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

Nurse hours

4.57 /day

Staff turnover

50%

Serious cites

0

Arbor Springs runs 4.57 nurse hours per resident day, roughly 18% above the national average, which is the main thing keeping its grade respectable. But weekends drop about 16% below the home's own weekday staffing, and turnover sits at 49.7%, higher than the national 45.8%, so the people caring for your family member change often, and there are fewer of them on Saturdays and Sundays. The inspection record shows 11 deficiencies with none at harm or jeopardy level and no abuse citations, though the last inspection was February 2022, so that picture is dated. The two-out-of-five inspection and quality ratings are what pull an otherwise well-staffed building down.

Nurse hours

4.31 /day

Staff turnover

50%

Serious cites

0

Madison Manor runs on a corporate for-profit model with 80 certified beds, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average of 3.86. That's a real strength, though weekend coverage drops about 17% below its own weekday level, so the staffing you see on a Tuesday isn't what you get on a Saturday. The current inspection record shows 8 deficiencies, none at the harm or jeopardy level, but 2 are abuse-related, which deserves a direct question. Staff turnover is 49.5%, higher than the national 45.8%. The last inspection was in August 2024, and CMS rates the quality measures at 2 out of 5 stars.

Nurse hours

3.33 /day

Staff turnover

38%

Serious cites

0

Cypress Cove runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 15% below the home's own weekday coverage. The tradeoff shows up in consistency rather than crisis: four deficiencies on record, none causing harm or involving abuse, and a clean five-star inspection history, though that last full inspection came back in January 2020, so it's been a while since regulators looked closely. Staff turnover sits at 38%, better than the 45.8% national figure, which matters for residents who value seeing the same faces. Corporate-owned and Medicare-certified for 90 beds, this is a home that has avoided serious problems but runs on fewer hands per resident than most.

Nurse hours

4.33 /day

Staff turnover

54%

Serious cites

0

Crowne Health Care Of Montgomery runs 185 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average of 3.86. That headcount comes with a catch: weekends run about 21% thinner than weekdays, and annual turnover is 54.1% against a national 45.8%, so the people providing that care change often. Inspections tell a mixed story. The health inspection rating is 4 of 5, but the current record shows five deficiencies, including one at the harm or jeopardy level and one tied to abuse. The last inspection was April 2023, and quality measures rate just 2 of 5.

Nurse hours

4.25 /day

Staff turnover

58%

Serious cites

0

The nursing staff here puts in more hours per resident than the typical American home, about 4.25 hours a day against a national average near 3.86. That cushion matters, though weekends run roughly 15 percent leaner than weekdays, so a Saturday shift won't look like a Tuesday one. Staff turnover sits at 57.6 percent, well above the 45.8 percent national figure, which means the people caring for your relative may change often. On inspections, the record is clean where it counts: six deficiencies, none involving harm or jeopardy, none tied to abuse. The tradeoff is timing, the last inspection was May 2022, so that snapshot is getting old.

Nurse hours

4.86 /day

Staff turnover

62%

Serious cites

0

The numbers here tell two different stories. Nurse staffing runs 4.86 hours per resident day, roughly a quarter above the national average, and that earned a 4-out-of-5 staffing rating, genuinely good coverage on paper. But weekend hours drop about 16% below the facility's own weekday level, so the care you'd see on a Saturday looks thinner than a Tuesday. Staff turnover sits at 62.4% against a national 45.8%, meaning most of the people providing that care are relatively new. The inspection record is the bigger concern: 17 deficiencies, one serious enough to cause harm, and a $16,801 fine, all from a January 2024 visit. Ask how they've addressed that harm-level finding since.

Nurse hours

3.33 /day

Staff turnover

60%

Serious cites

0

Pioneer Therapy And Living sits in Melbourne, up in Izard County, and it's a for-profit corporation running 86 certified beds. The clinical side looks strong on paper, five out of five stars on both health inspections and quality measures, ten deficiencies on record with none at the harm level and nothing abuse-related, and a recent inspection in May 2026. Where it slips is staffing: 3.33 nurse hours per resident day against a national average of 3.86, weekends running roughly 22% thinner than weekdays, and turnover at 59.8% compared to 45.8% nationally. That combination, good survey results, thin and churning direct care, is what pulls the overall picture down to a B.

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Julia Temple Healthcare Center runs 128 certified beds in Englewood under corporate for-profit ownership, and its nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average of 3.86. That gap is small, but weekend coverage drops about 12% below what the home staffs on weekdays, so the hours your family member gets on a Saturday may look thinner than what the numbers suggest on paper. The current inspection record shows 13 deficiencies, none flagged at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The last inspection was December 10, 2024, so the record is recent. Three stars each on inspections, quality measures, and staffing points to a home that is neither struggling badly nor standing out.

Nurse hours

3.13 /day

Staff turnover

18%

Serious cites

0

Pruitthealth - Grandview runs lean on nursing hours: 3.13 per resident day against a national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. That gap is what pulls its staffing rating down to 2 out of 5, even though inspectors gave it top marks on health inspections and quality measures and its 10 deficiencies include nothing at the harm or abuse level. The counterweight is retention, 18.4% turnover against a national 45.8% means the aides and nurses who are there tend to stay, which matters for consistency of care. For-profit corporate ownership, 72 beds, and a May 2026 inspection round out the picture. Ask how weekend coverage actually looks on the shift you'd visit.

Nurse hours

3.50 /day

Staff turnover

29%

Serious cites

0

Azalea Health and Rehabilitation runs about 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That said, its staff retention is notably better than most: 29.2% turnover against a national 45.8%, which matters for continuity of care. The tradeoff shows up in its inspection record, 9 deficiencies, 2 of them serious enough to involve harm or jeopardy, with a 3/5 health inspection rating and a 2/5 on quality measures despite a recent September 2025 survey. Nonprofit ownership and steadier staffing are real strengths; the harm-level citations are the part worth asking about directly.

Nurse hours

3.92 /day

Staff turnover

46%

Serious cites

0

Parkside Center in Ellijay runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.92 hours per resident day against 3.86 nationally, about a 2% edge. That margin shrinks on weekends, when coverage drops roughly 15% below the home's own weekday level. Turnover is 45.9%, essentially identical to the national 45.8%, so this isn't a stable-building story. The current inspection record shows 25 deficiencies, three of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was March 5, 2026.

Nurse hours

3.27 /day

Staff turnover

54%

Serious cites

0

Clearwater Health & Rehabilitation Of Cascadia runs 60 beds in Orofino under for-profit LLC ownership, and its inspection record is genuinely strong, a 4/5 health inspection rating, 17 total deficiencies with none at the harm or jeopardy level, and a survey completed in April 2025. The staffing picture is where it gets thinner. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 19% below its own weekday levels. Annual turnover of 54.1% outpaces the national 45.8%. One abuse-related deficiency appears on the current record. A recent clean inspection and solid quality measures matter, but ask directly how they cover weekends and how often the staff you meet is new.

Nurse hours

3.15 /day

Staff turnover

34%

Serious cites

0

Avalon Village in Ligonier is a 67-bed for-profit home with a recent inspection record that's genuinely clean, 12 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a survey completed in August 2025. Its inspection and quality measure scores both come in at the top of the federal scale. The catch is staffing. At 3.15 nurse hours per resident day, it runs about 18% under the national average of 3.86, and weekend coverage drops roughly 20% below its own weekday level. Turnover sits at 33.9%, which is actually better than the 45.8% national figure, meaning people tend to stay, there just aren't enough of them scheduled.

Nurse hours

3.60 /day

Staff turnover

52%

Serious cites

0

Miller's Merry Manor in New Carlisle runs 70 certified beds under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating and a clean look at the most recent survey from June 2025. The tradeoff shows up in staffing. At 3.60 nurse hours per resident day, it sits roughly 7% under the national average of 3.86, and weekends run about 17% leaner than weekdays, meaning the hours your family member gets depend partly on which day of the week it is. Annual turnover of 52% tops the national 45.8% average, so expect some churn among caregivers. Eleven deficiencies are on record, one serious enough to involve harm, plus a single $10,255 fine.

Nurse hours

4.38 /day

Staff turnover

48%

Serious cites

0

River Terrace in Madison runs on 4.38 nurse hours per resident day, roughly 13% above the national average, and that staffing shows in its three-star staffing rating. Weekends are the soft spot, about 16% leaner than weekdays, which is when families tend to visit and notice. The inspection record carries 20 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse; the last survey was in March 2026. Staff turnover sits at 47.6%, a touch above the national 45.8%. Corporate-owned, 57 beds. The quality measures score well at four stars, but the inspection history is where the caution lies.

Nurse hours

3.73 /day

Staff turnover

—

Serious cites

0

Hallmark Care Center in Mount Vernon runs a 55-bed for-profit operation, and its nurse staffing sits at 3.73 hours per resident day, just under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 10% below the home's own weekday level, a pattern families often notice as thinner attention on Saturdays and Sundays. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent survey dates to April 2026. State health inspectors handed out 2 out of 5 stars, while quality measures and staffing each earned 3. That split tells you the care outcomes look steadier than the inspection history does.

Nurse hours

3.96 /day

Staff turnover

49%

Serious cites

0

Medicalodges Atchison runs about 60 beds under corporate ownership, and the staffing picture is decent on paper, 3.96 nurse hours per resident day sits slightly above the national average. But that average hides a dip: weekends run roughly 15% leaner than weekdays, which is when families tend to visit and notice. Staff turnover is 48.8%, a few points worse than the national rate. The health inspection record is strong, with a 4-star rating and no deficiencies at the harm level, though two abuse-related citations appear among the 18 total. Quality measures tell a weaker story at 2 stars, and the most recent inspection was April 2026.

Nurse hours

3.86 /day

Staff turnover

40%

Serious cites

0

Signature Healthcare of McCreary County runs a 60-bed for-profit home in Pine Knot, and its staffing sits right at the national average, 3.86 nurse hours per resident per day. That's not a cushion, though. Weekend staffing drops about 19% below the home's own weekday level, and 40% of staff turn over each year, which is better than the 45.8% national rate but still means a lot of new faces. The real trouble is the inspection record: a 1-star health inspection rating, 14 deficiencies, four of them serious enough to involve harm or jeopardy. The most recent inspection was May 2025, so this isn't stale history. Family members should ask directly how the home covers weekends and what's changed since that inspection.

Nurse hours

3.56 /day

Staff turnover

30%

Serious cites

0

Harrodsburg Health & Rehabilitation Center runs 112 certified beds under for-profit LLC ownership, and the staffing numbers are the part worth your attention. At 3.56 nurse hours per resident day, it sits about 8% under the national average, with weekends roughly 16% lighter than weekdays, that gap matters most when a fall or infection happens on a Sunday. Turnover at 30.2% is meaningfully better than the 45.8% national figure, which suggests some stability in the workforce. Six deficiencies on record, none at harm level and none abuse-related, plus one fine of $6,682 and a recent February 2026 inspection. Quality measures score well; staffing is the soft spot.

Nurse hours

3.70 /day

Staff turnover

24%

Serious cites

0

Plantation Manor runs about 135 certified beds in Winnsboro under for-profit LLC ownership, and its last health inspection in August 2025 came back clean on the things that matter most, eleven deficiencies on record, none causing harm or jeopardy, none tied to abuse. The staffing picture is mixed: overall nurse hours sit roughly 4% under the national average, and weekends run about 17% thinner than weekdays, though a 24.1% annual turnover rate is well below the 45.8% national figure, which suggests people tend to stay. Quality measures score low, so ask what those reflect before you tour.