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

Nurse hours

4.03 /day

Staff turnover

48%

Serious cites

0

Regency At Waterford runs 150 beds under corporate ownership, and the staffing numbers are its strongest card, 4.03 nurse hours per resident day, a bit above the national average. That edge narrows on weekends, when coverage drops roughly 11% below the home's own weekday level, and turnover sits slightly worse than the national rate at 47.5%. The inspection record is the real problem. Sixty-one deficiencies, including three at the harm or jeopardy level and four tied to abuse, with the most recent inspection in May 2025. State inspectors rated health inspection performance 1 out of 5 stars. Quality measures land at 2. Staffing earns 4. Ask what those harm-level citations involved before you decide.

Nurse hours

3.00 /day

Staff turnover

43%

Serious cites

0

Hampton Nursing and Rehabilitation runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends get thinner still, about 11% under its own weekday coverage, which matters most for a 51-bed building where fewer staff means each resident waits longer. Staff turnover of 42.9% is slightly better than the national 45.8%, so the people who stay tend to stay, even if the roster churns at a normal clip. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection as recent as June 2025. Corporate-owned and for-profit, it earns middle marks on health inspections and staffing, better ones on quality measures.

Nurse hours

3.58 /day

Staff turnover

49%

Serious cites

0

The Orchards At Douglas Cove runs about 51 beds in Douglas, and the staffing numbers are the first thing to look at. Nurses provide 3.58 hours of care per resident each day, roughly 7% below the national average, and weekends drop about 14% below what the home itself staffs on weekdays, which matters for falls and infections when families visit. Staff turnover sits at 48.8%, above the national rate, so aides and nurses cycle through faster than average. The inspection record shows 29 deficiencies, three tied to abuse, though none reached harm or jeopardy level; the last inspection was July 2025. Ownership is for-profit and individual.

Nurse hours

3.53 /day

Staff turnover

47%

Serious cites

0

Four Chaplains runs 96 certified beds in Westland under corporate for-profit ownership, and its three CMS star ratings all sit at 4 out of 5, inspection, quality measures, and staffing alike. The staffing picture is more mixed than that last star suggests: 3.53 nurse hours per resident day is about 9% under the national average of 3.86, and weekends dip roughly 8% below the home's own weekday coverage. Turnover sits at 46.9%, a touch above the 45.8% national figure. Twenty deficiencies appear on the current record, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $45,126. The most recent inspection was February 13, 2026.

Nurse hours

4.04 /day

Staff turnover

56%

Serious cites

0

Grand Oaks runs more nursing hours per resident than the typical American home, 4.04 a day against a national average of 3.86, and that's the main reason its staffing rating holds at 4 stars. But the floor gets thinner on weekends, when coverage drops roughly 12% below what the building staffs Monday through Friday. Turnover sits at 56%, well above the 45.8% national figure, so a lot of the hands on the floor are still new to the building. The current inspection record lists 33 deficiencies, including 2 at the harm level and 4 tied to abuse, from a survey completed in March 2025.

Nurse hours

3.44 /day

Staff turnover

46%

Serious cites

0

Springcreek runs a for-profit shop under an LLC, and the numbers show where the corners get cut. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends dip about 6% below its own weekday levels, so a Saturday shift is when your family member is most likely to wait. The inspection record carries 40 deficiencies, two of them serious enough to reach harm or jeopardy level, though none involve abuse. Turnover at 46.4% is essentially the national rate, meaning aides cycle through about as fast as everywhere else. Nothing here is alarming on its own; together they describe a home doing the minimum.

Nurse hours

3.56 /day

Staff turnover

51%

Serious cites

0

King Nursing & Rehabilitation Community runs 61 certified beds in Houghton Lake under for-profit limited liability ownership. Nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 13% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 51.2% against a national 45.8%, which means more than half the nursing staff leaves each year. The inspection record is stronger: a 5/5 health inspection rating with only 7 deficiencies on file, none at harm or jeopardy level, though one is abuse-related. Its last inspection was April 10, 2025. Quality measures score 4/5; staffing scores 3/5.

Nurse hours

4.28 /day

Staff turnover

50%

Serious cites

0

Covenant Village of the Great Lakes runs on 4.28 nursing hours per resident day, roughly 11% above the national average, which is the main reason its staffing rating holds at 4 out of 5. That figure softens on weekends, though, when coverage drops about 11% below the home's own weekday level. Staff turnover sits at 50%, a bit above the 45.8% national mark, so the people caring for residents change fairly often. The 22 deficiencies on record include nothing tied to harm, jeopardy, or abuse, and the last inspection closed in March 2026. Quality measures are the weak spot here, scoring 2 out of 5, even as inspections earned 4.

Nurse hours

3.99 /day

Staff turnover

58%

Serious cites

0

Optalis Health and Rehabilitation of Sterling Heights runs 163 beds under for-profit LLC ownership, and its staffing sits at 3.99 nurse hours per resident day, about 3% above the national average, though weekends drop roughly 9% below its own weekday levels. The bigger concern is turnover: 58.1% annually, well above the 45.8% national figure, which means familiar faces are hard to count on. Inspections tell a similar story. The home carries 43 deficiencies on its current record, two serious enough to involve harm or jeopardy, plus one fine of $4,233. Its last inspection was June 25, 2025. Quality measures score well, but consistent staffing and a cleaner inspection history are what families should weigh here.

Nurse hours

3.50 /day

Staff turnover

38%

Serious cites

0

The Villas At Brookview runs 104 beds in Golden Valley under corporate ownership, and its inspection record is the thing to look at first: 36 deficiencies on file, including one at the harm-or-jeopardy level and two tied to abuse. That is a lot of citations, and the single star CMS gives its health inspections reflects it, the last full inspection was April 16, 2026. Staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends run about 12% thinner than weekdays. Turnover of 38.3% is actually better than the 45.8% national figure, so the issue here isn't retention, it's how many hours each resident gets.

Nurse hours

4.49 /day

Staff turnover

57%

Serious cites

0

Cura Of Paynesville runs 51 certified beds under corporate for-profit ownership, and the nursing hours tell a decent story: 4.49 per resident day, roughly 16% above the national average of 3.86. Weekends thin out by about 14% against its own weekdays, though, and turnover sits at 56.9%, well above the 45.8% national figure, so the care you see depends heavily on who's still there. Six deficiencies on record, none at harm or jeopardy level and none abuse-related, with a recent April 2026 inspection. Staffing and health inspection each earn 4 of 5 stars; quality measures come in at just 2.

Nurse hours

4.98 /day

Staff turnover

26%

Serious cites

0

Benedictine Health Center of Minneapolis runs on a strong staffing core: 4.98 nurse hours per resident day, roughly 29% above the national average, with turnover at 25.6% against a national 45.8%. That's a workforce that stays put. The trouble is everything around it. Two-star health inspections, 31 deficiencies on the current record, two at harm or jeopardy level and three abuse-related, plus an $84,774 fine. Weekend staffing also drops about 10% below its own weekday level. With a last inspection date of April 2026, the record is recent enough to take seriously. The people providing care here appear stable; the compliance and oversight record is where the risk sits.

Nurse hours

3.95 /day

Staff turnover

53%

Serious cites

0

Good Samaritan Society Inver Grove Heights runs 46 certified beds as a nonprofit, and its nurse staffing sits at 3.95 hours per resident day, slightly above the national average. That edge narrows on weekends, when coverage drops about 13% below the home's own weekday level, and annual turnover of 52.6% runs well past the national 45.8%, so residents see a lot of new faces. The inspection record is the harder part: 40 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was February 2026, so that record is current. Above-average staffing is real, but it's carrying a facility with a thin quality measure rating and a serious citation history.

Nurse hours

3.48 /day

Staff turnover

46%

Serious cites

0

The Estates at Twin Rivers runs 50 certified beds in Anoka under corporate for-profit ownership, and its staffing sits about 10% under the national average at 3.48 nurse hours per resident day. Weekends dip roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is essentially average at 45.5%. The real trouble is the inspection record: 38 deficiencies currently on file, one serious enough to reach harm or jeopardy level, from a survey completed May 23, 2025, a one-star health inspection rating against a two-star quality measure score. Staffing hours look better than that, but they don't erase what inspectors found.

Nurse hours

3.86 /day

Staff turnover

48%

Serious cites

0

La Crescent Health Services sits at exactly the national average for nurse staffing, 3.86 hours per resident day, which sounds fine until you notice the weekend dip. Coverage drops about 13% below its own weekday level, so the hours your family member gets on a Saturday look different from a Tuesday. Turnover runs 48.4% against a national 45.8%, meaning nearly half the staff left within a year. The bigger concern is the inspection record: 32 deficiencies, including one at the harm level and two tied to abuse, with a one-star health inspection rating. That's a lot of documented problems for a 42-bed building, and it's why the overall picture lands where it does despite decent staffing numbers.

Nurse hours

3.19 /day

Staff turnover

50%

Serious cites

0

Prairie View Senior Living runs about 3.19 nurse hours per resident day, roughly 18% under the national average of 3.86. Weekends drop another 12% below its own weekday staffing, so coverage thins out exactly when families tend to visit. The 50% annual turnover is higher than the 45.8% national figure, meaning roughly half the nursing staff changes over in a year. Inspections from May 2026 turned up 23 deficiencies, none at the harm level, though two involve abuse. All three CMS star ratings sit at 3 out of 5. For-profit individual ownership. This is a home with real gaps in staffing depth, not a record of serious harm.

Nurse hours

3.76 /day

Staff turnover

39%

Serious cites

0

St Crispin runs a 64-bed nonprofit home in Red Wing, and its staffing numbers tell a mixed story. A 3.76-hour-per-resident-day total sits just under the national average, weekend coverage dips about 10% below its own weekdays, yet annual turnover of 38.6% beats the national 45.8%, meaning the people who are there tend to stay. The trouble is the inspection record: 18 deficiencies, two of them at harm or jeopardy level and two abuse-related, plus a single $138,989 fine. A March 2026 inspection and a 4/5 quality measure score show some care strengths, but that harm-level and abuse history is what pulls the overall picture down.

Nurse hours

3.29 /day

Staff turnover

36%

Serious cites

0

Diversicare of Ripley runs 140 certified beds as a for-profit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, about 15% under the national average of 3.86, and weekends dip roughly 15% below the home's own weekday levels, so the thinnest coverage lands when families often visit. Turnover is 35.7%, better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is the inspection history: 38 deficiencies, 8 at harm or jeopardy level, one abuse-related, and $72,793 in fines across five penalties. The most recent inspection was February 11, 2026. Staffing scores well; the compliance record is where the concern lives.

Nurse hours

5.01 /day

Staff turnover

41%

Serious cites

0

Trend Health & Rehab Of Carthage runs lean on inspections but heavy on nursing hours. At 5.01 hours per resident day, its nurse staffing sits roughly 30% above the national average, and its 40.5% turnover rate is slightly better than the typical 45.8%. That's the good news. The rest is harder to ignore: 25 deficiencies on the current record, six serious enough to put residents in harm's way, two tied to abuse, and $9,475 in fines. Weekend staffing drops about a quarter below weekday levels, so coverage thins out exactly when families visit. Ownership is a for-profit LLC, and the last inspection came in May 2024.

Nurse hours

3.87 /day

Staff turnover

46%

Serious cites

0

Nmmc Baldwyn runs 107 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86. The catch is weekends, when coverage drops about 14% below what the home staffs on weekdays, and turnover runs 46.1%, just above the national 45.8%. Inspectors cited 28 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with a single fine of $13,520 attached. The health inspection rating lands at 2 out of 5 stars, though the quality measure score is 4. The most recent inspection was March 26, 2026, recent enough to count.