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

Nurse hours

3.71 /day

Staff turnover

49%

Serious cites

0

Rocky Mountain Care - Hunter Hollow runs 124 certified beds as a for-profit LLC, and its current inspection record carries 26 deficiencies, six of them serious enough to involve harm or jeopardy, three tied to abuse. That's a lot of citations against one building. Nurse staffing sits at 3.71 hours per resident day, slightly under the national average, and weekends drop about 11% below its own weekday coverage. Staff turnover is 48.9%, higher than the 45.8% national figure. The quality measure score looks strong on paper, but the health inspection side tells a different story, and the last survey was in February 2026. If you're weighing this one, ask specifically about those six harm-level citations before you decide.

Nurse hours

3.63 /day

Staff turnover

54%

Serious cites

0

Rocky Mountain Care - Willow Springs runs 112 certified beds in Tooele under nonprofit corporate ownership. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 54.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record lists 32 deficiencies, including five at harm or jeopardy level and two tied to abuse, with $40,892 in fines across two penalties. The most recent inspection was June 17, 2025. Quality measure scores look strong; the staffing and inspection numbers are where the concerns sit.

Nurse hours

2.94 /day

Staff turnover

40%

Serious cites

0

Mission at Community Living runs on 2.94 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 12% below its own weekday level. Turnover sits at 40%, better than the 45.8% national figure, and the county-owned home was inspected recently, in June 2025, with 20 deficiencies on record, none at harm or jeopardy level, though four are abuse-related, and one fine totaling $6,351. Its quality measure score is strong and its health inspection score is middling. The tension here is thin daily staffing against decent retention and no serious harm findings; ask how weekends and evenings are actually covered before deciding.

Nurse hours

3.77 /day

Staff turnover

55%

Serious cites

0

Cascades At Riverwalk runs on thin nurse staffing for a 120-bed home, 3.77 hours per resident day sits just under the national average of 3.86, and weekends drop about 11% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. Staff turnover is 55%, well above the 45.8% national figure, which means the people at the bedside keep changing. The inspection record shows 39 deficiencies, including one at the harm level and one abuse-related, with a single fine of $23,829. Quality measures score well, but staffing and inspection results pull the other way. A recent November 2025 inspection helps, though it doesn't erase the pattern.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Burke Health & Rehabilitation Center runs 120 beds under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 48.5%, a few points above the national figure of 45.8%. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last full inspection in June 2023. Quality measures score well, but the staffing picture is where the tension sits: adequate on paper, thinner in practice.

Nurse hours

3.25 /day

Staff turnover

51%

Serious cites

0

Battlefield Park runs on 3.25 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below its own weekday numbers, so the thinnest staffing lands when families tend to visit. Staff turnover sits at 50.9%, higher than the 45.8% national rate, which means the people caring for your relative are likelier than average to be new or on their way out. The inspection record carries 72 deficiencies, four at harm or jeopardy level and six tied to abuse, with the most recent inspection in September 2024. Corporate-owned and certified for 119 beds.

Nurse hours

3.24 /day

Staff turnover

47%

Serious cites

0

The Laurels of Willow Creek runs 120 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends dip about 14 percent below the home's own weekday coverage, which matters when falls and infections don't check the calendar. The inspection record carries 54 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection back in September 2023. Staff turnover is 47 percent, slightly above the national 45.8. Quality measures score well, but consistent staffing and a clean survey record are what families actually live with day to day.

Nurse hours

3.51 /day

Staff turnover

55%

Serious cites

0

Hampton Health & Rehab Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, and annual turnover hits 54.7% against a national 45.8%, meaning nearly six in ten caregivers left within the year. The inspection record shows 48 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was September 5, 2024. CMS gives it 2 out of 5 stars for staffing and the same for health inspections, while quality measures score 5 out of 5, an unusual split worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Pulaski Health & Rehab runs 90 beds under for-profit LLC ownership, and its staffing numbers are the first thing to look at. Nurses provide 3.39 hours per resident per day, roughly 12 percent under the national average, and weekends drop another 9 percent below the home's own weekday levels. Annual turnover sits at 54.4 percent, well above the 45.8 percent national figure, which matters because consistent caregivers know residents' routines. The inspection record shows 22 deficiencies, including two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was in July 2024. Quality measures score well, but staffing is where the strain shows.

Nurse hours

4.08 /day

Staff turnover

42%

Serious cites

0

Avamere Rehabilitation of Issaquah runs 140 certified beds under for-profit LLC ownership, and the staffing picture is mixed. Total nurse coverage sits at 4.08 hours per resident day, about 6% above the national average, but weekends drop roughly 10% below the home's own weekday levels, so the people there on Saturday aren't getting the same attention as on Tuesday. Turnover is 42.4%, slightly better than the 45.8% national figure. The harder numbers are the inspection record: 56 deficiencies, three at harm or jeopardy level, two tied to abuse, and a $48,663 fine. The most recent inspection was March 2025. Quality measures score well; the inspection history is what pulls this down.

Nurse hours

4.20 /day

Staff turnover

53%

Serious cites

0

Life Care Center of Federal Way runs 157 beds under for-profit ownership, and its staffing sits at 4.20 nurse hours per resident day, roughly 9% above the national average. That looks decent until you see the weekends, when coverage drops about 13% below its own weekday level, and turnover runs 53% against a national 45.8%. The bigger problem is the inspection record: 82 deficiencies, five at harm or jeopardy level, six tied to abuse, and $98,970 in fines, with the most recent inspection in March 2025. Resident care measures score well, but a one-star health inspection rating with that many serious findings is what a family should weigh hardest here.

Nurse hours

4.23 /day

Staff turnover

44%

Serious cites

0

Richland Post Acute is a for-profit, limited-liability operation with 71 beds, and its staffing numbers tell a mixed story. Total nurse coverage runs 4.23 hours per resident day, roughly 10% above the national average, but weekends dip about 12% below the home's own weekday level, and the low staffing star reflects that unevenness. Turnover sits at 43.8%, slightly better than the national 45.8%. The bigger concern is the inspection record: 39 deficiencies, including one at the harm level and four tied to abuse, plus a $59,762 fine. A June 2025 inspection is recent, so the record is current. Strong quality measures and a 4-star inspection rating sit alongside real staffing and deficiency problems.

Nurse hours

3.98 /day

Staff turnover

57%

Serious cites

0

Salmon Creek runs on a 120-bed for-profit corporate model, and its nurse staffing sits at 3.98 hours per resident day, just above the 3.86 national figure, a margin thin enough that weekends, which drop about 13% below its own weekday coverage, can erase it. The bigger concern is who's providing that care: 57.2% annual turnover means more than half the nursing staff leaves each year, well past the 45.8% national rate, which matters for residents who need consistent caregivers. Inspections in January 2026 turned up 49 deficiencies, including one abuse-related citation, and the health inspection rating sits at 2 of 5 stars. Nothing on the record rises to harm or jeopardy level.

Nurse hours

3.89 /day

Staff turnover

52%

Serious cites

0

Morgantown Healthcare Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That margin shrinks on weekends, when coverage drops about 11% below the home's own weekday levels, and annual turnover hits 51.6% against a national 45.8%. The inspection record is the heavier concern: 47 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse, with a CMS health inspection rating of 2 out of 5. Quality measures score better at 4 out of 5, and the most recent inspection was May 2, 2025.

Nurse hours

3.50 /day

Staff turnover

40%

Serious cites

0

Tygart Valley runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below what the building manages during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 39.6%, which is actually better than the 45.8% national figure, so the crew that's there tends to stay. The inspection record shows 55 deficiencies, two tied to abuse, though none rose to the level of actual harm or immediate jeopardy. Its last full inspection was in November 2025, so the picture is current. A 3-out-of-5 on health inspections, quality measures, and staffing across the board tells you this is a middle-of-the-road building, not alarming, not standout.

Nurse hours

3.78 /day

Staff turnover

29%

Serious cites

0

Wyoming Healthcare Center in New Richmond runs 3.78 nurse hours per resident day, just under the national average, and weekend coverage drops about 13% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover sits at 29.4%, well below the 45.8% national figure, so the aides and nurses here tend to stay. The concerns are elsewhere: 32 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $268,733 fine. The most recent inspection was in November 2025, so that record is current. Corporate ownership, and a recent inspection that found serious problems, are worth asking about directly.

Nurse hours

3.25 /day

Staff turnover

42%

Serious cites

0

Valley Center runs 130 certified beds in South Charleston under for-profit partnership ownership, and its inspection record has held up reasonably well, a 4-star health inspection rating, a clean slate on harm-level deficiencies, and a survey as recent as October 2024. The staffing picture is where it gets thinner. At 3.25 nurse hours per resident day, it sits about 16 percent under the national average, and weekends drop roughly 12 percent below its own weekday coverage. Turnover lands at 42.3 percent, slightly better than the national 45.8, so the people who stay tend to stay. Two abuse-related deficiencies on the current record are worth asking about directly, along with how weekend coverage actually looks on the unit.

Nurse hours

3.17 /day

Staff turnover

32%

Serious cites

0

Hampshire Center runs on thinner nurse coverage than most homes, 3.17 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. That gap matters because weekends are when families often visit and when residents spend long stretches without therapies or activities. Turnover sits at 31.5%, better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record shows 53 deficiencies, none at harm or jeopardy level, but four tied to abuse, a category worth asking about directly. The most recent inspection was in December 2025, so the record is current. Corporate ownership and a two-star staffing rating round out the picture.

Nurse hours

3.64 /day

Staff turnover

48%

Serious cites

0

Monroe Health Services runs 50 certified beds in Green County under for-profit LLC ownership, and its inspection record is genuinely solid, a 4 out of 5 CMS health inspection rating, with the most recent survey completed in December 2025. The catch is in the care numbers: quality measures sit at 2 out of 5, and the home carries 22 deficiencies on its current record, including two tied to abuse, though none reached the harm or jeopardy level. Nurse staffing averages 3.64 hours per resident day, about 6 percent under the national figure, and weekends run roughly 10 percent thinner than weekdays. Annual turnover of 48.1 percent edges past the national rate. Recent inspections look good; day-to-day consistency is the open question.

Nurse hours

3.58 /day

Staff turnover

38%

Serious cites

0

Riverview Health Services runs 50 beds in Tomahawk under corporate ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86, with weekends running about 9% lighter than its own weekdays. Turnover is the counterweight: 37.5% of staff leaving annually is well below the 45.8% national figure, which suggests people stay. The current record shows 14 deficiencies with none at harm or jeopardy level and none abuse-related, plus two fines totaling $5,286, and the last inspection came January 27, 2026. Ask how the weekend floor actually looks on a Sunday evening.