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

Nurse hours

4.02 /day

Staff turnover

52%

Serious cites

0

Good Samaritan Society's Waconia home runs on a paradox: nurses give more hours per resident than the national average, 4.02 versus 3.86, yet the same staff is spread thinner on weekends, dipping 11% below weekday coverage. The bigger worry is who's giving the care. Annual turnover hits 51.9%, well past the 45.8% norm, meaning most of the faces in this building change within a year. On paper, the health inspection and quality ratings both sit at 2 out of 5, with 46 deficiencies on record, including 3 at harm or jeopardy level and 7 tied to abuse. The last inspection was March 26, 2026, so the picture is current, not stale. Nonprofit ownership doesn't offset any of that.

Nurse hours

3.71 /day

Staff turnover

41%

Serious cites

0

Thief River Care Center runs a nonprofit shop with 70 beds, and the staffing story is mixed. Nurses provide 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 9% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover sits at 40.9%, a bit better than the 45.8% national figure, which suggests some stability in the workforce despite the thin hours. The inspection record is where things get serious: 29 deficiencies, five at harm or jeopardy level, five tied to abuse, and four fines totaling $219,217, with the most recent inspection dated April 2026. That combination of harm-level findings and repeat penalties is what drags the grade down, not the staffing numbers.

Nurse hours

3.80 /day

Staff turnover

46%

Serious cites

0

Franciscan Health Center in Duluth runs on thin margins where it counts. Nurse staffing sits at 3.80 hours per resident day, just under the national average, and weekends drop roughly 14% below what the home manages Monday through Friday, a gap families often feel on Saturday and Sunday shifts. The 46.2% turnover rate tracks almost exactly with the national figure, so continuity of caregivers isn't unusually bad here, just typical. What stands out is the inspection record: 41 deficiencies, including six tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was in late February 2026, so the picture is current. Quality measures score poorly even as staffing scores well, worth asking about directly.

Nurse hours

4.01 /day

Staff turnover

54%

Serious cites

0

Good Samaritan Society - Blackduck runs a small 30-bed nonprofit home where the nursing hours look solid on paper, 4.01 per resident day, a bit above the national average, but weekends run about 7% thinner than weekdays, so coverage isn't perfectly even. The bigger concern is staff turnover at 53.7%, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections in August 2025 turned up 22 deficiencies, including one tied to abuse, though none reached actual harm or jeopardy. Quality measures score poorly here even as staffing scores well, a split worth asking about directly.

Nurse hours

3.99 /day

Staff turnover

34%

Serious cites

0

Crystal Rehabilitation and Healthcare Center runs about 3.99 nurse hours per resident day, a bit above the national average, and its staff turnover of 34.1% is meaningfully lower than the typical 45.8%. Those are real positives, and weekend coverage dips only slightly compared with weekdays. The problem sits on the inspection side: 27 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $8,788. State inspectors last visited in October 2024, and the health inspection rating came back at 1 out of 5. This is a for-profit corporate home where the care numbers look steadier than the compliance record does, worth asking about directly before you decide.

Nurse hours

3.24 /day

Staff turnover

60%

Serious cites

0

Life Care Center of Carrollton runs a 120-bed for-profit partnership, and the numbers split in two directions. The quality measure score is strong at 4 out of 5, but the staffing score sits at 2, nurse coverage averages 3.24 hours per resident day, about 16% under the national figure of 3.86, and weekends drop roughly 15% below the home's own weekday level. Turnover is 59.6% against a national 45.8%, meaning well over half the nursing staff leaves each year. Inspections in April 2025 turned up 33 deficiencies, none at harm or jeopardy level, though four are abuse-related, and health inspection came in at 3 out of 5. Families should ask how the home covers weekend shifts and what those abuse citations involved.

Nurse hours

5.42 /day

Staff turnover

56%

Serious cites

0

Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.

Nurse hours

3.49 /day

Staff turnover

59%

Serious cites

0

Life Care Center of Waynesville runs 120 certified beds under corporate ownership, and its staffing tells the story here: 3.49 nurse hours per resident day, about 10% under the national average, with weekends running roughly 8% thinner than weekdays. Annual turnover sits at 59.1% against a national 45.8%, which means the aides and nurses at the bedside keep changing. The current record shows 32 deficiencies, including one at the harm level and two tied to abuse. Fines total $22,081, and the last inspection was March 2025. The 4/5 quality measure rating reflects good clinical numbers on paper; the 2/5 staffing rating and three-star inspection record show what happens between the measurements.

Nurse hours

2.91 /day

Staff turnover

27%

Serious cites

0

Sunset Health Care Center runs a 120-bed for-profit operation in Union, and the numbers tell two different stories. The clinical quality measures look strong at 4 out of 5 stars, and a 26.7% turnover rate is well below the national average of 45.8%, that kind of stability matters for residents who need consistent caregivers. But nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national figure of 3.86, and weekend coverage drops another 9% below its own weekday level. Then there's the inspection record: 26 deficiencies, including one at the harm level and two tied to abuse, with a 2-star health inspection rating and the most recent survey in May 2025.

Nurse hours

2.72 /day

Staff turnover

44%

Serious cites

0

Sunrise Nursing & Rehabilitation runs 2.72 nursing hours per resident day against a national average of 3.86, roughly 30 percent less hands-on care than typical. Weekends drop another 11 percent below the home's own weekday staffing, and 34 deficiencies sit on the current record, including five tied to abuse and one flagged at the harm or jeopardy level. The 43.5 percent turnover rate is slightly better than the national figure, which helps, and the most recent inspection was in June 2025, so the record is current. What stands out is the split: federal quality measures score 5 out of 5, while inspectors and the staffing calculation both land at 2. This is a for-profit, individually owned 152-bed home where the care numbers, not the quality scores, are the part to weigh.

Nurse hours

3.54 /day

Staff turnover

66%

Serious cites

0

Life Care Center Of St Louis runs about 8% under the national average for nurse staffing, and weekends dip roughly 11% below its own weekday levels, that's when families often notice the difference. Staff turnover sits at 66.4%, well above the 45.8% national figure, so the person caring for your relative may not be there in six months. The health inspection record shows 37 deficiencies, one serious enough to reach harm or jeopardy level, plus a $15,646 fine; the most recent inspection was in January 2026. Quality measures score well, but strong chart numbers and a thin, churning floor staff are two different pictures of the same building.

Nurse hours

2.93 /day

Staff turnover

31%

Serious cites

0

Cuba Manor runs 90 certified beds as a for-profit corporation, and the numbers telling the clearest story here are about who's on the floor. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below the home's own weekday levels. The tradeoff is stability: turnover is 31.4%, well under the 45.8% national figure, so the aides and nurses you'd meet are likelier to stick around. The health inspection side is genuinely strong, a 4-out-of-5 CMS rating, with the most recent inspection in December 2024 and 20 deficiencies on record, none tied to harm or abuse.

Nurse hours

3.69 /day

Staff turnover

57%

Serious cites

0

Barclays runs about 3.69 nursing hours per resident per day, roughly 4% under the national average, and weekends drop about 14% below its own weekday staffing. That gap matters more than the average suggests, because 57.1% annual turnover, against a national norm near 45.8%, means the people covering those thinner weekend shifts are often new. The inspection record shows 26 deficiencies, two tied to abuse, though none at the harm or jeopardy level, and the most recent state visit was in August 2025. Quality measures score well, but staffing is where this for-profit partnership is stretched thinnest.

Nurse hours

3.26 /day

Staff turnover

54%

Serious cites

0

Arnold Walter Nursing & Rehabilitation Center has 202 certified beds and runs on about 3.26 nurse hours per resident day, roughly 15% under the national average of 3.86. That thin staffing shows up in the government's own staffing rating, which lands at 2 out of 5, and in a turnover rate of 54.1%, well above the 45.8% national figure. Inspectors last visited in January 2025 and logged 23 deficiencies, none causing harm but three tied to abuse. Quality measures score 5 out of 5, so the clinical numbers families watch most closely look strong, the gap sits in how many hands are available to deliver that care, especially as staff keep leaving.

Nurse hours

3.29 /day

Staff turnover

59%

Serious cites

0

Bishop McCarthy Center runs 182 beds in Vineland under corporate ownership, and the staffing numbers are where you'd want to look first. At 3.29 nurse hours per resident day, it sits roughly 15 percent under the national average of 3.86, and weekends dip about 10 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 58.5 percent, well above the 45.8 percent national figure, means whoever's on the floor is often new. The inspection history backs that up: 25 deficiencies on the current record, including one at the harm level and two tied to abuse. Its last inspection was June 17, 2025. The quality measure score is strong, but that reflects resident outcomes, not the hands available to deliver care.

Nurse hours

3.17 /day

Staff turnover

44%

Serious cites

0

Adroit Care runs 122 beds in Rahway under limited liability ownership, and its nurse staffing works out to 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 43.6%, essentially level with the national 45.8%. The inspection record shows 22 deficiencies, including one at the harm level and two tied to abuse, plus a single fine of $11,175; the most recent inspection was March 24, 2026. Quality measures score well, but staffing and that deficiency history are what pull the overall picture down.

Nurse hours

3.17 /day

Staff turnover

34%

Serious cites

0

Palace Rehabilitation and Care Center is a 165-bed for-profit home in Maple Shade, and the numbers pull in two directions. Nurse staffing runs about 3.17 hours per resident day, roughly 18% under the national average, and weekends dip another 15% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. Turnover sits at 34.4%, better than the 45.8% national figure, which suggests some stability in the workforce. The trouble is oversight: 49 deficiencies on the current record, three of them at harm or jeopardy level and five abuse-related, with inspection and quality-measure ratings both at the bottom of CMS's scale. The most recent inspection was February 2026.

Nurse hours

3.11 /day

Staff turnover

36%

Serious cites

0

North Cape Center runs on 3.11 nurse staffing hours per resident day, about 19 percent under the national average of 3.86, and weekend coverage dips roughly 4 percent below what it manages on weekdays, a small gap, but one that matters when families visit on Saturdays. Turnover sits at 36 percent, which is actually better than the 45.8 percent national figure, so the staff who are there tend to stay. The 19 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection came in March 2025. Quality measures score well above the staffing picture suggests; the weak spot is simply how much hands-on time residents get.

Nurse hours

3.60 /day

Staff turnover

59%

Serious cites

0

Preferred Care at Wall runs 135 beds in Allenwood under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover of 59.3% is well above the 45.8% national figure, which means aides and nurses are cycling through fairly quickly. Inspections look better: 11 deficiencies on record, none at harm or jeopardy level, though one is abuse-related, and the last visit was in February 2025. Quality measures score high, but direct care hours and retention are where the gaps show.

Nurse hours

3.46 /day

Staff turnover

44%

Serious cites

0

Allendale Rehabilitation runs on thinner staffing than most homes, about 3.46 nurse hours per resident day against a national average near 3.86, and weekends drop roughly 14% below its own weekday coverage. Turnover sits at 44.3%, essentially in line with the national figure, so that's not the standout here. What is: 23 deficiencies on the current record, including three tied to abuse, though none rose to the level of actual harm or jeopardy. The health inspection rating is a middle-of-the-road 3, and the staffing rating is a 2. Its quality measure score is a 5, which means the clinical numbers families tend to worry about look better than the day-to-day coverage does. The last inspection was in November 2025.