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

Nurse hours

3.74 /day

Staff turnover

54%

Serious cites

0

Medilodge Of Sterling Heights runs 248 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, about 3% under the national average of 3.86. Weekends drop roughly 15% below its own weekday levels, and annual turnover is 54.1% against a national average of 45.8%, that churn matters when aides and nurses are the people doing the daily hands-on care. The inspection record shows 51 deficiencies, including one at the harm or jeopardy level and three abuse-related, with the most recent inspection dated April 14, 2026. Its quality measure rating is a 4, but the health inspection and staffing ratings both come in at 2.

Nurse hours

3.67 /day

Staff turnover

59%

Serious cites

0

Medilodge Of Richmond runs 126 beds under corporate ownership, and its inspection history is a mixed picture. The last survey in July 2025 came back with 14 deficiencies on record, including one at the harm or jeopardy level and one tied to abuse. That's a lot to carry for a home with a four-star inspection rating, and it tells you the good marks come with real caveats. Staffing is where the numbers get thinner: 3.67 nurse hours per resident day sits below the national average, weekends drop about 20% below the home's own weekday level, and turnover hits 58.9% against a national 45.8%. Families should ask how those weekend shifts are actually covered.

Nurse hours

3.18 /day

Staff turnover

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Serious cites

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The Orchards At Armada sits at 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 10% thinner than weekdays on top of that. The inspection record is current, from June 2025, with 18 deficiencies, one serious enough to reach harm or jeopardy level; no abuse findings and a single $15,887 fine. Quality measures score well, but that staffing number is the one that shapes daily life, fewer hands per resident, especially on Saturdays and Sundays. That gap between good outcome scores and thin coverage is what pulls the overall picture down.

Nurse hours

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Staff turnover

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Serious cites

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Regency Manor is a small for-profit home in Utica, 39 beds, and its numbers pull in opposite directions. The state inspected it recently, in July 2025, and found 44 deficiencies on the current record, including one tied to abuse; none of them rose to the level of immediate harm or jeopardy. Staffing is where the trouble shows most clearly, with the federal government rating it in the bottom tier, while the quality measure score comes in at the top. That gap is worth sitting with: resident outcome measures look good on paper, but the hands available to deliver everyday care are thin. A corporate owner, a long deficiency list, and weak staffing are the pattern to weigh.

Nurse hours

3.22 /day

Staff turnover

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Serious cites

0

The Orchards At Lapeer runs on a thin staffing margin: 3.22 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday level. That squeeze shows up in the federal stars, where staffing and health inspections both sit at 1 out of 5. The inspection record carries 47 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One bright spot: the quality measure rating is 5 out of 5, and the most recent inspection was in March 2026, so the record is current rather than stale. The gap between that quality score and everything else is worth asking about on a tour.

Nurse hours

4.63 /day

Staff turnover

42%

Serious cites

0

Louisville Healthcare runs 4.63 nurse hours per resident day, about 20% above the national average, and its staff turnover of 41.9% is a bit better than typical. The catch is weekends, when staffing drops roughly 22% below its own weekday level, the period when families often visit and problems surface. Inspectors cited 13 deficiencies, two serious enough to put residents at risk of harm, and the quality measure rating sits at 1 out of 5. A single fine of $8,788 isn't huge, but combined with the inspection record, it suggests a home where adequate weekday staffing is doing battle with uneven care.

Nurse hours

3.26 /day

Staff turnover

63%

Serious cites

0

Heritage Hall runs about 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage drops another 20% below its own weekday levels. Staff turnover sits at 62.8% against a national 45.8%, so aides and nurses are cycling through faster than at the typical home. What keeps this one from sinking is its inspection record: nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent survey in August 2025 and four-star marks across health inspections, quality measures, and staffing. It's a corporation-owned, 60-bed building that looks solid on paper but asks a lot of a thin, churning workforce.

Nurse hours

3.93 /day

Staff turnover

40%

Serious cites

0

Heritage Nursing Center runs 3.93 nurse hours per resident day, a touch above the national average of 3.86, and its 40.4% turnover beats the 45.8% norm, both signs of a stable floor. Weekends are the soft spot: staffing drops roughly 18% below its own weekday level, so coverage thins when families tend to visit. The inspection record shows 11 deficiencies with none at harm level, though one is abuse-related, and the last survey was February 2026. Quality measure scores sit at 2 of 5 stars, which suggests the clinical outcomes data isn't keeping pace with the staffing picture.

Nurse hours

3.15 /day

Staff turnover

42%

Serious cites

0

Good Samaritan Society - Colonial Villa runs on thinner nurse coverage than most homes, 3.15 hours per resident day, roughly 18 percent under the national average, and weekends dip about 16 percent below what the building staffs on weekdays. Turnover sits at 41.9 percent, a bit better than the 45.8 percent national figure, so the team is comparatively stable even if it's small. The inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey done in September 2025. A 53-bed nonprofit in rural Harlan County, this is a home whose care record looks solid; the question families should ask is whether the daily staffing floor holds up on Saturdays and Sundays.

Nurse hours

3.64 /day

Staff turnover

52%

Serious cites

0

Schenectady Center runs 240 beds under corporate ownership, and its last health inspection in August 2025 turned up 29 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Annual turnover of 51.8% tops the national 45.8% average, which matters when consistent caregivers are the ones who notice changes first. The five-star quality measure score stands out against a one-star inspection record and two-star staffing, so ask how those clinical numbers hold up when the building is short-staffed.

Nurse hours

3.16 /day

Staff turnover

31%

Serious cites

0

Waterview Nursing Care Center runs 200 beds in Flushing under corporate ownership, and its staffing numbers are the first thing to look at. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot at 31.1 percent, well under the national 45.8 percent, which suggests the staff who are there tend to stay. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was December 2024.

Nurse hours

3.34 /day

Staff turnover

51%

Serious cites

0

The Hurlbut runs a 160-bed for-profit home in Rochester, and its nurse staffing sits at 3.34 hours per resident day, roughly 14 percent under the national average. Weekends thin out further, running about 20 percent below its own weekday coverage, so the hours when families tend to visit are also the hours with the fewest nurses on the floor. Staff turnover is 51.2 percent against a national 45.8, meaning more than half the nursing staff turns over each year. Its record shows 13 deficiencies, none at the harm level, one tied to abuse, with the last inspection on July 31, 2025.

Nurse hours

3.82 /day

Staff turnover

55%

Serious cites

0

Absolut Center in Endicott runs 160 certified beds under for-profit LLC ownership, and its numbers are a mixed bag worth reading carefully. Nurse staffing sits at 3.82 hours per resident day, just under the national average, but the bigger issue is weekends, coverage drops roughly 22% below what the home staffs on weekdays, which matters if you're thinking about Saturday or Sunday care. Annual turnover hits 55.2%, well above the 45.8% national figure, so aides and nurses cycle through faster than typical. The inspection record shows 21 deficiencies, none at harm level, though one is abuse-related. Its last full inspection was October 31, 2024, so the record is reasonably current. Quality and staffing measures both score 4 out of 5, while inspections land at 3.

Nurse hours

3.83 /day

Staff turnover

60%

Serious cites

0

Sunnyside Care Center runs 80 certified beds in East Syracuse under for-profit LLC ownership, and its 3.83 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger story is how those hours are distributed. Weekend staffing drops roughly 22% below the home's own weekday level, and annual turnover hits 60.4% against a national 45.8%, so families should ask who's actually on the floor on a Saturday. The inspection record carries 26 deficiencies, including two tied to abuse, though none reached harm or jeopardy level; the most recent inspection was September 12, 2025. Quality measures score well, but staffing consistency and turnover are the numbers worth pressing on during a visit.

Nurse hours

3.46 /day

Staff turnover

55%

Serious cites

0

Plattsburgh Rehabilitation and Nursing Center runs 89 certified beds under corporate for-profit ownership, and its inspection record shows 21 deficiencies with none rising to actual harm or jeopardy, a meaningful distinction, since most citations here are paperwork and process issues rather than resident injuries. Three abuse-related deficiencies still stand out on that list. Nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday coverage. Annual turnover of 55.1 percent tops the national 45.8 percent, so aides and nurses cycle through faster than average. Its last inspection was October 2024, and CMS gives it four stars each for health inspections, quality measures, and staffing.

Nurse hours

2.57 /day

Staff turnover

43%

Serious cites

0

Pine Haven runs on noticeably thin nursing coverage: 2.57 nurse hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 17 percent below the home's own weekday staffing, so the hours when families visit are often the leanest. Turnover sits at 43.2 percent, a bit better than the 45.8 percent national figure, and the record shows 13 deficiencies with none at harm level. The catch is one abuse-related citation, which matters more than the count suggests. Inspections are recent and the quality measures look strong, but the staffing number is the one to weigh hardest.

Nurse hours

3.66 /day

Staff turnover

42%

Serious cites

0

Wellsville Manor runs 120 beds under corporate ownership, and its last state inspection in June 2024 came back clean at the harm level, no deficiencies there, which matters more than the raw count of 11. Two of those are abuse-related, so ask about those specifically. Nurse staffing sits at 3.66 hours per resident day, a bit under the national 3.86, and weekends run roughly a fifth thinner than weekdays, which is when families tend to visit and notice. Turnover at 42.1% is slightly better than the national 45.8%, but that still means a lot of unfamiliar faces. The inspection history looks strong; the quality measures and weekend coverage are where I'd push for answers.

Nurse hours

3.26 /day

Staff turnover

53%

Serious cites

0

Harris Hill runs a 192-bed for-profit home in Williamsville with strong inspection and quality scores, 4 and 5 stars from CMS, and no deficiencies at the harm level. That part of the record is genuinely clean. The staffing side tells a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 18% below its own weekday levels. Annual turnover of 53.2% runs well above the 45.8% national figure, which matters because consistent caregivers know residents. Fourteen deficiencies are on the current record, one abuse-related. The last inspection was April 21, 2026, so the findings are recent.

Nurse hours

3.72 /day

Staff turnover

32%

Serious cites

0

Pruitthealth-Elkin runs 100 beds under corporate for-profit ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends thin out further, roughly 15% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the bright spot: 31.5% against a national 45.8% means aides and nurses tend to stick around longer here than at the typical home. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $15,734, with the most recent state visit in June 2025.

Nurse hours

3.21 /day

Staff turnover

44%

Serious cites

0

Sardis Oaks runs lean on nursing hours, 3.21 per resident per day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 24 percent below its own weekday level. That thin weekend coverage is worth asking about directly, since it's when families often can't visit. Turnover sits at 44 percent, essentially matching the national rate, so the issue isn't churn so much as how many hands are scheduled per shift. Sixteen deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection was recent. Quality measures score well; staffing is where the numbers fall short.