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

Nurse hours

3.12 /day

Staff turnover

63%

Serious cites

0

Majestic Care of Perrysburg runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends dip about 10% below its own weekday level. Annual turnover sits at 63.2% against a 45.8% national figure, meaning most of the aides and nurses working with your family member this year probably won't be there next year. The inspection record shows 65 deficiencies, three tied to abuse, with the last inspection dated April 2026. A five-star quality measure score stands out against that, though quality measures track clinical outcomes, not the hands available to deliver care.

Nurse hours

3.12 /day

Staff turnover

34%

Serious cites

0

Willow Woods runs lean on nursing staff, 3.12 hours per resident day, roughly 19 percent under the national average, with weekends about 10 percent thinner than weekdays. The state's inspectors have cited 37 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, and the home has paid $50,389 in fines. Turnover sits at 34 percent, better than the national 45.8 percent, and the last inspection was April 2025, so the record is current. Weigh that against the family's actual question: is someone there when Mom needs help, including on Sunday? The staffing numbers say that's the thing to ask about.

Nurse hours

3.18 /day

Staff turnover

35%

Serious cites

0

Greenbriar runs a lean nursing floor. At 3.18 nurse hours per resident per day, it sits roughly 18% under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage is the main thing dragging down its rating, and the 2/5 staffing star reflects it. What offsets that is stability: turnover of 34.5% is well under the national 45.8%, so the aides and nurses who are there tend to stay. Inspections look solid too, with a 4/5 health inspection star, a recent February 2025 survey, and no deficiencies at the harm or jeopardy level.

Nurse hours

3.36 /day

Staff turnover

38%

Serious cites

0

The Pines Healthcare Center runs on thinner nursing coverage than most homes, 3.36 nurse hours per resident day against a national average of 3.86, and weekends get leaner still, dropping about 11% below its own weekday level. Its inspection record tells a more reassuring story: a 4-out-of-5 star rating, last surveyed in May 2025, with 22 deficiencies on file, none of them at the harm or jeopardy level, though one is abuse-related. Staff turnover of 37.7% is actually better than the 45.8% national figure, which suggests workers stay put more than is typical. Quality measures score 5 out of 5. The tension here is real: strong outcomes and inspection results, but staffing is the weak spot.

Nurse hours

3.79 /day

Staff turnover

49%

Serious cites

0

Monarch Meadows runs a 50-bed for-profit operation in Seaman, and the numbers put it roughly in the middle of the pack. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average of 3.86, and weekends drop about 10% below what the home staffs on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 49%, higher than the 45.8% national figure, so expect some churn among the people providing care. The inspection record shows 18 deficiencies, one of them serious enough to trigger a harm or jeopardy finding, though none involve abuse. The last inspection was September 2025, so the record is reasonably current.

Nurse hours

3.53 /day

Staff turnover

43%

Serious cites

0

Court House Manor runs 99 certified beds under corporate for-profit ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 8% under the national average of 3.86. That gap widens on weekends, when coverage drops about 9% below the home's own weekday level, which matters because that's when families tend to visit and when problems often surface. The inspection record shows 22 deficiencies, two of them serious enough to reach harm or jeopardy level, though none involve abuse. Staff turnover of 42.7% is actually a touch better than the 45.8% national figure. CMS gives the home top marks on quality measures but only 2 of 5 stars on staffing, and its last inspection was in March 2025.

Nurse hours

4.37 /day

Staff turnover

75%

Serious cites

0

Nurse staffing at Ohio Living Quaker Heights runs 4.37 hours per resident day, roughly 13% above the national average, and the quality measure score backs that up. But the workforce itself is churning: 74.6% annual turnover, well above the 45.8% national figure, and weekend coverage dips about 8% below weekday levels. On the inspection side, 20 deficiencies are on record with none at harm or jeopardy level, though four are abuse-related. The last full inspection was November 2023. Nonprofit ownership and strong clinical measures help offset the thin staffing consistency and inspection history, but the turnover number is the one worth asking about directly.

Nurse hours

4.51 /day

Staff turnover

54%

Serious cites

0

Scarlet Oaks runs a for-profit shop with 70 beds in Cincinnati, and the raw staffing number looks good, 4.51 nurse hours per resident day, comfortably above the national average. But look closer at that 2/5 staffing star and the 54.4% turnover, which runs well past the national figure. Weekends dip about 11% below weekday coverage, so the hours you see aren't evenly spread. The current inspection record carries 27 deficiencies, including one at harm level and one abuse-related. The most recent inspection was in January 2025, so the picture is fairly fresh. High turnover plus a harm-level finding is worth asking about directly before you decide.

Nurse hours

3.82 /day

Staff turnover

56%

Serious cites

0

Trinity Community At Fairborn runs 94 certified beds as a nonprofit, and its quality scores come back strong, five stars on CMS measures. Staffing is where the picture shifts: 3.82 nurse hours per resident day sits just under the national average, weekend coverage drops about 9% below weekdays, and turnover hits 56.3% against a national 45.8%. That churn, not the raw hours, is the harder problem. The inspection record shows 36 deficiencies, none at harm or jeopardy level, but six tied to abuse, worth asking about directly. A February 2025 inspection means the record is fairly current. Strong care metrics, thin staffing, high turnover: that combination defines this home.

Nurse hours

3.18 /day

Staff turnover

38%

Serious cites

0

Salem North Healthcare Center runs 86 certified beds under corporate ownership, and its staffing tells the clearest story here: 3.18 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That's roughly 18% less direct nursing time than the typical home, which is why CMS gives it 2 out of 5 stars on staffing even though its quality measure score is perfect and its inspection rating sits at 3. Turnover of 38.2% actually beats the national 45.8%, so the problem isn't retention so much as how few hours are scheduled in the first place. The record shows 21 deficiencies, including one at the harm level and one abuse-related, plus a $23,163 fine; the most recent inspection was February 12, 2026.

Nurse hours

3.07 /day

Staff turnover

40%

Serious cites

0

Majestic Care Of Whitehall runs 150 certified beds under individual for-profit ownership, and its staffing sits at 3.07 nurse hours per resident day, roughly 20% under the national average of 3.86, with weekends about 9% thinner than weekdays. Turnover is 39.8%, which is actually better than the national 45.8%. The bigger concern is the inspection record: 88 deficiencies, including one at the harm or jeopardy level and five tied to abuse, across a single-star health inspection rating. Quality measures score 5/5 and the last inspection was June 2024, so the clinical metrics look better than the survey history does. Ask about the abuse-related deficiencies directly.

Nurse hours

3.03 /day

Staff turnover

39%

Serious cites

0

Covington Skilled Nursing & Rehab Center runs 65 certified beds in East Palestine under corporate for-profit ownership, and its staffing is the number that stands out, 3.03 nurse hours per resident day, roughly 22% under the national average, which is why CMS gives it only two of five stars on staffing. Turnover, at 39.3%, is actually better than the 45.8% national figure, and weekend coverage holds slightly above its own weekday level, so the shortfall isn't about constant churn. The inspection record is current, recent, and clean at the harm level, with 22 deficiencies but none causing injury and two tied to abuse.

Nurse hours

3.72 /day

Staff turnover

42%

Serious cites

0

The Laurels Of Athens runs 111 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends dip roughly 9% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Turnover at 41.6% is actually a bit better than the 45.8% national figure, which matters given how much constant retraining costs residents. The bigger concern is the inspection record: 36 deficiencies on file, including 2 at harm or jeopardy level and 3 abuse-related, with a health inspection rating of 2 out of 5. That's the pattern worth asking about directly.

Nurse hours

3.32 /day

Staff turnover

43%

Serious cites

0

Florentine Gardens runs lean on nursing hours, 3.32 per resident day against a national average of 3.86, and weekends get thinner still, roughly 13% below its own weekday staffing. That gap shows up as a one-star CMS staffing rating, though turnover at 42.9% is actually slightly better than the 45.8% national figure. The inspection record cuts the other way: 20 deficiencies on file, none rising to harm or jeopardy, but two are abuse-related. Recent survey activity, dated June 2025, and strong marks on health inspections and quality measures round out a mixed picture. Bottom line: clinical outcomes look solid, but keep an eye on whether weekend coverage holds up.

Nurse hours

— /day

Staff turnover

53%

Serious cites

0

Otterbein Loveland runs 60 certified beds as a church-affiliated nonprofit, and its last inspection was in August 2025. The staffing picture is the weak spot: CMS gives it one star out of five for staffing, and annual turnover sits at 52.7% against a national average of 45.8%. Its record shows 27 deficiencies, including one at the harm or jeopardy level and one tied to abuse, worth asking about directly. The health inspection rating is two stars, quality measures three. Nonprofit church ownership doesn't automatically mean better numbers, and here the turnover and deficiency counts are doing more talking than the mission statement.

Nurse hours

3.54 /day

Staff turnover

48%

Serious cites

0

Brunswick Pointe runs a tight ship on paper when it comes to inspections, a recent, clean survey history with just one harm-level deficiency on the books. The catch is who's on the floor. Nurse staffing sits at 3.54 hours per resident day, roughly 8 percent under the national average, and weekends drop another 11 percent below the home's own weekday coverage. Staff turnover hits 48.4 percent, a few points above average, which usually means familiar faces are harder to find. For a 91-bed for-profit in Medina County, the pattern is common: strong oversight marks, thinner day-to-day staffing. Ask how they cover weekends before you decide anything.

Nurse hours

3.85 /day

Staff turnover

55%

Serious cites

0

Heritage Villa runs about 100 certified beds in Bartlesville, and its nurse staffing sits at 3.85 hours per resident day, essentially dead even with the national average of 3.86. The catch is weekends, when coverage drops roughly 13% below what the home staffs on weekdays. That gap matters more when turnover is 55.3%, well above the 45.8% national figure, because replacements are learning the building while shifts are already thin. The inspection record carries 50 deficiencies, including one at the harm level and one tied to abuse, with a $8,278 fine and a survey from January 2025. A 2-out-of-5 inspection rating tells you the paperwork and the floor don't always match.

Nurse hours

3.27 /day

Staff turnover

58%

Serious cites

0

Rolling Hills runs 126 certified beds in Catoosa under for-profit LLC ownership, and its recent inspection record is genuinely solid, a 4-star health inspection rating, ten deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in December 2025. The staffing side tells a different story. Total nurse coverage sits at 3.27 hours per resident day, roughly 15 percent under the national average of 3.86, and weekend staffing holds even with weekdays, so there's no drop-off there. Turnover is the number to sit with: 58.3 percent of nursing staff leaving annually against a national 45.8 percent. Consistent aide churn is what families tend to notice first.

Nurse hours

3.37 /day

Staff turnover

59%

Serious cites

0

Meadowlake Estates runs 124 beds in Oklahoma City under corporate ownership, and the numbers there are worth slowing down for. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national figure, and weekends drop another 14% below what the home itself staffs on weekdays, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 59.3% is well above the 45.8% national average, which means caregivers are cycling out faster than residents can get to know them. The inspection record shows 33 deficiencies, two serious enough to involve harm or jeopardy, and $23,611 in fines across two penalties, with the most recent inspection in January 2025. Quality measures score well, but that's the piece least tied to daily care.

Nurse hours

2.87 /day

Staff turnover

36%

Serious cites

0

Antlers Manor runs on 2.87 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip a bit further below its own weekday level. Turnover sits at 36%, better than the 45.8% national figure, so the people who stay tend to stay. The trouble is on the inspection side: 18 deficiencies on record, two at harm or jeopardy level, one abuse-related, and a single $13,070 fine, with the most recent survey in March 2025. A for-profit LLC operating 133 beds, it earns solid marks for quality measures and staffing but a 1-out-of-5 on health inspections, the part families can't see from the parking lot.