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

Nurse hours

4.30 /day

Staff turnover

18%

Serious cites

0

Pataskala Oaks runs on more nursing hours than most homes, about 4.3 per resident per day, roughly 11% above the national average, and its staff turnover of 17.8% is less than half the national rate. That kind of retention matters, because familiar caregivers tend to notice changes sooner. The staffing isn't spread evenly, though; weekends run about 12% leaner than weekdays. On inspections, the record shows 38 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $11,858 in fines across two penalties. The most recent inspection was in August 2025, so the picture is current. Quality measures score well; the inspection history is where the caution lies.

Nurse hours

3.88 /day

Staff turnover

62%

Serious cites

0

Siena Woods sits at 99 beds in Dayton, corporate-owned, and it was inspected in February 2026, so the record you're looking at is current. The staffing number is the catch: 3.88 nurse hours per resident day looks fine next to the national average of 3.86, but that average hides a 13% drop on weekends, and turnover runs 62.4% against a national 45.8%. That churn matters more than the headline hours. The 34 deficiencies include one at the harm level, though none are abuse-related. Quality measures score well; the inspection and staffing picture is more mixed.

Nurse hours

3.02 /day

Staff turnover

33%

Serious cites

0

Pine Ridge runs 50 beds in Morrow under for-profit LLC ownership, and the staffing number is the one to watch: 3.02 nurse hours per resident day, roughly 22% under the national average, with weekends dipping about 11% below its own weekday level. Turnover sits at 33.3%, which is actually better than the 45.8% national figure. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in November 2024. Quality measures score well, but the staffing rating is the weak spot. If you're considering this home, ask how they cover weekends and what the nurse-to-resident ratio looks like on a typical shift.

Nurse hours

3.14 /day

Staff turnover

36%

Serious cites

0

Serenity Spring Senior Living At Arlington is a for-profit LLC operation with 50 certified beds in Hancock County. Nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86, and weekends run about 10% leaner than weekdays already are. That gap matters more in a small building, where there's less slack to absorb a call-off. Turnover lands at 36.1%, better than the 45.8% national figure, so the staff who are there tend to stay. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with five fines totaling $20,265 and a last survey in April 2024. Quality measures score 5/5, inspections 3/5, staffing 3/5.

Nurse hours

3.20 /day

Staff turnover

39%

Serious cites

0

Berea Center runs lean on nursing hours, 3.20 per resident day, roughly 17 percent under the national average, and weekends drop about 9 percent below what the home staffs on weekdays. That thin coverage is the weak spot in an otherwise solid record: six deficiencies on file, none at the harm level and none tied to abuse, with a health inspection rating of 4 out of 5 and top marks on quality measures. Turnover sits at 38.5 percent, better than the 45.8 percent national figure, so the staff who are there tend to stay. The tradeoff is straightforward, good care outcomes and a clean inspection history, but fewer hands per resident than most homes.

Nurse hours

3.21 /day

Staff turnover

29%

Serious cites

0

Brookside runs lean on direct care, 3.21 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. That thin weekend margin is where problems tend to surface. On the other hand, its 29.1% turnover is well under the 45.8% national figure, which means the people showing up are more likely to know the residents. The record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last in on April 17, 2025, so the findings are recent, and this individual for-profit owner runs 105 beds in Hamilton County.

Nurse hours

3.09 /day

Staff turnover

25%

Serious cites

0

Forest Hills Center runs on 3.09 nurse hours per resident per day, roughly a fifth less than the national average of 3.86, and weekends drop about 5 percent below its own weekday staffing. That thin coverage shows up in a staffing star rating of 2 out of 5. Turnover is the bright spot at 25 percent, well under the 45.8 percent national figure, so the aides and nurses who are there tend to stay. The tradeoff: 32 deficiencies on the current record, including 8 tied to abuse, and a 2 out of 5 inspection rating, even though the quality measure score is perfect. It's a for-profit corporation operating 75 beds, last inspected May 2025. Ask direct questions about those abuse deficiencies and weekend coverage.

Nurse hours

4.45 /day

Staff turnover

55%

Serious cites

0

Kingston Of Miamisburg runs on a corporate for-profit model with 113 certified beds, and its recent inspection record is genuinely clean where it counts: 25 deficiencies on file, but none at the harm or jeopardy level and none related to abuse. The staffing picture is more mixed than the headline number suggests. Total nurse hours come in around 15% above the national average, yet weekends dip roughly 9% below the home's own weekday coverage, and annual turnover sits at 55% against a national 45.8%. The last inspection was May 2026. Families weighing a move here should ask specifically who covers weekends and how long the current director of nursing has been in place.

Nurse hours

3.61 /day

Staff turnover

36%

Serious cites

0

The Laurels of Massillon runs about 3.61 nurse hours per resident per day, roughly 6% under the national average of 3.86, and weekends dip about 9% below its own weekday staffing. Turnover sits at 36.2%, well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The home carries 35 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, with its last inspection in May 2023. That combination, solid inspection and quality ratings, lighter staffing, is why it lands in the middle tier rather than higher.

Nurse hours

3.18 /day

Staff turnover

28%

Serious cites

0

Seasons Nursing and Rehab runs 50 beds in Stow under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing. At 3.18 nurse hours per resident day, it sits about 18 percent under the national average, with weekends running roughly 14 percent thinner than its own weekdays. What offsets that is retention: turnover is 27.5 percent against a national 45.8 percent, so the aides and nurses who are there tend to stay, which matters for consistency of care. The tradeoff shows in the record, 27 deficiencies, two tied to abuse, none at the harm level, and a health inspection from May 2023 that's getting stale. Strong quality measures paired with weak staffing and inspection scores is the honest picture.

Nurse hours

3.20 /day

Staff turnover

35%

Serious cites

0

Springview Manor sits in Lima with 62 certified beds and a for-profit corporate owner. The numbers tell a mixed story: 3.20 nurse staffing hours per resident day runs about 17% under the national average of 3.86, and weekends dip roughly 15% below the home's own weekday coverage. That thin staffing shows up in the 2/5 CMS staffing rating, and the current record carries 13 deficiencies, one serious enough to reach harm or jeopardy level, plus a $16,113 fine. On the other side, turnover at 34.6% actually beats the 45.8% national figure, and the 5/5 quality measure rating suggests clinical outcomes are being tracked well. The last inspection was April 2025, and that combination of weaker staffing and a harm-level deficiency is what families should weigh most.

Nurse hours

3.42 /day

Staff turnover

45%

Serious cites

0

Colonial Nursing Center Of Rockford runs 34 certified beds under for-profit LLC ownership, and its staffing sits at 3.42 nurse hours per resident day, about 11% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday level, which matters when a resident needs help on a Saturday. Turnover is 44.8%, roughly in line with the national 45.8%. The health inspection record shows a 2-star rating with 33 deficiencies, none at harm or jeopardy level and none abuse-related; the most recent inspection was December 31, 2025. Quality measures score 5 stars, staffing 2. The gap between those two numbers is the story here.

Nurse hours

3.69 /day

Staff turnover

31%

Serious cites

0

Saybrook Landing runs 95 certified beds in Ashtabula under corporate for-profit ownership. Its nurse staffing sits at 3.69 hours per resident per day, a bit under the national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the better story here: 31.3% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in July 2024.

Nurse hours

3.89 /day

Staff turnover

52%

Serious cites

0

Wooded Glen runs a tight ship on inspections, six deficiencies on record, none of them serious enough to cause harm or involve abuse, and a five-star health inspection rating as of its March 2026 visit. Staffing is another story: 3.89 nurse hours per resident day barely edges the national average, weekends drop about 12% below weekdays, and 51.7% annual turnover tops the national rate. Corporate-owned, 54 beds. The care record looks clean; the question is whether the staff sticking around long enough to deliver it.

Nurse hours

3.60 /day

Staff turnover

47%

Serious cites

0

Highland Park runs leaner on nursing hours than the typical American home, 3.60 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 10% below what the building staffs Monday through Friday. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Staff turnover sits at 46.7%, a touch above the national figure, so the faces around a resident change fairly often. The current inspection record carries 27 deficiencies, including one at the harm level and two tied to abuse, with a single $14,901 fine. The last full inspection was August 2024, and the three-star ratings across health, quality, and staffing point to a home that meets minimums without much margin.

Nurse hours

3.55 /day

Staff turnover

54%

Serious cites

0

The Commons in Enid is church-affiliated and nonprofit, which often suggests stable local oversight, and its last inspection was recent, October 2024. But the numbers underneath are mixed. Nurse staffing sits at 3.55 hours per resident day, about 8% under the national average, and it thins out further on weekends, dropping roughly 12% below the home's own weekday level. Staff turnover runs 53.7%, well above the 45.8% national figure, and the current record carries 23 deficiencies, including one at the harm level and one abuse-related. A single fine of $3,174 is modest. Ask specifically how weekends are covered and what changed after that harm citation.

Nurse hours

3.81 /day

Staff turnover

46%

Serious cites

0

Ignite Medical Resort Adams Parc in Bartlesville holds a five-star record on both health inspections and quality measures, with seven deficiencies on file and none rising to harm or jeopardy. The catch is staffing: 3.81 nurse hours per resident day sits just under the national average, weekend coverage dips about 2% below weekdays, and turnover at 46.3% runs slightly above the national rate. A recent inspection in January 2025 helps. For a family weighing this home, the clinical record looks solid, but the workforce numbers suggest asking about consistent assignment and who actually covers Saturday and Sunday shifts.

Nurse hours

4.44 /day

Staff turnover

57%

Serious cites

0

Life Care Center of McMinnville runs 110 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.44 hours per resident day, roughly 15% above the national average of 3.86. That's a real cushion, though weekends drop about 11% below the home's own weekday level, so coverage isn't even across the week. Annual turnover of 56.8% tops the national 45.8%, which means many of the people providing that care are still learning the building. The current record shows 32 deficiencies, none at harm or jeopardy level, but three tied to abuse. A March 2026 inspection is recent, and the 5/5 quality measure rating contrasts with 3/5 marks for both staffing and health inspections.

Nurse hours

4.69 /day

Staff turnover

51%

Serious cites

0

Evan Terrace runs a solid 4.69 nurse hours per resident day, about 21% above the national average, and its quality measures come in around the middle of the pack. That's the good news. The rest is harder: a 1-out-of-5 health inspection rating, 58 deficiencies on the current record, including two at the harm level and seven tied to abuse, plus a $25,116 fine. Staff turnover sits at 51.1%, above the 45.8% national average, and weekend coverage drops roughly 9% below weekday levels. A state inspection in June 2025 is recent, so this isn't stale paperwork. For-profit, limited liability ownership. The staffing numbers say one thing; the inspection history says another.

Nurse hours

3.39 /day

Staff turnover

43%

Serious cites

0

Buckingham Valley is a for-profit LLC home with 130 certified beds, and its numbers pull in different directions. The health inspection record is strong, four out of five stars, nine deficiencies total, none at the harm level and none abuse-related, with a fresh inspection in August 2025, and quality measures score five out of five. Staffing is where it thins out: 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends run about 5% below the home's own weekday level. Turnover sits at 42.6%, a bit better than the 45.8% national figure. Clean inspections and good outcome measures, but fewer hands per resident than most homes.