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

Nurse hours

3.25 /day

Staff turnover

44%

Serious cites

0

Maple Gardens runs on thin nursing coverage: 3.25 nurse hours per resident each day, about 16% under the national average of 3.86, and weekends dip roughly 10% below its own weekday level. That shows up in the staffing star rating, which sits at the lowest mark, even though turnover at 43.9% is slightly better than the 45.8% national figure and the quality measure score is perfect. The inspection record is solid on paper, a 4 out of 5 with a February 2026 visit, but it carries 16 deficiencies, three tied to abuse and none rising to harm or jeopardy. For-profit, limited liability ownership.

Nurse hours

3.82 /day

Staff turnover

44%

Serious cites

0

Harbor Healthcare of Ironton runs 125 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That thin margin gets thinner on weekends, when coverage drops roughly 10% below the home's own weekday levels, a gap families often notice on Saturday and Sunday. Staff turnover comes in at 43.8%, slightly better than the 45.8% national figure, and the home's quality measure rating is strong. The tension is in the inspection record: 34 deficiencies, two of them serious enough to reach harm or jeopardy level, with the most recent state visit in January 2025.

Nurse hours

3.72 /day

Staff turnover

40%

Serious cites

0

Park View Care Center runs 74 beds in Edgerton under limited liability ownership, and its inspection record is the strongest part of the story, a recent March 2026 survey, 17 deficiencies on file, none of them tied to harm, jeopardy, or abuse. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 12% below the home's own weekday coverage. Turnover lands at 40%, which is better than the 45.8% national average, though the 2-out-of-5 staffing rating reflects that thinner daily coverage. Families weighing this one should ask how weekend shifts get covered, since that's where the gaps show.

Nurse hours

3.09 /day

Staff turnover

37%

Serious cites

0

Edgewood Manor Of Lucasville I runs lean on nurses: 3.09 hours per resident day, roughly a fifth below the national average, and weekends drop about 8% below its own weekday level. That thin coverage is the main reason its staffing rating lands at 2 out of 5, even though turnover at 36.8% actually beats the national 45.8%. The clinical picture is stronger than the payroll one, 4 out of 5 on health inspections, a perfect 5 on quality measures, and a recent April 2026 inspection with 20 deficiencies on record, none at harm or jeopardy level and none abuse-related. For-profit, LLC-owned, 96 beds. If your family member needs steady hands on deck at odd hours, ask hard questions about weekend coverage.

Nurse hours

3.47 /day

Staff turnover

45%

Serious cites

0

Ayden Healthcare of Waterville runs 99 certified beds under for-profit limited liability ownership, and the staffing numbers tell a story of their own: 3.47 nurse hours per resident day sits about 10% under the national average, and weekends drop roughly another 9% below the home's own weekday level. That thin coverage lines up with a one-star health inspection rating and 42 deficiencies on the current record, including two at the harm-or-jeopardy level and three tied to abuse. One fine totaling $75,286 is on file, and the last inspection came in March 2026. Turnover at 44.9% is essentially the national rate, so the problem here isn't retention, it's what's happening on the floor when staff are there.

Nurse hours

3.44 /day

Staff turnover

43%

Serious cites

0

Altercare of Bucyrus runs 80 certified beds under corporate for-profit ownership, and its nursing hours sit at 3.44 per resident day, about 11% below the national average of 3.86. Weekends run roughly 15% thinner than weekdays, so coverage dips when families tend to visit. Staff turnover is 42.9%, slightly better than the national 45.8%, which suggests some stability in who's actually at the bedside. The inspection record is the harder part: 17 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $26,685 fine, with the most recent inspection in July 2025. Quality measures score well, but the staffing and inspection numbers tell a more mixed story.

Nurse hours

4.18 /day

Staff turnover

48%

Serious cites

0

Pickerington Care and Rehabilitation runs a for-profit corporate operation with 96 beds, and the staffing picture is mixed. Total nurse hours come in at 4.18 per resident day, roughly 8% above the national average, but weekends dip about 4% below the home's own weekday levels, and annual turnover sits at 48.3%, higher than the 45.8% national figure. The inspection record is where the concern lies: 48 deficiencies logged, though none reached harm or jeopardy level and none involved abuse. Federal ratings split sharply here, with two stars for health inspections and staffing, five for quality measures. That gap matters. Quality scores can look strong even when consistent staffing and a clean survey history don't back them up.

Nurse hours

4.21 /day

Staff turnover

59%

Serious cites

0

Kingston Of Ashland runs a for-profit, corporate-owned home with 110 beds, and the staffing picture is mixed in a way worth understanding. Total nurse hours come in at 4.21 per resident day, about 9% above the national average, though weekends drop roughly 11% below the home's own weekday level. Turnover sits at 58.6% against a national 45.8%, so the people caring for your family member change often. The inspection record is the bigger concern: 36 deficiencies, two at harm or jeopardy level, one abuse-related, with the last inspection back in May 2023. Strong quality measures don't offset that history plus a two-star staffing rating. Ask hard questions before deciding.

Nurse hours

3.18 /day

Staff turnover

42%

Serious cites

0

Four Winds runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, roughly 18% less, and weekend coverage dips about 9% below what the home staffs on weekdays. That matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Turnover sits at 42.2%, a touch better than the 45.8% national figure, and the last inspection was in March 2025. The record shows 21 deficiencies, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Quality measures score well; staffing and inspections land in the middle.

Nurse hours

3.50 /day

Staff turnover

40%

Serious cites

0

North Ridgeville's O'Neill Healthcare runs lean on direct care: 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage is what drags its staffing rating down to 2 out of 5, and the pattern tends to matter most on Saturdays and Sundays when families aren't visiting. The trade-off is that inspections look strong, a 5/5 health inspection rating with 10 deficiencies on record, none at harm or jeopardy level and none abuse-related, most recently surveyed in September 2024. Annual turnover of 40.4% actually beats the national 45.8%, so leadership is retaining nurses better than average even while running fewer of them per resident.

Nurse hours

3.87 /day

Staff turnover

41%

Serious cites

0

Vancrest-Upper Valley runs 127 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That average hides a gap, though: weekends run about 13% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Staff turnover is 40.9%, better than the 45.8% national figure, which matters for consistency of care. The current record shows 32 deficiencies, including one at the harm level and one abuse-related, plus a single $4,233 fine. The last inspection was July 2024.

Nurse hours

3.12 /day

Staff turnover

44%

Serious cites

0

Wright Rehabilitation and Healthcare Center runs about 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop another 7% below its own weekday staffing. That thin coverage is the main reason its CMS staffing rating sits at 1 out of 5, even though its quality measure score is a perfect 5, the clinical outcomes look good on paper, but the day-to-day hands available to deliver that care are stretched. Turnover is 44.3%, essentially in line with the national rate, so the issue is headcount, not churn. The inspection record shows 37 deficiencies with none at harm level, though 6 are abuse-related, worth asking about directly. The last inspection was March 2026, so the record is recent.

Nurse hours

2.97 /day

Staff turnover

42%

Serious cites

0

Whitehouse Country Manor runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.97 hours per resident day, roughly 23% under the national average of 3.86. Weekend coverage drops another 13% below what the home staffs on weekdays, which matters most when families visit and when residents need attention. Turnover lands at 41.8%, a bit better than the 45.8% national figure, though the 2-out-of-5 staffing rating reflects how thin the day-to-day numbers are. The inspection record shows 37 deficiencies, five tied to abuse, none at the harm level, with the most recent survey in February 2025. Quality measures score 5 out of 5, so the clinical outcomes look strong even where staffing doesn't.

Nurse hours

3.92 /day

Staff turnover

44%

Serious cites

0

Trinity Community runs 95 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.92 hours per resident day, roughly 1% above the national average, though weekends drop about 9% below its own weekday levels. Staff turnover of 44.2% edges just under the national 45.8%, so retention here isn't the problem it is at many homes. What pulls the record down is the inspection history: 30 deficiencies, one of them serious enough to involve harm or jeopardy, and one fine totaling $9,932. The most recent inspection was April 2025, so that record is current, not stale. Quality measures score well; the survey side is where the gaps show.

Nurse hours

3.45 /day

Staff turnover

60%

Serious cites

0

Ayden Healthcare of Toledo runs 98 certified beds under for-profit LLC ownership, and its staffing tells a mixed story: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends dip roughly 10% below its own weekday coverage. That thinner weekend presence matters more given 60% annual turnover, well above the 45.8% national figure. The current inspection record carries 62 deficiencies, including one at harm or jeopardy level and one abuse-related citation, with the last inspection dated July 2024. Its quality measure rating is strong, but that sits alongside a one-star health inspection rating, worth asking about directly before deciding.

Nurse hours

3.29 /day

Staff turnover

42%

Serious cites

0

Crown Pointe runs about 3.29 nurse hours per resident per day, roughly 15% under the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage is the main thing behind its two-star staffing rating, and it's worth weighing against the 38 deficiencies on record, including one at the harm level and four tied to abuse. Turnover sits at 41.8%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. The five-star quality measure rating and three-star inspection rating, most recently surveyed in July 2025, point to real strengths too, but staffing is where families should focus their questions.

Nurse hours

4.40 /day

Staff turnover

64%

Serious cites

0

Sycamorespring of Miamisburg runs a for-profit, 99-bed building in Montgomery County, and the numbers pull in different directions. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average of 3.86, but weekends drop about 12% below the home's own weekday level, so coverage isn't evenly spread across the week. Annual turnover of 63.6% is well above the 45.8% national figure, which matters for how well staff know residents. Inspections look better than staffing: a 4-out-of-5 health inspection rating with 10 deficiencies on record, one at harm or jeopardy level and none abuse-related, most recently surveyed in April 2026.

Nurse hours

3.08 /day

Staff turnover

44%

Serious cites

0

The Pinnacle runs on fewer nursing hours than most homes, about 3.08 per resident per day, roughly a fifth below the national average, and weekends are thinner still, with staffing dropping around 11% below its own weekday level. That's the weak spot, and it's a real one, since hands-on time is what families actually feel. What offsets it: a clean inspection record, just 8 deficiencies with none rising to harm or jeopardy and nothing abuse-related, plus top marks on health inspections and quality measures as of the March 2026 survey. Turnover at 43.8% is slightly better than the national rate. The trade-off here is consistent care quality with leaner daily coverage, particularly on Saturdays and Sundays.

Nurse hours

3.24 /day

Staff turnover

32%

Serious cites

0

Concord Ridge runs about 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends dip another 7% below its own weekday staffing. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5. Turnover is the brighter spot, 31.9% against a national 45.8%, so the aides and nurses who are there tend to stay. Inspections look decent on the surface: a 4/5 health inspection rating, last visit in August 2024. But the current record carries 17 deficiencies, including one at the harm level and one abuse-related, which is worth asking about directly.

Nurse hours

3.07 /day

Staff turnover

42%

Serious cites

0

Country Meadow runs about 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 10% under its own weekday staffing. That thin coverage is why CMS gives it one star for staffing, even though the quality measures look strong at five stars. Eleven deficiencies sit on the current record, none at harm or jeopardy level but one tied to abuse, and the last inspection was May 2024. Turnover at 41.5% is actually a little better than the national 45.8%, so the problem isn't a churning workforce, it's how few hands are scheduled. A for-profit LLC with 48 beds, Bellville families should ask specifically how weekends get covered.