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

Nurse hours

4.46 /day

Staff turnover

41%

Serious cites

0

Bellbrook runs on a nonprofit model with 36 certified beds in Rochester Hills, and the staffing numbers show it: 4.46 nurse hours per resident day, about 16% above the national average of 3.86. Weekends dip roughly 16% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 40.9%, a bit better than the 45.8% national figure. Inspections in February 2026 produced eight deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Three 5/5 federal ratings across health, quality, and staffing back the numbers up.

Nurse hours

4.29 /day

Staff turnover

42%

Serious cites

0

Boundary Waters Care Center runs on a nonprofit model with 42 beds in Ely, and the numbers behind its grade are worth walking through. Nurse staffing sits at 4.29 hours per resident day, roughly 11 percent above the national average, though weekend coverage drops about 16 percent below what the home staffs on weekdays, a pattern worth asking about if your family visits mainly on Saturdays or Sundays. Staff turnover lands at 41.7 percent, a bit better than the 45.8 percent national figure. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in December 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 5 out of 5.

Nurse hours

3.67 /day

Staff turnover

23%

Serious cites

0

Essentia Health Northern Pines runs 33 certified beds in Aurora, and its inspection record is the cleanest part of the story: five deficiencies on file, none of them causing harm or jeopardy, none tied to abuse, and a survey completed in January 2026. Nurse staffing works out to 3.67 hours per resident day, about 5% under the national figure, and weekends drop roughly 19% below what the home staffs on weekdays, worth asking about if your family visits Saturdays or Sundays. The number that stands out is turnover: 22.6% against a national average near 46%, meaning aides and nurses here tend to stay.

Nurse hours

4.42 /day

Staff turnover

32%

Serious cites

0

Ashland Health and Rehabilitation runs on 4.42 nurse hours per resident per day, roughly 15% more than the national average, and its staff turnover of 31.7% sits well under the national 45.8%, two numbers that tend to matter more to daily life than anything else on a report. The trade-off: weekend staffing drops about 17% below its own weekday level, so a Saturday shift looks different from a Tuesday one. Inspections in April 2026 produced ten deficiencies, none at the harm level, though one was abuse-related, which is worth asking about directly. Benton County's for-profit corporate owner has kept this building's record clean enough to earn top marks on health inspections and staffing.

Nurse hours

3.50 /day

Staff turnover

21%

Serious cites

0

Macon Health Care Center runs on a for-profit corporate model with 84 certified beds, and its nursing hours land at 3.50 per resident day, about 9% under the national average of 3.86. Weekends get thinner still, roughly 19% below the home's own weekday staffing. What stands out is retention: turnover sits at 20.6% against a national average of 45.8%, meaning the people here tend to stay. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Quality and staffing measures both rate well above average, and while the raw nursing hours trail the norm, a stable workforce and a clean harm record count for something a family should weigh.

Nurse hours

4.79 /day

Staff turnover

35%

Serious cites

0

Brookestone Gardens runs on 4.79 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and that shows up in a 5/5 staffing rating and a 5/5 quality measure rating. Turnover sits at 35.2%, well under the national 45.8%, though weekends dip about 16% below the home's own weekday coverage. The record isn't spotless: nine deficiencies, one tied to abuse, but none rose to harm or jeopardy, and state inspectors were last in the building in December 2025. As a nonprofit with 54 beds, it's small enough to know its residents, the 3/5 inspection rating is the one number keeping this from looking like a clean sweep.

Nurse hours

7.29 /day

Staff turnover

n/a

Serious cites

0

Cypress Glen runs six certified beds in Greenville, which puts it in a category most families never encounter, a small, nonprofit operation where the numbers look almost too good. Nurse staffing sits at 7.29 hours per resident day, roughly 89% above the national average of 3.86, though weekend coverage drops about 13% from its own weekday level. The inspection record shows one deficiency total, none at the harm level and none tied to abuse, with the most recent visit in August 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five. For a six-bed home, that consistency across every measure is the story.

Nurse hours

5.60 /day

Staff turnover

54%

Serious cites

0

Daughters of Miriam, a 233-bed for-profit home in Beachwood, runs rich on paper: 5.60 nurse hours per resident day, roughly 45% above the national average, and top CMS marks for staffing and quality measures. But weekends drop about 22% below weekday staffing, and turnover sits at 54.2% against a 45.8% national average, so that bench is expensive to keep filled. Inspections tell the harder story, a 1-out-of-5 health inspection rating, 48 deficiencies on the current record with 5 at harm or jeopardy level, and a survey as recent as November 2024. Strong daily coverage, shaky oversight. Ask what those harm-level citations involved and how weekend coverage is actually staffed.

Nurse hours

6.02 /day

Staff turnover

19%

Serious cites

0

Kendal At Longwood runs on 6.02 nurse hours per resident day, well above the 3.86 national figure, and its staff turnover of 18.8% is less than half the national rate. Weekend coverage does dip about 16% below weekday levels, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record is strong: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in September 2025. One caveat, the quality measure rating sits at 3 out of 5, softer than its staffing and inspection marks. For-profit corporate ownership, 53 beds. The staffing and compliance numbers carry this one.

Nurse hours

6.53 /day

Staff turnover

46%

Serious cites

0

Aspen Ridge of Utah Valley is a small for-profit home in Orem, just 24 certified beds, and the staffing numbers stand out. At 6.53 nurse hours per resident day, it runs about 69% above the national average, though weekends dip roughly 21% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover sits at 45.5%, essentially matching the national rate. On inspections, the record shows 11 deficiencies with none at the harm or jeopardy level and none tied to abuse; its last inspection was in March 2026, and CMS gives it top marks across health inspections, quality measures, and staffing. For families weighing a smaller home, the consistent survey history and heavy staffing are the real story here.

Nurse hours

8.67 /day

Staff turnover

n/a

Serious cites

0

Wythe Cnty Community Hosp Ecu runs just eight certified beds, which puts it in a category most families never encounter, a hospital-based swing-bed operation rather than a traditional stand-alone nursing home. The staffing figure stands out: 8.67 nurse hours per resident day, more than double the national average of 3.86, though weekend coverage dips roughly 7% below its own weekday level. Six deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with a November 2025 inspection keeping things current. The for-profit corporate ownership is worth knowing about, but the inspection and quality measure ratings both come in strong, and the small bed count means care is concentrated.

Nurse hours

7.83 /day

Staff turnover

38%

Serious cites

0

Transitional Care Of Seattle runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 7.83 hours per resident day, roughly double the national average of 3.86. That's the number driving its staffing score, though weekends dip about 17% below weekday levels, so coverage isn't evenly spread across the week. Staff turnover lands at 37.5%, better than the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in its inspection record: 42 deficiencies, including one at harm or jeopardy level and one abuse-related, with a health inspection rating of 3 out of 5. The most recent inspection was September 23, 2025. Strong staffing and quality scores, but the deficiency history is worth asking about directly.

Nurse hours

5.74 /day

Staff turnover

11%

Serious cites

0

St. Joseph's Hospital in Buckhannon runs 5.74 nurse hours per resident day, about 49% above the national average of 3.86, and it holds onto that staff, with turnover at 10.5% against a national 45.8%. Weekend coverage dips roughly 17% below its own weekday level, a real gap even at this staffing level. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2025. It's a small 16-bed nonprofit unit inside a hospital, so read the quality measure score of 3/5 as the softer spot and the staffing and inspection record as the strong ones.

Nurse hours

6.09 /day

Staff turnover

n/a

Serious cites

0

Vibra Hospital of Northern California runs 32 certified beds in Redding, and its nurse staffing sits at 6.09 hours per resident day, roughly 58% above the national average of 3.86. Weekend hours drop about 14% below its own weekday levels, so coverage thins out on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, though four are abuse-related. A May 2025 inspection is recent, and the for-profit corporate owner runs the building. High staffing and strong quality measures are doing the heavy lifting here, but those four abuse-related citations are worth asking about directly before you decide.

Nurse hours

3.90 /day

Staff turnover

32%

Serious cites

0

Altoona Health & Rehab runs 50 certified beds under corporate for-profit ownership, and the staffing picture is its clearest strength: 3.90 nurse hours per resident day, just above the national average of 3.86, with weekend coverage dipping about 8% below its own weekday level. Turnover sits at 31.8%, well under the 45.8% national figure, which matters for whether residents see familiar faces. The tradeoff is oversight. Five deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, but the last inspection dates to June 2022 and the health inspection rating is 2 of 5. Quality measures score 4 of 5. Stable staff, thin recent inspection history.

Nurse hours

4.11 /day

Staff turnover

36%

Serious cites

0

Parkwood runs on more nurse hours than most homes, 4.11 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 35.8% compared to roughly 46% nationally. The catch is weekends, when coverage drops about 15% below what the building staffs on weekdays. Inspectors logged 14 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in February 2026. It's a for-profit limited liability company, 74 beds, sitting in the middle of the pack on inspections while scoring at the top on quality measures and staffing.

Nurse hours

5.06 /day

Staff turnover

36%

Serious cites

0

Maple Springs Of Wasilla runs 5.06 total nurse hours per resident day, about 31% above the national average of 3.86, and its staff turnover of 35.9% beats the national 45.8%, a meaningful edge in a field where replacing caregivers constantly wears a building down. Weekend coverage dips roughly 12% below weekdays, so ask how that plays out on a Saturday night. The 34 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection was July 2025. A for-profit limited liability company owns it, which is worth knowing when you ask about spend on direct care versus everything else.

Nurse hours

3.93 /day

Staff turnover

39%

Serious cites

0

Highland Court sits in Marshall, Arkansas, a for-profit LLC operating 78 certified beds, and its numbers hold up well against the national picture. Nurse staffing runs 3.93 hours per resident day, slightly above the 3.86 national average, though weekends drop about 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national rate, which matters for whether your parent sees the same faces month to month. The 16 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was August 2025.

Nurse hours

4.56 /day

Staff turnover

38%

Serious cites

0

Linda Mar Care Center runs on more nursing hours than most homes in the country, 4.56 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 37.7% versus 45.8% nationally. The tradeoff shows up on weekends, when coverage drops about 12% below the home's own weekday level, so ask how that plays out on a Sunday shift. Seventeen deficiencies sit on the current record, none involving harm or abuse, and the last inspection was in January 2025. For-profit corporate ownership is worth naming, but the numbers here don't read like a home cutting corners on care.

Nurse hours

4.21 /day

Staff turnover

22%

Serious cites

0

Nurse staffing here runs about 4.21 hours per resident day, roughly 9% above the national average, and weekends dip only slightly below weekdays, a sign the schedule holds up rather than thinning out. Staff turnover sits at 21.5%, less than half the national rate of 45.8%, which matters for residents who value seeing the same faces. The record shows 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was September 11, 2025. It's a for-profit limited liability company with 99 certified beds, drawing 4s on both health inspections and quality measures and a 5 on staffing.