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

Nurse hours

3.91 /day

Staff turnover

38%

Serious cites

0

Windsor Nursing & Retirement Home runs 120 certified beds in South Yarmouth under nonprofit ownership, and its staffing sits just barely above the national average at 3.91 nurse hours per resident day. Turnover is genuinely better than most, 37.7% against a national 45.8%, but weekends run about 14% thinner than weekdays, so care can feel different depending on when you visit. The inspection record is where it gets concerning: 24 deficiencies, including one at the harm level, and a $12,386 fine. Quality measures score 1 out of 5 even as staffing earns 4, and the last inspection was March 2026. Ask about that harm-level citation and weekend coverage specifically.

Nurse hours

3.95 /day

Staff turnover

36%

Serious cites

0

Woburn Rehabilitation and Nursing Center runs 140 beds under corporate ownership, and its staffing sits just above the national average at 3.95 nurse hours per resident day. That margin is thin, and weekends dip about 11% below the home's own weekday coverage, so the care you'd see on a Saturday may look lighter than what the weekday number suggests. Staff turnover of 36.1% is meaningfully better than the 45.8% national average, which matters for consistency. The inspection record is the harder read: 34 deficiencies on file, including one at the harm level and two tied to abuse, plus a $8,512 fine. The last inspection was in January 2025.

Nurse hours

3.67 /day

Staff turnover

52%

Serious cites

0

Craneville runs on thinner staffing than most homes, and the gap widens on weekends. At 3.67 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekend coverage drops roughly 12% below what the home provides Monday through Friday. Annual turnover of 52.3% is higher than the 45.8% national figure, which means aides and nurses cycle through faster than average, worth asking how that affects who's actually on the floor. The health inspection side looks better: a 4-out-of-5 rating with no deficiencies at the harm or jeopardy level and nothing abuse-related on a record of 18 total. Its last inspection was in April 2025.

Nurse hours

3.13 /day

Staff turnover

42%

Serious cites

0

Royal Nursing Center runs 121 beds in Falmouth under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover lands at 41.5%, a bit better than the 45.8% national figure, and the inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $8,278. Its last inspection was December 2025, so the record is recent. Quality measures score well; staffing and inspections are where the gaps sit.

Nurse hours

3.59 /day

Staff turnover

39%

Serious cites

0

Andover Forest runs 142 beds in North Andover under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 14% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 44 deficiencies, five of them serious enough to involve harm or jeopardy, plus three fines totaling $44,265. On the positive side, turnover at 38.9% beats the 45.8% national figure, and the quality measure rating is strong. But a 2/5 inspection score and staffing below average carry real weight.

Nurse hours

3.29 /day

Staff turnover

44%

Serious cites

0

Wachusett Manor runs 3.29 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday pace, that staffing pattern is what sits behind its two-star staffing rating. The record shows 42 deficiencies, three of them serious enough to put residents at harm or jeopardy, though none are abuse-related, and the most recent inspection was September 2025. Turnover at 43.5% actually edges the national figure of 45.8%, so retention isn't the weak spot. A for-profit LLC with 96 beds, it earns four stars on quality measures but the direct-care hours are thin where it counts.

Nurse hours

3.59 /day

Staff turnover

53%

Serious cites

0

Westford Nursing and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and its staffing picture is the main thing to understand. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.5% is well above the 45.8% national figure, meaning aides and nurses cycle through steadily. The health inspection side looks better, with a recent July 2025 survey and a strong inspection rating, but the record still carries 33 deficiencies, including one at harm level and one abuse-related.

Nurse hours

3.87 /day

Staff turnover

58%

Serious cites

0

Lake Woods runs about 3.87 nurse hours per resident day, which lands essentially at the national average of 3.86, fine on paper, though weekend staffing drops roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The bigger concern is the inspection record: 43 deficiencies, four at harm or jeopardy level and four abuse-related, with $67,541 in fines across two penalties. Staff turnover sits at 57.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. Ownership is for-profit corporate, and the last inspection was May 2025.

Nurse hours

3.84 /day

Staff turnover

54%

Serious cites

0

Lahser Hills runs 127 certified beds in Southfield, and the numbers show a home that's getting the basics done but not much more. Nurse staffing sits at 3.84 hours per resident day, roughly a hair under the national average of 3.86, and weekend coverage drops about 12% below what the building staffs on weekdays. That's the pinch families feel: fewer hands on Saturdays and Sundays, when questions and falls don't wait for Monday. The bigger red flag is turnover. More than half the nursing staff, 53.9%, left over the past year, against a national average of 45.8%. High churn means new faces learning your mother's routines from scratch, and it's the kind of thing that shows up in care quality long before it shows up in a star rating. The current inspection record carries 35 deficiencies, four of them serious enough to involve harm or jeopardy. No abuse citations. One fine on record, $14,898. The most recent inspection was June 5, 2025, so the picture is reasonably current.

Nurse hours

3.32 /day

Staff turnover

40%

Serious cites

0

Optalis Health & Rehabilitation Of Wyoming runs 92 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing: 3.32 nurse hours per resident day, roughly 14 percent under the national average, with weekends about 12 percent thinner than weekdays. Turnover sits at 40.3 percent, which is actually better than the 45.8 percent national figure, so the problem isn't retention so much as how few hours reach the floor. The inspection record is where things get serious, 40 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, with the most recent inspection in January 2026. That combination of thin daily coverage and repeated serious findings is what a family should weigh before deciding.

Nurse hours

4.13 /day

Staff turnover

60%

Serious cites

0

The Manor of Farmington Hills runs 4.13 nurse hours per resident day, about 7% above the national average, and its quality measure rating comes in at the top of the scale. But weekend staffing drops roughly 11% below its own weekday coverage, and nearly 60% of nursing staff turn over each year against a national average closer to 46%. The current inspection record carries 73 deficiencies, nine serious enough to put residents in harm's way, four tied to abuse, and $269,106 in fines across five penalties. Inspectors were last on site in November 2025. A corporation owns it for profit, and the staffing rating lands mid-range, the kind of gap between what a family sees on a tour and what shows up across a full week of coverage.

Nurse hours

3.91 /day

Staff turnover

46%

Serious cites

0

Evergreen Health and Rehabilitation Center runs 172 beds in Southfield under corporate for-profit ownership, and its staffing sits right at the national average, 3.91 nurse hours per resident day against 3.86 nationally. That sounds fine until you notice weekends run about 13% thinner than weekdays, and turnover hits 46%, slightly above the national rate. Where the record gets harder to look past is inspections: 61 deficiencies, five of them at harm or jeopardy level and three tied to abuse, plus a $28,815 fine. The last inspection was September 2025, so this isn't stale history. CMS gives it 2 out of 5 on both health inspections and staffing, despite a perfect 5 on quality measures, a gap worth asking about directly.

Nurse hours

3.69 /day

Staff turnover

49%

Serious cites

0

Fountain Bleu is a for-profit, 108-bed home in Livonia with a recent inspection on record and a mixed set of numbers behind it. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, that's the pattern families notice when they visit on a Saturday. Turnover is 48.5%, slightly above the national 45.8%, so aides and nurses cycle through faster than average. Against that, the home's inspection and quality-measure ratings both come in at 4 out of 5 stars, though the current record carries 16 deficiencies, three of them serious enough to involve harm or jeopardy. One fine totaling $8,985 has been levied. Worth asking about those three.

Nurse hours

3.99 /day

Staff turnover

63%

Serious cites

0

Allegria Village runs 89 certified beds in Dearborn under for-profit LLC ownership, and its nurse staffing sits just above the national average, 3.99 hours per resident day against 3.86. That edge is thin, though, and weekends run about 12% lighter than weekdays, so coverage isn't evenly spread across the week. The bigger concern is turnover: 63.2% annually, well above the 45.8% national figure, which means caregivers cycle through faster than residents can build familiarity with them. On paper, inspections look decent, a 4/5 health inspection rating with the most recent visit in November 2025, but 19 deficiencies are on record, one of them serious enough to reach harm or jeopardy level. No abuse citations appear in the current data.

Nurse hours

3.37 /day

Staff turnover

26%

Serious cites

0

The Estates at St Louis Park runs a nonprofit shop with 145 beds, and its staff tends to stick around, turnover of 25.5% is well under the national 45.8%. That stability is real, and so is the fact that weekend coverage dips about 8% below weekday levels. But 47 deficiencies on the current record, including three at the harm level and three tied to abuse, along with $107,139 in fines, suggest the day-to-day care has problems that steady staffing hasn't solved. The state inspected most recently in August 2025, and the issues it found landed in the middle of CMS's range on both health inspections and quality measures. Families weighing this one should ask directly how the home is addressing those harm and abuse findings.

Nurse hours

3.44 /day

Staff turnover

31%

Serious cites

0

The Villas At Robbinsdale runs on thinner nurse staffing than most homes, 3.44 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover at 30.9% is better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is inspections: 40 deficiencies, two of them at harm or jeopardy level and two tied to abuse, with $104,974 in fines and a one-star health inspection rating. The most recent inspection was April 2025.

Nurse hours

3.55 /day

Staff turnover

54%

Serious cites

0

Hillcrest runs 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 11% below its own weekday staffing. That thinner weekend coverage matters because the record shows 41 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection from June 2024. Turnover sits at 54.1% against a national 45.8%, so aides and nurses are cycling out faster than usual. The corporation that owns the 95-bed home is for-profit. Two out of five on inspections and two out of five on quality measures, with staffing the relative bright spot at three, describes a building where the clinical basics get done but the margin for error is narrow.

Nurse hours

3.70 /day

Staff turnover

52%

Serious cites

0

Good Samaritan Society - Pipestone runs 82 certified beds as a nonprofit, and its strongest number is staffing: 3.70 nurse hours per resident day, about 4% under the national average of 3.86. That's a modest gap, but weekends drop roughly 14% below the home's own weekday coverage, and turnover sits at 51.7% against a national 45.8%, so the people around residents keep changing. The current inspection record shows 14 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $17,345. Quality measures score 2 out of 5, which lines up with that record. A May 2025 inspection means the picture is recent, at least.

Nurse hours

— /day

Staff turnover

56%

Serious cites

0

Meadows On Fairview runs 14 certified beds as a nonprofit corporation, which usually means a tight operation where everyone knows everyone. The health inspection record is genuinely strong: five stars, three deficiencies on file, none rising to harm or jeopardy, no abuse citations, and a survey completed in June 2026. The weak spot is staffing. One star, with annual turnover at 56.3 percent against a national average of 45.8 percent. In a building that small, that much churn means the person helping your mother at dinner may be new this month and gone the next. The quality measure rating holds at four stars, so outcomes look decent on paper. Whether they hold up in practice depends on who's actually on the floor each shift.

Nurse hours

3.96 /day

Staff turnover

52%

Serious cites

0

Vineyard Court runs a corporate-owned, 55-bed home in Columbus where the nurse staffing number looks good on paper, 3.96 hours per resident day, slightly above the national average, but weekends drop about 12% below its own weekday level, and turnover sits at 51.7% against a national 45.8%. The inspection record is where the real trouble shows: 25 deficiencies, 10 of them serious enough to cause harm or put residents in jeopardy, 2 tied to abuse, and $78,952 in fines across three penalties. The most recent inspection was in February 2025, so the picture is current. Staffing stars don't offset that kind of citation history.