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

Nurse hours

3.78 /day

Staff turnover

60%

Serious cites

0

Altercare of Hartville sits in Stark County with 95 certified beds and a for-profit corporate owner. The health inspection record is solid, a four-star rating and a February 2025 survey that found 20 deficiencies, just one serious enough to cause harm and none tied to abuse. Staffing is where the picture changes. At 3.78 nurse hours per resident day, it runs slightly under the national average, and weekends drop about 15% below its own weekday levels. The bigger concern is turnover: 60% of staff leave each year, well above the 45.8% national figure. Strong quality scores and good inspections matter, but that churn rate is worth asking about directly.

Nurse hours

4.21 /day

Staff turnover

56%

Serious cites

0

Chesterwood runs 4.21 nurse hours per resident day, about 9% above the national average, yet CMS still gives it only two stars for staffing. The reason is turnover: 56.3% of staff leave each year against a national 45.8%, and weekend coverage drops roughly 9% below weekdays. Inspections look strong, 4 stars, last visit February 2025, and 14 deficiencies with none at harm level and nothing abuse-related. Quality measures earn 5 stars, but that reflects resident outcomes, not whether the same aide who knows your mother will still be there next month. The corporate for-profit owner keeps the building clean on paper; the question is who's actually on the floor on a Sunday.

Nurse hours

4.25 /day

Staff turnover

58%

Serious cites

0

Solon Pointe runs on decent nurse coverage, 4.25 hours per resident day, roughly a tenth above the national average, but the weekends thin out about 10% from its own weekday pace, and that's when families often notice. Staff turnover sits at 57.9% against a 45.8% national figure, so the people caring for your relative are changing often. The current inspection record carries 30 deficiencies, one serious enough to involve harm or jeopardy, plus a single $10,845 fine; the last inspection was January 8, 2026. Quality measures score well, but a for-profit limited liability company structure and a two-star inspection history are worth asking about directly.

Nurse hours

3.53 /day

Staff turnover

44%

Serious cites

0

Riverview Pointe runs 124 beds in Olmsted Falls under corporate ownership, and the numbers tell a mixed story you'll want to sit with. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 11% below the home's own weekday level, so the coverage your family member gets on a Saturday looks different from a Tuesday. Turnover at 44.3% is basically in line with the national rate, neither a red flag nor a strength. What's genuinely solid: a four-star health inspection record with six deficiencies total, none at the harm level, and a recent September 2025 inspection. One abuse-related citation is on the record, though, and worth asking about directly.

Nurse hours

3.27 /day

Staff turnover

39%

Serious cites

0

The Gardens at St Henry runs 25 beds in Mercer County under for-profit LLC ownership, and its inspection record is genuinely clean, seven deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with a survey completed in September 2025. The tension sits in the staffing column: 3.27 nurse hours per resident day falls roughly 15% under the national average, weekend coverage dips about 14% below its own weekday level, and CMS gives it a single star for staffing. Turnover at 38.5% is better than the 45.8% national figure, so the people who stay tend to stay. Quality measures and inspections score well; the daily hours on the floor are where this home is thinnest.

Nurse hours

3.72 /day

Staff turnover

42%

Serious cites

0

The Residence at Huntington Court runs a bit thin on nurse coverage: 3.72 hours per resident day, about 4% under the national average, and weekends drop roughly 14% below its own weekday staffing. That gap shows up in the federal staffing rating, which lands near the bottom of the scale, even though the same data rates resident outcomes and inspection history much higher. Turnover sits at 42.2%, slightly better than the national figure. Sixteen deficiencies are on the current record, one serious enough to involve harm, with no abuse findings and a fresh June 2025 inspection.

Nurse hours

3.06 /day

Staff turnover

37%

Serious cites

0

Roselawn Gardens runs lean on nursing hours: 3.06 per resident day, roughly a fifth below the national average, and weekends drop another 13% below its own weekday staffing. That's the reason its staffing rating sits low. The tradeoff is a workforce that mostly sticks around, 36.7% turnover beats the national 45.8%, and strong marks on health inspections (4/5) and quality measures (5/5), with the last state visit in February 2025. Eighteen deficiencies are on record, none at the harm or jeopardy level, though one is abuse-related, which families should ask about directly.

Nurse hours

3.29 /day

Staff turnover

49%

Serious cites

0

Good Shepherd Village runs about 3.29 nursing hours per resident day, roughly 15% under the national average of 3.86, and weekends dip another 14% below its own weekday coverage. That thinner weekend schedule matters because the health inspection record is where this home struggles most: 51 deficiencies, including one at the harm level and four tied to abuse, with a one-star inspection rating. Annual turnover sits at 48.6%, a bit above the national 45.8%. The five-star quality measure score and 81 certified beds under corporate ownership round out the picture, strong on paper measures, weaker where direct care and oversight are documented.

Nurse hours

3.60 /day

Staff turnover

37%

Serious cites

0

The Home At Hearthstone runs lean on nurse staffing, 3.60 hours per resident day, roughly 7% under the national average, and weekends drop about 12% below its own weekday coverage. Turnover sits at 37.4%, better than the 45.8% national figure, so the people who stay tend to stay. Its inspection record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was July 2024. Quality measures score well and inspections are solid; staffing is where it gives ground.

Nurse hours

3.17 /day

Staff turnover

44%

Serious cites

0

Astoria Health & Rehab Center runs 50 certified beds in Germantown under corporate for-profit ownership, and its inspection record is genuinely clean: one deficiency on file, none at the harm level, none abuse-related, and a survey as recent as June 2025. The catch is staffing. At 3.17 nurse hours per resident day, this home sits roughly 18 percent under the national average of 3.86, with weekends running about 8 percent thinner than its own weekdays. Turnover lands at 44.4 percent, essentially the national rate. Strong quality measures and inspections only hold up if there are enough hands on shift to deliver that care, and that's the open question here.

Nurse hours

3.27 /day

Staff turnover

27%

Serious cites

0

Emerald Pointe runs leaner on nursing hours than most homes, 3.27 per resident day against a national average of 3.86, and weekends dip further, about 8% below its own weekday coverage. What stands out is the workforce stability: 27.1% annual turnover is well under the 45.8% national figure, meaning familiar faces are more likely here than at the typical home. The trade-off shows up in the inspection record: 48 deficiencies, three tied to abuse, though none rose to actual harm or jeopardy, and the most recent survey was in March 2025. For-profit corporate ownership, 64 beds, and quality scores that outperform its staffing marks round out the picture.

Nurse hours

3.59 /day

Staff turnover

34%

Serious cites

0

Keystone Pointe runs lean on nursing hours, 3.59 per resident per day against a national average of 3.86, and weekends dip about 13% below its own weekday coverage. That staffing figure is the weak spot, and it's why the federal staffing rating lands low even though the home's inspection record is clean: five deficiencies, none at harm or jeopardy level, none abuse-related, with a survey done in April 2024. What offsets the thin hours is consistency. Turnover sits at 34.3%, well under the 45.8% national rate, meaning the people showing up are more likely to still be there next year. Corporate-owned and certified for 121 beds, this is a home with a solid care record and a staffing schedule you'd want to ask about directly.

Nurse hours

3.41 /day

Staff turnover

43%

Serious cites

0

Darby Glenn runs on thinner nursing hours than most homes, 3.41 per resident day against a national average of 3.86, and weekends dip another 11% below its own weekday staffing. That gap is worth asking about directly, since it's when families tend to visit and when problems can go unnoticed. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was in February 2026 and the health inspection rating sits at 4 out of 5. Staff turnover at 42.7% is slightly better than the national 45.8%, and the quality measure rating is strong at 5 out of 5. Corporate-owned, 99 beds.

Nurse hours

2.93 /day

Staff turnover

26%

Serious cites

0

Copper Knoll runs lean on nursing hours, 2.93 per resident day against a national average of 3.86, roughly a quarter below it, and weekends dip another 12% under its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover is the counterweight: 25.5% against a national 45.8%, meaning the aides and nurses who are there tend to stay, which matters for consistency even when the raw hours run short. The record shows 15 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. Inspectors were last in on December 31, 2025, and the quality measure score is stronger than the inspection score.

Nurse hours

3.44 /day

Staff turnover

44%

Serious cites

0

Sanctuary Pointe runs a 124-bed for-profit operation in Cincinnati, and the numbers tell two different stories. The clinical side looks strong, a 5-out-of-5 quality measure rating and a 4-out-of-5 inspection rating, with 23 deficiencies on record but none at the harm or jeopardy level and nothing abuse-related, last surveyed in April 2024. Staffing is where it thins out: 3.44 nurse hours per resident day, about 11% under the national average, and weekends run roughly 10% below the home's own weekday coverage. Turnover sits at 44.2%, slightly better than the 45.8% national figure. If your family member needs skilled clinical care, the quality marks are reassuring; if they need steady hands-on attention, especially on Saturdays and Sundays, ask hard questions about the schedule.

Nurse hours

3.58 /day

Staff turnover

36%

Serious cites

0

Capri Gardens runs leaner than the typical American nursing home, 3.58 nurse hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 8% below its own weekday coverage. That staffing gap is the main thing pulling its profile down, even though the home holds a 4-star inspection rating and a 5-star quality measure score, and its 36.2% turnover actually beats the 45.8% national figure. Inspectors have logged 11 deficiencies, one serious enough to involve harm, plus a single $12,340 fine. The last inspection was May 2026. If your family is weighing this one, ask specifically how weekend nurse coverage holds up on the unit your relative would live on.

Nurse hours

5.01 /day

Staff turnover

69%

Serious cites

0

Liberty Station Health Campus is a 54-bed for-profit home in Butler County, and the most recent inspection, from December 2023, turned up no deficiencies at all, not at the harm level, not abuse-related, nothing. Staffing sits at 5.01 nurse hours per resident day, roughly 30% above the national average, though weekends run about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The real tension is turnover: 69.4% of staff leave each year against a national average near 46%. High hours can paper over a lot of churn, but they can't fix it. Ask who's actually on the floor and how long they've been there.

Nurse hours

3.81 /day

Staff turnover

42%

Serious cites

0

Cottonwood Creek runs 3.81 nurse hours per resident day, just under the national average, and weekends dip about 11% below its own weekday staffing. That gap matters because weekday coverage isn't the hard part. Turnover sits at 42.2%, better than the 45.8% national figure, and the inspection record is clean where it counts: none of the 23 deficiencies involve harm or abuse, and the most recent inspection was February 2025. The split in CMS's ratings is worth noticing, though, four stars on health inspections and three on staffing, but two on quality measures, which reflects how residents' clinical outcomes are tracking. For-profit partnership ownership. A reasonable option, with staffing consistency the thing to watch.

Nurse hours

3.02 /day

Staff turnover

46%

Serious cites

0

Shawn Manor runs on noticeably thin nursing hours, 3.02 per resident day against a national average of 3.86, and its weekend coverage doesn't drop off from there, which is one small point in its favor. Staff turnover sits right at the national average of 45.8%, so retention isn't the standout problem here. What stands out is the inspection record: 22 deficiencies, four serious enough to put residents in harm's way and five tied to abuse. The last full inspection was in November 2024, so that record is recent. Strong marks on health inspections and quality measures sit alongside a two-star staffing picture, which is the tension worth understanding before deciding.

Nurse hours

3.44 /day

Staff turnover

53%

Serious cites

0

Southern Oaks runs about 11% leaner on nurse staffing than the national average, 3.44 hours per resident day, and weekend coverage barely drops from weekday levels, which is at least consistent. The bigger number is turnover: 53.3% of staff leaving annually, against a national average of 45.8%, which matters over time because it's hard to keep consistent caregivers around residents. On the regulatory side, the home has 15 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Fines total $3,174. Its last inspection was in March 2026, so the picture is recent. A four-star health inspection rating is the strongest piece of this profile; staffing and quality measures sit in the middle.