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

Nurse hours

3.63 /day

Staff turnover

53%

Serious cites

0

Hermitage Health Center runs a tight ship on inspections, a five-star health inspection rating with just five deficiencies on record, none of them causing harm or involving abuse, and the most recent survey was this past May. That's a real strength, and it's not easy to earn. Staffing is where the picture gets murkier: 3.63 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 9% below the home's own weekday levels, and turnover runs 53.4% against a national 45.8%. So the care you'd see on a Tuesday may not match what's there on a Sunday. Quality measures land mid-range at three stars.

Nurse hours

3.27 /day

Staff turnover

36%

Serious cites

0

Alta Vista runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below what the home staffs on weekdays. That matters because the inspection record carries 26 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with one $14,433 fine and a survey completed in November 2025. Staff turnover sits at 36.4%, better than the 45.8% national figure, so the same faces tend to stick around. The puzzle is how a home can post top marks on clinical quality measures while its staffing and inspection results sit at the bottom, the answer usually lives in whether there are enough hands on the floor on any given afternoon.

Nurse hours

3.42 /day

Staff turnover

33%

Serious cites

0

Mission Nursing & Rehabilitation Center runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so a 170-bed home can feel the difference when families visit Saturday and Sunday. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses stick around longer than most. The tradeoff shows up in the record, 24 deficiencies, including one at the harm level and two tied to abuse, with a single $8,190 fine. Inspections are recent, and the for-profit LLC ownership has kept quality measures decent while staffing lags.

Nurse hours

2.80 /day

Staff turnover

33%

Serious cites

0

Focused Care At Clarksville runs lean on nursing hours, 2.80 per resident day against a national average of 3.86, roughly 28% below, and weekends dip about 13% below its own weekday staffing, which matters when families visit and needs don't pause. Turnover at 32.6% is actually better than the 45.8% national figure, so the concern isn't retention; it's raw coverage. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent inspection was February 2026 and fines total just $5,211. Quality measures score well, but staffing is where the numbers get thin for a 120-bed for-profit.

Nurse hours

3.49 /day

Staff turnover

28%

Serious cites

0

Waddell runs 3.49 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. Where it stands out is stability: turnover sits at 27.5% against a national average near 46%. Inspections are a genuine strength, a 5/5 health inspection rating, six deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in November 2025. The weaker spots are staffing (3/5) and quality measures (2/5). Limited liability ownership, 135 beds. Consistent caregivers and clean inspections offset thinner daily coverage, though the weekend drop is worth asking about.

Nurse hours

3.38 /day

Staff turnover

44%

Serious cites

0

Bowling Green Health & Rehabilitation Center runs 120 certified beds under individual for-profit ownership, and its staffing is the clearest thing in the numbers. At 3.38 nurse hours per resident day, it sits roughly 12 percent below the national average of 3.86, and weekends drop about 11 percent below its own weekday level. Turnover, at 44 percent, is close to the national 45.8 percent, so retention isn't the outlier here, raw hours are. The inspection record shows 53 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,278 and the last inspection in March 2024. Strong quality scores and a low staffing rating pull in opposite directions, which is worth asking about directly.

Nurse hours

3.43 /day

Staff turnover

32%

Serious cites

0

Autumn Care of Mechanicsville runs 169 beds under corporate ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 32.1% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. Inspections tell a mixed story, 33 deficiencies on the current record, none flagged as harm or abuse, with one fine of $10,358 and a February 2025 survey. Quality measures score well; staffing and inspection stars sit at 2 out of 5.

Nurse hours

3.73 /day

Staff turnover

56%

Serious cites

0

Sequim Bay Post Acute runs 100 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 15% below what the home provides on weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the sharper concern: 56.4% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $15,185. Quality measures score well; staffing and inspections are where the gaps show.

Nurse hours

3.47 /day

Staff turnover

62%

Serious cites

0

Maplewood runs about 3.47 nurse staffing hours per resident day, roughly ten percent under the national average of 3.86, and weekends drop another twelve percent below its own weekday level. That thin margin matters more when turnover sits at 62.3 percent against a national 45.8 percent, nearly two-thirds of the nursing staff cycling out in a year, so the people caring for your relative are often new to the building. The inspection record shows 40 deficiencies, including six tied to abuse and one serious enough to risk harm or jeopardy; the last state survey was January 14, 2026. A single fine of $7,443 is modest, and the five-star quality measure rating suggests charted care metrics look good, but those measures reflect documentation more than day-to-day floor coverage.

Nurse hours

3.43 /day

Staff turnover

45%

Serious cites

0

Mulder Health Care Facility runs on thinner nurse coverage than most homes, about 3.43 hours per resident day against a national average near 3.86, with weekends dropping roughly another 12% below its own weekday levels. Staff turnover sits at 44.6%, close to the national figure, so the staffing shortage isn't mainly a retention story. The inspection record is where the real weight sits: 52 deficiencies, five of them at harm or jeopardy level, a dozen tied to abuse, and two fines totaling $200,694. The most recent inspection was in April 2025. Ownership is a for-profit corporation. Families weighing this home should ask pointed questions about the abuse-related citations and what changed since.

Nurse hours

4.97 /day

Staff turnover

64%

Serious cites

0

Complete Care At Maple Grove runs a corporate-owned, 184-bed operation in Madison where the day-to-day staffing looks solid on paper, 4.97 nurse hours per resident, roughly 29% above the national average, but the workforce behind those hours turns over at 64% a year, well past the 45.8% national rate, and weekends run about 10% leaner than weekdays. The inspection record is where the real trouble sits: 70 deficiencies, including 7 at harm or jeopardy level and 10 tied to abuse, drawing six fines totaling $153,657, with the most recent inspection in May 2025. Strong quality scores can't offset that pattern.

Nurse hours

3.60 /day

Staff turnover

35%

Serious cites

0

Randolph Health Services runs 84 certified beds under corporate ownership, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends dip roughly another 10% below its own weekday coverage, so the thinnest shifts land when oversight is lightest. Turnover is the one clear bright spot at 35.4%, well below the 45.8% national figure, which suggests less churn than many peers. Against that, the inspection record carries 13 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $49,572 fine. The most recent inspection was March 2026, so the picture is current.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

Clairidge House runs 87 certified beds in Kenosha under for-profit corporate ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average of 3.86, with weekends running roughly 13% thinner than weekdays. Turnover is 46.3%, essentially level with the 45.8% national figure, so the problem isn't retention so much as the floor being staffed lighter than average, especially on weekends. The inspection record is where the real weight sits: 45 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with the most recent inspection on March 5, 2026. Federal ratings split hard here, four stars for staffing, one for quality measures, two for health inspections.

Nurse hours

3.89 /day

Staff turnover

42%

Serious cites

0

Complete Care At Manitowoc runs 150 certified beds as a for-profit LLC, and its nurse staffing sits at 3.89 hours per resident day, roughly 1% above the national average, which is close to a wash. Weekends are where it thins out: staffing drops about 13% below the home's own weekday level, so coverage is noticeably lighter when families tend to visit. Turnover at 41.5% is a bit better than the 45.8% national figure. What pulls the record down is the inspection side: 14 deficiencies on file, including one at harm or jeopardy level and three tied to abuse, plus a single $76,944 fine. The most recent inspection was October 2025, so that picture is current.

Nurse hours

3.40 /day

Staff turnover

53%

Serious cites

0

The Pines runs 50 beds under corporate ownership, and its nursing hours come in around 12% under the national average, a gap that widens on weekends, when coverage drops another 11% below its own weekday pace. Staff turnover sits at 52.7%, roughly seven points above the national figure, so the people caring for residents change often. Its inspection record carries 18 deficiencies, including two at the harm level and four tied to abuse, with one fine of $11,960. The last inspection was July 17, 2025. Quality measures score well, but staffing and the deficiency history are what pull the overall picture down.

Nurse hours

3.14 /day

Staff turnover

51%

Serious cites

0

Frederic Nursing and Rehab Community runs 60 beds under corporate for-profit ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 51 percent against a national 45.8, meaning more than half the nursing team turns over in a year. The health inspection record shows 28 deficiencies, none at harm or jeopardy level, but four tied to abuse. The most recent inspection was May 19, 2026. Quality and staffing measures each earned three of five stars; inspections earned two.

Nurse hours

3.83 /day

Staff turnover

56%

Serious cites

0

Heartwood Avenue Healthcare runs 60 beds in Vallejo under for-profit LLC ownership, and its staffing is the weak spot: 3.83 nurse hours per resident day sits just under the national average, and weekends drop about 7% below its own weekday levels. Staff turnover is 55.7% against a national 45.8%, roughly a quarter more churn than typical. The inspection record is where the real concerns show: 34 deficiencies, four at harm or jeopardy level, two abuse-related, and $16,988 in fines. A recent May 2026 inspection means the record is current. The quality measure rating looks better than the staffing one, but that gap between reported care quality and actual bedside coverage is worth asking about directly.

Nurse hours

4.47 /day

Staff turnover

45%

Serious cites

0

Villa Valencia sits in Laguna Hills with 59 certified beds, run by a for-profit limited liability company. Nurse staffing runs 4.47 hours per resident day, about 16% above the national average of 3.86, though weekends drop roughly 9% below the home's own weekday coverage, so care can thin out when families visit. The 42 deficiencies on record include nothing flagged at the harm or jeopardy level and nothing abuse-related. Annual turnover of 45.3% tracks right at the national figure of 45.8%, meaning roughly half the staff still turns over each year. A May 2025 inspection is recent enough to trust, and the county's Orange County market gives you plenty of alternatives worth comparing on weekend coverage alone.

Nurse hours

6.54 /day

Staff turnover

53%

Serious cites

0

All Saint's runs one of the heavier staffing operations you'll see in Alameda County, 6.54 nurse hours per resident per day, well above the national figure, and weekends dip only slightly from that level. What pulls the record down sits elsewhere: 19 deficiencies, including one at the harm level, plus two fines totaling $163,127, with the last inspection in July 2024. Staff turnover runs at 52.8%, more than the national average, which matters for residents who rely on consistent caregivers. A for-profit limited liability company owns the building. Strong daily coverage, but the compliance history and churn are the parts worth asking about directly.

Nurse hours

4.20 /day

Staff turnover

52%

Serious cites

0

Evergreen Care Center sits in Fresno with 49 certified beds and for-profit LLC ownership. Its 4.20 nurse staffing hours per resident day beat the national average of 3.86 by roughly 9%, but that headline number hides weaker weekends, about 7% below the home's own weekday coverage, and 51.5% annual turnover, higher than the 45.8% national figure, which means unfamiliar faces are routine. The current record shows 35 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited May 17, 2024. Staffing quantity looks decent, but consistency and safety history are where the concerns stack up.