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

Nurse hours

3.61 /day

Staff turnover

45%

Serious cites

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Highland Park Rehabilitation and Nursing Center in Wellsville is a for-profit LLC with 80 certified beds, and its numbers tell a mixed story. The good news: a 5/5 health inspection rating with only 8 deficiencies on record, none at the harm level and none abuse-related, and the most recent inspection was April 2024. Staffing is the weak spot, 3.61 nurse hours per resident day, about 6% under the national average, with weekend staffing running roughly 22% below its own weekday level. Annual turnover of 44.8% is right at the national average. For-profit ownership means watch the staffing line when you visit.

Nurse hours

4.16 /day

Staff turnover

36%

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Momentum At South Bay runs 4.16 nurse hours per resident day, roughly 8% above the national average, and its 35.7% turnover is meaningfully better than the 45.8% typical elsewhere, signs of a stable, adequately staffed floor. Weekend staffing, though, drops about 18% below its own weekday level, so ask how coverage looks on a Saturday. The inspection record is clean where it matters: 10 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in September 2025. Quality measures score well, but the staffing star lags, which is the tension here, decent hours, thinner weekends.

Nurse hours

3.19 /day

Staff turnover

46%

Serious cites

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Salamanca Rehabilitation & Nursing Center runs 120 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent December 2025 survey, 14 total deficiencies with none at the harm or jeopardy level. The catch is on the floor: 3.19 nurse hours per resident day sits about 17% under the national average, weekends drop roughly 18% below weekday coverage, and 46.3% annual turnover means nearly half the staff leaves each year. Two abuse-related deficiencies also appear on the current record. Strong surveys and quality scores, thinner daily staffing than most homes, and a workforce that keeps cycling through.

Nurse hours

3.58 /day

Staff turnover

47%

Serious cites

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Absolut Center in Painted Post runs 120 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey completed in February 2025 and 12 deficiencies on file, none of them serious enough to reach harm or jeopardy level. Staffing tells a different story. At 3.58 nurse hours per resident day, the home sits roughly 7% under the national average, and weekend coverage drops about 23% below its own weekday levels, so the quietest shifts are also the thinnest. Turnover lands at 46.6%, just above the national figure of 45.8%, and there's one abuse-related deficiency worth asking about directly.

Nurse hours

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Staff turnover

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Ohio Living Rockynol runs 36 certified beds as a nonprofit, and its last inspection in June 2024 turned up four deficiencies, none at the harm level, none tied to abuse. That's a clean record, and the health inspection and quality measure scores both sit at the top of the federal scale. The catch is staffing, which lands at the lowest rating CMS gives. A small home can run lean, but that gap matters when you're thinking about how quickly someone answers a call light at 2 a.m. Ask what the direct-care hours per resident actually look like and how they cover nights and weekends before you decide.

Nurse hours

3.48 /day

Staff turnover

37%

Serious cites

0

St. Catherine's runs leaner on nurse hours than most homes, 3.48 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 18% below its own weekday staffing. Turnover sits at 36.6%, which is actually better than the 45.8% national figure, so the people who stay seem to stay. The inspection record is more mixed: 22 deficiencies, including one at the harm level and two tied to abuse, plus a $14,433 fine, though the most recent inspection was in March 2026 and the quality measures score well. It's a for-profit corporate home with 56 beds.

Nurse hours

3.56 /day

Staff turnover

52%

Serious cites

0

Majora Lane runs 80 certified beds in Millersburg under individual for-profit ownership, and its last health inspection came in January 2026, recent enough that the record largely reflects how the place operates now. That record shows 23 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Nurse staffing sits at 3.56 hours per resident day, about 8% under the national figure, and weekends drop roughly 17% below the home's own weekday levels. Staff turnover is 52.2%, well above the 45.8% national average. CMS rates the quality measures 5 out of 5, but inspection results 2 out of 5. The quality scores look strong; the staffing consistency and inspection history are where the concerns sit.

Nurse hours

4.01 /day

Staff turnover

43%

Serious cites

0

New Albany Care Center runs a bit more nursing coverage than the typical U.S. home, about 4.01 hours per resident day against a national average near 3.86, but that advantage thins out on weekends, when staffing drops roughly 16% below its own weekday level. Turnover sits at 42.5%, slightly better than the 45.8% national figure, so the same faces tend to stick around. The bigger concern is the inspection record: 36 deficiencies, two serious enough to involve harm or jeopardy, and one tied to abuse, with a $12,149 fine and a February 2025 inspection. The quality measure score looks strong, but the health inspection side is where the risk concentrates.

Nurse hours

4.08 /day

Staff turnover

58%

Serious cites

0

Eastgate Village runs on a thin margin of direct care, and the numbers show it. The staffing rating sits at the bottom of the federal scale, and turnover runs 58.4% against a national average of 45.8%, meaning more than half the people caring for residents in a given year are new to the building. Inspectors cited 24 deficiencies on the current record, one serious enough to involve actual harm, though nothing abuse-related. The quality measures look better at 4 stars, but those often reflect documentation more than daily conditions. This is a for-profit LLC with 110 beds, last inspected in February 2025. Families should ask specifically who's on the floor at night and how long aides have been there.

Nurse hours

3.30 /day

Staff turnover

—

Serious cites

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Warr Acres Nursing Center runs 103 certified beds as a for-profit limited liability company, and its nurse staffing sits at 3.30 hours per resident per day, about 14% below the national average of 3.86. Weekend coverage dips roughly 5% below its own weekday level, so the thinnest shifts come when families tend to visit. The current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 25, 2025. CMS gives it 4 out of 5 stars on quality measures but only 2 on staffing. That split is the story: the clinical metrics look decent, the hands-on hours don't keep pace.

Nurse hours

4.06 /day

Staff turnover

52%

Serious cites

0

The Villages at Southern Hills scores well on inspections, a five-star health inspection rating and just three deficiencies on record, none causing harm and none tied to abuse. That clean survey history, most recently updated in January 2025, is the strongest thing this Tulsa home has going for it. Staffing is the weak spot. The one-star staffing rating is the kind of number that shows up in day-to-day experience: fewer aides per resident, longer waits. Annual turnover at 51.8% sits above the national average of 45.8%, meaning more than half the workforce leaves each year. As a for-profit LLC with 110 beds, that churn can mean constantly training new faces. Families weighing this one should ask specifically how the home covers shifts on weekends and nights.

Nurse hours

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Staff turnover

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Wecare At The Green Home runs 120 certified beds as a nonprofit corporation, and its record splits in two directions. The quality measures look strong at 5 stars, and none of the 26 deficiencies on file rose to harm or jeopardy level. But staffing sits at 1 star, well below what you'd want for a building this size, and two deficiencies are abuse-related, which families should ask about directly. The last inspection was December 2024, so the findings are recent. A nonprofit owner and good clinical measures don't cancel out thin staffing or an abuse flag, ask how direct-care hours actually break down on evenings and weekends before deciding.

Nurse hours

3.05 /day

Staff turnover

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Wecare at Mt Lebanon runs 121 certified beds in Pittsburgh under corporate for-profit ownership, and its staffing sits at 3.05 nurse hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so the thinnest shifts come when families often visit. The health inspection record carries 64 deficiencies, two tied to abuse, with the most recent inspection in September 2025. Its quality measure stars look strong at 5 out of 5, but that score reflects resident assessment data, not the inspection findings or the floor coverage. The staffing star sits at 2 out of 5. Ask about weekend nurse coverage and how the abuse-related deficiencies were resolved before deciding.

Nurse hours

4.23 /day

Staff turnover

38%

Serious cites

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Loris Rehab and Nursing Center runs a for-profit, 88-bed operation in Horry County, and its staffing is the strongest part of the story: 4.23 nurse hours per resident day, roughly 9% above the national average, with a 4-out-of-5 CMS staffing rating. Turnover sits at 37.5%, better than the 45.8% national figure, though weekend coverage drops about 16% below its own weekday level. Inspections look clean lately, a 5-out-of-5 health inspection rating, six deficiencies on record, none causing harm or involving abuse, and a February 2026 visit. The weaker signal is quality measures at 2 out of 5, which is worth asking about directly.

Nurse hours

3.46 /day

Staff turnover

38%

Serious cites

0

Honorage Nursing Center runs leaner on nurse hours than most homes, 3.46 per resident day against a national average of 3.86, and weekends get thinner still, about 18% below its own weekday coverage. The tradeoff looks deliberate: staff turnover sits at 38.2%, well under the 45.8% national figure, so the people showing up are more likely to still be there next year. Six deficiencies on record, none involving harm or abuse, and a July 2025 inspection that's recent enough to trust. Corporate-owned and for-profit, so watch the staffing line when you visit; a 5-star inspection history buys goodwill, but thin weekend coverage is the thing families actually feel.

Nurse hours

3.31 /day

Staff turnover

41%

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0

Ridgeway's Pruitthealth runs 150 beds under corporate ownership, and its staffing sits at 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 19% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover at 41.2% is actually a bit better than the 45.8% national figure, which matters for continuity. The current inspection record carries 19 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. A 2/5 inspection rating against a 4/5 staffing rating means the care hours look stronger on paper than the survey history does. That gap, not any single number, is what shapes the grade here.

Nurse hours

3.74 /day

Staff turnover

37%

Serious cites

0

Pruitthealth-North Augusta runs 132 certified beds under corporate ownership, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends drop about 19% below its own weekday coverage, so the gap families notice most may be Saturday and Sunday. Turnover is the brighter spot: 36.8% against a national 45.8%, meaning fewer caregivers are walking out the door than is typical. The inspection record shows 18 deficiencies, none at harm or jeopardy level, though four are abuse-related, worth asking about directly. Last surveyed April 2025, so the picture is current.

Nurse hours

3.49 /day

Staff turnover

37%

Serious cites

0

Nhc Healthcare - North Augusta runs leaner on nursing hours than most homes, about 3.49 hours per resident per day against a national figure near 3.86, and weekends get thinner still, roughly 18% below what the building staffs on weekdays. That pattern matters if your family tends to visit Saturday and Sunday. On the plus side, turnover sits at 37.4%, noticeably better than the 45.8% national rate, so the aides and nurses you meet are more likely to still be there next year. Ten deficiencies on record, none involving harm or abuse, and a March 2026 inspection keep the regulatory picture fairly clean.

Nurse hours

3.46 /day

Staff turnover

55%

Serious cites

0

Life Care Center of Columbia runs about 3.46 nursing hours per resident per day, roughly 10 percent under the national average, and weekends drop another 16 percent below its own weekday staffing. That thinner weekend coverage matters most when families visit and when problems tend to surface. Annual turnover sits at 54.8 percent, well above the 45.8 percent national figure, so the people caring for your relative are likely to change often. The current inspection record carries 15 deficiencies, including one at the harm level and one abuse-related, on a two-out-of-five health inspection rating. Quality measures score well at four stars, but that reflects care processes, not the inspection findings themselves.

Nurse hours

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Staff turnover

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Presbyterian Communities of South Carolina in Clinton runs just five certified beds, which is about as small as a Medicare-certified nursing home gets. The inspection record is clean: zero deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent inspection dated April 2026. That's a five-star inspection rating and a five-star quality measure rating, and there's no pattern of problems to point to. The tradeoff is size. Five beds means very little data behind any of those ratings, and a small nonprofit corporation has fewer resources to absorb a bad stretch than a larger operator would.