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

Nurse hours

3.37 /day

Staff turnover

55%

Serious cites

0

Hickory Creek At Franklin is a small for-profit home, 36 beds, and its inspection record is genuinely strong: five deficiencies on file, none of them causing harm or jeopardy, with the most recent state visit in February 2026. The quality measure scores back that up. Where it gets thinner is staffing. At 3.37 nurse hours per resident day, it runs about 13% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. Annual turnover sits at 55%, nearly ten points above the national figure, so the people caring for your family member change more often than average. One abuse-related deficiency is also on the record. Ask to see weekday and weekend aide coverage before deciding.

Nurse hours

3.32 /day

Staff turnover

54%

Serious cites

0

Envive of Sullivan runs 77 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, and annual turnover hits 53.7% against a national 45.8%, so the aides and nurses working with your family member change often. The inspection record shows 31 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the most recent inspection was June 2025. Quality measures score well, though that strength sits alongside weaker inspection results and below-average staffing, worth weighing before you decide.

Nurse hours

4.07 /day

Staff turnover

45%

Serious cites

0

Holy Cross runs a 168-bed nonprofit home in South Bend, and its staffing is the clearest strength: 4.07 nurse hours per resident day, about 5% above the national average, though weekends dip roughly 11% below its own weekday coverage. Turnover sits at 45.4%, essentially matching the national rate. The weaker side shows in the government's health inspection and quality ratings, both 2 out of 5, with 26 deficiencies on the current record, none at the harm level and none abuse-related. The most recent inspection was in April 2025, so the picture is current. Roughly put: adequate hands on deck, middling results on care processes and compliance.

Nurse hours

3.29 /day

Staff turnover

20%

Serious cites

0

Envive of Hartford City runs 78 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends dip about 6 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The one number that stands out favorably is turnover: 20 percent against a national average near 46 percent, suggesting a steadier crew than most. Inspections from September 2025 turned up 22 deficiencies, none at harm or jeopardy level, though three were abuse-related, worth asking about directly. Three-star ratings across health inspection, quality measures, and staffing put this home squarely mid-pack.

Nurse hours

3.07 /day

Staff turnover

34%

Serious cites

0

Manderley Health Care Center runs about 3.07 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop another 12 percent under its own weekday staffing. Turnover sits at 34.1 percent, which is actually better than the 45.8 percent national figure, a sign the core crew tends to stay. The 71-bed for-profit home carries 20 deficiencies on its current record, none at the harm level and none abuse-related, with its most recent inspection in late January 2026. What that adds up to is a home with thinner daily coverage than most, especially on weekends, but no serious safety findings and steadier-than-average staff retention.

Nurse hours

3.43 /day

Staff turnover

48%

Serious cites

0

Mill Pond Health Campus is city/county-owned, which is unusual in this market, and its 68 beds run on 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 13% below the home's own weekday staffing, so coverage thins out right when families tend to visit. Annual turnover sits at 48.1%, a bit above the national 45.8%, meaning nearly half the nursing staff turns over each year. The current record shows 15 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was May 14, 2026, so that record is recent. Quality measures score well; the staffing and inspection numbers are what hold this one back.

Nurse hours

3.88 /day

Staff turnover

52%

Serious cites

0

Prairie Lakes is county-owned, which is unusual, most nursing homes are for-profit, and it holds up reasonably well on inspections, with a 4 out of 5 star rating and no deficiencies at the harm or jeopardy level. The catch is staffing. Total nurse hours sit essentially at the national average, but weekends run about 14 percent thinner than weekdays, and turnover is 51.6 percent against a national 45.8 percent. That combination, an inspection record that looks clean next to a workforce that keeps churning, is what holds the grade to a B. One abuse-related deficiency is on the record; worth asking about directly.

Nurse hours

3.37 /day

Staff turnover

45%

Serious cites

0

Greenwood Meadows runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends dip another 14% below its own weekday level. That thinner coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 45.2% is basically in line with the national figure and the home's quality measure score is perfect. The inspection record is solid on paper, a 4-star rating and nine deficiencies, none at harm or jeopardy level, but two of those are abuse-related, which is worth asking about directly. As a nonprofit with 169 beds, it's not chasing margins, so the question is whether the weekend shortfall is a scheduling choice or a hiring problem.

Nurse hours

3.52 /day

Staff turnover

46%

Serious cites

0

Avalon Springs Health Campus runs on county government ownership in Valparaiso, and the numbers there are a mixed bag. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home itself provides on weekdays, so coverage thins out right when families tend to visit. Turnover lands at 46.4%, essentially tracking the national rate. The inspection record shows 28 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in January 2026. Quality measures score well; staffing and inspections sit in the middle.

Nurse hours

4.42 /day

Staff turnover

47%

Serious cites

0

Springs of Richmond runs a for-profit operation under a limited liability company, and the numbers give you a mixed picture worth sorting through. Nurse staffing sits at 4.42 hours per resident day, roughly 15 percent above the national average, though weekends drop about 11 percent below what the home staffs on weekdays, so coverage isn't even across the week. Turnover lands at 46.9 percent, essentially tracking the national rate rather than beating it. The inspection record is where the concern sits: 37 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus one fine of $25,760. The last inspection came in February 2026. Quality measure scores look strong, but that history of cited problems is what pulls the overall picture down.

Nurse hours

— /day

Staff turnover

50%

Serious cites

0

Iowa City Rehab & Health Care runs 89 certified beds under for-profit LLC ownership, and its federal stars split sharply: quality measures score 4 out of 5, while inspection and staffing each land at 1. Staff turnover sits at 50%, above the 45.8% national average. The current record carries 42 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level. A May 2026 inspection is recent enough to reflect current conditions. The strong quality numbers suggest clinical care goals are being met on paper, but thin staffing and frequent turnover make that hard to sustain, and the inspection history is the number I'd weigh heaviest when deciding.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Southern Hills Specialty Care runs a 90-bed nonprofit home in Osceola, and its staffing sits at 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The current record shows 8 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and one fine of $36,865 has been assessed. The last inspection was August 2025. Nothing here is alarming on its face, but the abuse citations and light staffing are worth asking about directly.

Nurse hours

3.63 /day

Staff turnover

—

Serious cites

0

Manor House Care Center runs 55 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 15% lighter than its own weekdays. That thin weekend coverage matters more when you look at the inspection record: 14 deficiencies currently on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 15, 2025. CMS rates its health inspections and staffing at 2 out of 5 stars each, while quality measures come in at 4. The quality scores look better than the day-to-day staffing and oversight picture, and that gap is worth asking about directly.

Nurse hours

3.65 /day

Staff turnover

40%

Serious cites

0

Guttenberg Care Center runs a tight ship on inspections, zero deficiencies on its current record, none at the harm level, nothing abuse-related, and a five-star health inspection rating from CMS, with its last survey in November 2025. Staffing is thinner than average, though: 3.65 nurse hours per resident day against 3.86 nationally, and weekends run about 9% leaner than weekdays, which matters most when families visit and needs don't pause. Turnover sits at 40%, better than the 45.8% national figure, suggesting the crew that's there tends to stay. For 46 beds under limited-liability ownership, the picture is a clean inspection history paired with below-average daily coverage, worth asking the administrator how weekends are actually staffed.

Nurse hours

3.19 /day

Staff turnover

48%

Serious cites

0

New London Specialty Care runs 43 certified beds as a nonprofit, and its most recent inspection in February 2026 left four deficiencies on record, none at the harm level, but one tied to abuse, which is worth asking about directly. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 12% thinner than weekdays, so coverage isn't evenly spread. Annual turnover of 47.7% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections and quality measures both rate well; staffing is the weaker leg holding this home up.

Nurse hours

3.40 /day

Staff turnover

33%

Serious cites

0

Woodland Health and Rehabilitation runs 62 beds in Mount Pleasant under corporate ownership, and its staffing sits about 12 percent under the national average, with weekends thinner still. That thin coverage shows up in the inspection record: 17 deficiencies, two of them serious enough to put residents in harm's way and three tied to abuse, plus roughly $34,000 in fines. The one clear bright spot is that caregivers stay longer than average here, with turnover well below the national rate. Clinical quality scores look strong on paper, but the last inspection only happened this April, so that record is fresh and unresolved.

Nurse hours

4.36 /day

Staff turnover

54%

Serious cites

0

The Vistas At Bettendorf runs 4.36 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in its four-star rating there. Weekends dip about 6% below its own weekday levels, so coverage holds fairly steady. Turnover is the soft spot: 53.8% of staff leave each year against a 45.8% national figure, which is worth asking about directly. Its 13 deficiencies include none at the harm level and none abuse-related, and the most recent inspection was August 2025. Quality measures score two stars, the weakest area on record. Owned by a for-profit limited liability company.

Nurse hours

3.39 /day

Staff turnover

46%

Serious cites

0

North Point Skilled Nursing Center runs 53 beds in Paola under corporate ownership, and its last inspection came back clean enough to earn five stars from CMS, with just five deficiencies on record, none at the harm level and nothing abuse-related. The catch is daily staffing: 3.39 nurse hours per resident, roughly 12% under the national average, and weekends dip about 9% below the home's own weekday coverage. Turnover sits at 45.7%, almost exactly the national rate, so retention isn't the standout problem here, thin weekday-to-weekend coverage is. Quality measures land mid-range. A recent, clean inspection is real reassurance; just ask how weekends actually get covered.

Nurse hours

3.84 /day

Staff turnover

65%

Serious cites

0

Newton Presbyterian Manor runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86, so there's no real cushion there. Weekends drop about 9% below the home's own weekday coverage, and annual turnover hits 65.4% against a national 45.8%, meaning you should ask how they keep consistent caregivers on weekends and evenings. The inspection record shows 21 deficiencies, three serious enough to reach harm or jeopardy level, and one fine of $26,500; the most recent inspection was February 2026. Quality and staffing measures both earn four stars, but the three-star health inspection side is where the real questions live.

Nurse hours

4.42 /day

Staff turnover

54%

Serious cites

0

Emporia Presbyterian Manor runs a nonprofit shop with 60 certified beds, and its nurse staffing comes in at 4.42 hours per resident day, roughly 14% above the national average of 3.86. That's the strongest thing in its file. Weekends thin out about 10% below the home's own weekday level, though, and annual turnover sits at 53.8% against a national 45.8%, so a lot of those hours belong to people still learning the building. The health inspection record shows 32 deficiencies, 2 of them at harm or jeopardy level, no abuse citations, and $30,244 in fines across two penalties. A recent March 2026 inspection is a plus. Quality measure scores are weak, and the staffing and inspection picture doesn't fully offset that.