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

Nurse hours

3.24 /day

Staff turnover

35%

Serious cites

0

Alpha Home runs on 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekend coverage dips about 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 41 deficiencies, including two at harm or jeopardy level and two abuse-related, with a single fine of $22,386 and a December 2025 inspection still fresh. Staff turnover at 34.7% actually beats the 45.8% national average, and quality measures score well, but a for-profit LLC with a one-star inspection history and that many cited problems is worth a close look before deciding.

Nurse hours

3.52 /day

Staff turnover

42%

Serious cites

0

Meadow Lakes runs 137 beds in Mooresville under corporate ownership, and the numbers point to a place that does some things well and one thing only adequately. Clinical quality measures earn top marks, and a recent inspection in May 2026 found ten deficiencies, just one serious enough to cause harm and none tied to abuse, a comparatively clean record. Staffing is the weak spot: 3.52 nurse hours per resident day sits about 9 percent under the national average, with weekends roughly 13 percent thinner than weekdays. Turnover, at 42.2 percent, is actually slightly better than the 45.8 percent national figure, so the issue isn't retention so much as sheer coverage.

Nurse hours

3.63 /day

Staff turnover

51%

Serious cites

0

Otterbein Franklin runs 208 certified beds as a church-affiliated nonprofit, and its nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 5% below its own weekday coverage, and annual turnover lands at 51% against a national 45.8%, so the people covering shifts change more often than average. Its current record shows 17 deficiencies, none at harm or jeopardy level, though four are abuse-related, and one fine totaling $21,825. The last inspection was August 21, 2025, and the health inspection rating sits at 2 out of 5. If you're weighing this one, ask directly how abuse-related issues were resolved and what weekend staffing actually looks like.

Nurse hours

3.47 /day

Staff turnover

39%

Serious cites

0

Countryside Meadows runs 171 beds in Avon under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86, with weekends about 13% lighter than weekdays. Turnover is 38.5%, which is actually better than the 45.8% national figure, so the problem isn't retention so much as how many hands are on deck per shift. The inspection record shows 35 deficiencies, two of them serious enough to rise to harm or jeopardy, though none abuse-related, and the most recent survey closed in December 2025. Resident outcomes score well on federal quality measures; the staffing and inspection side is where the gaps live.

Nurse hours

2.72 /day

Staff turnover

44%

Serious cites

0

Cedar Falls Health Care Center runs 70 certified beds under for-profit LLC ownership, and its 2.72 nurse staffing hours per resident day sit roughly 30% under the national average of 3.86, a real gap when direct care time is what residents actually feel. Weekend staffing drops about 8% below weekday levels, so the leanest shifts get leaner. The inspection record is the bigger concern: 37 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating. Annual turnover at 43.8% is slightly better than the 45.8% national figure, and quality and staffing star ratings both come in at 4/5, but the January 2026 inspection and that deficiency count are what families should ask about directly.

Nurse hours

3.04 /day

Staff turnover

98%

Serious cites

0

Regency Park in Jefferson runs 46 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 12% below the home's own weekday level. The bigger number is turnover: 97.5% annually against a national average of 45.8%, meaning the staff caring for residents turns over almost completely every year. Its record shows 24 deficiencies, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. The most recent inspection was December 31, 2025, so the picture is current.

Nurse hours

3.02 /day

Staff turnover

31%

Serious cites

0

Pleasant Acres runs about 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause. Turnover sits at 31 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. The current record shows 23 deficiencies, none at harm or jeopardy level and none tied to abuse, with the most recent inspection in February 2026. Quality measure scores lag at 2 out of 5 stars while staffing holds at 4, which tells you the care process numbers aren't keeping pace with the hours on the floor.

Nurse hours

3.54 /day

Staff turnover

66%

Serious cites

0

The Rehabilitation Center of Allison runs on thinner nurse coverage than most homes, 3.54 hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday pace. That staffing picture is strained further by 65.5% annual turnover, well above the 45.8% national figure, meaning nearly two-thirds of the nurse workforce turns over each year. State inspectors cited 17 deficiencies on the current record, two at harm or jeopardy level and two abuse-related, after a visit in August 2024. The quality measure score looks strong, but it sits alongside a two-star inspection history, and the home is owned by a for-profit limited liability company.

Nurse hours

3.29 /day

Staff turnover

42%

Serious cites

0

Meridian Rehabilitation and Health Care Center runs 106 certified beds in Wichita under for-profit LLC ownership, and its staffing sits around 3.29 nurse hours per resident day, roughly 15 percent under the national average of 3.86, with weekends running about 11 percent thinner than weekdays. Turnover at 41.9 percent edges out the national rate in a good way, but the inspection record is the heavier story: 62 deficiencies, five of them at harm or jeopardy level and five tied to abuse, plus four fines totaling $62,076. The two-out-of-five inspection rating reflects that history, while the top quality measure score sits oddly beside it.

Nurse hours

4.51 /day

Staff turnover

39%

Serious cites

0

Topside Manor has enough nurses on hand, 4.51 hours per resident day, roughly 17% above the national average, and its 38.6% turnover is better than the typical home. That's the good news, and it's real. Everything else points the other way. Inspectors have cited 51 deficiencies, seven of them serious enough to put residents at risk of harm and two tied to abuse, with four fines totaling $75,463. Both the health inspection and quality measure ratings sit at the bottom. Staffing alone doesn't keep people safe if the care itself keeps failing inspection. Worth asking what's been fixed since August 2024.

Nurse hours

3.81 /day

Staff turnover

44%

Serious cites

0

Winfield Rest Haven II runs 41 certified beds as a nonprofit, and its last health inspection in December 2024 came back strong at four stars. The catch is in the daily numbers: total nurse staffing sits at 3.81 hours per resident day, a hair under the national average, and weekends run about 10% thinner than weekdays, so the coverage your family member gets on a Saturday isn't what they'd get on a Tuesday. Staff turnover at 44.4% is roughly average. Eleven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none tied to abuse. The quality measure score, at two stars, is where this home looks weakest.

Nurse hours

3.55 /day

Staff turnover

51%

Serious cites

0

Sunrise Manor runs about 3.55 nursing hours per resident per day, roughly 8% under the national average, and weekends dip another 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 50.8% against a 45.8% national rate, meaning half the nursing team turns over each year. The current record carries 19 deficiencies, five serious enough to involve harm or jeopardy, and the last health inspection in December 2025 produced a one-star result. Ownership is for-profit, through a limited liability company.

Nurse hours

3.91 /day

Staff turnover

40%

Serious cites

0

Danville Centre for Health & Rehabilitation runs 3.91 nurse hours per resident per day, just barely over the national average of 3.86, thin enough that weekends, when staffing drops about 14%, could feel noticeably lighter than weekdays. Turnover at 40.4% is better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. What stands out more is the inspection record: 16 deficiencies, 7 of them at harm or jeopardy level and 3 tied to abuse, with two fines totaling $12,444 and the most recent inspection in August 2025. The quality measure rating sits at 4 of 5, but the 1-of-5 inspection rating tells you regulators have found real problems here.

Nurse hours

3.53 /day

Staff turnover

49%

Serious cites

0

Signature Healthcare of Georgetown runs 65 certified beds under corporate ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, and turnover runs 48.5% against a national 45.8%, so the aides and nurses your family sees may change often. The current record carries 22 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related. Inspectors were last in on July 10, 2025, and CMS gave the health inspection side 2 out of 5 stars while quality measures and staffing each earned 3. That combination, a recent inspection, a long deficiency list without serious harm findings, and thin weekend coverage, is what lands this home in the middle of the pack.

Nurse hours

3.84 /day

Staff turnover

44%

Serious cites

0

Louisville East Post Acute runs 178 certified beds under corporate ownership, and its staffing sits at 3.84 nurse hours per resident day, just under the national average of 3.86, with weekends running about 11% lighter than weekdays. The health inspection record shows 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $12,740, and the most recent inspection was September 2025. Staff turnover is 43.6%, a bit better than the 45.8% national figure, though the staffing star rating still comes in at 2 out of 5. What stands out is the gap: strong quality measure scores alongside weaker marks for inspections and staffing.

Nurse hours

4.58 /day

Staff turnover

52%

Serious cites

0

Wolfe County Health & Rehabilitation Center runs on decent staffing, 4.58 nurse hours per resident day, roughly 19% above the national average, which helps explain its four staffing stars. Inspections back that up: one deficiency on the current record, none involving harm or jeopardy, none tied to abuse, and the last survey was recent, from January 2025. The catch is in the quality measures, where it scores just one star out of five, and in turnover, which sits at 52% against a national 45.8%, more than half the staff leaving in a year is a lot of churn for residents to absorb. Weekend coverage also dips about 11% below weekdays, so care isn't perfectly even across the week.

Nurse hours

3.50 /day

Staff turnover

51%

Serious cites

0

Lake Way runs on 3.50 nurse hours per resident day, roughly 9% under the national average, and the gap widens on weekends, weekend staffing sits about 14% below the home's own weekday level. That thin weekend coverage matters more when you consider 51.2% of staff turned over in a year, higher than the 45.8% national rate, so the aides on Saturday may be new to the building. The inspection record, refreshed in July 2025, is a mixed bag: 23 deficiencies, including three tied to abuse and one serious enough to cause harm. A for-profit LLC operates the 96-bed home.

Nurse hours

3.10 /day

Staff turnover

37%

Serious cites

0

Owenton Healthcare and Rehabilitation runs 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 13% below its own weekday staffing. Turnover sits at 36.5%, better than the 45.8% national figure, which matters for consistency of care. On the record: 18 deficiencies, including one at the harm level and four tied to abuse, plus a single fine of $8,512. The last inspection was January 16, 2026. It's a for-profit LLC with 100 certified beds. The quality measure score is strong; staffing and inspection results are middling. If you're weighing this one, ask directly about weekend coverage and how those abuse-related citations were resolved.

Nurse hours

3.82 /day

Staff turnover

45%

Serious cites

0

Villaspring Of Erlanger runs 140 certified beds as a for-profit corporation, and its staffing sits just under the national average, 3.82 nurse hours per resident day against 3.86 nationally. That's close enough to be a wash on paper, but weekend staffing drops about 8% below its own weekday level, so the coverage you'd see on a Tuesday isn't what a Saturday looks like. The 44.6% turnover rate is actually slightly better than the 45.8% national figure, which matters more than the small staffing gap. Where this home stands out is its record: 12 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2025. Its quality measure rating is strong while its inspection and staffing ratings are middling, the pattern of a place that documents good clinical outcomes but runs lean.

Nurse hours

3.88 /day

Staff turnover

40%

Serious cites

0

Senior Village runs 150 certified beds in Opelousas under corporate for-profit ownership, and its nurse staffing sits right at the national mark, 3.88 hours per resident day against 3.86 nationally. That margin is thin, and weekends drop roughly 15% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Staff turnover comes in at 40%, a few points better than the 45.8% national average. The current inspection record shows 29 deficiencies, none at harm or jeopardy level, though three are abuse-related. Inspectors were last on site in December 2025. Quality measure scores lag behind the staffing and inspection results, which is worth asking about directly.