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

Nurse hours

3.53 /day

Staff turnover

43%

Serious cites

0

Oxford Rehabilitation and Healthcare Center runs 179 certified beds in Langhorne under for-profit LLC ownership, and the numbers split in two directions. The nursing side is thin: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 10% below the home's own weekday coverage, and that staffing picture earns only 2 of 5 stars from CMS. Quality measures and health inspections both come back strong, and turnover at 42.6% actually sits below the national 45.8%. What tempers the record is volume, 24 deficiencies on file, including one abuse-related citation, though none rose to harm or jeopardy level. The most recent inspection was November 14, 2025.

Nurse hours

3.59 /day

Staff turnover

33%

Serious cites

0

Titusville Nursing and Rehab runs 77 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is the bright spot: 32.8% against a national 45.8% means aides and nurses are staying longer than is typical. The inspection record is clean where it counts, 15 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in June 2025. Quality measure scores lag, though, at 2 of 5 stars.

Nurse hours

4.07 /day

Staff turnover

40%

Serious cites

0

Millcreek Manor runs 4.07 nursing hours per resident per day, roughly 5% above the national average, and it's the strongest number in the file, weekday coverage is genuinely above par. Weekends tell a different story, with staffing dropping about 13% below the home's own weekday level, so care thins out exactly when families tend to visit. The 40% annual turnover is lower than the national 45.8%, meaning the staff you meet are somewhat more likely to still be there next year. But 29 deficiencies on record, including one at the harm level and one abuse-related, plus a $100,240 fine, point to real problems that a strong staffing ratio alone doesn't offset.

Nurse hours

3.74 /day

Staff turnover

40%

Serious cites

0

Heritage Hills is a 100-bed for-profit home in Smithfield, and the split in its federal ratings tells the story. The quality measures look strong, but the health inspection side sits at the bottom of the scale, with 70 deficiencies on record, three of them serious enough to involve harm or jeopardy, and three tied to abuse. Nurse staffing runs slightly under the national average at 3.74 hours per resident day, thinner on weekends, though turnover at 39.8% is actually better than the 45.8% norm. A single fine of $8,827 and a September 2025 inspection round out the picture. The quality numbers and the inspection numbers don't agree, and you should ask which one matches what you see on a visit.

Nurse hours

3.08 /day

Staff turnover

42%

Serious cites

0

Oak Hollow runs lean on nurse staffing, 3.08 hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 9% below its own weekday level. That thinner weekend coverage matters, since 11 deficiencies sit on the current record, three of them serious enough to reach harm or jeopardy, one tied to abuse. Turnover is 41.7%, a bit better than the national 45.8%, and quality measures score well, but the health inspection side tells a rougher story. The last inspection was August 28, 2025, so the record is recent. Two fines totaling $10,312 round it out.

Nurse hours

3.56 /day

Staff turnover

35%

Serious cites

0

Carlyle Senior Care of Fork runs 3.56 nurse hours per resident per day, about 8% under the national average, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 34.6%, notably better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The inspection record is the strong point: a 4-out-of-5 health inspection rating, eight deficiencies, none at harm or jeopardy level, no abuse findings, and a survey completed in April 2025. The weak spot is the 1-out-of-5 quality measure rating, so ask what that reflects for your family member's specific needs.

Nurse hours

3.09 /day

Staff turnover

38%

Serious cites

0

Union Post Acute runs lean. At 3.09 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekends dip roughly another 10 percent below its own weekday numbers, that's the kind of gap families notice when a call button goes unanswered on a Sunday. The record isn't clean, either: 13 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. What keeps it in decent territory is turnover at 38.2 percent, better than the 45.8 percent national figure, plus strong marks on inspections and quality measures. A February 2026 inspection means the picture is current. Go in asking who's on the floor on weekends.

Nurse hours

4.05 /day

Staff turnover

49%

Serious cites

0

Ascension Living Alexian Village Tennessee sits in Signal Mountain with 114 certified beds, run by a nonprofit corporation. The staffing numbers look decent on paper, 4.05 nurse hours per resident day, slightly above the national average, but that advantage shrinks on weekends, when coverage drops about 7% below the home's own weekday level. Staff turnover runs 49%, a few points above the national rate of 45.8%. The real problem shows up in inspections. CMS gave this home 1 out of 5 stars for health inspections, with 28 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse. Two fines total $233,543. The last inspection was December 10, 2025. Strong quality and staffing scores don't offset that inspection history.

Nurse hours

3.54 /day

Staff turnover

43%

Serious cites

0

Nhc Healthcare, Hendersonville runs 122 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 9% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 42.6% is slightly better than the 45.8% national figure, which matters given how often new faces cycle through. The current inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site March 18, 2026. Quality measures score well; staffing and inspections are where the home gives ground.

Nurse hours

3.11 /day

Staff turnover

42%

Serious cites

0

Willow Ridge Center runs 77 certified beds under corporate ownership, and its nursing hours come in at 3.11 per resident day, roughly a fifth under the national average of 3.86. Weekends drop about 13% below the home's own weekday staffing, which matters when a fall or an infection doesn't wait for Monday. The inspection record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, though none tied to abuse. Staff turnover sits at 41.8%, a touch better than the 45.8% national figure, and the last full inspection was in mid-2023. Quality measures score well; staffing is where the weakness lives.

Nurse hours

3.27 /day

Staff turnover

23%

Serious cites

0

Ridgeview Terrace runs leaner than most homes on daily nursing hours, about 3.27 per resident, roughly 15% under the national average, and weekends dip another 12% below its own weekday coverage. What stands out is retention: 23.3% annual turnover is less than half the national rate, so the people showing up are largely the same people, which matters more than raw headcount. The 11 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was recent, in May 2025. Quality measure scores sit at 2 of 5 stars while inspections hold at 4, an unusual split worth asking about directly.

Nurse hours

3.43 /day

Staff turnover

39%

Serious cites

0

Spring Meadows runs 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 7% below its own weekday level, so the thinnest staffing tends to land when families visit. Turnover at 39.4% is better than the 45.8% national figure, which matters for continuity of care. The inspection record is the harder read: 21 deficiencies, five serious enough to reach harm or jeopardy, two tied to abuse, with the most recent inspection in July 2024. Good quality measure scores and steadier retention sit alongside real regulatory problems, and that mixed picture is what a B reflects.

Nurse hours

3.77 /day

Staff turnover

39%

Serious cites

0

Life Care Center of Sparta runs about 100 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.77 hours per resident day, slightly under the national average of 3.86, with weekends running roughly 10 percent thinner than weekdays, worth knowing if your visits fall on Saturdays or Sundays. Turnover is 38.6 percent, which is actually better than the national 45.8 percent, so the people who stay tend to stay. The inspection record is the strong point: five deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. The weaker spot is staffing, which CMS rates low.

Nurse hours

3.64 /day

Staff turnover

33%

Serious cites

0

Savannah Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and its inspection record is genuinely solid, a 4 out of 5 health inspection rating, with eight deficiencies on file and none reaching the harm or jeopardy level. That said, there's one abuse-related citation in the record, which is worth asking about directly. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, and weekends run roughly 11% lighter than weekdays, so coverage thins out when families tend to visit. Turnover at 33% beats the 45.8% national figure, which suggests the workforce is comparatively stable. Last inspected November 2024.

Nurse hours

3.48 /day

Staff turnover

55%

Serious cites

0

The Meadows runs on thinner staffing than most homes nationally, 3.48 nurse hours per resident day against an average of 3.86, and weekends dip about 12% below its own weekday coverage. Staff turnover of 55.2% sits well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. Its inspection record shows 16 deficiencies, none at the harm level but four tied to abuse, and the last full inspection was in September 2022, so that picture is getting old. Quality measures score well; the staffing and inspection side is where the drag comes from.

Nurse hours

4.00 /day

Staff turnover

56%

Serious cites

0

Life Care Center of Hickory Woods is a for-profit, LLC-owned home with 124 certified beds in Antioch. Its 4.00 nurse staffing hours per resident day sit slightly above the national average of 3.86, but weekends run about 13% thinner than weekdays, and annual turnover of 55.6% is roughly ten points above the national figure of 45.8%. On the clinical side, the numbers are stronger: a 4/5 health inspection rating and 5/5 on quality measures, with 13 deficiencies on record, none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was November 19, 2025. What drags the overall picture down is consistency rather than any single serious failure, steady care when fully staffed, thinner coverage on weekends.

Nurse hours

3.36 /day

Staff turnover

55%

Serious cites

0

Heartland runs 3.36 nurse hours per resident day, about 13% under the national average, and weekends dip roughly 8% below its own weekday staffing. That gap matters because aides and nurses are thinnest exactly when families visit and problems surface. The quality measure score is strong, but 54.8% annual turnover means more than half the staff leaves each year, well above the 45.8% national average, so consistent care is hard to build. The record shows 23 deficiencies, including one at harm level and one abuse-related, plus $7,901 in fines. The last inspection was April 2026. A corporation owns the place, so staffing decisions answer to a bottom line.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

The Woodlands Nursing And Rehabilitation Center runs 214 certified beds under nonprofit corporate ownership, and the staffing numbers tell a mixed story. At 3.45 total nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.6% also runs above the 45.8% national figure. The inspection record is the bigger concern: 23 deficiencies, four at harm or jeopardy level, one abuse-related, and two fines totaling $23,977. Quality measures score well, but staffing and health inspections both land at 2 out of 5 stars.

Nurse hours

3.75 /day

Staff turnover

30%

Serious cites

0

Avir At Beeville runs a 120-bed for-profit home in Bee County, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is genuinely low at 29.7% against a national 45.8%, which suggests people stay. But the inspection record carries 13 deficiencies, including one at the harm level and three tied to abuse, plus a $38,687 fine. The most recent inspection was August 2025. Ask directly about those abuse deficiencies and what changed since.

Nurse hours

3.32 /day

Staff turnover

36%

Serious cites

0

George Washington Health & Rehabilitation runs on thinner nursing coverage than most homes, 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below its own weekday staffing, so the quietest shifts are the leanest. The record shows 45 deficiencies, none flagged at harm or jeopardy level, but four tied to abuse, which deserves a direct question when you tour. What balances that: staff turnover of 35.9% sits well under the 45.8% national figure, meaning caregivers tend to stay, and CMS scored the home 5 out of 5 on quality measures. Its last full inspection was June 14, 2023, so ask what's happened since.