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

Nurse hours

3.18 /day

Staff turnover

46%

Serious cites

0

Pleasant Ridge runs 99 beds under corporate ownership, and its nurse staffing sits around 3.18 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 6% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 46.1%, nearly identical to the national 45.8%, which means steady churn rather than a stable crew. The inspection record is where the real weight sits: 44 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $67,093 fine. The most recent inspection was May 30, 2025. Quality measures score well, but that reflects charted clinical outcomes, not the hands available to deliver care.

Nurse hours

3.47 /day

Staff turnover

49%

Serious cites

0

Homestead II runs 46 certified beds in Painesville under corporate ownership, and its inspection and quality scores are genuinely strong, four and five stars respectively, with a clean January 2025 inspection and five total deficiencies, none at the harm level. Where it slips is staffing: 3.47 nurse hours per resident day, about 10% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays. Annual turnover sits at 48.8%, a bit above the national 45.8%. One abuse-related deficiency is on the record. If you're touring, ask how they cover weekend shifts and what that abuse citation involved.

Nurse hours

3.49 /day

Staff turnover

53%

Serious cites

0

Altercare of Wadsworth runs 90 beds under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 53.1%, well above the 45.8% national figure, which matters because unfamiliar caregivers know residents less well. The inspection record shows 30 deficiencies, five tied to abuse, though none rose to harm or jeopardy; the last inspection was April 2024. Strong quality measure scores sit alongside weaker inspection and staffing ratings, so ask about weekend coverage and turnover directly.

Nurse hours

3.56 /day

Staff turnover

49%

Serious cites

0

Franklin Plaza Extended Care is a 178-bed for-profit home in Cleveland, and the numbers tell a mixed story. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, and it thins out further on weekends, roughly 13% below the home's own weekday coverage. Annual turnover runs 48.7%, a bit above the national 45.8%. What stands out most is the inspection record: 38 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in September 2025. The quality measure score looks strong, but that reflects charted care indicators, not whether enough hands are on the floor.

Nurse hours

3.14 /day

Staff turnover

29%

Serious cites

0

Ivy Woods runs leaner on nursing hours than most homes, 3.14 per resident day against a national average of 3.86, and weekends dip roughly 6% below its own weekday coverage, so the thinnest shifts get thinner. Turnover is the bright spot: 29.1% is well below the national 45.8%, which means familiar faces even if there are fewer of them. But the inspection record carries 37 deficiencies, including three tied to abuse and one at the harm level, plus a $14,528 fine, with the state last in on January 17, 2026. The 5/5 quality measure score rests on a 2/5 staffing base, ask how that math holds on a Sunday.

Nurse hours

3.58 /day

Staff turnover

45%

Serious cites

0

Arbors At Carroll runs 99 certified beds under corporate ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average. Weekends dip about 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 44.6% is essentially the national rate, meaning this isn't a stable crew. The inspection record shows 36 deficiencies with none at harm or jeopardy level, though two are abuse-related. A March 2026 inspection is recent, and the 4-star health inspection rating reflects that. The softer spots are staffing and quality measures, both at 3 stars.

Nurse hours

3.03 /day

Staff turnover

39%

Serious cites

0

Autumnwood runs on a split record that's worth understanding before you visit. Its quality measure rating is a perfect 5 out of 5, yet inspections sit at 1 out of 5, with 32 deficiencies on file, including 2 at the harm or jeopardy level and 3 tied to abuse. Staffing also scores 1 out of 5, despite turnover of 38.5% coming in below the national average of 45.8%, meaning the people who stay aren't necessarily enough of them. The last inspection was May 27, 2025, so the record is recent. A for-profit limited liability company owns the 75-bed home. Strong clinical numbers and weak inspection and staffing marks rarely tell the same story, and here they don't.

Nurse hours

3.86 /day

Staff turnover

71%

Serious cites

0

Milcrest runs 3.86 nurse hours per resident day, which lands it right on the national average, but that average is spread unevenly, with weekends about 11% thinner than weekdays, so care can feel different depending on the day you visit. The bigger concern sits on the record: 34 deficiencies, including two at the harm level and two tied to abuse, plus a $68,006 fine. Staff turnover of 71.2% is well above the 45.8% national figure, meaning the people caring for your family member are changing often. The most recent inspection was in April 2025, so the record is fairly current. For a 50-bed for-profit home, quality measures score well, but the inspection history and turnover are what drag the picture down.

Nurse hours

3.11 /day

Staff turnover

49%

Serious cites

0

Kettering Heights Post Acute runs on thinner staffing than most homes its size, 3.11 nurse hours per resident day against a national average of 3.86. Weekends drop about 11% below its own weekday level, so the coverage gap widens exactly when families tend to visit. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves within a year, which is higher than the national rate. The inspection record shows 40 deficiencies, two of them serious enough to put residents at risk of harm, though none involve abuse. The last full inspection was June 2024. The quality measure score is strong, but that reflects charted outcomes, not the hands available to deliver care.

Nurse hours

3.17 /day

Staff turnover

29%

Serious cites

0

Unger Park Post Acute runs 45 deficiencies on its current record, five of them abuse-related, and its last inspection was April 30, 2026. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average, and weekends run about 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The one number working in its favor is turnover: 29.4% against a national 45.8%, which suggests a steadier crew than most. For-profit corporate ownership, 86 beds, and a two-star inspection history are the context. Ask about the abuse citations and what weekend coverage actually looks like on the floor.

Nurse hours

3.27 /day

Staff turnover

49%

Serious cites

0

Portsmouth Health and Rehab runs 3.27 nurse hours per resident per day, roughly 15% under the national average, and weekends drop another 11% below its own weekday pace. That staffing picture sits alongside a 49% annual turnover rate, a few points above the national figure. Inspectors were last in on July 31, 2025, and the home has 19 deficiencies on record, none at the harm level but one tied to abuse. The inspection and quality measure scores come back strong; the staffing score does not. For a 95-bed for-profit home, the numbers suggest care that inspects well but may feel stretched on weekends and during turnover.

Nurse hours

2.99 /day

Staff turnover

48%

Serious cites

0

Cottingham Retirement Community runs 60 certified beds in Cincinnati under for-profit LLC ownership, and its staffing is the first thing that stands out: 2.99 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekends dip about 9% under its own weekday numbers, and turnover sits at 47.7%, a bit above the national 45.8%. The inspection record is where the trouble concentrates, 19 deficiencies on file, including one at harm or jeopardy level and one abuse-related, with the most recent inspection dated February 2026. Quality measures score well, but the health inspection and staffing ratings both sit at two out of five, which is what pulls the overall picture down.

Nurse hours

3.89 /day

Staff turnover

47%

Serious cites

0

Pleasant Lake Villa runs 209 beds in Parma, and its health inspection record is genuinely good, a 4/5 from CMS, with the last full inspection in June 2024. But that record carries 20 deficiencies, including one at the harm level and two tied to abuse, which is more than a clean inspection score suggests. Staffing is where the picture narrows: 3.89 nurse hours per resident day sits barely above the national average, and weekends drop roughly 15% below the home's own weekday coverage, so the hours you see on paper aren't the hours your family member gets on a Sunday. Turnover at 47.4% is slightly worse than the national rate, and CMS rates staffing just 2/5.

Nurse hours

3.52 /day

Staff turnover

48%

Serious cites

0

Main Street Care Center runs 3.52 nurse hours per resident day, about 9% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage, which matters, since that's when families tend to visit and problems tend to surface. The inspection record is the bigger concern: 31 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $16,801 fine and a most recent inspection dated April 2026. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure. Corporate-owned and certified for 120 beds, the home's quality measure scores look strong on paper, but those numbers depend on the staffing and oversight underneath them.

Nurse hours

3.36 /day

Staff turnover

47%

Serious cites

0

Springmeade runs about 3.36 nursing hours per resident each day, roughly 13 percent under the national average, and weekends dip another 13 percent below its own weekday coverage. Staff turnover sits at 47.4 percent, a touch above the national figure. The record shows 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse; the last inspection was in April 2025 and health inspection scored 2 out of 5. Quality measures scored 4 out of 5, which lifts the overall picture, but the staffing and inspection numbers are the ones a family should weigh when deciding whether this nonprofit's care is steady enough day to day.

Nurse hours

3.15 /day

Staff turnover

50%

Serious cites

0

Concord Care and Rehabilitation Center runs 50 beds in Sandusky under individual for-profit ownership, and the numbers split in two directions. The clinical quality measures look strong, yet staffing sits at 3.15 nurse hours per resident day, roughly 18 percent under the national average, with weekends about 12 percent thinner than weekdays, and half the staff turning over each year against a national rate near 46 percent. The inspection record shows 29 deficiencies, none at harm or jeopardy level, but one is abuse-related. A September 2024 inspection means the record is fairly current, so those 29 citations reflect how the home operates now rather than old problems since corrected.

Nurse hours

3.64 /day

Staff turnover

23%

Serious cites

0

Park Health Center runs about 87 beds in St. Clairsville under corporate for-profit ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, which matters when families visit and needs don't pause. The turnover picture is genuinely unusual: 22.9% against a national average near 46%, meaning aides and nurses here tend to stay. What pulls the record down is inspection history, 38 deficiencies on file, including one at harm or jeopardy level and two tied to abuse, plus a $17,345 fine. The most recent inspection was March 2025, so the record is current rather than stale.

Nurse hours

4.74 /day

Staff turnover

76%

Serious cites

0

New Dawn runs 4.74 nurse hours per resident per day, roughly 23% above the national average of 3.86, that's real coverage. But the people providing it don't stay: turnover is 75.6%, well above the 45.8% national figure, and weekend staffing drops about 15% below weekday levels, so the hours can thin out when families visit most. The inspection record is the bigger concern. Fifty-seven deficiencies on file, including one abuse-related citation, with the last inspection in July 2024 and a 2-out-of-5 health inspection rating. Nothing is flagged at the harm level, and quality measures rate 4 out of 5, but 57 findings under for-profit LLC ownership is a lot of paperwork to accumulate for 98 beds.

Nurse hours

2.97 /day

Staff turnover

47%

Serious cites

0

Whispering Hills runs lean on nursing hours, 2.97 per resident day against a national average of 3.86. That's roughly a quarter less hands-on time than the typical American nursing home, and weekends dip another 7% below the home's own weekday pace, so the thinnest coverage lands on the days families visit most. Staff turnover sits at 47.1%, just above the national figure. The 29 deficiencies on the current record include one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection is dated February 2026. Its quality measure score is perfect even as staffing scores poorly, a split worth asking about directly.

Nurse hours

3.18 /day

Staff turnover

41%

Serious cites

0

Shaker Gardens runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, with weekends about 9% thinner than weekdays. That staffing gap sits alongside a 3/5 staffing star, but turnover at 40.8% actually beats the national 45.8%, so the people who are there tend to stay. The inspection record is the stronger part of the story: 17 deficiencies on file, none of them harm-level or abuse-related, and the most recent state visit was October 2024. Seven fines totaling $35,863 show the paperwork has slipped more than once, though nothing that endangered a resident.