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

Nurse hours

3.38 /day

Staff turnover

25%

Serious cites

0

Sapphire Nursing At Meadow Hill runs about 3.38 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips another 13% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 25.2%, well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The record shows 30 deficiencies, including one at the harm level and one abuse-related citation, with the most recent inspection in April 2025. Its quality measures score high, but staffing is where the shortfall shows.

Nurse hours

2.85 /day

Staff turnover

27%

Serious cites

0

The Phoenix is a 400-bed for-profit home in Brooklyn where the numbers pull in two directions. Its inspection record is genuinely clean, 8 deficiencies, none of them causing harm or involving abuse, and a survey as recent as September 2024. Quality measures also score at the top of CMS's scale. Where it slips is staffing: 2.85 nurse hours per resident day, roughly a quarter below the national average, with weekends about 8% thinner than weekdays. That's the tradeoff to weigh. Turnover at 27% is actually well below the 45.8% national figure, which suggests a steadier workforce than most. Ask how the floor actually feels on a Sunday.

Nurse hours

2.70 /day

Staff turnover

23%

Serious cites

0

Staten Island Care Center runs lean on nursing hours, 2.70 per resident day against a national average of 3.86, roughly 30% below, and weekends dip about 5% under its own weekday levels. What stands out is the retention: 23.3% turnover versus 45.8% nationally, so the aides and nurses who are there tend to stay. Inspections look solid, with a 4/5 health inspection rating and 10 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. Quality measures score 5/5. Put it together and you have a home that keeps its staff and passes inspections but runs thinner on daily bedside hours than most.

Nurse hours

3.28 /day

Staff turnover

25%

Serious cites

0

Four Seasons runs 270 beds in Brooklyn under for-profit LLC ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out in the other direction is retention: 25.3% annual turnover against a national average of 45.8%, meaning the aides and nurses here tend to stay. That stability is earning real marks on quality measures, even as the staffing ratio and 16 outstanding deficiencies, three tied to abuse, none at harm level, pull the other way. The last inspection was March 2026, so the record is recent.

Nurse hours

2.70 /day

Staff turnover

17%

Serious cites

0

Salem Hills runs lean. At 2.70 nurse hours per resident day, it sits roughly 30 percent below the national average of 3.86, and weekends drop another 7 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. What offsets that is unusually low turnover: 17.2 percent against a national average of 45.8 percent, meaning the aides and nurses who are there tend to stay. The record shows 13 deficiencies, none at the harm level and none abuse-related, with the last inspection in May 2024. Quality measures score well, but staffing scores poorly, and that split is what the B reflects.

Nurse hours

2.94 /day

Staff turnover

15%

Serious cites

0

The Atrium Center has 380 beds and gives residents about 2.94 nursing hours a day, roughly a quarter below the national average of 3.86, with weekends running about 9% thinner than weekdays. That staffing shortfall is the main soft spot, and it's why the federal staffing rating sits at 2 out of 5. What's genuinely unusual is turnover: 15.4% against a national average near 46%, meaning the aides and nurses here tend to stay, which matters for consistency of care. Inspections in March 2025 turned up 16 deficiencies, none at harm or jeopardy level, though one was abuse-related. The quality measures rate 5 out of 5, so day-to-day clinical outcomes look strong even if coverage is lean.

Nurse hours

3.29 /day

Staff turnover

28%

Serious cites

0

Luxor Nursing & Rehabilitation At Mills Pond runs 252 certified beds in St James under for-profit LLC ownership, and its numbers tell two different stories. The good news is care quality and inspection history: a 4/5 on health inspections and a perfect 5/5 on quality measures, with eleven deficiencies on the current record and none of them tied to harm, jeopardy, or abuse, a clean sheet on the things families worry about most. The harder news is staffing, where 3.29 nurse hours per resident day sits about 15% under the national average, weekend coverage dips roughly 5% below weekday levels, and CMS rates staffing just 2/5. Turnover at 28.1% is meaningfully better than the national 45.8%, so the people there tend to stay. If your concern is consistent hands-on availability, especially weekends, that's the trade-off worth weighing.

Nurse hours

3.23 /day

Staff turnover

23%

Serious cites

0

Sayville Nursing and Rehabilitation Center runs on thinner nurse staffing than most homes, 3.23 hours per resident day against a national average of 3.86, and weekends dip further below its own weekday levels. That's a real gap, and it explains the low staffing score even though the home scores well on inspections and quality measures, with no deficiencies at the harm or jeopardy level. What stands out is retention: 22.5% turnover versus a national 45.8%, meaning the staff who are there tend to stay. A for-profit LLC with 180 beds and a clean harm record is worth a look, but ask directly how the weekend shifts are covered.

Nurse hours

3.33 /day

Staff turnover

26%

Serious cites

0

Garden Care Center runs on thin staffing, and the numbers show it: 3.33 nurse hours per resident day, about 14 percent under the national average, with weekends dropping roughly another 13 percent below its own weekday levels. The tradeoff is unusual stability, 26.2 percent turnover against a national 45.8, so the aides and nurses who are there tend to stay. Inspections landed at 4 stars and quality measures at 5, but the current record carries 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A recent March 2026 inspection means that record is fresh. For-profit partnership ownership, 150 beds. Worth asking how the weekend floor actually gets covered.

Nurse hours

3.24 /day

Staff turnover

26%

Serious cites

0

Hopkins Center is a 288-bed for-profit home in Brooklyn where the inspection record is genuinely strong, 14 deficiencies on file, none of them harm-level or abuse-related, and a clean five-star inspection rating from CMS as of April 2024. The staffing story is the opposite: 3.24 nurse hours per resident day sits about 16% under the national average, and weekends run roughly 8% thinner than weekdays, which matters most when families visit and needs pile up. Turnover at 26% is well below the national 45.8%, so the aides and nurses who are there tend to stay. Fewer hands, but steadier ones, that's the tradeoff worth weighing.

Nurse hours

4.84 /day

Staff turnover

40%

Serious cites

0

Westchester Manor runs about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 39.5% sits below the national 45.8%, that combination usually means people stay long enough to know the residents. The catch is on the inspection side: seven deficiencies on the current record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Weekend staffing dips only slightly, so coverage doesn't fall off a cliff on Saturdays. The most recent inspection closed in July 2025, so the record is current rather than stale. Strong staffing, a thinner quality-measure score, and a mixed survey history, worth asking about those two serious deficiencies directly.

Nurse hours

3.61 /day

Staff turnover

37%

Serious cites

0

Ashton Health And Rehabilitation runs 134 certified beds in Guilford County under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, five total deficiencies, one of them at the harm or jeopardy level, and nothing abuse-related. Staffing is where it slips. At 3.61 nurse hours per resident day it sits about 6% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing star rating is 2 out of 5. Turnover at 36.5% actually beats the national 45.8%, which matters for consistency of care, though it doesn't fix the thin weekend hours. One fine of $8,788 is on record, and the last inspection was July 2025.

Nurse hours

3.14 /day

Staff turnover

58%

Serious cites

0

Divine Rehabilitation And Nursing At Canal Pointe runs 120 beds in Akron under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.14 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 58.3% is well above the 45.8% national figure, which usually means less continuity for residents. The inspection record is heavy: 53 deficiencies, seven tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in June 2025. The five-star quality measure score stands out against that backdrop, but quality measures are self-reported, and a one-star inspection rating is the harder evidence.

Nurse hours

3.87 /day

Staff turnover

53%

Serious cites

0

Laurels of Mt Vernon runs 99 beds under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86 nationally. That average hides a dip on weekends, when coverage runs about 8% below the home's own weekday levels. Staff turnover is the number that stands out: 53.1% a year, well above the 45.8% national average. The current record carries 35 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level, and the last inspection was in February 2025. CMS gives it 2 of 5 stars on health inspections, 3 on quality measures, 3 on staffing.

Nurse hours

3.45 /day

Staff turnover

20%

Serious cites

0

The Residence at Salem Woods runs leaner than most places, 3.45 nurse hours per resident day against a national average near 3.86, and weekends dip about 11% below its own weekday numbers, so a Saturday shift may feel thinner than a Tuesday. What stands out is who stays: turnover of 19.7% is less than half the national rate, which suggests the staff you meet are likely to still be there next year. Seven deficiencies on record, none causing harm and none tied to abuse, with a May 2025 inspection. The trade-off is real, though: fewer daily nursing hours than average, even as the same crew keeps showing up.

Nurse hours

4.36 /day

Staff turnover

55%

Serious cites

0

Twilight Gardens runs leaner on weekends than weekdays, with staffing dropping about 13%, worth asking about if your family visits on Saturdays or Sundays. The 94-bed for-profit home does staff above the national average overall and holds a 4/5 on health inspections with 14 deficiencies on record, none at harm or jeopardy level and none abuse-related. Its last inspection was March 2026, so the record is current. Turnover sits at 54.9%, nearly ten points above the national average, meaning familiar faces may rotate more than you'd like.

Nurse hours

3.09 /day

Staff turnover

38%

Serious cites

0

Majestic Care of New Lexington runs on 3.09 nurse hours per resident day, roughly a fifth below the national figure, and weekends drop about 14% below what the home staffs during the week. The inspection record is where the real weight sits: 42 deficiencies, three at harm or jeopardy level, two tied to abuse. That combination matters more than the strong quality measure score, which reflects reported clinical outcomes rather than daily coverage. Staff turnover at 38.2% is actually better than average, so the problem isn't retention, it's how few hours reach the floor. A March 2026 inspection is recent, and the corporate for-profit owner ultimately answers for what surveyors found.

Nurse hours

3.14 /day

Staff turnover

26%

Serious cites

0

Eagle Creek runs lean on nursing hours, 3.14 per resident day, roughly 19 percent under the national figure, and weekends dip about 8 percent below its own weekday staffing. What offsets that is stability: turnover sits at 26.2 percent, well under the national 45.8 percent, so the aides and nurses you'd meet are more likely to still be there next year. The inspection record is current and clean where it matters, with 28 deficiencies on file but none at the harm or jeopardy level and none abuse-related, and a December 2024 survey behind it. Quality measures score unusually well for a home this size, though the thin daily staffing is the number worth watching over time.

Nurse hours

3.21 /day

Staff turnover

30%

Serious cites

0

Country Club Ret Center III runs lean on nursing hours, 3.21 per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday staffing. That's the gap behind its 2-out-of-5 staffing rating, and it matters more in a building where the current inspection record shows 16 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. Turnover at 30.4% is better than the 45.8% national figure, so the people who stay tend to stick around. The last inspection was February 2026, so the record is recent. Quality measures score well; staffing is where the concern sits. If your family member needs frequent hands-on help, ask directly how weekends are covered.

Nurse hours

3.24 /day

Staff turnover

52%

Serious cites

0

Chamberlin Healthcare Center runs 162 beds on Cincinnati's west side under for-profit LLC ownership, and the numbers tell a mixed story. Clinical quality measures look strong, and a 4-out-of-5 inspection rating with no deficiencies at the harm or jeopardy level is genuinely reassuring. The staffing side is where it gets thinner: 3.24 nurse hours per resident per day sits about 16% under the national average, weekends dip roughly 5% below the home's own weekday coverage, and 52.1% annual turnover means more than half the nursing staff turns over every year. Twenty-five deficiencies on record, including three tied to abuse, deserve a direct question when you tour.