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

Nurse hours

3.73 /day

Staff turnover

39%

Serious cites

0

Southwind runs about 3.73 nursing hours per resident day, a bit under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, that's when families tend to visit and when problems often surface. Turnover sits at 39.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is the harder read: 29 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey in September 2025. Quality and staffing measures both come in at 2 out of 5 stars. As a nonprofit, there's no ownership profit motive to weigh, but the numbers themselves carry the story.

Nurse hours

4.12 /day

Staff turnover

46%

Serious cites

0

Chateau De Notre Dame runs 171 certified beds as a nonprofit, and its nurses put in 4.12 hours per resident day, roughly 7% above the national average of 3.86, which is a real point in its favor. The catch is consistency: weekend staffing drops about 19% below weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern, 28 deficiencies, three of them at harm or jeopardy level and one abuse-related, with the most recent inspection in June 2025. Staff turnover sits at 45.5%, essentially matching the national rate, so retention isn't the problem here; the survey history is.

Nurse hours

3.59 /day

Staff turnover

40%

Serious cites

0

Majestic Care of Livonia runs 142 certified beds under corporate for-profit ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average. Weekends dip about 19% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 39.8% is actually better than the 45.8% national figure, which is worth noting. The harder numbers are on the inspection side: 46 deficiencies on the current record, including four at harm or jeopardy level and three tied to abuse, plus three fines totaling $139,006. The most recent inspection was February 26, 2026, so the record is current. Quality measures score well; the inspection history is where the concerns concentrate.

Nurse hours

3.94 /day

Staff turnover

48%

Serious cites

0

Medilodge Of Ludington runs 93 certified beds under for-profit LLC ownership, and its staffing sits just above the national average at 3.94 nurse hours per resident day, a slim margin, not a cushion. Weekends drop roughly 20% below weekday coverage, and turnover runs 48.4%, slightly worse than the 45.8% national figure. The inspection record is where the concern concentrates: 31 deficiencies, three at harm or jeopardy level and two tied to abuse, with one fine of $62,160 and a 2/5 inspection rating despite a 4/5 staffing score. That gap between how the place is staffed and how it has actually performed under survey tells you most of what you need to know.

Nurse hours

3.91 /day

Staff turnover

32%

Serious cites

0

Attala County Nursing Center runs 3.91 nurse hours per resident day, just a hair above the national average of 3.86, and its staff turnover of 32% sits well below the 45.8% national figure, that kind of retention usually means steadier hands on the floor. But weekend staffing drops about 17% from weekday levels, and the record shows 18 deficiencies, including two at harm or jeopardy level and two tied to abuse. The last inspection was August 2025. Quality measures score 1 out of 5, while staffing earns 4. Roughly 120 certified beds under corporate for-profit ownership. The B reflects real strengths in staffing and retention, offset by quality and safety concerns worth asking about directly.

Nurse hours

3.47 /day

Staff turnover

44%

Serious cites

0

Hillcrest Nursing Center runs lean on nurse staffing, 3.47 hours per resident day, roughly 10% under the national average, and weekends dip about 15% below what the home staffs on weekdays, which is when families tend to visit and notice. Turnover sits at 43.7%, a touch better than the national 45.8%, so the crew is comparatively stable even if thin. The inspection record is the strong point: seven deficiencies, none at harm or jeopardy level and none abuse-related, with a survey as recent as April 2025. Quality measures score lower, which fits a home where care is decent but resources are stretched.

Nurse hours

3.57 /day

Staff turnover

63%

Serious cites

0

Pioneer Skilled Nursing Center runs 96 certified beds in Marceline under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover of 62.7% is well above the national 45.8%, which matters for how well staff know residents and how consistently care gets delivered. On the inspection side, the home carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its last inspection was March 20, 2025, so the record is recent. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, while staffing earned 2 out of 5, the weakest mark of the three.

Nurse hours

3.38 /day

Staff turnover

56%

Serious cites

0

Shepherd Of The Hills Living Center runs 100 certified beds in Branson under for-profit LLC ownership, and its staffing is the weak point: 3.38 nurse hours per resident day against a national average of 3.86, with weekends about 19% thinner than its own weekdays. Annual turnover of 55.6% sits well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record backs that up, 30 deficiencies, including one at harm level and two related to abuse, with the most recent inspection in February 2026. Quality measures score well, but that staffing shortfall is the thing to ask about directly.

Nurse hours

3.99 /day

Staff turnover

66%

Serious cites

0

Sunterra Springs Springfield runs 38 beds under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, slightly above the national average of 3.86. That margin narrows on weekends, when coverage drops about 15% below the home's own weekday level. Staff turnover is the bigger issue: 66% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new or on their way out. The inspection record shows 29 deficiencies, including one at the harm level and three tied to abuse, with 12 fines totaling $67,701. The most recent inspection was June 2, 2025. Quality measures score well, but the inspection and turnover numbers are what families should weigh.

Nurse hours

4.34 /day

Staff turnover

32%

Serious cites

0

Tiffany Square runs on better-than-average staffing overall, 4.34 nurse hours per resident day against a national figure of 3.86, and its 32.3% turnover beats the 45.8% national rate, which matters for whether caregivers stick around long enough to know your mother's routines. Weekends dip about 16% below weekday coverage, so ask how that plays out on Saturdays and Sundays. The current record shows 18 deficiencies with none at the harm level, though one is abuse-related, and the quality measure rating sits at 1 out of 5, the weakest of its three CMS scores. A December 2025 inspection means the picture is recent. Nonprofit ownership is worth noting, but the numbers, not the label, tell you what to ask about.

Nurse hours

3.60 /day

Staff turnover

44%

Serious cites

0

The Laurels of Hendersonville runs 100 beds under corporate for-profit ownership, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends are the bigger concern, coverage drops roughly 21% below the home's own weekday level, which is when problems tend to surface. Turnover at 44.4% is basically in line with the national rate, so that's not the outlier here. What stands out is the inspection record: 23 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with four fines totaling $36,257. The most recent inspection was June 2026. Resident outcome measures score well, but that record is hard to overlook.

Nurse hours

4.17 /day

Staff turnover

58%

Serious cites

0

Pruitthealth-Town Center runs 70 certified beds in Harrisburg under corporate for-profit ownership. The nursing hours look decent on paper, 4.17 per resident day, roughly 8% above the national average, but weekends drop about 16% below what the home staffs during the week, and annual turnover sits at 57.9% against a national average of 45.8%. That's a lot of churn for a building this size. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with an $8,018 fine and a survey completed in August 2025. Quality measures score well; the staffing and inspection sides are where the concerns concentrate.

Nurse hours

3.91 /day

Staff turnover

37%

Serious cites

0

The Inn at Quail Haven Village runs 35 certified beds in Pinehurst under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, barely a percentage point apart. What's more telling is the shape of that coverage: weekends run about 17% leaner than weekdays, which is when families tend to visit and notice. Turnover at 36.8% is meaningfully better than the 45.8% national figure, suggesting workers stick around longer here than at the typical home. The inspection record carries 20 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent survey came in June 2025 and the health inspection rating landed at 4 out of 5. Quality measures scored lower, at 2 out of 5.

Nurse hours

4.46 /day

Staff turnover

61%

Serious cites

0

Pleasantview runs 4.46 nurse hours per resident day, roughly 16% above the national average, and its quality measure rating sits at the top of the CMS scale. So the care model isn't the problem. Retention is. Annual turnover hits 61.4% against a national average of 45.8%, and weekend staffing drops about 17% below its own weekday level, meaning the aide who knows your mother on Tuesday may be gone by spring, and the weekend crew is thinner than the weekday one. The inspection record shows 12 deficiencies, including one at harm level and one abuse-related, with the last survey in June 2024. Corporate-owned, 162 beds.

Nurse hours

3.43 /day

Staff turnover

45%

Serious cites

0

Vancrest Of Urbana runs 75 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.43 nurse hours per resident day, it sits about 11 percent below the national average of 3.86, and weekends drop roughly 15 percent below its own weekday levels, meaning coverage thins out exactly when families tend to visit. The inspection record shows 36 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse; the last survey was April 2024. Turnover lands at 44.9 percent, essentially tracking the national 45.8 percent. Quality measures score well, but that's largely built on charted outcomes rather than the hands-on time residents actually receive.

Nurse hours

3.76 /day

Staff turnover

44%

Serious cites

0

Parma Care Center runs 104 beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, a bit under the 3.86 national average, with weekends dropping roughly 18% below its own weekday coverage. Turnover lands at 43.8%, slightly better than the 45.8% national figure. The bigger concern is the inspection record: 22 deficiencies, three of them at harm or jeopardy level and one abuse-related, with the most recent survey dated July 2025. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5 out of 5, a split worth asking about directly.

Nurse hours

3.57 /day

Staff turnover

56%

Serious cites

0

Northfield Village runs about 3.57 nurse hours per resident each day, roughly 8% under the national average, and weekends dip about 16% below its own weekday staffing. That thin weekend coverage matters more when turnover is 56.3%, well above the 45.8% national figure, because replacements are constantly learning residents' routines. The record itself is fairly clean: 18 deficiencies, none involving harm or abuse, and a March 2024 inspection. State inspectors rated it 4 of 5, and quality measures hit 5 of 5. The weak spot is staffing, which CMS scored 2 of 5. If your family member needs steady hands day to day, ask exactly who covers Saturday and Sunday.

Nurse hours

3.28 /day

Staff turnover

36%

Serious cites

0

Avenue At Wooster runs lean on nursing hours, 3.28 per resident day against a national average of 3.86, and weekends drop roughly 16% below what the home staffs during the week. That thin coverage shows up in the inspection record: 33 deficiencies, including one at the harm or jeopardy level and four tied to abuse. The quality measure score is strong, but it sits next to a two-star staffing rating and a two-star health inspection rating, so read the clinical numbers with that context. Turnover at 35.8% is better than the 45.8% national figure, which matters for continuity. This is a for-profit corporate home last inspected in March 2025.

Nurse hours

3.79 /day

Staff turnover

63%

Serious cites

0

Village Of The Falls runs 36 beds in Olmsted Falls, and the numbers split in two directions. The clinical side looks solid: a 4-out-of-5 inspection rating, 5 out of 5 on quality measures, and just four deficiencies on record, none of them causing harm or tied to abuse. Staffing is where it thins out, 3.79 nurse hours per resident day sits just under the national average, weekend coverage drops roughly 16% below the home's own weekday level, and 63.4% annual turnover is well above the 45.8% national figure. It's a for-profit corporate home that last saw an inspection in July 2023. Small homes can run lean, but that churn is worth asking about directly.

Nurse hours

3.71 /day

Staff turnover

—

Serious cites

0

Lila Doyle Post Acute runs 120 beds in Seneca under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, which matters when a resident needs help on a Sunday. The inspection record shows eight deficiencies, two at harm or jeopardy level and two tied to abuse, plus two fines totaling $22,838. The most recent inspection was June 24, 2026. Quality measures score well, but staffing and inspection results are where the concerns live.