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

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

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Salem Springlake runs about 3.11 nurse hours per resident day, roughly a fifth under the national average of 3.86, and weekends dip another 15% below its own weekday coverage. Turnover sits at 38.8%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The 14 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in November 2025, so the picture is current. What you're weighing is thinner daily coverage against a clean harm record and relatively stable retention.

Nurse hours

3.93 /day

Staff turnover

43%

Serious cites

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Nurse staffing at this Elizabethtown home runs 3.93 hours per resident day, slightly above the national average, though weekends drop about 16% below its own weekday levels, so coverage thins out when families tend to visit. Staff turnover is 42.6%, a bit better than the 45.8% national figure, but the inspection record is the real problem: 13 deficiencies, one of them at the harm or jeopardy level and two tied to abuse, with the most recent inspection in October 2024. The corporation that owns it holds a 1-out-of-5 health inspection rating, even as its quality measure score sits at 5. That gap, strong clinical metrics against serious inspection findings, is worth asking about directly.

Nurse hours

3.99 /day

Staff turnover

43%

Serious cites

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Fountain Circle runs on a for-profit LLC structure with 147 certified beds in Winchester, and its staffing sits at 3.99 nurse hours per resident day, a bit above the national average, though weekends drop roughly 17% below its own weekday coverage. Turnover lands at 43.4%, slightly better than the 45.8% national figure. The current inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. What holds the health inspection rating down to 2 stars is the volume of those deficiencies rather than their severity, and the quality and staffing measures each land at 3 stars.

Nurse hours

4.00 /day

Staff turnover

38%

Serious cites

0

Legrand Healthcare in Bastrop runs 125 certified beds under corporate ownership, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86. Weekend coverage drops roughly 15% below its own weekday level, so families should ask how that gap gets handled. Staff turnover is 38.4%, which is better than the 45.8% national figure, suggesting workers tend to stick around more than at many homes. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in March 2025. Quality measure scores are the weak spot here, so ask specifically about clinical outcomes.

Nurse hours

4.25 /day

Staff turnover

46%

Serious cites

0

Old Jefferson Community Care Center runs on a nonprofit model with 136 certified beds, and the inspection record is the strongest part of the picture: a five-star health inspection rating, twelve total deficiencies with none at the harm or jeopardy level and none tied to abuse. Staffing sits at 4.25 nurse hours per resident day, roughly 10% above the national average, though weekends drop about 17% below the home's own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover lands at 45.7%, essentially identical to the national rate. Consistent direct care, not a spotless record, is what carries this home.

Nurse hours

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Staff turnover

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Regency Care of Silver Spring runs 92 certified beds as a for-profit corporation, and the numbers pull in opposite directions. Its quality measures score well, but staffing sits at the bottom of CMS's scale, a real concern when you're thinking about daily care, call bells answered, and how much time aides actually spend with your relative. The inspection record shows 45 deficiencies, including one at the harm or jeopardy level and four tied to abuse, which isn't a small thing to look past. The most recent inspection was in April 2025, so the record is current. If you're weighing this one, ask directly about staffing ratios by shift and how the abuse-related findings were resolved.

Nurse hours

4.29 /day

Staff turnover

36%

Serious cites

0

Clifton Rehabilitation Nursing Center runs 4.29 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 36.3% sits well below the 45.8% national figure, both signs of a steadier workforce than most. The catch is weekends, when staffing drops about 16% below the home's own weekday level, so coverage isn't evenly spread across the week. Its 27 deficiencies include one abuse-related citation, though none rose to harm or jeopardy, and the most recent inspection was in May 2025. For-profit corporate ownership, 142 beds, and solid marks across inspections, quality measures, and staffing round out a picture of a home that's generally reliable but worth asking about on Saturdays and Sundays.

Nurse hours

3.90 /day

Staff turnover

47%

Serious cites

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Avista runs 3.90 nurse hours per resident day, just a hair above the national average of 3.86, close enough that one sick call or open shift can erase the difference. Weekends already run about 16% thinner than weekdays, so that margin disappears when you'd want it most. The 31 deficiencies on record are mostly paperwork-level; none involved harm or abuse, and the last inspection was in May 2025. Staff turnover of 46.8% sits right at the national figure, meaning roughly half the people caring for your family member this year won't be there next year. For-profit, individually owned, 96 beds. Ask how they cover weekend callouts.

Nurse hours

4.40 /day

Staff turnover

24%

Serious cites

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Medilodge Of Livingston runs 4.40 nurse hours per resident per day, roughly 14% above the national average, and its staff turnover of 23.7% is close to half the national rate. Those are real advantages. The catch is weekends, when staffing drops about 16% below its own weekday level, and a record of 27 deficiencies, including one at the harm level and one abuse-related. The most recent inspection was January 2026, so the picture is current. For a 125-bed for-profit home, the numbers say adequate weekday coverage and unusually stable staff, offset by a weekend dip and a survey history that carries some weight.

Nurse hours

3.52 /day

Staff turnover

31%

Serious cites

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Mission Point runs a 120-bed for-profit home in Detroit, and its staffing story cuts both ways. Nurses provide 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 21% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Turnover sits at 30.6%, well better than the 45.8% national figure, which matters for consistency. The inspection record is the harder read: 39 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $43,924 fine and a recent August 2025 inspection. Quality measures score near the bottom. Ask about weekend coverage and how the home corrected those abuse-related findings before deciding.

Nurse hours

3.51 /day

Staff turnover

55%

Serious cites

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Regency At Livonia runs 128 certified beds, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 15% below the home's own weekday level, which matters if you're visiting Saturday or Sunday and want to know who's actually on the floor. Staff turnover hits 55% against a national 45.8%, so aides and nurses cycle through faster than average. The current record shows 31 deficiencies, one of them serious enough to be flagged at the harm level, though none tied to abuse. Its last inspection was March 3, 2026, so the picture is recent. Quality measures score well above its staffing and inspection results, worth asking how that gap gets reconciled.

Nurse hours

3.85 /day

Staff turnover

46%

Serious cites

0

Carriage House runs 120 certified beds in Bay City under individual for-profit ownership. Its nurse staffing sits at 3.85 hours per resident day, basically identical to the national average of 3.86, but weekends drop roughly 15% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 46.3%, a touch above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The bigger issue is the inspection record: 33 deficiencies, two of them serious enough to put residents at harm or jeopardy, though none abuse-related. The most recent inspection was March 2025, so the picture is current. Quality and staffing measures look decent; the compliance history is what pulls this down.

Nurse hours

4.50 /day

Staff turnover

54%

Serious cites

0

Nurse staffing here runs 4.50 hours per resident day, about 17% above the national average, and that shows up in the staffing star rating. But weekends run roughly 20% thinner than weekdays, and annual turnover sits at 54.3% against a national 45.8%, meaning the people covering those shifts keep changing. The inspection record is current, from July 2025, with 14 deficiencies and none at the harm level, though four are abuse-related and one fine of $4,516 is on file. It's a for-profit LLC with 58 beds. The care hours are there on paper; what to ask about is who's actually delivering them on a Sunday.

Nurse hours

3.34 /day

Staff turnover

36%

Serious cites

0

Good Samaritan Society - Syracuse runs on thinner nurse coverage than most homes, at 3.34 hours per resident day against a national average near 3.86. Weekends dip further, roughly 17% below what the building staffs Monday through Friday, so a Saturday shift here looks noticeably different from a Tuesday. The tradeoff shows up in retention: turnover sits at 35.6%, well under the 45.8% national figure, which suggests people stay. Nine deficiencies are on the record with none at the harm level and none tied to abuse, and the last inspection came in January 2025. This is a nonprofit home with a solid inspection history and steadier-than-average staff, working with fewer hands per resident than the typical facility.

Nurse hours

4.40 /day

Staff turnover

44%

Serious cites

0

Heritage Crossings runs on more nursing hours than most places, 4.40 per resident per day against a national average of 3.86, and that staffing shows up in the federal stars, where it earns four out of five. Turnover sits at 43.5%, slightly better than the 45.8% national figure, though weekends run about a fifth thinner than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is the strongest part: a five-star rating, three deficiencies total, none causing harm and none related to abuse, with the most recent visit in April 2026. Quality measures come in at three stars, a middle-of-the-road mark that keeps this from being an unqualified yes.

Nurse hours

3.53 /day

Staff turnover

36%

Serious cites

0

Applewood Center runs lean on nursing hours, 3.53 per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That gap matters most when families visit on Saturdays and Sundays. What offsets it: staff turnover of 35.8% is well below the national 45.8%, so the people caring for residents tend to stay. The inspection record is clean where it counts, seven deficiencies on file, none at the harm level, none abuse-related, and the most recent inspection was June 2026. A 72-bed for-profit with steady staff and no serious citations, but you'll want to ask how weekend coverage actually looks on the floor.

Nurse hours

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Staff turnover

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Care Connection Rahway is a small for-profit home, just 24 certified beds, which often means staff know residents by name, and the numbers back that up. Total nurse staffing runs 4.92 hours per resident day, roughly 27% above the national average, though weekends dip about 5% below the home's own weekday level, so coverage isn't perfectly even. The record shows 5 deficiencies, none at the harm or jeopardy level and none abuse-related, with a clean inspection as recently as December 2025. Quality measures score 5 out of 5, inspections 4 out of 5, but staffing lands at 3, CMS weighs turnover and weekend consistency, not just raw hours. Ask about weekend coverage and staff retention directly.

Nurse hours

3.16 /day

Staff turnover

—

Serious cites

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Alaris Health at Kearny runs about 18% leaner on nursing hours than the national average, 3.16 per resident day against 3.86, and weekends dip roughly 9% below what the home staffs on weekdays. The 2-star staffing rating reflects that, even as the 5-star quality measure score suggests residents' clinical outcomes look good on paper. A February 2026 inspection found 26 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, which keeps things from looking worse than they are. For-profit LLC ownership at 120 beds means you're weighing solid care metrics against thin coverage, especially on Saturdays and Sundays.

Nurse hours

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Staff turnover

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Serious cites

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Excel Care At The Pines runs 151 beds in Atlantic City under for-profit LLC ownership, and its staffing numbers tell the clearest story here: 3.08 nurse hours per resident day sits about 20% under the national average of 3.86, and weekends dip another 3% below its own weekday levels. Turnover lands at 51.6% against a 45.8% national figure, so roughly half the nursing staff leaves each year. Inspections show 14 deficiencies on record, none involving harm or abuse, with the most recent visit in November 2024. Quality measures score well, but that strength sits on a thinner staffing base than most homes maintain.

Nurse hours

3.11 /day

Staff turnover

46%

Serious cites

0

Conesus Lake Nursing Home runs 3.11 nurse hours per resident per day, about 19 percent under the national average of 3.86, and weekends dip roughly another 17 percent below its own weekday staffing. Turnover sits at 46.2 percent, essentially matching the national figure, so this isn't a retention outlier, the thinness is in the daily hours, not the churn. The inspection record is genuinely strong for a 48-bed for-profit: a 4/5 health inspection rating with seven deficiencies on file, none at the harm level, though one is abuse-related. Quality measures score 5/5, so resident outcomes look good on paper. The tension is straightforward: good inspections and outcomes, lighter hands-on staffing than average.