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

Nurse hours

3.60 /day

Staff turnover

58%

Serious cites

0

Palm Garden of Pinellas runs 120 beds in Largo under individual for-profit ownership, and its inspection record is the main thing to know. The current file lists 31 deficiencies, three of them serious enough to involve harm or jeopardy, plus one abuse-related finding. Two fines totaling $10,039 are on record, and the most recent inspection was May 15, 2025. Staffing sits at 3.60 nurse hours per resident day, about 7% under the national average, with weekends roughly 8% lighter than weekdays, and turnover runs 57.9% against a national 45.8%. The quality measure score looks good, but quality measures are self-reported, and 31 deficiencies with three at harm level is a lot to weigh against them.

Nurse hours

3.99 /day

Staff turnover

45%

Serious cites

0

Conway Lakes runs 120 certified beds in Orlando under for-profit partnership ownership, and its nurse staffing sits at 3.99 hours per resident day, slightly above the national average of 3.86, though weekends run about 10% thinner than weekdays. Staff turnover of 45.4% lands right at the national norm, so retention isn't the problem here. The trouble shows up in its record: 31 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, plus six fines totaling $94,672. A recent inspection in September 2025 means the findings are current, not stale. Quality measures score well, but the inspection history is what drags the overall picture down.

Nurse hours

3.11 /day

Staff turnover

55%

Serious cites

0

Anderson Mill runs 170 beds in Austell under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, last surveyed in May 2025, with 12 deficiencies on file and none rising to harm or jeopardy, none abuse-related. The staffing picture is where it gets uneven. At 3.11 nurse hours per resident day, this home sits roughly 20% under the national average of 3.86, and weekends drop about 11% below its own weekday levels. Annual turnover of 54.5% runs well above the 45.8% national figure, which means caregivers are cycling through faster than average. If your family member needs steady, familiar hands on weekends, ask how the schedule is covered.

Nurse hours

4.72 /day

Staff turnover

45%

Serious cites

0

Chulio Hills runs plenty of nursing hours, 4.72 per resident day, roughly a fifth above the national average, but the weekend dip of about 14% means the coverage you see on a Tuesday isn't what your mother gets on a Sunday. Turnover sits at 44.6%, basically the national rate, so aides cycle through like anywhere else. The problem is the inspection record: 22 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and a one-star health inspection rating with the most recent survey in December 2025. A for-profit LLC with a four-star staffing score and a one-star safety history is a home where the hands are there but the oversight hasn't been.

Nurse hours

3.28 /day

Staff turnover

36%

Serious cites

0

Dublinair runs about 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends dip another 13% below its own weekday coverage. That thin staffing is the main thing dragging its profile down, and it's why the federal staffing rating lands at 1 out of 5. Turnover sits at 36.3%, actually better than the 45.8% national figure, so the people who stay seem to stay. Inspections look steadier: a 3-star health inspection rating, 6 deficiencies with one at harm level, no abuse citations, and $6,682 in fines. Quality measures score 5 out of 5. Corporately owned, 149 beds, last inspected September 2025. The gap is staffing.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Pruitthealth - Monroe runs on leaner nurse staffing than most homes, 3.36 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping about 14% below the home's own weekday coverage. What stands out is retention: 30.6% turnover is well under the 45.8% national figure, which suggests a steadier crew than the staffing hours alone imply. The inspection record is recent and clean at the serious end: 13 deficiencies on file, none involving harm or abuse, with the last survey in September 2025. Where the numbers lag is resident outcomes, where CMS rates quality measures 2 out of 5 despite the 4-star inspection history.

Nurse hours

3.55 /day

Staff turnover

32%

Serious cites

0

Friendship Health And Rehab runs 89 certified beds in Cleveland as a for-profit corporation, and its inspection record is the strongest thing it has going: a five-star health inspection rating with just four deficiencies on file, none rising to harm or jeopardy and nothing abuse-related. Staffing is more mixed. At 3.55 nurse hours per resident day, it sits about 8 percent under the national average of 3.86, and weekends run roughly 11 percent thinner than weekdays, worth asking how that plays out on a Sunday. Turnover is the bright spot at 32.1 percent against a national 45.8. The two-star quality measure rating is the piece that doesn't match the inspection story.

Nurse hours

3.45 /day

Staff turnover

43%

Serious cites

0

Lincoln County Care Center runs 36 beds in Shoshone under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends are thinner still, about 14% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover of 42.9% is slightly better than the 45.8% national figure, which matters in a small rural building where residents see the same faces or they don't. Thirty deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026. The three-star ratings across health, quality, and staffing point to a home that's adequate rather than strong.

Nurse hours

4.18 /day

Staff turnover

48%

Serious cites

0

Life Care Center of Coeur D'alene runs a for-profit, LLC-owned home with 120 beds, and the staffing numbers are genuinely on the high side: 4.18 nurse hours per resident day, roughly 8% above the national average. That's the strongest part of the picture. The problems sit elsewhere. Weekend coverage drops about 13% below the home's own weekday levels, so care thins out exactly when families tend to visit. Turnover runs 48%, a bit worse than the 45.8% national figure, and the inspection record carries 40 deficiencies, including one at harm or jeopardy level and one tied to abuse, plus a $39,520 fine. The most recent inspection closed in March 2026, so the record is current rather than stale.

Nurse hours

4.46 /day

Staff turnover

58%

Serious cites

0

Sunterra Springs Riverview runs a small house, 30 certified beds, under for-profit LLC ownership in Boise. The nursing hours look good on paper: 4.46 per resident day, roughly 16% above the national average, though weekends dip about 8% below what the home staffs during the week. Turnover is the bigger question at 57.5%, well above the 45.8% national figure, and that churn shows up against a record of 20 deficiencies, including one at the harm level and one tied to abuse. A single fine of $8,021 has been levied, and the last inspection was January 9, 2026. Quality measures score well; staffing and inspection results are more mixed.

Nurse hours

3.18 /day

Staff turnover

40%

Serious cites

0

The Pearl of Elgin runs on 3.18 nurse hours per resident day, about 18 percent under the national average, and weekends drop roughly 13 percent below its own weekday numbers. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though resident outcomes look strong on paper with a 5 out of 5 quality measure score. Turnover of 40.2 percent is actually better than the national 45.8 percent, so the issue isn't retention so much as how many hands are scheduled at once. The inspection record shows 36 deficiencies, including one at harm level and two tied to abuse, with the last state visit in August 2024.

Nurse hours

3.37 /day

Staff turnover

40%

Serious cites

0

The Waters of Lagrange is a 100-bed for-profit run by a corporation, and its numbers tell two different stories. Nurse staffing sits at 3.37 hours per resident day, about 13% under the national average, and weekends run roughly 10% leaner than weekdays, that's the kind of gap families feel on a Sunday afternoon. Inspections back that up: a 2-out-of-5 health inspection rating and 36 deficiencies on record, including one at the harm level and 10 tied to abuse. Turnover is 40%, a bit better than the 45.8% national figure, and quality measures score 5 out of 5. But a staffing rating of 1 out of 5, with the most recent inspection in September 2025, is the number to weigh hardest.

Nurse hours

3.32 /day

Staff turnover

41%

Serious cites

0

Majestic Care Of Avon runs on 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at the bottom of CMS's scale, even though the clinical quality measures come back strong at the top. The record shows 32 deficiencies with no harm-level findings, though two are abuse-related. Turnover at 40.5% is actually a bit better than the 45.8% national figure. Ownership is for-profit corporate, and the last inspection was August 2025. Ask how the weekend shifts are covered before you decide.

Nurse hours

3.31 /day

Staff turnover

51%

Serious cites

0

Miller's Merry Manor in Hope runs 75 beds under corporate for-profit ownership, and the nurse staffing number is the first thing worth noticing: 3.31 hours per resident per day against a national average of 3.86. That gap shows up on weekends too, when coverage drops about 10% below the home's own weekday level, exactly when families tend to visit and when problems are easiest to miss. Staff turnover sits at 51%, above the 45.8% national figure, so the people providing that care cycle through fairly quickly. The current inspection record lists 12 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. The most recent inspection was May 27, 2025, so the picture is current.

Nurse hours

3.45 /day

Staff turnover

45%

Serious cites

0

Miller's Merry Manor in Culver runs on thinner nursing hours than most homes in the country, about 3.45 per resident day against a national figure near 3.86, and weekends drop roughly 14% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. The 11 deficiencies on file include one tied to abuse, though none reached the harm or jeopardy level, and the last inspection came in March 2026. Turnover sits at 45.3%, essentially matching the national rate, which suggests the workforce here isn't bleeding any faster than average. A corporation owns the 66-bed building.

Nurse hours

3.61 /day

Staff turnover

52%

Serious cites

0

Homewood Health Campus runs about 68 beds under corporate ownership, and the numbers show a home that's stretched thinner than average on the floor. Nurse staffing sits at 3.61 hours per resident day against a national figure of 3.86, and weekends drop roughly 11% below what the home manages Monday through Friday. Staff turnover of 51.7% outpaces the 45.8% national rate, which matters because residents see a rotating cast of caregivers. The inspection record carries 34 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2025. Quality measures score well; staffing and inspections don't.

Nurse hours

3.67 /day

Staff turnover

61%

Serious cites

0

Aspen Trace is county-owned, and the inspection record is genuinely strong, five stars on health inspections, five on quality measures, with just three deficiencies on file and none involving harm or abuse. A recent inspection in May 2026 means the picture is current. Where it slips is staffing: 3.67 nurse hours per resident day, about 5% under the national average, and weekends run roughly 15% thinner than weekdays. Combine that with 60.5% annual turnover against a national 45.8%, and you get a home where care quality measures well but the people delivering it are stretched and constantly changing. Ask how they cover weekends and what they're doing to keep nurses.

Nurse hours

3.17 /day

Staff turnover

47%

Serious cites

0

Good Samaritan, Le Mars runs 64 beds under nonprofit ownership, and its inspection record is the strongest part of the picture: six deficiencies on file, none at the harm level and none tied to abuse, with a survey completed in May 2026. Staffing is where it thins out. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekend coverage drops roughly 11% below its own weekday level. Turnover lands at 47.4%, slightly above the 45.8% national figure. For a family weighing this one, the care practices look sound on paper, but the daily staffing margin is worth asking about directly.

Nurse hours

4.58 /day

Staff turnover

57%

Serious cites

0

The Summit of Bettendorf runs a 39-bed for-profit home where nurses give about 4.58 hours of care per resident per day, roughly 18 percent more than the national average, a real strength. Two things temper that. Weekend staffing drops about 8 percent below the home's own weekday level, so families visiting Saturday or Sunday may see fewer hands. And turnover sits at 56.9 percent against a national 45.8 percent, meaning the people providing that extra care keep changing. The current inspection record carries nine deficiencies, one at the harm or jeopardy level and one abuse-related, along with a single $26,358 fine. The last inspection was in December 2025, so the record is recent rather than stale.

Nurse hours

4.17 /day

Staff turnover

43%

Serious cites

0

Medicalodges Coffeyville runs 100 certified beds as a for-profit corporation, and its staffing is genuinely a bright spot: 4.17 nurse hours per resident day, roughly 8% above the national average, with turnover at 43%, a touch better than the 45.8% national figure. Weekends thin out about 12% from weekday coverage, so care isn't perfectly even across the week. The trouble sits elsewhere. Inspectors have cited 43 deficiencies, including six at harm or jeopardy level and five tied to abuse, with five fines totaling $217,665. Health inspection and quality measure ratings both land at 2 out of 5. Strong staffing hasn't translated into a clean record here.