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

Nurse hours

3.43 /day

Staff turnover

37%

Serious cites

0

Arbors at Minerva runs a 92-bed for-profit operation in Carroll County, and the staffing numbers are the first thing you'd notice. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 20% below its own weekday coverage, so the hours when families tend to visit are the thinnest. Turnover at 37.3% is actually better than the national 45.8%, which matters for consistency of care. What pulls the record down is the inspection side: 32 deficiencies on file, three of them at harm or jeopardy level and seven tied to abuse, plus one fine of $27,846. The most recent inspection was February 2026. Quality measures score well; the staffing and inspection history are where the concern lives.

Nurse hours

3.07 /day

Staff turnover

45%

Serious cites

0

Sienna Hills runs about 3.07 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekends dip another 17% below its own weekday coverage. Staff turnover sits at 44.8%, basically in line with the national average. The current inspection record shows 31 deficiencies, including one at the harm level and two tied to abuse, though the last inspection was recent, February 2025. Resident outcome measures look strong, but the staffing numbers are the weak point, and that's where the low staffing rating comes from.

Nurse hours

3.75 /day

Staff turnover

43%

Serious cites

0

Liberty Health Care Center runs 110 certified beds in Youngstown under corporate, for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, slightly under the 3.86 national average, and weekends drop roughly 17% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. The inspection record carries more weight than the staffing picture: 40 deficiencies, four at harm or jeopardy level and six tied to abuse, plus two fines totaling $83,401, with the most recent inspection in March 2026. Turnover at 43.1% actually edges below the 45.8% national rate, which is modestly reassuring, but quality measures score better than the inspection history does.

Nurse hours

3.36 /day

Staff turnover

51%

Serious cites

0

Carecore At Mary Scott runs 102 certified beds in Dayton under corporate for-profit ownership. Nurses provide 3.36 hours of care per resident each day, roughly 13 percent below the national average, and weekend coverage drops about 16 percent below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover sits at 51.4 percent, higher than the national 45.8 percent, which means aides and nurses cycle through quickly. The inspection record shows 53 deficiencies, including one at the harm or jeopardy level and four tied to abuse. That history, not the five-star quality measure score, is what weighs heaviest here.

Nurse hours

4.09 /day

Staff turnover

64%

Serious cites

0

Otterbein Sunset House is a small nonprofit home, just 24 certified beds, and its clinical quality scores are genuinely strong, with a top CMS rating on quality measures and no deficiencies at the harm or jeopardy level. The staffing picture is more complicated than the headline number suggests. Average nurse hours run slightly above the national figure, but weekends drop about 16% below the home's own weekday coverage, and annual turnover sits at 64.3% against a national average of 45.8%. That churn, plus 24 deficiencies on the current record including one abuse-related citation, is what pulls the grade down to a B despite the quality scores. The most recent inspection was May 2025, so the record is current.

Nurse hours

3.56 /day

Staff turnover

52%

Serious cites

0

Rainbow Health Care Community runs 106 certified beds in Bristow under for-profit limited liability ownership, and its nurses provide 3.56 hours of care per resident each day, about 8% under the national average of 3.86. Weekends drop roughly 16% below the home's own weekday staffing, and annual turnover sits at 51.9% against a national 45.8%, so the caregivers change over more often than at a typical home. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $53,804 fine. The last inspection was July 24, 2025. Quality measures score well, but staffing and inspection results tell the more useful story.

Nurse hours

3.72 /day

Staff turnover

—

Serious cites

0

Lakeview Nursing & Rehab runs 70 certified beds in Eufaula 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 dip roughly 5% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection record is the bright spot: a 4-out-of-5 health inspection rating and a recent survey in February 2025. But 22 deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and quality and staffing each rate 2 out of 5. Nothing here is abuse-related, and the home isn't flunking, but low staffing paired with a thin quality score is the pattern to ask about.

Nurse hours

3.60 /day

Staff turnover

—

Serious cites

0

The Manor at St Luke Village runs 104 certified beds in Luzerne County under corporate for-profit ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, with weekends roughly 9% thinner than weekdays. That matters because its health inspection record shows 33 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the most recent inspection was January 8, 2026. Quality measures score well and staffing is middling, but the inspection history and below-average hours tell you to ask direct questions about weekend coverage and how the abuse citation was resolved before you decide.

Nurse hours

3.38 /day

Staff turnover

36%

Serious cites

0

Hempfield Manor runs leaner on nursing hours than most homes, 3.38 per resident day against a national average of 3.86, and weekends drop roughly another 15% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 35.7% is well under the 45.8% national figure. The tradeoff shows in the record. Inspections produced 37 deficiencies, two tied to abuse, with no harm-level findings, and the health inspection rating sits at 2 out of 5, even as quality measures score 4. The last survey was March 2026. Corporate-owned, 120 beds. A mixed picture: stable-ish staff, thinner floor coverage, and a citation history worth reading in full.

Nurse hours

3.06 /day

Staff turnover

—

Serious cites

0

Greenville Post Acute runs 3.06 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in CMS's staffing rating of 1 out of 5, even as the home's quality measure score sits at 5 out of 5, a gap worth asking about, since quality scores reflect reported care outcomes while staffing reflects who's actually on the floor. The health inspection rating is 2 out of 5, with 21 deficiencies on record, including 2 tied to abuse; none reached harm or jeopardy level, and fines total $5,831. It's a for-profit limited liability company, last inspected April 24, 2025.

Nurse hours

3.41 /day

Staff turnover

—

Serious cites

0

Oak Harbor Healthcare runs 132 certified beds in Mt Pleasant under for-profit LLC ownership, and its staffing is the weak spot: 3.41 nurse hours per resident day sits about 12% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday levels. That thin coverage lines up with a 2-out-of-5 CMS staffing rating, though the quality measure score comes in at 4 out of 5 and inspections at 3 out of 5. The current record shows 12 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $7,901 fine, nothing abuse-related. Staffing is the number worth watching here, not the quality scores.

Nurse hours

3.53 /day

Staff turnover

—

Serious cites

0

Prairie Heights runs 3.53 nurse hours per resident each day, roughly 8% under the national average, and weekends drop about 14% below its own weekday staffing. Those gaps explain why CMS gives it the lowest staffing rating even as quality measures score top marks and the last inspection, in July 2025, came back clean: five deficiencies, none causing harm, none tied to abuse. That's a home that treats residents well by the measures families notice most, but it's doing so with thinner coverage than most places, especially on Saturdays and Sundays. Worth asking how call lights get answered when weekend numbers dip.

Nurse hours

2.59 /day

Staff turnover

57%

Serious cites

0

Faulkton Senior Living runs lean on nursing hours: 2.59 per resident day against a national average of 3.86, roughly a third less hands-on care than typical. Weekends drop about 22% below the home's own weekday staffing, and 57.1% of nursing staff turned over in a year, well above the 45.8% national figure, so the people providing care change often, and there are fewer of them on Saturdays and Sundays. Inspection history is steadier. Five deficiencies on record, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was December 11, 2025. A for-profit corporation owns the 41-bed building. Good survey results and quality scores sit alongside thin daily staffing.

Nurse hours

3.65 /day

Staff turnover

37%

Serious cites

0

Buchanan Place runs 134 certified beds under corporate ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 17% below its own weekday coverage, so if you're planning visits, that gap matters. Turnover is the one number that beats the norm: 36.7% against a national 45.8%, which suggests some stability in the workforce even if raw hours run thin. What pulls the record down is the inspection side, 18 deficiencies on file, including one at the harm level and four tied to abuse, with a single fine of $8,021. The last inspection was June 2022, so this record is dated.

Nurse hours

4.27 /day

Staff turnover

53%

Serious cites

0

Manchester Center for Rehabilitation and Healing runs on a corporate for-profit model with 120 certified beds, and the staffing picture is more mixed than the headline number suggests. Total nurse coverage sits at 4.27 hours per resident day, roughly 11% above the national average, but weekends drop about 23% below weekday levels, and annual turnover hits 52.9% against a national 45.8%. The inspection record shows 10 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the last full inspection dates to December 2022, a long gap. CMS quality measures score well, but the staffing star and three-year-old inspection give the stronger signal here.

Nurse hours

3.78 /day

Staff turnover

50%

Serious cites

0

Harborview Post Acute runs 113 certified beds in Memphis under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.78 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% runs above the 45.8% national figure, meaning aides and nurses cycle through often. The inspection record is the heavier concern: 23 deficiencies, including one at harm or jeopardy level and two abuse-related, with the last inspection back in April 2022. The quality measure stars look strong, but that's largely self-reported data.

Nurse hours

3.07 /day

Staff turnover

44%

Serious cites

0

Monroe Health And Rehabilitation Center runs on 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 16% below what the home staffs on weekdays. That thinner weekend coverage matters because the inspection record shows 16 deficiencies, three of them abuse-related, though none rose to actual harm or jeopardy. The last inspection was February 2026, so the picture is current. Turnover sits at 43.5%, slightly better than the national 45.8%, and resident quality measures score well even as the staffing and inspection ratings lag. For-profit, LLC-owned, 85 beds, ask about weekend coverage and those abuse-related findings directly.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.

Nurse hours

3.58 /day

Staff turnover

—

Serious cites

0

Fredericksburg Health and Rehab is a 177-bed for-profit run by a limited liability company, and its numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, which matters when families visit and needs don't pause. The inspection record is the bigger concern: 56 deficiencies on file, including one at the harm level and one tied to abuse, with the last full inspection back in October 2023. One fine totaling $9,311 has been issued. If you're considering this home, ask how they cover weekend shifts and what changed after that harm citation.

Nurse hours

3.64 /day

Staff turnover

53%

Serious cites

0

Autumn Care of Chesapeake runs 117 beds under limited-liability, for-profit ownership, and the staffing picture is the weak spot. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.9% against a 45.8% national figure means the aides and nurses caring for residents are, on average, fairly new to the building. The tradeoff is that quality measures score well and its current record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with its last inspection in December 2023.