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

Nurse hours

3.48 /day

Staff turnover

45%

Serious cites

0

Twin Rivers runs 3.48 nurse hours per resident day, about ten percent under the national average, and weekends dip roughly ten percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 44.7%, close to the national 45.8%, meaning this is a stable workforce by industry standards, not a churning one. The record shows 18 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was July 2025. Strong marks on inspections and quality measures carry the profile; the staffing number is what holds it back.

Nurse hours

4.72 /day

Staff turnover

46%

Serious cites

0

Hazard Health and Rehabilitation Center runs 200 certified beds under corporate for-profit ownership, and its staffing is the one clear strength: 4.72 nurse hours per resident day, roughly 22% above the national average of 3.86. That's real coverage on weekdays, though weekends drop about 9% below the home's own weekday level, so plan visits accordingly. The trouble sits elsewhere. Staff turnover is 45.8%, essentially the national average, meaning nearly half the workforce cycles out each year despite the generous hours. Federal inspectors rate health inspections and quality measures both 1 out of 5, with 18 deficiencies on record, none at harm or jeopardy level, but one tied to abuse. The last inspection was October 31, 2024.

Nurse hours

3.86 /day

Staff turnover

36%

Serious cites

0

Hopkins Nursing and Rehabilitation Center is a 50-bed for-profit home in Woodburn, and its record is genuinely mixed. The clinical side looks strong, a 5/5 quality measure rating and a 4/5 inspection rating, with the most recent survey in August 2025. The 8 deficiencies on file don't include any at the harm or jeopardy level, though one is abuse-related, which families should ask about directly. Where it slips is staffing: 3.86 nurse hours per resident day lands right at the national average, but weekend coverage runs about 7% thinner than weekdays, and the 2/5 staffing rating reflects that gap. Turnover at 35.7% is better than the 45.8% national figure, so caregivers tend to stay longer than average.

Nurse hours

3.37 /day

Staff turnover

54%

Serious cites

0

Mountain View runs about 3.37 nursing hours per resident each day, roughly 13 percent under the national average of 3.86, and weekend coverage dips a bit further below its own weekday level. Staff turnover sits at 54.3 percent against a national 45.8, which means more than half the nursing staff left within the year. Its inspection record shows 20 deficiencies, including three at the harm or jeopardy level and two tied to abuse. The quality measure rating is 5/5, but the staffing rating is 2/5 and the inspection rating 3/5, with the last survey dated November 2025. Pineville families weighing this one should ask how the home keeps weekend shifts covered.

Nurse hours

3.50 /day

Staff turnover

34%

Serious cites

0

Jeffersontown Rehabilitation runs 98 certified beds under for-profit LLC ownership, and its last inspection on January 23, 2026 landed it a five-star health inspection rating. That's the strongest part of the record. Staffing is thinner: 3.50 nurse hours per resident day, about 9% under the 3.86 national average, with weekends running roughly 10% below the home's own weekday level. Turnover sits at 34.2%, better than the 45.8% national figure. The current deficiency record carries 14 findings, three of them at harm or jeopardy level, none abuse-related. So read it as a home that inspects well and keeps its staff longer than most, but consistently runs lean on direct care hours, especially on weekends.

Nurse hours

3.22 /day

Staff turnover

37%

Serious cites

0

Regency Nursing and Rehabilitation Center runs 110 certified beds in Louisville under for-profit LLC ownership, and its staffing sits at 3.22 nurse hours per resident day, about 17% under the national average of 3.86. Weekends dip roughly 6% below its own weekday coverage, which matters when you're relying on consistent hands-on care. Turnover at 36.6% is actually better than the 45.8% national figure, so the same faces stick around more than average. What stands out on inspections is the record: 21 deficiencies, 14 at harm or jeopardy level, 4 abuse-related, and a 2/5 inspection rating from CMS despite strong quality-measure scores. The last inspection was January 15, 2026.

Nurse hours

3.79 /day

Staff turnover

23%

Serious cites

0

Clinton County Care and Rehabilitation Center in Albany runs on leaner nurse staffing than most homes, 3.79 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That said, the 22.9% annual turnover is remarkably low, nearly half the national rate, which means the aides and nurses who are there tend to stay. Eight deficiencies on record, none involving harm, jeopardy, or abuse, and a clean inspection as recently as May 2025. The tradeoff is clear: fewer hands per shift, but stable ones, and a survey history without serious problems.

Nurse hours

3.91 /day

Staff turnover

40%

Serious cites

0

Robertson County Health Care Facility runs 60 certified beds under corporate ownership, and its staffing sits just above the national average at 3.91 nurse hours per resident day, though weekends drop about 9% below its own weekday level, so coverage thins when families tend to visit. Turnover at 39.7% is meaningfully better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in the inspection record: seven deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,788. The most recent inspection was July 2025, so that record is current.

Nurse hours

3.75 /day

Staff turnover

33%

Serious cites

0

Edmonson Nursing and Rehabilitation Center runs 74 beds in Brownsville under corporate for-profit ownership, and its inspection record is genuinely strong, a five-star CMS health inspection rating with only three deficiencies on the current record. But those three are all flagged at the harm or jeopardy level, and all three are abuse-related, which matters more than the low count suggests. Nurse staffing sits at 3.75 hours per resident day, slightly under the national 3.86 average, and weekends run about 9% thinner than weekdays. Staff turnover of 33.3% is better than the 45.8% national figure. The last inspection was March 26, 2026. Ask directly what those three abuse deficiencies involved and how the home corrected them.

Nurse hours

3.46 /day

Staff turnover

18%

Serious cites

0

Thibodaux Healthcare and Rehabilitation Center runs 78 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover is the standout: 17.7% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The current inspection record shows 19 deficiencies, none at harm or jeopardy level, though 2 are abuse-related and worth asking about directly. Its last inspection was March 2026, so the record is recent.

Nurse hours

3.04 /day

Staff turnover

31%

Serious cites

0

Vivian Healthcare Center runs 95 certified beds as a for-profit corporation, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover, though, is a real bright spot: 30.6% against a national 45.8% means aides and nurses here tend to stay, which matters for residents who need consistent hands on deck. The record shows 9 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2025. Its health inspection rating is 4 out of 5, while quality measures and staffing both sit at 3.

Nurse hours

3.69 /day

Staff turnover

41%

Serious cites

0

Southern Oaks runs 3.69 nursing hours per resident per day, a bit under the national average, and weekends drop about 10% below its own weekday staffing. The quality measure score looks strong, but the inspection record is where the story changes: 13 deficiencies on file, four of them at harm or jeopardy level and five tied to abuse, plus two fines totaling $116,623 from a May 2025 inspection. Staff turnover at 40.7% is actually better than the national average, and for-profit corporate ownership doesn't explain the harm-level findings on its own. What that combination tells you is a home where the day-to-day numbers read better than the safety record does.

Nurse hours

3.87 /day

Staff turnover

29%

Serious cites

0

Nurse staffing at this Machias home looks solid on paper, 3.87 hours per resident day, right at the national average of 3.86, and the 5/5 staffing star reflects that. Retention is genuinely good: 29.1% turnover against a national 45.8%. The trouble sits elsewhere. Thirty deficiencies on the current record, including one at the harm level and three tied to abuse, with a single fine of $10,358. Weekend staffing runs about 7% below weekday levels. CMS rates the quality measures 1 out of 5, which drags against the strong staffing score, and a June 2025 inspection is recent enough to matter. The B reflects a home that keeps its workers but has recurring problems on the care side.

Nurse hours

4.48 /day

Staff turnover

45%

Serious cites

0

Levindale Hebrew Ger Ctr & Hsp has 210 certified beds and runs on a nonprofit corporate model. The staffing numbers here are genuinely better than most: 4.48 nurse hours per resident day, roughly 16% above the national average, with a 4/5 CMS staffing rating to match. Weekend coverage slips about 6% below weekday levels, and turnover at 44.8% sits just under the national rate. The trouble is what inspections keep finding. A 2/5 health inspection rating, 69 deficiencies on the current record, including one at the harm or jeopardy level and seven tied to abuse. One fine totaling $10,361. The last inspection was November 2024, so the record is recent. Strong staffing hasn't translated into a clean survey history.

Nurse hours

3.72 /day

Staff turnover

48%

Serious cites

0

Autumn Lake Healthcare at Pikesville holds 140 certified beds and is run by a for-profit limited liability company. On paper, its quality measure score is perfect, but the inspection record tells a different story: 61 deficiencies, one of them serious enough to cause harm or jeopardy, plus two abuse-related citations. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 10% thinner than weekdays. Annual turnover of 47.9% edges past the national 45.8%. The most recent inspection was June 18, 2025, so the record is current. Families weighing this home should ask directly about the abuse citations and how the weekend schedule gets covered.

Nurse hours

3.96 /day

Staff turnover

35%

Serious cites

0

Collingswood runs 160 beds in Rockville under for-profit LLC ownership, and its nurse staffing sits at 3.96 hours per resident day, slightly above the national average of 3.86. That edge is thin, though, and weekends run about 15% leaner than weekdays, so coverage depends on when you visit. Turnover comes in at 34.8%, better than the 45.8% national figure, which suggests a more stable crew than many homes manage. Inspections are another story: 74 deficiencies on the current record, five tied to abuse, and a 2/5 health inspection rating. No harm-level citations, and the last full inspection was August 2025, so the picture is recent.

Nurse hours

3.81 /day

Staff turnover

38%

Serious cites

0

Doctors Community Rehabilitation And Patient Care runs 130 certified beds in Lanham under for-profit partnership ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national figure of 3.86. That gap is small, but weekend coverage runs about 11% thinner than the home's own weekdays, so care can feel different depending on when you visit. Staff turnover of 37.9% is actually better than the 45.8% national average, which matters for consistency. The inspection record is the harder part: 48 deficiencies, including one at the harm level and four tied to abuse, plus a $16,331 fine. The most recent inspection was December 2025.

Nurse hours

3.90 /day

Staff turnover

36%

Serious cites

0

The Village At Rockville runs a solid nonprofit operation with staffing that just edges past the national average, 3.90 nurse hours per resident day against 3.86 nationally, and turnover at 35.9% is meaningfully lower than the 45.8% average, which matters for consistency of care. Weekend coverage dips about 5% below its own weekday levels, a gap worth asking about. The concern sits in the inspection history: 40 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, plus one fine of $17,345. The most recent inspection was March 2026. Strong quality and staffing marks coexist with a deficiency record that deserves a closer look before you decide.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Autumn Lake Healthcare at Bradford Oaks runs 180 beds under corporate ownership in Clinton, and its inspection record has real strengths, a four-star health inspection rating and a perfect five on quality measures, with the most recent survey from February 2025. Where it slips is staffing: 3.48 nurse hours per resident day sits about 10% under the national average, weekends run roughly 9% lighter than weekdays, and turnover hits 52.7% against a national 45.8%. That combination, thin coverage plus more than half the staff leaving each year, matters more than the quality scores when you're thinking about daily care. The 34 deficiencies on record, including one at the harm level and five tied to abuse, are worth asking the administrator about directly.

Nurse hours

3.79 /day

Staff turnover

53%

Serious cites

0

Atlee Hill runs 60 beds in Westminster under for-profit LLC ownership, and its last health inspection was recent enough to be worth noticing. The record isn't clean: 67 deficiencies, including three tied to abuse and one at the level where actual harm or jeopardy occurred, plus a $14,888 fine. Staffing sits at 3.79 hours per resident day, a bit under the national average, and weekends run about 7% thinner than weekdays. Turnover is the number that would nag at me, 53.2%, against a national norm of 45.8%, meaning more than half the nursing staff leaves within a year. CMS rates the quality measures well and staffing decently, but the inspection history and churn tell a more mixed story.