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

Nurse hours

3.74 /day

Staff turnover

15%

Serious cites

0

Ayden Healthcare of Wauseon runs a tight ship on the things families often can't see day to day. Staff turnover of 14.6% is strikingly low next to the 45.8% national rate, which usually means people stick around and know the residents, and while overall nurse hours (3.74 per resident day) sit just under the national 3.86, the bigger caveat is weekends, when coverage drops roughly 11% below weekday levels. The health inspection record is the weak spot: 41 deficiencies, including one at harm level and two tied to abuse, with the most recent inspection in August 2024. Quality measures score well, but that inspection history and family-owned for-profit structure deserve your questions on a visit.

Nurse hours

4.42 /day

Staff turnover

49%

Serious cites

0

Ohio Living Lake Vista runs a tight ship. The Cortland nonprofit has 39 certified beds and enough nurses on hand to deliver 4.42 hours of care per resident each day, roughly 15% more than the national average, and its most recent inspection, in January 2026, left six deficiencies on the books, none of them involving harm, jeopardy, or abuse. Weekend coverage dips about 9% below weekday levels, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 49%, a touch above the national figure of 45.8%, so continuity of caregivers isn't guaranteed. The numbers say consistent, well-staffed care with room to improve retention.

Nurse hours

4.39 /day

Staff turnover

30%

Serious cites

0

The Willows At Tiffin runs on 4.39 nurse hours per resident day, about 14% above the national average, and its staff retention is notably strong: turnover sits at 29.6% against a national 45.8%. Weekend coverage dips roughly 12% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean where it matters, six deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. Corporate for-profit ownership is the main thing to keep in mind; the numbers here are solid, but ownership type is worth asking about directly.

Nurse hours

3.93 /day

Staff turnover

35%

Serious cites

0

University Park runs a little richer on nursing hours than the typical American home, 3.93 per resident day against a national average of 3.86, and weekend coverage holds steady rather than thinning out like it does at a lot of places. Staff turnover sits at 34.7%, well under the 45.8% national figure, which matters for whether your family sees the same faces month to month. The 28 deficiencies on record include one tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent state inspection came in March 2025. For-profit partnership ownership, 139 beds.

Nurse hours

5.19 /day

Staff turnover

37%

Serious cites

0

Avamere Crestview of Portland runs 127 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 5.19 hours per resident day, roughly a third above the national average of 3.86. That helps explain the top-tier staffing rating, though weekend coverage dips about 11% below weekday levels, so care may thin out on Saturdays and Sundays. Turnover lands at 36.6%, better than the 45.8% national figure. The inspection record is where things get murkier: 57 deficiencies on file, including 3 at harm or jeopardy level and 5 tied to abuse. The last inspection was February 13, 2026.

Nurse hours

4.76 /day

Staff turnover

34%

Serious cites

0

Fairlawn runs on 4.76 nurse hours per resident per day, which is roughly a quarter more staffing than the typical American nursing home. That matters, and so does the stability behind it: turnover sits near 34% while the national figure is closer to 46%, meaning fewer unfamiliar faces from one shift to the next. Weekends dip about 10% below weekday coverage, so ask how that plays out on a Sunday. The tradeoff shows up in the record: 27 deficiencies, one serious enough to involve harm, though none tied to abuse, and the most recent inspection is current. For-profit corporate ownership is worth knowing, but the staffing numbers are the real story here.

Nurse hours

5.02 /day

Staff turnover

41%

Serious cites

0

Marquis Plum Ridge runs 5.02 nurse hours per resident day, roughly 30 percent above the national figure of 3.86, and that staffing depth shows in the five-star rating CMS gives it for hours worked. Turnover sits at 40.9 percent, a bit better than the 45.8 percent national rate, though weekends run about 9 percent thinner than weekdays. Inspections turned up 30 deficiencies, none causing harm or jeopardy, but three tied to abuse, worth asking about directly. State surveyors were last in on May 22, 2026. Corporate-owned and for-profit, with four stars on both inspections and quality measures. The care hours are the real strength here; the abuse citations are the thing to press on.

Nurse hours

4.66 /day

Staff turnover

39%

Serious cites

0

Beaverton Post Acute Care of Cascadia runs a for-profit operation with 104 certified beds, and the numbers suggest it's doing the basics well. Nurse staffing sits at 4.66 hours per resident day, roughly 21% above the national average, and the five-star staffing rating backs that up, though weekend coverage dips about 9% below weekday levels, worth asking about if your relative needs care on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national average, which matters for continuity of care. Seventeen deficiencies appear on the current record, but none at the harm or jeopardy level and none abuse-related. The last inspection was in August 2025, so the record is recent. Four-star ratings on health inspections and quality measures round out a clean picture.

Nurse hours

4.73 /day

Staff turnover

31%

Serious cites

0

La Grande Post Acute Rehab runs 4.73 nursing hours per resident day, roughly a quarter above the national average, and its weekend staffing only dips about 13% below weekdays, a smaller drop than many homes show. Staff turnover sits at 30.6%, well under the national 45.8%, which suggests people tend to stay. The tradeoff is the inspection record: 31 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was in February 2025. Ownership is corporate for-profit. Strong staffing and steady retention are doing the heavy lifting here; the deficiency count is what a family should ask about directly.

Nurse hours

6.56 /day

Staff turnover

42%

Serious cites

0

Rogue Valley Manor runs 6.56 nurse hours per resident day, about 70% above the national average of 3.86, and that staffing shows up in a 5-out-of-5 staffing star rating from CMS. It's a nonprofit with a 4-star health inspection rating, last inspected April 24, 2025, so the record is recent. Staff turnover sits at 42.1%, slightly better than the national 45.8%. The catch is 17 deficiencies on the current record, including 2 abuse-related citations, though none rose to the level of actual harm or jeopardy. Weekend staffing also drops about 11% below its own weekday level, so coverage isn't perfectly even across the week. Strong hours, a fresh inspection, and a clean harm record are doing a lot of work here.

Nurse hours

5.86 /day

Staff turnover

35%

Serious cites

0

Regency Care of Central Oregon runs on unusually heavy staffing for a 46-bed for-profit home, 5.86 nurse hours per resident day, roughly half again the national figure, which is the main reason it sits where it does. Weekend coverage dips about 8% below its weekday level, and annual turnover of 35.2% is meaningfully lower than the 45.8% national average, so the people caring for residents tend to stay. The tradeoff shows up in its record: 22 deficiencies, including two tied to abuse, though none rose to harm or jeopardy, and the most recent inspection is from December 2025, so the picture is current.

Nurse hours

3.60 /day

Staff turnover

28%

Serious cites

0

Darway Healthcare and Rehabilitation Center in Forksville runs 67 beds under for-profit LLC ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, with weekends roughly 5% lighter than weekdays, so coverage thins out a bit when families tend to visit. Where it stands out is retention: 27.6% turnover against a national 45.8% means aides and nurses largely stay put, which matters more for daily care than a single staffing figure. Sixteen deficiencies appear on the current record with none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was December 2025.

Nurse hours

4.65 /day

Staff turnover

39%

Serious cites

0

The Inn at Freedom Village runs 60 certified beds in West Brandywine, and its nurse staffing sits around 4.65 hours per resident day, roughly a fifth above the national average of 3.86. Weekend coverage does dip about 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 38.6%, better than the 45.8% national figure but still meaning more than a third of the workforce leaving in a year. The current record shows five deficiencies, none at the harm or jeopardy level, though one is abuse-related. Ownership is a for-profit corporation.

Nurse hours

3.63 /day

Staff turnover

18%

Serious cites

0

Nhc Healthcare - Laurens runs 176 certified beds under for-profit LLC ownership, and its last health inspection came in March 2025. The current record shows six deficiencies, one serious enough to reach harm or jeopardy and one tied to abuse, that combination is what weighs down an otherwise strong profile. Staff turnover sits at 18.1%, well under the national 45.8%, so the same caregivers tend to stay. Daily nurse staffing of 3.63 hours per resident is about 6% under the national 3.86, and weekends run roughly 15% lighter than weekdays. The quality and staffing star ratings both hit 5/5; inspections landed at 3/5.

Nurse hours

4.40 /day

Staff turnover

43%

Serious cites

0

Avera Brady in Mitchell runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and turnover of 43.4% is slightly better than the typical 45.8%, both signs of a stable, adequately staffed floor. The catch: weekend coverage dips about 12% below its own weekday level, so care may thin out on Saturdays and Sundays. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2026. For a nonprofit home of 84 beds, that's a clean recent record.

Nurse hours

4.59 /day

Staff turnover

35%

Serious cites

0

Riverside Lifelong Health & Rehabilitation Sanders runs on unusually deep nurse staffing, 4.59 hours per resident day, roughly 19% above the national average, which is the main reason it holds a 5-star staffing rating. Weekends dip about 12% below its own weekday coverage, so ask how that plays out on a Saturday. The 34.6% turnover is better than the 45.8% national figure but still means about a third of staff left in a year. Inspections in July 2023 turned up 23 deficiencies, including one at the harm level and one abuse-related, which sits oddly beside the 4-star inspection rating. Nonprofit ownership, 55 beds, quality measures middling at 3 stars.

Nurse hours

4.84 /day

Staff turnover

38%

Serious cites

0

Queen Anne Healthcare runs on 4.84 nurse hours per resident day, about 25 percent more staffing than the national average, and its turnover sits at 38.2 percent against a national 45.8 percent, both point to a home that keeps people and has enough of them. The trade-off is consistency on weekends, when hours dip roughly 12 percent below the weekday level. A five-star inspection rating with zero deficiencies at the harm or jeopardy level and none tied to abuse, on a record of 30 total, is a clean if not spotless paper trail. The current inspection is recent, dated May 2026, so what you're seeing is close to present-tense.

Nurse hours

4.04 /day

Staff turnover

39%

Serious cites

0

Regency Omak runs on better-than-average nurse coverage, 4.04 hours per resident day against a national figure of 3.86, and staff tend to stick around, with turnover at 39.1% compared to 45.8% nationally. The weekend dip is worth asking about, though: hours drop roughly 14% from weekday levels, which is when families often notice less attention. The inspection record is where the picture gets more mixed. Nineteen deficiencies are on file, including one at the harm level and two tied to abuse, even though the last survey came back in January 2026. A corporation owns the 56-bed building, so ask how those abuse-related findings were resolved and what weekend coverage actually looks like on the floor.

Nurse hours

4.05 /day

Staff turnover

31%

Serious cites

0

Richmond Beach Rehab sits in Shoreline with 131 certified beds and a for-profit LLC owner. Nurse staffing runs 4.05 hours per resident day, about 5% above the national average, and turnover at 31% is well below the 45.8% national figure, that kind of retention matters for consistent care. But weekends dip roughly 12% below the home's own weekday coverage, so ask how that gap gets filled. The inspection record shows 27 deficiencies, including one at the harm level and one abuse-related, plus a $44,753 fine. Last inspection was February 2026, so the record is current. Solid quality measures and staffing don't erase those citations.

Nurse hours

4.41 /day

Staff turnover

51%

Serious cites

0

Covenant Shores runs high on most measures. Nurse staffing sits at 4.41 hours per resident day, roughly 14 percent above the national average, and the quality and staffing stars come in at the top of the scale. Weekend coverage dips about 11 percent below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 51 percent, higher than the national 45.8 percent. The current record shows 35 deficiencies, none at harm or jeopardy level, though 4 are abuse-related. The last inspection was February 11, 2026.