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

Nurse hours

3.95 /day

Staff turnover

48%

Serious cites

0

Wesley Village runs 160 certified beds as a nonprofit corporation, and its 3.95 nurse staffing hours per resident day sits just above the national average of 3.86, a thin margin, not a wide one. Weekend staffing drops roughly 13% below weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover of 47.7% runs slightly above the national 45.8%, meaning nearly half the nursing workforce turns over in a year. The inspection record shows 29 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations and a single fine of $8,021. The most recent inspection came in February 2026. Federal ratings put staffing at 4 out of 5 stars, but health inspections and quality measures both land at 3.

Nurse hours

3.41 /day

Staff turnover

51%

Serious cites

0

Casselman runs lean on nursing hours, 3.41 per resident day against a national average of 3.86, and weekends slip about 11% below its own weekday pace, which matters when that's when families often visit. Staff turnover sits at 51%, higher than the 45.8% national figure. The inspection record is the harder read: 52 deficiencies, including one at harm or jeopardy level and two tied to abuse, with the most recent survey dated July 2025. Ownership is a for-profit limited liability company. Quality measures score well; staffing and inspections don't. If you're weighing this one, ask specifically how weekends are covered and what changed after that last survey.

Nurse hours

3.04 /day

Staff turnover

28%

Serious cites

0

Elkins Crest runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The tradeoff is stability: 27.6% turnover looks good next to the 45.8% national figure, meaning the aides and nurses who are there tend to stay. But the record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus an $8,152 fine. The quality scores look strong and the last inspection was recent, but those harm and abuse findings are the part worth asking about directly.

Nurse hours

3.82 /day

Staff turnover

30%

Serious cites

0

Pawtucket Falls Healthcare Center runs 154 certified beds under for-profit LLC ownership, and its current inspection record carries 45 deficiencies, four at the harm or jeopardy level, two tied to abuse, along with $241,130 in CMS fines across two actions. That inspection history is the sharpest fact here, and the most recent survey, from December 2024, is recent enough to treat as current. Staffing sits at 3.82 nurse hours per resident day, just under the national average of 3.86, with weekends running about 4% lighter than weekdays; turnover of 30.1% is notably better than the 45.8% national figure. Quality measures score well, but the abuse and harm findings are what a family should ask about directly.

Nurse hours

3.45 /day

Staff turnover

37%

Serious cites

0

Stillwater runs 3.45 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 12% below its own weekday staffing. That's the pattern worth asking about: coverage is thinnest exactly when families tend to visit and when backup is hardest to arrange. Turnover sits at 36.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. A March 2025 inspection is recent, and the 4-star health inspection rating with 3 stars each for staffing and quality measures reflects a home that's generally sound but not generously staffed.

Nurse hours

3.75 /day

Staff turnover

41%

Serious cites

0

Good Samaritan Society Sioux Falls Village runs 177 certified beds as a nonprofit, and its staffing sits slightly below the national average, 3.75 nurse hours per resident day against 3.86. Weekends drop about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 40.8% is better than the 45.8% national figure, which matters for continuity. The trouble is the inspection record: 43 deficiencies, five at harm or jeopardy level, five abuse-related, and five fines totaling $72,812, with the last inspection in April 2025. A 4/5 staffing star and 3/5 quality measure score don't offset a 1/5 inspection rating when the harm-level findings stack up like that.

Nurse hours

3.69 /day

Staff turnover

48%

Serious cites

0

Soddy-Daisy Health Care Center runs 134 certified beds under corporate for-profit ownership, and its staffing sits at 3.69 nurse hours per resident day, about 5% under the national figure of 3.86. Weekends drop roughly another 10% below the home's own weekday coverage, and annual turnover is 47.7%, slightly above the 45.8% national average. On inspections, the current record shows 8 deficiencies with none at the harm or jeopardy level and none abuse-related; the last inspection was November 17, 2025. CMS rates staffing 2 out of 5 stars, which lines up with those hours, while the quality measure rating is a stronger 4 out of 5. Ask about weekend nurse coverage and how they keep direct-care staff from cycling out.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Avir At Town Creek runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends thin out about 10% below what the home staffs on weekdays, and annual turnover of 47.1% edges past the national 45.8%, so the people giving care keep changing. The inspection record carries 23 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with two fines totaling $49,065. The most recent inspection was August 2025, so that record is current, not stale.

Nurse hours

3.23 /day

Staff turnover

26%

Serious cites

0

Paradigm At Kountze runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. That thinner weekend schedule matters, since two of the 25 deficiencies on record sit at the harm or jeopardy level and two are abuse-related, with one fine of $16,801. What works in its favor is stability: staff turnover of 25.6% is well below the 45.8% national figure, and the quality measure rating is strong. The inspection on file is recent, from August 2025. A for-profit corporation operates the 60-bed home. The tradeoff is real: consistent caregivers, fewer of them per resident.

Nurse hours

3.54 /day

Staff turnover

54%

Serious cites

0

Monument Healthcare Stonecreek runs on thinner nursing coverage than most homes in the country, 3.54 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday pace. That gap matters most on Saturdays and Sundays, when families often visit and when fewer eyes are on residents. The home is government-owned through a hospital district and carries a 4/5 inspection rating, but its current record shows 16 deficiencies, including 2 at the harm level and 3 tied to abuse. Staff turnover sits at 53.8%, well above the 45.8% national figure, meaning roughly half the nursing staff leaves each year.

Nurse hours

4.16 /day

Staff turnover

60%

Serious cites

0

Msm Brigham City runs a 41-bed for-profit home where the day-to-day nurse coverage looks solid on paper, 4.16 hours per resident, about 8% above the national average, with weekend staffing holding level with weekdays. The trouble shows up elsewhere. Staff turnover sits at 60% against a national 45.8%, meaning the people delivering that care are cycling out fast. Inspections tell a harder story: 47 deficiencies on the current record, 5 serious enough to involve harm or jeopardy, 8 tied to abuse, and $81,905 in fines across two penalties. A recent December 2025 inspection keeps the record current. Families weighing this home should ask who's actually on the floor night to night, and how the abuse findings were resolved.

Nurse hours

3.83 /day

Staff turnover

43%

Serious cites

0

The Pines at Rutland runs 125 certified beds under for-profit partnership ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. That thin margin gets thinner on weekends, when coverage drops roughly 15% below the home's own weekday level, worth asking about if your family visits Saturdays or Sundays. Staff turnover lands at 43%, a touch better than the 45.8% national figure. Inspections came back strong at four stars, and the home was last surveyed in December 2025. The current record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,512. No abuse citations appear on record.

Nurse hours

3.88 /day

Staff turnover

37%

Serious cites

0

Rutland Healthcare & Rehabilitation Center runs 103 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.88 hours per resident day, barely above the national figure of 3.86. Weekend coverage drops about 12% below its own weekday level, so the hours thin out when families tend to visit. Turnover at 36.8% is meaningfully better than the 45.8% national average, which matters for continuity of care. But the inspection record includes 11 deficiencies, two at harm or jeopardy level and one abuse-related, plus two fines totaling $32,708. A June 2025 inspection is recent enough to reflect current conditions. Solid staffing numbers, uneven quality picture.

Nurse hours

3.35 /day

Staff turnover

23%

Serious cites

0

Clarksville Health & Rehab runs 168 certified beds under corporate ownership, and its staffing numbers are the weak spot: 3.35 nurse hours per resident day, roughly 13% under the national average, with weekends running about 8% lighter than weekdays. That thin coverage shows up in a 2-out-of-5 staffing rating. What stands out in the other direction is turnover, 23.1%, about half the national rate of 45.8%, so the aides and nurses who are there tend to stay. The inspection record carries 33 deficiencies, two at harm level and two tied to abuse, with one fine of $22,874, and the last full inspection was in late 2022. Quality measures score well, but quality scores reflect resident outcomes, not how much hands-on time residents actually get.

Nurse hours

3.85 /day

Staff turnover

50%

Serious cites

0

Tyler's Retreat At Iron Bridge sits right at the national average for total nurse staffing, 3.85 hours per resident day, but the number flattens out a real gap: weekends run about 12% thinner than weekdays, and staff turnover hits 50% against a national 45.8%. That combination matters more than the headline figure, because consistent caregivers are what families actually notice. The inspection record shows 45 deficiencies, two tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection came in August 2025, so the picture is current. A for-profit corporate owner rounds out the profile. Quality measures score well; staffing is where the weakness lives.

Nurse hours

3.57 /day

Staff turnover

40%

Serious cites

0

Liberty Ridge runs 90 beds under for-profit LLC ownership, and its staffing sits about 8% under the national average at 3.57 nurse hours per resident day. Weekends thin out further, roughly 11% below the home's own weekday coverage, so care on Saturdays and Sundays looks lighter than midweek. Turnover is 39.5%, better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record shows 16 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $10,033, with the most recent inspection in June 2024. Quality measures score well, but the staffing and inspection numbers tell the more grounded story.

Nurse hours

3.46 /day

Staff turnover

30%

Serious cites

0

Dockside runs leaner on nursing hours than most homes, 3.46 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday one. Retention is the brighter spot: 30.1% turnover beats the 45.8% national figure, meaning more of the people caring for your relative have chosen to stay. The tradeoff shows up in the record: 39 deficiencies, two serious enough to involve harm or jeopardy, and one $14,740 fine, though nothing abuse-related. The most recent inspection was May 2024, so that picture is roughly a year old. Ask pointed questions about weekend coverage and how those two harm-level findings were resolved.

Nurse hours

4.29 /day

Staff turnover

52%

Serious cites

0

Providence Mount St Vincent runs a genuine staffing advantage, 4.29 nurse hours per resident day against a national average of 3.86, and CMS reflects that with a top staffing rating. But 51.5% annual turnover means the people delivering those hours keep changing, and weekend coverage thins by roughly 11% from weekday levels. The inspection record is where the trouble sits: 64 deficiencies, four serious enough to involve harm or jeopardy, nine tied to abuse, and three fines totaling $129,568, with the most recent inspection in January 2025. Quality measures land mid-range, and a nonprofit owner doesn't offset that pattern. Strong daily coverage, unstable workforce, and a long history of cited problems are all true here at once.

Nurse hours

4.50 /day

Staff turnover

52%

Serious cites

0

Avalon Healthcare Bellingham runs a 105-bed for-profit operation in Whatcom County, and its staffing numbers are the strongest thing going for it: 4.50 nurse hours per resident day, about 17% above the national average, though weekends dip roughly 15% below its own weekday coverage. The tradeoff is retention, 52.3% annual turnover, higher than the 45.8% national rate, and a current record showing 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $32,298. Inspections are recent, from December 2025, and the federal ratings split: four stars for health inspections and staffing, five for quality measures. Strong care numbers, but the deficiency record is what pulls the overall picture down.

Nurse hours

3.85 /day

Staff turnover

36%

Serious cites

0

Canterbury House runs a 100-bed for-profit operation in Auburn, and its staffing picture is genuinely solid: 3.85 nurse hours per resident day, right at the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 35.8%, well under the 45.8% national figure, which matters for continuity of care. The trouble is the inspection record. Fifty-seven deficiencies, two serious enough to risk harm, three tied to abuse, and a $68,159 fine. A 2-out-of-5 inspection rating against a 4-out-of-5 staffing rating tells you the people are there but the systems around them keep failing. The most recent inspection was January 2026, so that record is current, not old news.