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

Nurse hours

3.22 /day

Staff turnover

64%

Serious cites

0

Uptown Rehabilitation Center runs 134 certified beds under corporate for-profit ownership, and its staffing numbers are the main thing to know. Nurses provide 3.22 hours per resident per day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday level. Annual turnover sits at 63.6% against a national 45.8%, so the people caring for your relative are, statistically, fairly likely to be new or on their way out. The current record carries 67 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the last inspection in May 2025. Quality measures score well; staffing and inspections don't.

Nurse hours

4.02 /day

Staff turnover

41%

Serious cites

0

Las Cruces Wellness & Rehabilitation runs on a for-profit LLC model with 75 certified beds, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average of 3.86. That margin narrows on weekends, when coverage drops about 12% below the home's own weekday level, so the numbers you see on paper aren't evenly spread across the week. Annual turnover is 41.2%, better than the 45.8% national figure but still meaning more than two in five caregivers leaving each year. The inspection record is where the real weight sits: 59 deficiencies, including one at harm or jeopardy level and five tied to abuse. Its most recent inspection was July 2, 2024.

Nurse hours

2.27 /day

Staff turnover

32%

Serious cites

0

Sapphire Center runs about 2.27 nurse staffing hours per resident day against a national average near 3.86, roughly 41% below. Weekends drop further, about 10% below its own weekday levels. That thin coverage sits behind the 1-out-of-5 staffing rating and a 1-out-of-5 health inspection rating, with 28 deficiencies on record, including three at harm or jeopardy level and three tied to abuse. Fines total $87,741. Turnover is the one bright spot: 32.3% versus the national 45.8%. This is a 227-bed for-profit partnership in Flushing. The quality measure stars look strong, but they're self-reported data, the inspection and staffing numbers tell you what happens on the floor.

Nurse hours

3.12 /day

Staff turnover

35%

Serious cites

0

The Enclave at Rye runs lean on nurse staffing: 3.12 hours per resident day, roughly 19% under the national average, and weekends dip about 11% below its own weekday level. That thin coverage is the main reason a 160-bed for-profit home with 4/5 inspection and 5/5 quality ratings lands where it does. Turnover sits at 35.4%, better than the 45.8% national figure, so the staff who are there tend to stay. Six deficiencies on record, one serious enough to reach harm or jeopardy, along with a single $63,210 fine. The most recent inspection was January 2026, so the picture is fairly current.

Nurse hours

3.81 /day

Staff turnover

46%

Serious cites

0

Seneca Health Care Center runs 160 beds in West Seneca under for-profit limited liability ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. The bigger issue is weekends: coverage drops roughly 12% below what the home staffs on weekdays, and its CMS staffing rating is 2 out of 5. Turnover, at 45.7%, is essentially the national norm, so retention isn't the standout problem here, daily coverage is. The inspection record shows 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $14,015 and a survey completed in November 2024. Quality measures score well; the direct-care numbers and the harm-level findings are what pull the overall picture down.

Nurse hours

3.24 /day

Staff turnover

60%

Serious cites

0

Riverside Center runs on thinner staffing than most homes in the country, 3.24 nurse hours per resident per day against a national figure of 3.86, and weekends drop roughly another 10 percent below what the building manages during the week. Nearly 60 percent of its nursing staff turned over in the past year, well above the 45.8 percent national rate, which means the people at the bedside are often new. Nineteen deficiencies sit on the current record, including one tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection dates to April 2026. New York's for-profit limited liability ownership keeps the margins tight; the quality measures hold up better than the inspection history does.

Nurse hours

3.32 /day

Staff turnover

52%

Serious cites

0

Leroy Village Green is a 140-bed for-profit partnership in Genesee County, and its inspection record is genuinely strong, six deficiencies on file, none at the harm or jeopardy level, no abuse citations, and a survey as recent as May 2025. The catch is staffing. At 3.32 nurse hours per resident day, it runs about 14% under the national average, and weekends dip roughly 15% below its own weekday levels, so the coverage you see Monday rarely holds on Sunday. Annual turnover of 51.9% sits above the 45.8% national figure, meaning aides cycling through at a steady clip. Ask how they staff weekends before you decide.

Nurse hours

2.72 /day

Staff turnover

33%

Serious cites

0

Niagara Rehabilitation and Nursing Center runs 160 beds in Niagara Falls under corporate for-profit ownership, and its nurse staffing sits at 2.72 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 32.7%, better than the 45.8% national figure, which suggests some stability in the workforce even if there aren't enough hands overall. The current record shows 23 deficiencies, none at harm or jeopardy level, but four tied to abuse, worth asking about directly. State inspectors last visited in July 2024, and CMS scored staffing and health inspections at 2 out of 5 stars each, with quality measures at 3.

Nurse hours

3.28 /day

Staff turnover

61%

Serious cites

0

Bear Mountain runs 77 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.28 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the other flag: 60.5% annually against a national 45.8%, meaning most of the people caring for your relative are relatively new. The inspection history shows 31 deficiencies, three at harm or jeopardy level and one abuse-related, with a single fine of $11,170 and a survey completed in May 2025. Ownership is for-profit, and the record reflects it.

Nurse hours

3.89 /day

Staff turnover

24%

Serious cites

0

Nurse staffing at Elizabeth City Health and Rehabilitation runs 3.89 hours per resident day, just above the national average of 3.86, so the hands-on care hours aren't the problem. The problem on paper is the inspection record: 22 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and a $77,760 fine. Staff turnover of 23.7% is actually well below the national 45.8%, which means the workforce is relatively stable, but weekend coverage drops about 13% from weekday levels. Keep in mind the most recent state inspection was June 2025. When you tour, ask specifically what changed after those harm-level findings and how weekend shifts are covered.

Nurse hours

3.57 /day

Staff turnover

37%

Serious cites

0

Zebulon Rehabilitation Center runs 60 certified beds in Wake County under corporate for-profit ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating with 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related. The last inspection was recent, from July 2025. Where it slips is staffing: 3.57 nurse hours per resident day, roughly 8 percent under the national average, with weekends running about 6 percent leaner than weekdays already are. Turnover sits at 37 percent, better than the 45.8 percent national figure, so the people who stay may be steady, there just aren't quite enough of them.

Nurse hours

3.23 /day

Staff turnover

42%

Serious cites

0

Piedmont Health & Rehab Center runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends dip about 9% below its own weekday staffing. That thinner coverage matters more given what inspectors found: 15 deficiencies on the current record, including 2 at the harm or jeopardy level and 2 tied to abuse, with $32,717 in fines and a 2-out-of-5 inspection rating. Turnover sits at 41.7%, slightly better than the 45.8% national figure, and the most recent inspection was September 2025. Quality measures score well, but staffing and inspection results are where the real story is.

Nurse hours

3.26 /day

Staff turnover

44%

Serious cites

0

Emerald Health & Rehab runs 96 beds in Lillington under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends drop about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.4 percent, essentially matching the national 45.8 percent, which means the staffing shortage isn't mainly a retention problem. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in July 2025. The 4/5 quality measure score stands out against 2/5 marks for staffing and health inspections.

Nurse hours

3.97 /day

Staff turnover

49%

Serious cites

0

White Oak Manor in Burlington runs a 160-bed for-profit operation where the daily staffing picture looks solid on paper, about 3.97 nurse hours per resident, slightly ahead of the national average, but the numbers underneath tell a rougher story. Weekend coverage drops roughly 12% below weekday levels, meaning the hours a resident actually gets depend heavily on which day it is, and nearly half the nursing staff turns over each year. The bigger concern is the inspection record: 23 deficiencies, six serious enough to involve harm or jeopardy, six tied to abuse, and two fines totaling $137,472, with the most recent inspection in November 2025. Strong quality scores and a 5/5 staffing star don't offset that history.

Nurse hours

3.65 /day

Staff turnover

69%

Serious cites

0

Autumn Care of Saluda runs 99 certified beds as a for-profit corporation, and its nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, with weekends roughly 9% thinner than weekdays. That staffing pattern matters more given the 69.1% annual turnover, well above the 45.8% national figure, meaning many of the people providing daily care are new to the building. The inspection record is the harder read: 18 deficiencies, 5 at harm or jeopardy level, 3 abuse-related, and one fine of $16,801. Quality measures score well, but staffing and inspection results drag the overall picture down.

Nurse hours

3.97 /day

Staff turnover

50%

Serious cites

0

Ahoskie Health and Rehabilitation Center runs 151 certified beds as a for-profit corporation, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 7% below its own weekday levels. Staff turnover is the number to watch: 49.5% annually against a national average of 45.8%, meaning nearly half the nursing staff turns over each year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, along with one fine totaling $11,629. The last inspection was December 18, 2025. CMS rates quality measures 2 out of 5.

Nurse hours

3.36 /day

Staff turnover

49%

Serious cites

0

Pruitthealth-Farmville runs a 56-bed for-profit home in Pitt County, and the numbers tell a mixed story. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 12% below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover hit 49%, above the 45.8% national figure, meaning nearly half the nursing staff turns over each year. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with two fines totaling $14,697; the most recent inspection was August 2025. Quality measures score well, but staffing and that deficiency history are what hold this one back.

Nurse hours

3.30 /day

Staff turnover

33%

Serious cites

0

Wadesboro Health & Rehab runs 66 beds under corporate for-profit ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day, roughly 15% under the national average, with weekends about 11% thinner than weekdays. That's what drives the two-star staffing rating, even though the 33.3% turnover is actually better than the 45.8% national figure, aides and nurses here tend to stay longer than average, which matters for familiarity even when the daily hours are thin. The inspection record shows 19 deficiencies but none at harm or jeopardy level and nothing abuse-related, and the most recent survey was in May 2025, so the picture is current. Three stars each on health inspections and quality measures round out a home that's decent on care delivery but light on hands.

Nurse hours

2.27 /day

Staff turnover

48%

Serious cites

0

Peak Resources-Cherryville runs on 2.27 nurse hours per resident per day, roughly 41 percent below the national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover at 48.2 percent is only slightly worse than the 45.8 percent national figure. The inspection record looks better: 18 deficiencies, none at harm or jeopardy level, one abuse-related, and a recent June 2025 visit. Quality measures score 5 out of 5. So you have a home that charts well on outcomes but asks residents to get by on notably fewer hands per day, particularly on weekends.

Nurse hours

3.26 /day

Staff turnover

36%

Serious cites

0

Peak Resources - Pinelake runs leaner on nursing hours than most homes in the country, about 3.26 hours per resident per day against a national average near 3.86. Weekends dip further, roughly 6% below what the building staffs Monday through Friday. Turnover sits at 36.3%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is mixed: a 4-star health inspection rating and a recent survey from August 2024, but 18 deficiencies on file, including one at the harm level and one tied to abuse. That combination, decent inspections, thin daily staffing, a serious citation, is what pulls the overall picture down to average.