /day

Staff turnover

37%

Serious cites

0

Bear Hill runs 169 beds under for-profit LLC ownership, and the staffing numbers are decent, 4.00 nurse hours per resident day, a bit above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 37.1%, which is actually better than the 45.8% national figure. Where it gets murkier is the inspection record: 27 deficiencies, including one at the harm level and one abuse-related, plus a $16,146 fine. The last inspection was January 2026, so the picture is current. Strong quality scores and recent oversight, but that harm-level finding is the kind of thing worth asking about directly before you decide.

Nurse hours

4.22 /day

Staff turnover

47%

Serious cites

0

East Longmeadow Skilled Nursing Center runs on more nursing hours than most homes, 4.22 per resident day against a national average of 3.86. That's a real margin, though weekends dip about 9% below its own weekday levels, so coverage isn't perfectly even across the week. The inspection record is solid: 30 deficiencies on file, none at the harm or jeopardy level, and the most recent state visit was in July 2025. One abuse-related citation is worth asking about directly. Staff turnover of 46.6% is essentially the national rate, which means this nonprofit isn't retaining caregivers any better than the typical facility.

Nurse hours

4.46 /day

Staff turnover

55%

Serious cites

0

Mission Point runs a hundred beds in Greenville under limited-liability, for-profit ownership, and its nurse staffing sits about 15% above the national average at 4.46 hours per resident day, real coverage, though weekends dip roughly 9% below its own weekdays. Turnover is the harder number: 55% of staff leaving annually against a national 45.8% means new faces on the floor often. The current inspection record carries 36 deficiencies, four at harm or jeopardy level and two tied to abuse, with one fine of $10,220 and a survey dated May 2025. Strong hours, unsettled workforce, and a serious citation history, visit unannounced and watch the evening and weekend shifts.

Nurse hours

3.64 /day

Staff turnover

19%

Serious cites

0

Regency At St. Clair Shores runs 146 beds under corporate ownership, and the numbers cut both ways. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends dip roughly 8% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the standout: 19% against a national average near 46%, meaning the aides and nurses here tend to stay, which matters for anyone living with dementia or needing consistent hands. But the inspection record carries 29 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $22,874 fine. The last inspection was August 2025. High marks on inspection and quality stars coexist with real findings. Ask about those two serious deficiencies specifically.

Nurse hours

3.42 /day

Staff turnover

29%

Serious cites

0

Medilodge Of Zeeland runs 138 beds under corporate ownership that changed hands within the past year, and the inspection record shows 41 deficiencies, including five at the harm or jeopardy level and six tied to abuse. Staffing sits at 3.42 nurse hours per resident day, roughly 12 percent under the national average, and weekends run about 12 percent thinner than weekdays. Turnover is the one bright spot: 28.6 percent against a national 45.8 percent, which suggests people tend to stay. The last inspection was in February 2025, so the record is current. Quality measures score low, staffing scores high, that split tells you where the problems likely sit.

Nurse hours

3.81 /day

Staff turnover

46%

Serious cites

0

Medilodge Of Wyoming runs an 80-bed for-profit home in Kent County, and its most recent inspection, in July 2025, turned up ten deficiencies with none at the harm level and nothing abuse-related. Nurse staffing sits at 3.81 hours per resident day, a hair under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, worth asking about if your family tends to visit Saturday or Sunday. Turnover is 46.2%, basically even with the national rate. The health inspection record is strong; the quality measure score is middling; staffing falls in between.

Nurse hours

3.57 /day

Staff turnover

36%

Serious cites

0

The Estates at Roseville runs 140 certified beds under corporate for-profit ownership, and its last health inspection was in May 2025. That inspection record carries 27 deficiencies, none flagged at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Nurse staffing sits at 3.57 hours per resident day, roughly 8 percent under the national figure, and weekends run about 4 percent thinner than weekdays. Staff turnover is 35.6 percent, below the 45.8 percent national average, which suggests people tend to stay. So you have solid quality and staffing ratings sitting alongside a middling inspection history and a fairly long deficiency list.

Nurse hours

3.97 /day

Staff turnover

61%

Serious cites

0

Madonna Towers of Rochester runs a nonprofit home with 62 beds, and its nurse staffing sits a hair above the national average, 3.97 hours per resident day against 3.86. That margin shrinks on weekends, when coverage drops roughly 12% below its own weekday levels, so the hours aren't spread evenly across the week. The bigger flag is turnover: 60.5% of staff leaving annually, well past the 45.8% national figure. Inspections look solid on paper, with a 4-star health rating and a recent April 2026 survey, but the record carries 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $10,196 fine. Good survey scores and steady churn can coexist; ask how they hold onto aides.

Nurse hours

3.21 /day

Staff turnover

48%

Serious cites

0

The Villas At St Paul runs about 3.21 nurse hours per resident day, roughly 17% under the national average, and weekend coverage drops another 10% below its own weekday level. That's a for-profit partnership operating 105 certified beds, with staff turnover at 48.1%, a bit above the 45.8% national figure. Inspectors were last in on April 3, 2025, and the home carries 36 deficiencies, none at harm or jeopardy level, though three are abuse-related. Its last inspection is recent, which counts for something, and the staffing star rating holds at 4/5 despite the below-average total hours. So the picture is mixed: adequate on paper in some categories, thinner on direct care hours and weekend consistency than the numbers first suggest.

Nurse hours

3.61 /day

Staff turnover

53%

Serious cites

0

Little Falls Care Center runs a nonprofit home with 64 certified beds, and its staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Annual turnover sits at 52.6%, well above the 45.8% national figure, so aides and nurses are cycling through regularly. The inspection record is the harder part: 41 deficiencies, including one at the harm level and three tied to abuse, from an April 2024 visit. Quality measures land mid-range, and the staffing star rating looks better than the day-to-day consistency suggests.

Nurse hours

3.90 /day

Staff turnover

47%

Serious cites

0

Edenbrook Of St Cloud runs 77 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86. That thin margin matters more when you look at weekends, which run about 13% below the home's own weekday level. Staff turnover is 46.9%, a touch worse than the 45.8% national figure. The current inspection record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. The last full inspection was June 26, 2025, so the picture is reasonably current. State surveyors rated health inspections and quality measures each 3 out of 5.

Nurse hours

3.41 /day

Staff turnover

29%

Serious cites

0

Diversicare Of Meridian runs about 12% below the national average on total nurse staffing, and weekends dip roughly 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the genuine bright spot here: 28.9% against a national average of 45.8%, which suggests a more stable crew than most. The inspection record is the real concern. Twenty-two deficiencies on file, three serious enough to reach harm or jeopardy, one tied to abuse, and a $12,735 fine, with the most recent inspection in May 2025. For-profit ownership under a limited liability company, 120 beds. Ask about weekend coverage and how those harm-level findings were resolved.

Nurse hours

3.46 /day

Staff turnover

35%

Serious cites

0

Diversicare Of Moss Point runs 160 beds as a for-profit LLC, and its strongest number is staffing: 3.46 nurse hours per resident day, about 10% under the national average of 3.86, with weekend coverage dipping roughly 11% below its own weekdays. Turnover sits at 34.6%, better than the 45.8% national figure, which matters for consistency of care. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, though inspection and quality measure ratings both land at 2 out of 5 stars. The last inspection was 2026-04-22. What's behind the B is steady, modest staffing and clean harm-level history against weaker inspection and quality results.