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

Nurse hours

3.86 /day

Staff turnover

47%

Serious cites

0

Arbors At Sylvania runs 77 certified beds in Toledo under corporate, for-profit ownership. Nurse staffing sits at 3.86 hours per resident day, almost exactly the national average, but weekends drop about 14% below what the home staffs on weekdays, so coverage thins out when families tend to visit. Turnover lands at 47.4%, slightly above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The inspection record shows 32 deficiencies, none at harm or jeopardy level, though two are abuse-related. Its last inspection was April 2025, so the record is recent. Quality measures score well; the staffing picture is average at best.

Nurse hours

4.27 /day

Staff turnover

59%

Serious cites

0

Embassy of Swanton runs a 68-bed for-profit home in Fulton County, and the numbers pull in different directions. Nurse staffing sits at 4.27 hours per resident day, roughly 11 percent above the national average, which is genuinely good, but that average hides a 59.2 percent annual turnover rate, well above the 45.8 percent national figure, and weekends run about 4 percent leaner than weekdays. On inspections, the home earned 4 stars, with 17 deficiencies on record but none at the harm level and none abuse-related; its last inspection was August 2024. Quality measures scored 5 stars. The staffing star rating tells a different story than the raw hours, which is worth asking about.

Nurse hours

3.74 /day

Staff turnover

42%

Serious cites

0

Austinburg Nsg And Rehab Ctr runs 99 certified beds under for-profit LLC ownership, and its 3.74 nurse staffing hours per resident day sit slightly under the national average of 3.86. Weekends thin out further, about 7% below the home's own weekday staffing, which matters if your visits fall on Saturdays or Sundays. Annual turnover comes in at 42%, a bit better than the 45.8% national figure. The current inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at 3 out of 5.

Nurse hours

3.34 /day

Staff turnover

52%

Serious cites

0

Falling Water Healthcare Center is a 135-bed for-profit home in Strongsville, and the numbers tell two different stories. Its quality measure score is perfect, but that's a self-reported picture; the staffing score sits at 2 out of 5, with nurses providing 3.34 hours per resident day against a national average of 3.86. Weekend coverage drops about 4% below weekdays, and annual turnover hits 51.5%, higher than the 45.8% national figure, which matters because constant churn is hard on residents who need consistency. The inspection history shows 20 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $10,839. The most recent inspection was in August 2025, so the record is current. Nothing here suggests abuse, but the pattern of thin staffing and high turnover is worth asking about directly.

Nurse hours

3.96 /day

Staff turnover

48%

Serious cites

0

Dayspring of Miami Valley, a for-profit home in Fairborn with 133 beds, has a clean recent inspection record, nine deficiencies on file, none causing harm or involving abuse, and the state visited as recently as March 2026. Its staffing sits slightly above the national average at 3.96 nurse hours per resident day, though weekends run about 9% leaner than weekdays, and turnover at 48.1% edges past the national rate. The inspection and quality-measure ratings are both top marks; staffing earns a middle score, which is the honest picture here, good care on paper, with room to steady the workforce.

Nurse hours

3.38 /day

Staff turnover

48%

Serious cites

0

Terrace View Gardens sits in Cincinnati with 82 certified beds and a corporate for-profit owner. The clinical picture is genuinely strong, a 5/5 quality measure rating and a 4/5 on health inspections, with 10 deficiencies on record and none rising to harm or jeopardy, none tied to abuse. The catch is staffing. At 3.38 nurse hours per resident day, it runs about 12% under the national average, and weekends drop roughly 14% below its own weekday numbers. Annual turnover of 48.1% edges past the national 45.8%. A recent inspection in February 2026 means the record is current. Good care metrics, thin coverage, worth asking how weekends actually feel on the floor.

Nurse hours

3.18 /day

Staff turnover

25%

Serious cites

0

Cumberland Pointe runs on 3.18 nurse hours per resident per day, roughly 18 percent under the national figure, and weekends dip about 10 percent below its own weekdays. That staffing level is the main thing dragging the numbers down. Turnover is the bright spot: 24.5 percent against a national average near 46 percent, so the aides and nurses here tend to stay. The inspection record shows 39 deficiencies, none at the harm level, one tied to abuse, with a survey completed in September 2025. Corporate-owned, 75 beds, mid-range marks on inspections, quality measures, and staffing alike.

Nurse hours

3.87 /day

Staff turnover

49%

Serious cites

0

Hillspring runs 140 beds in Springboro under limited-liability, for-profit ownership, and its last health inspection came back clean enough in November 2024 to earn a top inspection rating from CMS, with six total deficiencies on record and none involving harm, jeopardy, or abuse. That's a genuinely good paper trail. The staffing picture is thinner than it looks: 3.87 nurse hours per resident day sits essentially at the national average of 3.86, weekend coverage drops about 13% below weekday levels, and 49.3% annual turnover runs above the 45.8% national figure, which is why CMS rates staffing 2 out of 5 even as quality measures score 5.

Nurse hours

3.87 /day

Staff turnover

54%

Serious cites

0

Shawneespring runs 140 beds in Harrison, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average, not above it. The problem is consistency: weekends run about 8% leaner than weekdays, and annual turnover hits 53.7% against a national 45.8%, so the same faces aren't always there. Inspections tell the harder story, 16 deficiencies on record, including one at the harm level and two tied to abuse, with a $28,190 fine and a two-star health inspection rating. The most recent inspection was March 5, 2026. A four-star quality measure score doesn't cancel out a two-star staffing and inspection picture at a for-profit corporate home.

Nurse hours

3.74 /day

Staff turnover

47%

Serious cites

0

Venetian Gardens sits in Loveland, and its inspection record is genuinely strong, a five-star health inspection score, only five deficiencies on the books, and none of them at the harm or jeopardy level. That last inspection came in January 2025, so the picture is current. Where the home gives ground is staffing: 3.74 nurse hours per resident day, a bit under the national average, with weekends running about 10% lighter than weekdays and turnover at 47.1%, slightly above the national figure. Two abuse-related deficiencies also appear on the record. The care environment looks well-monitored; the question is whether there are consistently enough hands on deck, especially on weekends.

Nurse hours

3.67 /day

Staff turnover

50%

Serious cites

0

The Avenue at Medina runs a leaner floor than most: 3.67 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday levels. That thinner coverage shows up in the staffing star rating, which sits at 2 out of 5, and in a 50% annual turnover rate that edges past the national 45.8%, you may see unfamiliar faces. What works in its favor is a clean recent inspection history: 23 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last survey dated February 2026. Quality measures score 5 out of 5. For-profit corporate ownership. Worth asking how they cover a weekend call-off.

Nurse hours

3.60 /day

Staff turnover

54%

Serious cites

0

Avenue At Aurora is a for-profit LLC home with 98 certified beds in Aurora, and its inspection record has some real strengths: 14 deficiencies on file, only one at the harm or jeopardy level, none tied to abuse, and a recent inspection date of January 20, 2026. The clinical quality measures also look strong at 5 out of 5 stars. Where the picture weakens is staffing. At 3.60 nurse hours per resident day, the home runs about 7% below the national average of 3.86, and weekends drop roughly 10% below its own weekday levels. Annual turnover sits at 54.4%, well above the 45.8% national figure, which means the people caring for residents are often new.

Nurse hours

3.67 /day

Staff turnover

48%

Serious cites

0

Arlington Pointe, a 107-bed for-profit in Middletown, runs on thinner nurse coverage than most homes, 3.67 hours per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday levels. Turnover sits at 48.4%, a few points above the 45.8% national figure, which matters because that staffing category is where its federal rating lands at just 2 out of 5 stars even as inspections and quality measures each hold 4. The good news: nine deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with a clean inspection as recently as December 2025.

Nurse hours

4.47 /day

Staff turnover

64%

Serious cites

0

Advanced Health Care of Cincinnati runs a 46-bed for-profit home in Hamilton County, and the staffing numbers are a mixed picture. Total nurse coverage sits at 4.47 hours per resident day, roughly 16% above the national average of 3.86, but weekends drop about 11% below the home's own weekday level, and annual turnover hits 63.8% against a national 45.8%. That churn matters more than the headline hours, since it shapes who's actually at the bedside. The current record shows 20 deficiencies, one abuse-related, none flagged at harm or jeopardy level, and the last inspection was June 23, 2025. Quality measures rate 4 out of 5 stars; inspection and staffing each sit at 3.

Nurse hours

3.58 /day

Staff turnover

47%

Serious cites

0

Taylor Springs Health Campus runs below the national average on nurse staffing, 3.58 hours per resident day against 3.86, and weekends drop roughly 15% below its own weekday coverage, which matters most when families visit and fewer eyes are watching. The inspection record shows 36 deficiencies, including two at the harm level and one tied to abuse, plus a $17,225 fine; that history sits behind a 2-star health inspection rating even though the quality measure score is perfect at 5 stars. Staff turnover of 46.8% is slightly above the national average, so the people providing care change often, and the most recent inspection was in April 2025.

Nurse hours

3.67 /day

Staff turnover

51%

Serious cites

0

Medical Park West is a nonprofit home in Norman with 104 certified beds, and the numbers tell a mixed story. On the clinical side, the quality measure rating is strong at 4 out of 5, which suggests residents' day-to-day health outcomes are being tracked well. But the inspection record is a different picture: 48 deficiencies on file, three of them at the level where harm or jeopardy occurred, two tied to abuse, and $36,863 in fines. Staffing sits at 3.67 hours per resident day, about 5% under the national average, and weekends drop roughly 14% below weekday coverage. Annual turnover is 51%. CMS has placed this home in its Special Focus Facility program, and the last inspection was January 30, 2025.

Nurse hours

3.57 /day

Staff turnover

66%

Serious cites

0

Holiday Heights runs a tight ship on inspections, a five-star health inspection rating and nine deficiencies on record, none of them causing harm or involving abuse, with the most recent look from the state in July 2024. The weaker spot is staffing. At 3.57 nurse hours per resident day, it sits about 7% under the national average, weekend coverage dips roughly 9% below its own weekday levels, and annual turnover hits 66% against a national figure near 46%. That churn is the number worth asking about directly, who's actually on the floor on a Sunday, and how long have they been there?

Nurse hours

4.41 /day

Staff turnover

46%

Serious cites

0

Highland House runs 119 certified beds in Grants Pass under for-profit LLC ownership, and its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average of 3.86. But that average hides a drop: weekend coverage runs about 10% below the home's own weekday level, so the hours aren't spread evenly across the week. Annual turnover sits at 45.5%, essentially matching the national rate of 45.8%. The current inspection record is the heavier concern: 70 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. CMS fined the home once for $36,852, and its most recent inspection was December 3, 2025. Quality measures score well; the inspection history is where the problems concentrate.

Nurse hours

4.65 /day

Staff turnover

58%

Serious cites

0

Stanley Post Acute runs a for-profit LLC with 96 certified beds in Milwaukie, and it puts more nursing hours on the floor than most homes, 4.65 per resident day against a national average of 3.86. That advantage thins on weekends, which run about 7% below the home's own weekday staffing. The bigger concern is stability: annual turnover of 58.1% sits well above the national 45.8%, and 32 deficiencies on the current record, one at harm or jeopardy level, with a single $12,735 fine, point to real compliance problems behind three-out-of-five stars across inspections, quality, and staffing. The most recent inspection was September 2025, so the record is current. Ask about weekend coverage and how long direct-care staff typically stay.

Nurse hours

3.66 /day

Staff turnover

51%

Serious cites

0

Green Ridge Care Center in Scranton runs 95 beds under corporate ownership, and its recent inspections look decent, four stars for health inspections and quality measures, with the last survey in November 2025. The staffing picture is less reassuring. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends run roughly 7% lighter than weekdays, which matters when families visit less and problems go unnoticed. Turnover is 50.5% against a national 45.8%, so aides and nurses cycle through steadily. Eleven deficiencies are on record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Good surveys, thin coverage, heavy churn, that's the tradeoff here.