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

Nurse hours

5.40 /day

Staff turnover

30%

Serious cites

0

Montgomery Subacute And Respiratory Center runs on thin margins and heavy nursing hours, 5.40 per resident day against a national average of 3.86, with weekend coverage dipping about 7% below weekdays. That staffing volume is real, but turnover sits at 29.6%, well under the 45.8% national figure, so the same faces are largely staying put. What stands out on paper is the inspection record: 23 deficiencies currently on file, none at harm or jeopardy level, though four are abuse-related. The most recent survey was in May 2025, so the record is fresh. For-profit ownership under an LLC, 60 beds, and a four-star health inspection rating alongside a two-star staffing score suggest the care is competent even if the staffing picture isn't as strong as the raw hours imply.

Nurse hours

4.14 /day

Staff turnover

42%

Serious cites

0

Kearsley runs about 4.14 nurse hours per resident day, roughly 7% above the national average, and its 42.2% turnover is a touch better than the 45.8% typical elsewhere. The catch is weekends: staffing drops about 15% below the home's own weekday level, so coverage thins out exactly when families tend to visit. On inspections, the record shows 42 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, with one fine of $12,185 and a 2-out-of-5 inspection rating. The May 2025 survey is recent, which helps, and the 5-out-of-5 quality measure rating reflects good clinical numbers. The staffing and quality sides look reasonable; the enforcement history is what pulls the overall picture down.

Nurse hours

3.89 /day

Staff turnover

40%

Serious cites

0

Concordia At The Cedars runs a tight ship on the clinical side, with a five-star health inspection and a five-star quality measure score, and its last inspection in February 2026 found nine deficiencies, none serious enough to cause harm or jeopardy. That's a good record, and the 40.3% staff turnover sits below the national average of 45.8%, which matters for continuity of care. But the staffing picture is thinner than it looks: 3.89 nurse hours per resident day is barely above the national 3.86, and the CMS staffing rating is just 2 out of 5. Weekend coverage dips about 6% below weekday levels, and one abuse-related deficiency appears on the record.

Nurse hours

3.42 /day

Staff turnover

50%

Serious cites

0

Twin Pines runs on thinner staffing than most places. At 3.42 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage, that's when call bells tend to ring longer. Annual turnover of 50% tops the national 45.8%, so faces change often. What keeps it above water is the inspection record: a 4/5 health inspection rating with 14 deficiencies on file, none at harm or jeopardy level and none abuse-related, plus a recent survey from April 2026. Quality measures score 5/5. For-profit corporate ownership, 119 beds. The care itself looks decent; the question is whether there's consistently enough staff to deliver it.

Nurse hours

3.46 /day

Staff turnover

36%

Serious cites

0

Faith Healthcare Center runs 104 beds in Florence under for-profit LLC ownership, and its staffing numbers sit below what you'd want: 3.46 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly another 10% below its own weekday level. Turnover is the bright spot at 36.1%, well under the national 45.8%. The inspection record is the real concern, 16 deficiencies, one serious enough to involve harm or jeopardy, and a 2/5 health inspection rating, though no abuse citations appear. One fine totaling $8,281. The last inspection was March 2026. Quality measures rate mid-range; staffing draws a 4/5 despite the below-average hours.

Nurse hours

3.69 /day

Staff turnover

54%

Serious cites

0

J F Hawkins Nursing Home runs about 118 certified beds in Newberry under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, and annual turnover is 53.7% against a national 45.8%, so the aide or nurse your family member sees most often may not be there a year from now. Seven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with one fine totaling $8,021. The most recent inspection was April 16, 2026.

Nurse hours

3.31 /day

Staff turnover

23%

Serious cites

0

Jolley Acres runs on leaner nurse staffing than most homes, 3.31 hours per resident day against a national average of 3.86, and weekends dip about 10% below what it manages during the week. The tradeoff is stability: turnover of 23.4% sits well under the national 45.8%, so the aides and nurses showing up are likelier to know the residents. Its inspection record backs that up, with four deficiencies on file, none involving harm or abuse, and a survey completed in September 2025. State inspectors rated the care four stars even though the staffing component earned two. For a 60-bed for-profit home in Orangeburg, the picture is modest resources spent by a consistent crew.

Nurse hours

3.19 /day

Staff turnover

45%

Serious cites

0

Nhc Healthcare - Greenwood runs 152 certified beds under corporate ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 13% below its own weekday level, so coverage thins out right when families tend to visit. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $14,433. The last inspection was May 1, 2025. Quality measures score well; staffing and inspections are where the gaps show.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

White Oak Manor in Charleston runs 176 beds under corporate ownership, and its staffing sits slightly above the national average at 3.98 nurse hours per resident day. That edge shrinks on weekends, when coverage drops roughly 12% below weekday levels, worth asking about if your family visits Saturday or Sunday. Turnover lands at 38.9%, better than the 45.8% national figure, which suggests a steadier crew than many homes manage. The inspection record shows six deficiencies, one serious enough to involve harm, plus a single fine of $8,788; the most recent state visit was August 2025. Nothing here reads as dangerous, but the weekend gap and that one harm-level finding are the details to press on.

Nurse hours

3.18 /day

Staff turnover

34%

Serious cites

0

Lake City Scranton runs on thinner nurse coverage than most homes, 3.18 hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday numbers, which is when families tend to visit and notice. The tradeoff is stability: turnover of 33.8% is well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. State inspectors were in on July 30, 2025 and logged 21 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. That mixture of steady staff, recent inspection, and lean daily hours is what sits behind the B.

Nurse hours

3.35 /day

Staff turnover

43%

Serious cites

0

The Reserve Healthcare and Rehabilitation in Charleston runs 135 certified beds under for-profit LLC ownership, and its inspection record is the standout: zero deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the last inspection dated May 28, 2026. That clean sheet is why CMS gave it 5 out of 5 inspection stars and 4 out of 5 on quality measures. The staffing side is thinner, 3.35 nurse hours per resident day sits about 13% under the national average of 3.86, and weekend coverage drops roughly 13% below its own weekday level, which is when families tend to notice. Turnover at 43.4% is slightly better than the 45.8% national figure, so the workforce is comparatively stable even if the hours aren't generous.

Nurse hours

3.12 /day

Staff turnover

48%

Serious cites

0

Promedica Skilled Nursing and Reh- Greenville West is a for-profit LLC home with 88 certified beds in Greenville, and its inspection record is genuinely strong, a 4 out of 5 health inspection rating with a recent December 2025 survey and no abuse-related deficiencies. The catch is staffing. At 3.12 nurse hours per resident day, it runs roughly 19% under the national average of 3.86, and weekends drop about 14% below its own weekday levels. Annual turnover sits at 48%, slightly above the national 45.8%. Quality measures score 5 out of 5, which speaks well of clinical outcomes, but those numbers depend on who's actually on the floor. Seven deficiencies total, one serious enough to cause harm. Worth asking about weekend coverage directly.

Nurse hours

3.17 /day

Staff turnover

34%

Serious cites

0

Prince George Healthcare Center runs about 3.17 nurse staffing hours per resident day, roughly 18 percent under the national average of 3.86, and weekends dip another 13 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover sits at 34.3 percent, which is better than the 45.8 percent national figure, meaning the staff who are there tend to stay. Inspections in June 2025 turned up 15 deficiencies, none involving harm or jeopardy and none abuse-related, with middle-of-the-road marks on inspections, quality measures, and staffing. The corporate for-profit owner runs a 148-bed building that is neither troubled nor especially strong.

Nurse hours

3.58 /day

Staff turnover

63%

Serious cites

0

Sprenger Healthcare of Bluffton runs 60 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a recent September 2025 survey, five total deficiencies, and just one at the harm level. Where the numbers get shakier is staffing. At 3.58 nurse hours per resident day, it sits about 7% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover of 62.5% is well above the 45.8% national figure, which matters more than a single shift count because it hints at how often residents see unfamiliar faces. Good inspections, thinner coverage, high churn, that combination is what holds this home back from the top of the range.

Nurse hours

3.66 /day

Staff turnover

51%

Serious cites

0

Nhc Healthcare, Chattanooga runs 200 beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, with weekends dipping roughly 13% below its own weekday levels. That thinner weekend coverage matters, because direct care doesn't pause on Saturdays. Annual turnover hits 51%, well above the 45.8% national figure, so familiar faces cycle out faster than average here. The inspection record is current, last reviewed in October 2024, and shows 10 deficiencies with none at the harm or jeopardy level and nothing abuse-related. CMS rates the clinical quality measures a full 5 out of 5, while staffing earns 2. The care itself looks solid on paper; the workforce keeping it running is where the strain shows.

Nurse hours

3.85 /day

Staff turnover

57%

Serious cites

0

Nhc Healthcare, Murfreesboro runs 181 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, a five-star health inspection rating, seven total deficiencies with none rising to harm or jeopardy, and a survey completed in March 2026. The catch sits in the workforce. Nurse staffing averages 3.85 hours per resident day, essentially level with the national figure, but weekends run about 9% lighter than weekdays, and annual turnover hits 56.7% against a national average of 45.8%. Two abuse-related deficiencies also appear on the current record. Consistent oversight and quality scores are doing real work here; the question is whether enough consistent hands stay on staff to keep it that way.

Nurse hours

3.89 /day

Staff turnover

37%

Serious cites

0

Signature Healthcare of Elizabethton runs 94 certified beds under for-profit LLC ownership, and its inspection record is the cleanest part of the story: a five-star health inspection rating with just two deficiencies on file, none at the harm or jeopardy level. One of those two is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.89 hours per resident day, barely above the 3.86 national average, and weekends dip about 12% below the home's own weekday coverage. Staff turnover is 36.8%, lower than the 45.8% national figure, which suggests people tend to stay. The last inspection was May 2025, so the record you're reading is recent.

Nurse hours

3.66 /day

Staff turnover

40%

Serious cites

0

Countryside Post-Acute and Rehabilitation Center is a 162-bed for-profit in Lawrenceburg, and its numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident per day, roughly 5% under the national average, and weekend coverage drops about 13% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover, at 40.2%, is actually better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 15 deficiencies, none at the harm level and none abuse-related, and the last inspection was in February 2026. Quality measures score well; staffing is the weak spot.

Nurse hours

3.35 /day

Staff turnover

36%

Serious cites

0

Life Care Center of Collegedale runs about 3.35 nursing hours per resident each day, roughly 13% under the national average, and weekends are thinner still, about 13% below its own weekday staffing. Turnover sits at 35.8%, better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 8 deficiencies, none involving harm or abuse, and the last inspection was in March 2023. Its quality measure score is perfect while staffing and inspections land in the middle. Read together, that mix suggests a home getting good clinical outcomes from a leaner crew, though the weekend dip is worth asking about directly.

Nurse hours

3.88 /day

Staff turnover

49%

Serious cites

0

Trenton Health and Rehabilitation Center runs 50 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and nothing abuse-related among its eight total citations. The catch is staffing. Total nurse coverage sits at 3.88 hours per resident day, essentially dead even with the national average, and weekends drop about 12% below what the home staffs on weekdays. Annual turnover of 48.9% tops the national rate of 45.8%, which means roughly half the nursing staff turns over each year. Quality measures score five stars, and the most recent inspection was in January 2026. Strong care outcomes, thin staffing cushion.