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

Nurse hours

3.40 /day

Staff turnover

43%

Serious cites

0

Signature Healthcare of Rogersville runs 150 certified beds under corporate ownership, and its staffing sits at 3.40 nurse hours per resident per day, about 12% under the national average of 3.86. Weekends dip roughly another 12% below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. The stronger news is on inspections: three deficiencies on record, none at the harm level, none abuse-related, and the most recent survey was in January 2026. Turnover lands at 42.9%, slightly better than the 45.8% national figure. Its inspection and quality ratings both hit the top mark; staffing is the piece holding it back.

Nurse hours

3.82 /day

Staff turnover

65%

Serious cites

0

The Preserve At Fairfield Glade runs on staffing that's essentially at the national average, 3.82 nurse hours per resident day against 3.86, though weekends dip about 8% below its own weekday coverage, which matters if your visits fall on a Saturday or Sunday. What stands out more is the 65% annual turnover, well above the 45.8% national figure, meaning the aide or nurse your family member sees most often may not be there in a year. The record shows 16 deficiencies, none at the harm level but two tied to abuse, and the last full inspection was in May 2023. Quality measures score well; inspections are middling.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Paradigm At Bay City runs 105 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 25 deficiencies, three at harm or jeopardy level and two tied to abuse, plus one fine of $50,359; the last inspection was May 30, 2025. Staff turnover (44.7%) is basically in line with the national rate. The quality measure rating is strong at 4/5, but the 2/5 inspection rating reflects real problems that staffing numbers alone won't fix.

Nurse hours

3.42 /day

Staff turnover

29%

Serious cites

0

Hacienda Oaks runs leaner on nursing hours than most homes, about 3.42 per resident per day, roughly 11% under the national average, and weekends get thinner still, dropping around 14% below its own weekday coverage. That's the tradeoff to weigh against a staff turnover rate of 29.3%, well below the national 45.8%, which suggests people here tend to stay. The inspection record is decent: 23 deficiencies, none rising to harm or jeopardy, nothing abuse-related, and the last survey was in May 2025, so the picture is current. Owned by a for-profit limited liability company, the home has no serious safety citations against it, but the staffing pattern is the number worth asking about directly.

Nurse hours

3.01 /day

Staff turnover

41%

Serious cites

0

Clarksville Nursing Home is run by the local hospital district, and its last inspection was in December 2025, recent enough that you're not looking at stale findings. The record shows 34 deficiencies, but none at the harm or jeopardy level, and two tied to abuse, which is worth asking about directly. Staffing is the weaker spot: 3.01 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% lighter than weekdays, so coverage thins out exactly when families tend to visit. Turnover at 40.5% is better than the 45.8% national figure, and the 4/5 quality measure rating suggests clinical outcomes hold up despite the thin staffing.

Nurse hours

3.73 /day

Staff turnover

62%

Serious cites

0

Harrison Pointe runs 3.73 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. That gap matters more than the small shortfall against the average, because it means the coverage your relative gets on a Saturday looks different from a Tuesday. Annual turnover sits at 61.8% against a national 45.8%, so the people providing care change often. The inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the last visit in March 2026. Clinical quality measures score well; staffing is where this home is thinnest.

Nurse hours

— /day

Staff turnover

53%

Serious cites

0

Stonehenge of Springville is owned by a hospital district, which is unusual in this space, and its most recent inspection in March 2025 gave surveyors enough to record 13 deficiencies, one involving actual harm or jeopardy and one tied to abuse. That's the part worth sitting with. The quality measure scores look strong, but those come from resident assessments the home reports itself, while the staffing picture is thinner than it appears: 3.64 nurse hours per resident day sits below the national average, weekends run about a tenth lighter than weekdays, and roughly half the staff turns over each year. Strong marks on paper, real questions underneath.

Nurse hours

3.76 /day

Staff turnover

59%

Serious cites

0

Stonehenge Of Cedar City runs 50 certified beds under for-profit LLC ownership. Its 3.76 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends drop about 14% below its own weekday level, a gap families should know about, since that's when many visits happen. Annual turnover hits 59% against a national 45.8%, meaning more than half the nursing staff turns over each year; that churn matters more than a single staffing snapshot. The current inspection record carries 19 deficiencies, three at harm or jeopardy level and two abuse-related, with a 2/5 health inspection rating. Quality and staffing each earned 4/5, but that inspection history is the real story here.

Nurse hours

3.75 /day

Staff turnover

36%

Serious cites

0

Pine Heights At Brattleboro runs about 3.75 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 12% below its own weekday staffing. Turnover sits at 35.5%, well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Ten deficiencies show on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025 and a four-star health inspection rating. The for-profit corporate owner runs 80 certified beds. Quality measures score five stars while staffing earns three, read that as good care outcomes achieved on leaner coverage.

Nurse hours

3.49 /day

Staff turnover

44%

Serious cites

0

The Laurels of University Park runs 145 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts are predictable. Turnover of 44.4% lands close to the national 45.8%, meaning this isn't an unusual churn problem, just steady replacement of caregivers. What stands out is the inspection record: 65 deficiencies on file, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was April 2024. Quality measures score well; staffing and health inspections don't.

Nurse hours

3.35 /day

Staff turnover

51%

Serious cites

0

Poplar Hill runs 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop another 9 percent below its own weekday levels. Staff turnover sits at 51 percent, above the 45.8 percent national figure, which means a lot of the people doing the daily work are still new. The health inspection rating is 2 out of 5, with 38 deficiencies on record, none at harm or jeopardy level, none abuse-related, and the last full inspection was August 2023. Quality measures score 5 out of 5, so charted outcomes look strong, but staffing lands at 1 out of 5. Ask how they hold weekend coverage steady.

Nurse hours

3.69 /day

Staff turnover

47%

Serious cites

0

Heritage Hall Front Royal sits in Warren County with 60 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, six deficiencies on file, none at the harm level, none abuse-related, and the most recent inspection was May 2024. The quality measures also score well. Where it slips is staffing: 3.69 nurse hours per resident day falls about 4% under the national average, weekends run roughly 12% thinner than weekdays, and turnover hits 47.4%. That combination, careful care on paper, thinner coverage on the floor, is what pulls an otherwise solid record down to a B.

Nurse hours

3.59 /day

Staff turnover

44%

Serious cites

0

Forest Health & Rehab Center runs 89 certified beds in Lynchburg under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends are thinner still, roughly 13% below the home's own weekday coverage, which matters most when families visit and aides are stretched. The inspection record shows 34 deficiencies, none at harm or jeopardy level, but one tied to abuse, worth asking about directly. Staff turnover is 43.9%, slightly better than the 45.8% national rate, though still meaning familiar faces cycle out. The last inspection was June 2022, so that record is aging.

Nurse hours

3.34 /day

Staff turnover

20%

Serious cites

0

Heritage Hall in Laurel Fork runs 3.34 nurse hours per resident per day, about 14% under the national average, and weekends dip roughly 14% below its own weekday staffing. Turnover is the bright spot: 19.6% against a national average of 45.8%, so the aides and nurses you meet are more likely to still be there next year. Inspectors gave the place a perfect health inspection record, with 12 deficiencies on file but none involving harm or abuse, and the most recent visit was December 2023. The trade-off is real, though: thinner daily coverage than most homes, especially on Saturdays and Sundays, even as the care itself has held up under scrutiny.

Nurse hours

3.41 /day

Staff turnover

53%

Serious cites

0

Chase City Health and Rehab runs about 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends dip about 8% below its own weekday levels. Turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for your relative are changing often. The inspection record shows 19 deficiencies, including one at the harm level and three tied to abuse, though the last full inspection was in February 2023. The strong quality measure score reflects how well the home manages resident conditions day to day, but that's separate from whether enough hands are on the floor. Ask about weekend coverage and how they screen and supervise staff.

Nurse hours

3.59 /day

Staff turnover

54%

Serious cites

0

Summit Health and Rehab Center is a 120-bed for-profit home in Lynchburg, and its numbers pull in opposite directions. The clinical quality measures earn top marks from CMS, but staffing sits below the national average at 3.59 nurse hours per resident day, and weekends run about 13 percent thinner than weekdays, a pattern that matters most when families visit and needs go up. Staff turnover of 54 percent tops the national average by a wide margin, and the inspection record shows 43 deficiencies, two tied to abuse, with the most recent inspection in May 2025. The quality scores look strong on paper; whether the floor is consistently covered is the fairer question.

Nurse hours

3.57 /day

Staff turnover

36%

Serious cites

0

Gainesville Health And Rehab Center runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 36.4% against a national 45.8%, meaning aides and nurses stick around longer than is typical. The current record carries 46 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last full inspection was March 2023, so that record is getting stale.

Nurse hours

3.21 /day

Staff turnover

33%

Serious cites

0

Riverside Lifelong Health in Saluda runs 60 certified beds under nonprofit ownership, and its staffing sits about 17% below the national average at 3.21 nurse hours per resident day, with weekends running roughly 14% thinner than weekdays. Turnover is the bright spot: 33.3% against a national 45.8%, which suggests people stay. But the inspection record is the real story, 31 deficiencies, one at harm or jeopardy level, and a $71,915 fine, with the last inspection on March 6, 2026. A 2/5 inspection rating against a 4/5 quality measure score is a wide gap worth asking about directly.

Nurse hours

5.16 /day

Staff turnover

36%

Serious cites

0

Avamere at Pacific Ridge runs a 102-bed for-profit home in Tacoma, and the staffing numbers are genuinely better than most: 5.16 nurse hours per resident day, roughly a third above the national average, with weekend coverage dipping only about 11% below weekdays. Turnover sits at 36%, below the 45.8% national figure, which matters for continuity of care. The inspection record tells a different story. Sixty-nine deficiencies are on file, four of them at the harm or jeopardy level and four tied to abuse. Three fines total $57,783, and the two-star health inspection and quality ratings reflect that history, even though staffing earned four stars. The most recent inspection was April 24, 2026. Good coverage, but a documented pattern of serious problems worth asking about directly.

Nurse hours

3.61 /day

Staff turnover

29%

Serious cites

0

Hallmark Manor runs leaner on nursing hours than the typical U.S. home, about 3.61 per resident day against a national average near 3.86, and weekends get thinner still, roughly 15% below its own weekday coverage. That matters because its inspection record carries 60 deficiencies, including two at the harm level and one tied to abuse, plus a $32,175 fine. The ownership is for-profit corporate, and the most recent inspection was in May 2025. Where this home stands out is turnover: 29.4% versus a national average around 46%, which suggests a steadier crew than most. Quality measures score well even as the inspection picture stays middling, so the honest read is a place with real strengths and real compliance problems sitting side by side.