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

Nurse hours

3.20 /day

Staff turnover

50%

Serious cites

0

Pruitthealth - Ashburn runs 76 beds under corporate for-profit ownership, and its inspection record is genuinely clean, six deficiencies on the current record, none at the harm level, none related to abuse, with a survey completed in September 2025. The state surveyors gave it a 4 out of 5 on health inspections and a 5 on quality measures. Where it slips is staffing: 3.20 nurse hours per resident day sits about 17% under the national average of 3.86, weekends dip roughly 15% below its own weekday coverage, and turnover hits 50% against a 45.8% national rate. Solid care when people are watching, thinner coverage when they're not.

Nurse hours

3.08 /day

Staff turnover

49%

Serious cites

0

Canyon West Of Cascadia runs 103 certified beds in Caldwell under for-profit LLC ownership, and its staffing is the number that stands out, 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, with weekends running about 17% thinner than weekdays. Turnover sits at 49.3%, a few points above the national figure. The inspection record shows 24 deficiencies, none at harm or jeopardy level but one abuse-related, and the most recent inspection was in April 2026, so the picture is current. Resident outcome measures look strong; the direct-care hours behind them don't match.

Nurse hours

3.47 /day

Staff turnover

54%

Serious cites

0

Waters Edge Village runs 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 16% below its own weekday staffing, so care thins out right when families tend to visit. Turnover sits at 54.4% against a national 45.8%, which means more than half the nursing staff leaves each year. The 16 deficiencies on record include six tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was March 2026. Its quality measure score is perfect while staffing sits at two stars, a split worth noticing: the home documents good clinical outcomes, but the daily coverage behind them is thinner and less stable than average.

Nurse hours

3.42 /day

Staff turnover

28%

Serious cites

0

Brickyard Healthcare's La Porte center runs on thinner nurse coverage than most homes, 3.42 hours per resident day against a national average of 3.86, with weekends dropping roughly 15% below its own weekday levels. Turnover sits at 27.5%, well under the 45.8% national figure, so the staff who are there tend to stay. The tradeoff shows up in the inspection record: 34 deficiencies, two tied to abuse, and a 2-out-of-5 health inspection rating, though none of the findings rose to harm or jeopardy. That combination, steady staff, weaker oversight, is what puts this one in the middle of the pack rather than above it.

Nurse hours

3.16 /day

Staff turnover

43%

Serious cites

0

Rosewalk Village At Lafayette runs on county government ownership, and its staffing is the clearest concern: 3.16 nurse hours per resident per day sits about 18% under the national average of 3.86. Weekends get thinner still, dropping roughly 17% below the home's own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. Turnover lands at 42.6%, a touch better than the 45.8% national figure but still meaning nearly half the nursing staff cycling through in a year. The inspection record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Quality measures score well; staffing is where the gaps live.

Nurse hours

3.76 /day

Staff turnover

45%

Serious cites

0

East Lake runs lean on nursing hours, 3.76 per resident per day against a national average of 3.86, and weekends are where that shows most, with staffing about 19% thinner than on weekdays. Staff turnover sits at 45.2%, basically in line with the national figure, so retention isn't the outlier here; the 2-out-of-5 staffing rating is about how many hands are on deck, not how often people leave. The 13 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection came in April 2026. As a nonprofit, its quality measure score of 4 out of 5 stands out against the weaker staffing picture.

Nurse hours

3.25 /day

Staff turnover

54%

Serious cites

0

St Elizabeth Healthcare Center runs 64 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.25 hours per resident day, about 16 percent under the national average, and weekends run roughly 17 percent thinner than weekdays, so ask who's actually on the floor on a Sunday. Annual turnover of 54.1 percent tops the national 45.8 percent, meaning many of the people you meet may not be there next year. Against that, the home scores 5 out of 5 on CMS quality measures and 3 out of 5 on inspections, with 20 deficiencies on record but none at harm or jeopardy level and none abuse-related. The most recent inspection was March 11, 2026.

Nurse hours

3.99 /day

Staff turnover

59%

Serious cites

0

Miller's Merry Manor in Portage runs about 66 beds under corporate ownership, and its staffing sits slightly above the national average, roughly 4 hours of nurse time per resident each day. That edge shrinks on weekends, when coverage drops about 17% below the home's own weekday level. Staff turnover is the bigger concern: 59.4% a year against a national average near 46%, meaning more than half the nursing staff leaves annually. The inspection record shows 24 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. The most recent inspection was in March 2026, so the picture is current.

Nurse hours

3.35 /day

Staff turnover

65%

Serious cites

0

Mitchell Manor runs 120 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.35 hours per resident day, about 13% under the national average of 3.86. That gap shows up most on weekends, when coverage drops roughly 15% below the home's own weekday level. Annual turnover is 64.5%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. Inspections turned up 19 deficiencies, none at the harm or jeopardy level, though two involve abuse. The last inspection was May 2026, so the record is fairly current. Quality measures score better than staffing does, which tells you the clinical tracking is decent even where consistency of hands-on care is thinner.

Nurse hours

4.07 /day

Staff turnover

65%

Serious cites

0

Brickyard Healthcare's Woodbridge Care Center runs 67 certified beds in Evansville, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, which is a real point in its favor. But weekends drop about 19% below the home's own weekday coverage, and annual turnover of 64.9% means far more of the staff you'd meet are new or on their way out than the 45.8% national rate suggests. The inspection record carries 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in July 2025. Those are the numbers driving the middle-of-the-road grade, decent daily hours, shakier continuity and oversight.

Nurse hours

3.78 /day

Staff turnover

52%

Serious cites

0

Arbor Grove Village runs on thinner nurse coverage than most homes, 3.78 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below its own weekday staffing. That gap matters more when turnover sits at 51.8%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record shows 17 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the health inspection rating of 2 out of 5 reflects that pattern. Quality measures score well at 4 out of 5, so the clinical care itself looks steadier than the staffing and inspection side. This nonprofit's strongest asset is its quality data; its weakest is consistency of hands on deck.

Nurse hours

3.51 /day

Staff turnover

45%

Serious cites

0

Clark Rehabilitation and Skilled Nursing Center is county-owned, which is unusual in this business, and its inspection record is solid, a four-star health inspection rating with the most recent visit in May 2025. The catch is staffing. At 3.51 nurse hours per resident per day, it runs about 9% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Nineteen deficiencies sit on the current record, including two at the harm level and two tied to abuse. Staff turnover, at 45.3%, is essentially the national rate.

Nurse hours

3.54 /day

Staff turnover

49%

Serious cites

0

Wellbrooke of Kokomo is a for-profit, limited-liability operation with 70 certified beds, and its strongest showing is in care quality measures, where it scores at the top of CMS's five-star scale. Inspections are a bright spot too: a 4/5 rating and a recent survey date of February 2026, with 18 deficiencies on record, one of them serious enough to involve actual harm, though none tied to abuse. Where it slips is staffing. At 3.54 nurse hours per resident day, it runs roughly 8% under the national average of 3.86, and weekends drop about 15% below its own weekday coverage. Turnover sits at 49.3%, a few points above the national 45.8%. One fine totaling $8,824 is on the books.

Nurse hours

4.33 /day

Staff turnover

69%

Serious cites

0

Hilltop Manor runs more nurse hours per resident than the average U.S. nursing home, 4.33 versus 3.86, and weekends show roughly a fifth less coverage than weekdays, which is when gaps tend to bite. The bigger concern is turnover: 68.9% of staff leaving annually against a 45.8% national rate, meaning the people providing that care are constantly changing. Twenty deficiencies sit on the current record, including two at harm or jeopardy level and two tied to abuse, with the last inspection at the end of 2025. A for-profit LLC operates the 45-bed home, and the quality and staffing scores look better than the inspection history does.

Nurse hours

4.11 /day

Staff turnover

—

Serious cites

0

Shawnee Post Acute runs 101 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average of 3.86. That headline number looks fine until you notice weekends run about 12% leaner than weekdays, which is when families tend to visit and when problems often surface. The inspection record is the real story here. Forty-four deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. One fine totaling $28,558. The last inspection was February 2026, and CMS gave the health inspection domain 2 out of 5 stars, against 4 for quality measures and 3 for staffing. Ask about those abuse-related citations directly before you decide anything.

Nurse hours

3.56 /day

Staff turnover

49%

Serious cites

0

Rockcastle Health & Rehabilitation Center runs 104 certified beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 17% below its own weekday coverage, so care thins out exactly when families tend to visit. Annual turnover of 48.5% runs slightly above the national figure, which usually means less continuity for residents who need consistent hands. The inspection record shows 20 deficiencies, including two at the harm level and one abuse-related, plus a $15,646 fine; its last inspection was August 2025.

Nurse hours

3.83 /day

Staff turnover

56%

Serious cites

0

Signature Healthcare of Spencer County runs 120 certified beds as a for-profit LLC, and its nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86. The bigger issue is consistency: weekend staffing drops roughly 18% below its own weekday level, and annual turnover hits 55.8% against a national average of 45.8%. The current record shows 17 deficiencies, none at harm or jeopardy level, but two tied to abuse. Inspectors were last in on January 23, 2026, and the health inspection rating came back 2 out of 5, even as quality measures scored 4. Families weighing this one should ask specifically who covers weekends and how abuse-related findings were resolved.

Nurse hours

3.87 /day

Staff turnover

48%

Serious cites

0

The Heritage runs 85 beds in Corbin under corporate, for-profit ownership, and its last inspection came in April 2025, recent enough that the record reflects current conditions. Eight deficiencies are on file, none at the harm level and none abuse-related, which matters more than the raw count. Where the numbers get less comfortable is staffing: 3.87 nurse hours per resident day sits almost exactly on the national average, but the 2-star staffing rating and 48.4% turnover, above the 45.8% national figure, suggest the people providing care are cycling through. Weekend staffing drops about 17% below weekdays. The quality measure score is strong; the question is whether that holds when weekends thin out.

Nurse hours

3.70 /day

Staff turnover

28%

Serious cites

0

Many Healthcare and Rehabilitation Center runs 162 certified beds in Sabine County under corporate for-profit ownership, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86, with weekend coverage dropping roughly 15% below its own weekday levels, a gap families often feel on Saturdays and Sundays. Turnover is where this home looks better than most: 28.4% annually against a national average of 45.8%, meaning fewer unfamiliar faces. But the inspection record is the real concern, 35 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus four fines totaling $129,108, with the most recent inspection on March 11, 2026.

Nurse hours

3.60 /day

Staff turnover

55%

Serious cites

0

Landmark South runs 144 beds in Baton Rouge under corporate ownership, and its recent inspection history is the strongest thing it has going: a four-star health inspection rating and a survey completed in January 2026. The staffing picture is where it gets shaky. At 3.60 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 17% below its own weekday levels, so the coverage your family member gets on a Saturday may look different from a Tuesday. Turnover runs 54.9% against a national 45.8%, which means aides and nurses cycle through faster than most places. Eleven deficiencies are on record, including two tied to abuse and one at the harm level, with a single fine of $10,036.