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

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Azria Health Rose Vista runs 76 certified beds in Woodbine under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86. Weekends thin out further, roughly 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure, but the inspection record is where the picture darkens: 22 deficiencies on file, including one at the harm or jeopardy level and one abuse-related. That last inspection closed in November 2025, so the findings are current, not old history.

Nurse hours

4.23 /day

Staff turnover

65%

Serious cites

0

Rolling Green Village Care Center sits in Story County with 58 certified beds and a for-profit LLC owner. The 4.23 nursing hours per resident day runs about 10% above the national figure, which sounds good until you see weekends dip roughly 12% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover of 65% is well past the 45.8% national average, and 16 deficiencies on record, two of them at harm or jeopardy level, carry a $14,380 fine. The last inspection was January 14, 2026. Three stars across health, quality, and staffing tell you the same thing the numbers do: adequate, not strong.

Nurse hours

4.01 /day

Staff turnover

51%

Serious cites

0

Harmony Marshalltown runs 4.01 nurse hours per resident per day, a bit above the national average of 3.86. But weekends drop roughly 9% below its own weekday staffing, and turnover sits at 50.7% against a national 45.8%. Those two facts matter more than the headline staffing number, because they mean the coverage you see on paper isn't evenly distributed. The inspection record is where the real concern lives: 46 deficiencies, 4 at harm or jeopardy level, 1 abuse-related, and a $78,878 fine. CMS gave it 1 out of 5 stars on health inspections, though quality measures came in at 3. The most recent inspection was January 2026. Corporate-owned, 72 beds.

Nurse hours

3.01 /day

Staff turnover

70%

Serious cites

0

Valley Vista runs about 3.01 nurse hours per resident per day, roughly a fifth below the national figure of 3.86, and weekend coverage dips further from its own weekday level. That thin staffing sits alongside a 70.4% annual turnover rate, well above the 45.8% national average, and a two-out-of-five CMS staffing rating. The health inspection record shows 36 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in August 2025. Quality measures score five out of five, but a limited liability for-profit operator with that turnover and those survey findings is the fuller picture.

Nurse hours

3.54 /day

Staff turnover

41%

Serious cites

0

Accura Healthcare of Spirit Lake runs 80 certified beds under corporate, for-profit ownership, and its inspection record is the weak spot: 23 deficiencies on file, including three tied to abuse and one serious enough to reach harm or jeopardy level. That produced a $34,567 fine, and the most recent inspection dates to October 2025. Staffing cuts both ways, 3.54 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday levels, though turnover at 40.8% is better than the 45.8% national figure. A 2/5 inspection rating against 4/5 staffing tells you where the problems concentrate.

Nurse hours

3.64 /day

Staff turnover

53%

Serious cites

0

Good Samaritan Society - Ellsworth Village runs on 3.64 nurse hours per resident per day, roughly 6% under the national average, and weekends drop about 13% below its own weekday staffing. That gap matters in a 43-bed nonprofit home where turnover sits at 52.6% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is genuinely strong, a 5/5 health inspection star and a recent survey, but it carries 18 deficiencies, including one at the harm level and one abuse-related, plus an $8,190 fine. Quality measures score 2/5. Stable inspections, thinner daily coverage.

Nurse hours

3.57 /day

Staff turnover

57%

Serious cites

0

Minneapolis Healthcare and Rehabilitation Center runs 45 beds under corporate ownership, and the numbers pull in two directions. Inspections look strong, a recent May 2025 survey, five deficiencies total, only one at the harm level, no abuse findings, but staffing is where the trouble sits. At 3.57 nurse hours per resident day, it runs about 8% under the national average, weekends drop another 14% below its own weekday pace, and 56.8% annual turnover means more than half the staff leaves each year. A $16,708 fine is on record. Good surveys don't staff a building on a Saturday; ask what the weekend floor actually looks like.

Nurse hours

4.00 /day

Staff turnover

98%

Serious cites

0

Legacy At Herington runs on thin margins when it comes to people. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average, but weekends drop roughly 11% below what the home staffs during the week, so the coverage families see on a Tuesday isn't what shows up on a Sunday. Annual turnover of 97.6% means the entire staff essentially replaces itself every year, more than double the national rate. That churn sits behind a one-star health inspection rating, with 44 deficiencies on record including two at the harm level and three tied to abuse. A four-star quality measure score and recent October 2024 inspection don't erase those numbers.

Nurse hours

4.10 /day

Staff turnover

39%

Serious cites

0

Somerwoods runs a 166-bed for-profit home in Somerset, and the staffing is genuinely better than most: 4.10 nurse hours per resident day against a national average of 3.86, with turnover at 39.4% versus 45.8% nationally. Weekend coverage dips about 12% below its own weekday level, which is worth asking about directly. The trouble sits elsewhere. Twelve deficiencies are on the current record, two tied to abuse, and the last inspection was February 2025. CMS gives it 2 of 5 stars on health inspections and just 1 of 5 on quality measures. Strong hands-on staffing is carrying a record that inspection and quality scores say is uneven.

Nurse hours

3.48 /day

Staff turnover

39%

Serious cites

0

Life Care Center of Morehead runs a 97-bed for-profit home in Rowan County, and the numbers point in two directions at once. Nurse staffing sits at 3.48 hours per resident day, about 10 percent under the national average, and weekends drop roughly 13 percent below its own weekday coverage, so the hours get thinnest exactly when families tend to visit. Turnover, at 38.7 percent, actually beats the national 45.8 percent, and 13 deficiencies with one at harm level and a $15,334 fine suggest care problems that staffing math alone doesn't explain. The last inspection was March 2026, so the record is current.

Nurse hours

6.85 /day

Staff turnover

63%

Serious cites

0

Madonna Manor has the staffing hours most families are told to look for, 6.85 per resident day, well above the national average, and the church-affiliated nonprofit ownership that often signals stability. The inspection record tells a different story. Twenty-one deficiencies on file, six of them serious enough to put residents at risk of harm, two tied to abuse, and $181,278 in fines across two penalties. Staff turnover sits at 63.3% against a national 45.8%, so the generous hours are delivered by a workforce that keeps changing. Weekend coverage also drops below weekday levels. The last inspection was recent, December 2025, meaning the problems are current rather than past.

Nurse hours

3.06 /day

Staff turnover

39%

Serious cites

0

Fair Oaks runs lean on nursing hours, 3.06 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the brighter spot: 39.1% against a national 45.8%, meaning the aides and nurses you meet are somewhat more likely to still be there next year. The inspection record is clean where it counts, four deficiencies with none involving harm or abuse, and the most recent survey was April 2025. The tradeoff is straightforward: good survey results and steady-ish staff, but you should ask how many nurses are actually on the floor on a Saturday.

Nurse hours

3.20 /day

Staff turnover

38%

Serious cites

0

Creekwood runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, roughly 17% below. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The tradeoff shows up in retention: 38.2% turnover beats the 45.8% national figure, meaning fewer unfamiliar faces than at a typical for-profit corporate home. Inspections look clean on paper, five deficiencies, none involving harm or abuse, with a survey completed in late February 2026. Quality measures hold at 4 out of 5 stars, but staffing sits at 2. The consistent thread is a place that keeps its people and avoids serious problems while running on fewer hands than average.

Nurse hours

3.25 /day

Staff turnover

36%

Serious cites

0

Klondike runs 3.25 nurse hours per resident day, roughly 16% under the national average, and weekends drop another 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 35.8% is better than the 45.8% national figure, which matters for continuity. The record shows 20 deficiencies, five at harm or jeopardy level, one abuse-related, plus two fines totaling $33,062. The quality measure score of 5/5 reflects charted outcomes, while staffing sits at 2/5. That split is the tension here: the clinical measures look strong, but the hands-on coverage and inspection history tell a more cautious story.

Nurse hours

3.64 /day

Staff turnover

49%

Serious cites

0

Cambridge Nursing & Rehabilitation Center runs 108 certified beds in Lexington under for-profit LLC ownership. The staffing picture is thin: 3.64 total nurse hours per resident per day, about 6% under the national average, with weekends dropping roughly 14% below the home's own weekday coverage. Turnover sits near 49%, a few points above the national figure. The federal staffing rating lands at 1 out of 5. What offsets that is the care record. Ten deficiencies on file, none at harm or jeopardy level and none abuse-related, and the most recent inspection was February 19, 2026, recent enough to trust. The quality measure rating is 5 out of 5. So the clinical outcomes look strong even though the daily hours behind them don't. If your family member needs consistent weekday attention, ask how weekends get covered.

Nurse hours

3.52 /day

Staff turnover

57%

Serious cites

0

Glen Ridge Health Campus runs 70 certified beds in Louisville under for-profit LLC ownership, and its 3.52 nurse staffing hours per resident day sit roughly 9% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, and annual turnover hits 56.5% against a national 45.8%, meaning the aides and nurses who know your family member are likelier than average to leave. The current record carries 16 deficiencies, including two at the harm or jeopardy level and two tied to abuse. A recent June 2025 inspection keeps the picture current; quality scores look strong, but staffing and inspection history are where the real questions live.

Nurse hours

3.37 /day

Staff turnover

27%

Serious cites

0

Green Meadows runs leaner than most: 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday coverage. The trade-off shows in staffing and health inspection ratings of 2 out of 5, with 22 deficiencies on the current record, three tied to abuse, though none reached the harm or jeopardy level. What keeps it from sinking further is turnover at 26.8%, well under the national 45.8%, which suggests the aides who are there tend to stay. Licensed for 122 beds under for-profit LLC ownership, it was last inspected October 25, 2024. Ask about weekend coverage and how those abuse-related findings were resolved.

Nurse hours

3.85 /day

Staff turnover

44%

Serious cites

0

Meadowview runs 182 certified beds in Minden under corporate ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86. But weekends run about 10 percent thinner than weekdays, so the coverage your family sees on a Saturday won't match a Tuesday. Staff turnover is 43.8 percent, slightly better than the 45.8 percent national figure, though still meaning nearly half the staff leaves each year. The bigger concern is the record: 32 deficiencies, including five tied to abuse, with the most recent inspection in May 2024. No deficiencies rose to harm or jeopardy level, but a 1-out-of-5 quality measure rating and 2-out-of-5 inspection rating tell you the care gaps are real, not paperwork.

Nurse hours

4.12 /day

Staff turnover

61%

Serious cites

0

The Encore in Crowley runs a nonprofit shop with 73 beds, and its health inspection record is genuinely solid, a 4-out-of-5 star rating from CMS, with the most recent survey in July 2025. What pulls it down is staffing stability. The home reports 4.12 nurse hours per resident day, roughly 7% above the national average, which sounds fine on paper. But turnover sits at 60.8% against a national average of 45.8%, and weekend staffing dips about 14% below its own weekday level. Twenty-eight deficiencies are on the current record, none at harm or jeopardy level, though two are abuse-related, worth asking about directly.

Nurse hours

3.49 /day

Staff turnover

37%

Serious cites

0

Legacy Nursing and Rehabilitation of Tallulah runs 156 certified beds under for-profit LLC ownership, and its nurse staffing sits around 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop another 15% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the brighter spot: 36.6% against a national average of 45.8%, which means caregivers here tend to stick around longer than is typical. The current record shows 24 deficiencies, none at the harm or jeopardy level, though three are abuse-related, and one fine of $3,145. The most recent inspection was April 22, 2026.