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

Nurse hours

3.05 /day

Staff turnover

37%

Serious cites

0

Hartville Care Center runs lean on nursing hours, 3.05 per resident per day against a national average of 3.86, roughly a fifth below it, and weekends drop another 12% under its own weekday level. Turnover sits at 36.7%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The current record shows nine deficiencies, none at the harm or jeopardy level, though two are abuse-related, and the last inspection was in June 2025. A four-star inspection history and four-star quality measures carry real weight here; the staffing number is the piece worth asking about directly.

Nurse hours

3.59 /day

Staff turnover

60%

Serious cites

0

Living Community of St Joseph runs 96 beds as a nonprofit, and its recent inspection history is the main thing to know. The home carries 36 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors last visited in January 2025. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 9% below the home's own weekday coverage. Staff turnover is 60% a year against a national average of 45.8%, that's a lot of churn for residents who need consistent faces. CMS gives the home middling marks on health inspections and quality measures, with staffing scoring comparatively better.

Nurse hours

3.99 /day

Staff turnover

55%

Serious cites

0

Village Health & Rehabilitation runs 3.99 nurse hours per resident day, just above the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover at 55.2%, nearly ten points above the national 45.8%, which matters for whether caregivers know residents' routines. On the record: 25 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $27,846. The most recent inspection was August 2025, so the picture is current. Quality and staffing star ratings both sit at 4/5, while inspections land at 3/5, the split tells you where the trouble concentrates.

Nurse hours

3.33 /day

Staff turnover

46%

Serious cites

0

Copper Ridge runs 186 beds in Butte under corporate ownership, and its inspection record is the strongest part of the picture, a recent April 2026 survey and decent marks on health inspections and quality measures. The staffing side is where it thins out. At 3.33 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover lands right at the national rate of 45.8 percent. Twenty-eight deficiencies are on record, two at harm or jeopardy level and three tied to abuse, with $9,311 in fines. One inspection alone doesn't tell you how a place runs on a Tuesday night.

Nurse hours

3.99 /day

Staff turnover

63%

Serious cites

0

Riverside Health & Rehabilitation runs 72 certified beds in Missoula under for-profit partnership ownership, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average. That edge narrows on weekends, though, when coverage drops roughly 11% below the home's own weekday level. The bigger concern is turnover: 62.8% annually against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its current record carries 33 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus one $35,139 fine. The most recent inspection was January 15, 2026. Quality and staffing measures both rate 4 out of 5 stars, but health inspections sit at 2, the gap between how the place scores on paper and what surveyors actually found.

Nurse hours

3.86 /day

Staff turnover

36%

Serious cites

0

St. Joseph Villa runs 184 beds under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.86 nurse hours per resident day, with weekends about 5% thinner than weekdays. Turnover is the bright spot: 35.8% against a national 45.8%, meaning fewer caregivers cycling out the door than is typical. The inspection record is where it gets harder to defend. Thirty-three deficiencies on the current record, two of them at harm or jeopardy level and three tied to abuse. The most recent inspection was January 8, 2026, so the findings are recent, not stale. One fine totaling $12,048 has been levied. Stable staff matters, but a harm-level citation and abuse-related deficiencies are the kind of thing families should ask about directly before moving anyone in.

Nurse hours

2.93 /day

Staff turnover

42%

Serious cites

0

Accura Healthcare Of Fullerton runs 75 certified beds under corporate ownership, and the staffing numbers are the main story here: 2.93 nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends running about 10 percent thinner than weekdays. That earned a 2-out-of-5 staffing rating from CMS. Staff turnover sits at 41.9 percent, slightly better than the national 45.8 percent, which suggests some stability even with lean coverage. The inspection record shows 19 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in April 2026.

Nurse hours

4.20 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Omaha runs 128 beds under for-profit partnership ownership, and its staffing numbers look decent at first glance, 4.20 nurse hours per resident day, about 9% above the national average. But weekends drop roughly 14% below the home's own weekday coverage, and annual turnover sits at 50.9%, higher than the 45.8% national figure. The bigger concern is the inspection record: 44 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with a $31,079 fine and a September 2025 inspection. CMS gives it one star for health inspections, and the quality measure score of four stars doesn't offset that.

Nurse hours

4.34 /day

Staff turnover

52%

Serious cites

0

Trellis Centennial runs about 4.34 nurse hours per resident per day, roughly 12% above the national average, real coverage on paper. But weekends dip about 14% below its own weekday staffing, and turnover sits at 52.2% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 20 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278. The most recent inspection was May 2026, so the picture is current. Strong quality measures and a four-star inspection rating sit alongside those findings and the churn, worth asking about weekend coverage and how they've addressed the abuse-related deficiency specifically.

Nurse hours

3.33 /day

Staff turnover

34%

Serious cites

0

Keene Center runs about 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends dip another 13% below its own weekdays. That's the number I'd watch: less coverage on Saturdays and Sundays is when falls and medication issues tend to surface. Turnover sits at 33.8%, better than the 45.8% national figure, so the crew is relatively stable even if it's thin. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Corporate for-profit ownership, mid-range marks on inspections, quality measures, and staffing alike. Nothing alarming here, but the staffing math is the thing to ask about directly.

Nurse hours

3.43 /day

Staff turnover

58%

Serious cites

0

Complete Care at Monmouth is a for-profit, LLC-run home with 120 certified beds, and the staffing numbers are the first thing to notice. At 3.43 nurse hours per resident day, it runs roughly 11% under the national average, with weekend coverage dipping slightly below its own weekday level. Turnover sits at 58.1% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its current record carries 23 deficiencies, none at the harm level but three tied to abuse. The most recent inspection was December 2024. Quality measure scores come in strong, yet the health inspection and staffing ratings land at 2 and 1 out of 5, families weighing that gap should ask directly how consistent the daily coverage really is.

Nurse hours

3.31 /day

Staff turnover

49%

Serious cites

0

Spring Creek runs about 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday levels. That thin margin matters more than the inspection record, which is solid: 15 deficiencies on file with three at the harm level and none tied to abuse, and a survey completed in April 2025. Staff turnover sits at 48.5%, a few points above the national figure, so the people around your family member change often. It's an individually owned, for-profit home with 179 beds, and the staffing numbers are the piece worth watching.

Nurse hours

3.28 /day

Staff turnover

47%

Serious cites

0

Complete Care At Phillipsburg runs 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That gap is what drives its 1-out-of-5 staffing rating, even though inspectors rated it 4 out of 5 on health inspections and quality measures. Turnover sits at 47.2%, slightly above the national 45.8%. Eight deficiencies are on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. The corporate for-profit owner keeps costs down on the floor while the clinical record looks solid, worth asking how the weekday-to-weekend staffing shift plays out in daily care.

Nurse hours

4.39 /day

Staff turnover

60%

Serious cites

0

Barnert Subacute Rehabilitation Center runs 68 certified beds in Paterson under for-profit LLC ownership, and its nurse staffing averages 4.39 hours per resident day, roughly 14% above the national figure of 3.86. That cushion is real, though weekends dip about 9% below the home's own weekday level, and annual turnover sits at 59.5% against a national average of 45.8%, meaning a lot of the people providing that care are new to the building. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2025. Staffing and quality measures each land at three stars, health inspections at four.

Nurse hours

4.73 /day

Staff turnover

50%

Serious cites

0

Florham Park Rehabilitation and Healthcare Center runs 53 certified beds under for-profit LLC ownership, and the nurse staffing number is genuinely strong, 4.73 hours per resident day, roughly 23% above the national average. That's the kind of coverage that shows up in daily care. Two things pull against it. Weekend staffing drops about 12% below the home's own weekday level, and annual turnover sits at 50%, a bit above the 45.8% national figure. High turnover means new faces on the floor more often than families might expect. On paper the record is clean: three deficiencies total, none at harm or jeopardy level, none abuse-related, and a recent March 2026 inspection. CMS rates health inspections and quality measures at 5 stars each.

Nurse hours

3.18 /day

Staff turnover

48%

Serious cites

0

Odelia Healthcare runs 119 certified beds in Albuquerque under corporate for-profit ownership, and its 4-star inspection and quality ratings suggest the care basics are mostly in order. The staffing picture is where the cracks show: 3.18 nurse hours per resident day sits about 18% under the national average, and weekends run roughly 13% thinner than weekdays, which matters when falls and infections don't check the calendar. Turnover at 47.6% edges past the national rate, so familiar faces may be hard to count on. Thirty-one deficiencies on record, including one tied to abuse and one at the harm level, are worth asking about directly. The last inspection was May 2025.

Nurse hours

3.74 /day

Staff turnover

68%

Serious cites

0

Betty Dare Wellness & Rehabilitation runs 90 certified beds in Alamogordo under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and weekends drop about 11% below what the home staffs during the week, so coverage thins out right when families tend to visit. The bigger red flag is turnover: 67.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. Inspections show 70 deficiencies on the current record, none at harm level but one abuse-related, and the health inspection rating is 2 out of 5. Quality measures score better at 4 out of 5, which suggests clinical care can be solid when staffing holds up.

Nurse hours

3.76 /day

Staff turnover

67%

Serious cites

0

Albuquerque Heights runs a for-profit corporate operation with 134 certified beds, and its staffing sits at 3.76 hours per resident day, just under the national average, with weekends about 10% thinner than weekdays. The bigger issue is turnover: 66.7% of staff leave annually, well above the 45.8% national figure, which means the people caring for your family member are often new and still learning the building. Inspections tell a similar story. There are 84 deficiencies on the current record, including one at the harm level and one abuse-related, and the last inspection was April 2025. The fines are modest, but the volume of problems is not.

Nurse hours

3.16 /day

Staff turnover

53%

Serious cites

0

San Juan Care Center runs on thin staffing: 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. Annual turnover sits at 52.9%, well above the 45.8% national figure, so the people providing that care are often new. The inspection record shows 23 deficiencies, none at the harm level but one abuse-related, with the most recent visit in June 2025. Ownership is for-profit corporate. The high inspection stars suggest the building itself is being run carefully when surveyors arrive; the low staffing stars suggest there frequently aren't enough hands.

Nurse hours

3.45 /day

Staff turnover

54%

Serious cites

0

Fulton Center runs 176 certified beds under corporate for-profit ownership, and its staffing is the number that stands out: 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, and annual turnover sits at 54% against a national 45.8%, so the aides and nurses your family member sees are stretched thinner than average and changing often. The current record shows 24 deficiencies, none at harm or jeopardy level, but one tied to abuse. The last inspection was November 2023. Quality measures score well; the hands-on staffing and inspection history are where the caution lives.