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

Nurse hours

3.71 /day

Staff turnover

47%

Serious cites

0

Rest Haven runs about 3.71 nurse hours per resident per day, a bit under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. Annual turnover sits at 46.8%, essentially in line with the national figure. The current record shows 23 deficiencies, none at the harm or jeopardy level, but three tied to abuse, worth asking about directly. The last inspection was in September 2025, so the picture is recent. Corporate-owned, 60 beds, with middling marks on both health inspections and quality measures and somewhat better on staffing. Ask how weekends are covered and what those abuse citations involved.

Nurse hours

3.49 /day

Staff turnover

45%

Serious cites

0

Hilltop Manor runs about 3.49 nurse hours per resident day, roughly ten percent under the national average, and weekends dip another 13 percent below its own weekday staffing. Turnover sits at 44.8%, basically in line with the national figure, so retention isn't the standout problem here, coverage is. The inspection record shows 25 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2024. Where the numbers split sharply is quality measures at 1 out of 5 against staffing at 5 out of 5, which suggests the home has bodies on the floor but residents aren't faring as well on the clinical measures CMS tracks.

Nurse hours

3.69 /day

Staff turnover

54%

Serious cites

0

Brandon Court runs 3.69 nurse hours per resident per day, about 4% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. Staff turnover sits at 53.9% against a national 45.8%, so nearly half the nursing staff is cycling out each year, that instability matters more than a single day's census. On paper the home looks stable elsewhere: a 4/5 inspection rating, its last full inspection in November 2024, and 15 deficiencies on record with none at the harm level and none abuse-related. That combination, decent inspections, thin and churning staffing, is what lands it in solid-but-not-standout territory.

Nurse hours

3.18 /day

Staff turnover

49%

Serious cites

0

Diversicare Of Quitman runs 120 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Staff turnover is 49.3%, above the 45.8% national figure, meaning nearly half the caregiver roster changes over in a year. The current record shows 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $8,018. The last inspection was May 21, 2026, recent enough to reflect current conditions rather than old ones.

Nurse hours

3.01 /day

Staff turnover

47%

Serious cites

0

Meadow View runs on thinner staffing than most homes its size, 3.01 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip further, about 9% below its own weekday numbers, so the quietest shifts are also the leanest. The inspection record shows 44 deficiencies, including four at harm or jeopardy level and four tied to abuse, though the most recent inspection was February 2026, so that picture is current. Turnover sits at 46.5%, essentially matching the national rate rather than standing out either way. Quality measures score well; staffing and inspections are where the gaps live.

Nurse hours

3.83 /day

Staff turnover

56%

Serious cites

0

St. Clair Nursing Center in Franklin County scores a 5/5 on both health inspections and quality measures, and its last inspection was recent, February 2025, so the survey record is current. The staffing picture is where it gets less comfortable: 3.83 nurse hours per resident day, slightly under the national average, with weekends running about 12% leaner than weekdays. Annual turnover of 56.2% is well above the 45.8% national figure, which matters because constant churn tends to make consistent care harder. The home carries 8 deficiencies, one at the harm level, and a single $12,735 fine. Strong inspections and quality marks, thinner staffing and high turnover, that's the trade-off worth weighing.

Nurse hours

3.30 /day

Staff turnover

44%

Serious cites

0

Independence Manor runs about 3.30 nursing hours per resident per day, roughly 15% under the national average of 3.86, a real gap if your family member needs help with daily tasks or has complex medical needs. The current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and state inspectors were last in the building in December 2025. Staff turnover of 43.6% sits slightly better than the national 45.8%, and weekend coverage barely dips from weekday levels. Ownership is for-profit corporate, and its quality measure rating of 2 out of 5 is the softest number in the file.

Nurse hours

3.73 /day

Staff turnover

63%

Serious cites

0

Brookhaven runs 90 beds under corporate ownership, and its staffing is the part that stands out, 3.73 nurse hours per resident day sits a little under the national average, and weekends drop roughly 15% below its own weekday coverage. That thin weekend margin matters more when turnover is 62.5% against a national 45.8%, because replacements are constantly learning the building. The inspection record shows 37 deficiencies, none flagged at harm or jeopardy level, though four are abuse-related and the last survey was December 2024. None of this reads as dangerous, exactly; it reads as a building running lean on people while staying in reasonable regulatory standing. The quality and inspection ratings land mid-range, and the staffing rating is where the strain shows.

Nurse hours

3.63 /day

Staff turnover

—

Serious cites

0

Colonial Manor Of Randolph runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekend staffing drops roughly 16% below its own weekday level, so the hours get thinnest exactly when families tend to visit. The inspection record is the real problem: 23 deficiencies, three of them abuse-related, and a one-star health inspection rating, though none of the citations rose to harm or jeopardy. Ownership is for-profit corporate, and the last inspection was December 10, 2025. Quality measures and staffing both score four stars, so the care processes look better on paper than the state surveyors found in practice.

Nurse hours

3.30 /day

Staff turnover

37%

Serious cites

0

Highland Manor Of Mesquite Rehabilitation runs 112 certified beds under for-profit LLC ownership, and its staffing sits at 3.30 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the better news at 36.6%, well under the 45.8% national figure, which suggests less churn than many peers. Inspections look solid: a 4/5 health inspection rating, 15 deficiencies on record with none at harm or jeopardy level, though 3 are abuse-related and worth asking about directly. Last inspection was April 2026.

Nurse hours

3.37 /day

Staff turnover

46%

Serious cites

0

Highland Manor of Elko runs 146 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average of 3.86. Weekends run roughly 7% thinner than weekdays, so coverage dips when families tend to visit. Annual turnover of 45.5% is essentially the national rate, meaning the churn here is ordinary rather than alarming. The inspection record carries 32 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was August 2025, so the record is recent. Quality measures score well above average; the inspection history is where the caution lies.

Nurse hours

4.39 /day

Staff turnover

52%

Serious cites

0

Sage Creek Post-Acute runs 60 beds in Las Vegas under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. Total nurse coverage sits at 4.39 hours per resident day, about 14% above the national average of 3.86, yet the federal staffing star comes in at just 2 out of 5, a gap that usually points to how thin weekend coverage gets, and here weekends run roughly 8% below the home's own weekday level. Annual turnover is 51.7%, higher than the 45.8% national figure. Twenty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 30, 2026.

Nurse hours

3.31 /day

Staff turnover

45%

Serious cites

0

Dover Center runs on thinner nurse coverage than most homes, 3.31 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. Staff turnover sits at 44.9%, right in line with the national figure, so retention isn't the standout problem here. What stands out is the inspection record: 15 deficiencies, one tied to abuse, though none reached the level of actual harm or jeopardy, and the most recent state visit was in May 2025. The quality measures score well, but quality numbers come from resident assessments, not from how the place is run day to day. For-profit ownership under an LLC, and a two-out-of-five inspection rating, are the parts I'd ask about directly.

Nurse hours

4.25 /day

Staff turnover

61%

Serious cites

0

Saint Ann Rehabilitation And Nursing Center runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, though weekend coverage dips about 10% below its own weekday level. The trade-off shows up in retention: annual staff turnover is 60.5%, well above the 45.8% national figure, so residents likely see a rotating cast of caregivers. Inspections look solid, a 4/5 health inspection rating, six deficiencies on record, none at harm or jeopardy level, and one abuse-related finding. The quality measure rating sits at 2/5, which is where the home's numbers thin out. Nonprofit ownership and a recent March 2026 inspection round out the picture. Strong staffing on paper, shaky consistency in practice.

Nurse hours

3.19 /day

Staff turnover

30%

Serious cites

0

Country Village Center runs on about 3.19 nurse hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip another 9% below its own weekday numbers. That's the tradeoff you're weighing against a record that's otherwise fairly clean: ten deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and an inspection that's recent as of September 2025. Staff turnover sits at 30%, well under the national 45.8%, which suggests the people who are there tend to stay. Genesis operates it as a for-profit LLC. Ask how they cover a weekend callout.

Nurse hours

3.10 /day

Staff turnover

42%

Serious cites

0

Complete Care At Green Knoll runs a 176-bed for-profit home in Bridgewater, and the numbers tell a mixed story. Nurse staffing sits at 3.10 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends run about 3 percent thinner than weekdays, so the aides and nurses on hand are stretched further than at the typical facility. Turnover, at 41.9 percent, actually comes in a bit better than the 45.8 percent national figure. The current record shows 19 deficiencies, none involving harm or abuse, and the last inspection was February 2026. Quality measures score well; staffing is where this home is thinnest.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

Llanfair House runs 180 certified beds in Wayne under individual for-profit ownership, and its staffing sits about 10% under the national average, 3.46 nurse hours per resident day against 3.86. That gap widens on weekends, when coverage drops roughly 15% below the home's own weekday level, and half the staff turned over in the past year, a bit worse than the 45.8% national figure. The inspection record carries more weight than the quality measures here: 36 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and a $47,304 fine. The most recent inspection was December 16, 2024, so the picture is fairly current. Quality measures score well; the direct-care and compliance side is where the concerns sit.

Nurse hours

3.11 /day

Staff turnover

38%

Serious cites

0

Shore Pointe Care Center runs 178 beds in Eatontown under for-profit partnership ownership, and its numbers pull in two directions. The inspection record is the weak spot: 26 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, plus $135,795 in fines across two events, and the last inspection was January 2025. Staffing sits at 3.11 nurse hours per resident day, roughly 20% under the national average, and weekends drop about 14% below the home's own weekday level. Turnover is 38%, better than the 45.8% national figure, which matters for consistency of care. A family should ask directly how the abuse deficiency was resolved and who covers the floor on Saturday.

Nurse hours

3.16 /day

Staff turnover

35%

Serious cites

0

Willow Springs runs lean on nursing hours, 3.16 per resident day against a national average of 3.86, and weekends drop another 13% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover is the brighter spot: 34.8% sits well under the 45.8% national figure, so the aides and nurses here tend to stick around longer than at the typical home. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, though nothing abuse-related, and a single $8,512 fine. Last inspection was January 2026, so the record is recent. Quality measures score well; staffing and health inspections are the weaker numbers.

Nurse hours

2.76 /day

Staff turnover

13%

Serious cites

0

Careone at New Milford runs 236 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.76 hours per resident day, roughly 28% under the national average of 3.86. Weekend coverage drops about 14% below its own weekday numbers, so the thinnest shifts land when families tend to visit. The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $15,334 fine. That said, staff turnover is 13.1% against a national average of 45.8%, which is unusually steady, and the quality measure rating is 5/5. Its last inspection was March 6, 2025.