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

Nurse hours

3.69 /day

Staff turnover

56%

Serious cites

0

Woodlands runs a tight ship on safety, with ten deficiencies on its record and none rising to harm or jeopardy, a genuinely clean inspection history, most recently verified in August 2025. The tradeoff shows up in staffing. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 6% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover tells a similar story: 55.6% annually against a national 45.8%, meaning nearly six in ten caregivers left within the year. For a family weighing consistency of care, that churn is worth asking about directly.

Nurse hours

3.53 /day

Staff turnover

45%

Serious cites

0

Autumn Care of Nash runs 60 beds under corporate ownership in Nashville, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekend coverage dropping another 12% below its own weekday numbers. Turnover comes in at 44.8%, basically level with the national rate, so retention here isn't the standout problem; the thinner direct-care hours are. The current record shows 14 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was July 30, 2025. Quality measure scores land at 2 out of 5 stars. If your family member needs steady hands on weekends, that gap is worth asking about directly.

Nurse hours

3.34 /day

Staff turnover

45%

Serious cites

0

Magnolia Gardens is a for-profit LLC home with 120 beds in Thomasville, and its staffing sits at 3.34 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends run about 13 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Turnover is 44.6 percent, essentially in line with the national 45.8 percent. The inspection record carries 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $16,153 fine. Its most recent inspection was November 18, 2025. Nothing here is catastrophic, but the thin weekend coverage and that abuse-related citation are the two things worth asking about directly.

Nurse hours

3.43 /day

Staff turnover

37%

Serious cites

0

Pruitthealth-Raleigh runs 150 certified beds under corporate for-profit ownership, and its staffing sits about 11% under the national average at 3.43 nurse hours per resident day. Weekends drop roughly 14% below the home's own weekday coverage, which matters when you're thinking about who's on the floor on a Sunday. Turnover lands at 37.4%, actually better than the 45.8% national figure, a genuine bright spot. The inspection record is where it gets heavier: 30 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $16,152. A January 2026 inspection is recent, so that count reflects current conditions rather than old history.

Nurse hours

3.24 /day

Staff turnover

41%

Serious cites

0

Wilmington Nursing & Rehab runs about 3.24 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip about 6% below its own weekday levels. Turnover sits at 40.8%, a bit better than the 45.8% national figure, so the people who stay tend to stay. The 21 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was July 2024. It's a for-profit limited liability company with 76 certified beds, and the staffing number is the piece worth weighing against the otherwise solid inspection and quality results.

Nurse hours

4.23 /day

Staff turnover

60%

Serious cites

0

Bradford Place runs on more nursing hours than most places, 4.23 per resident day against a national average of 3.86, but that cushion thins on weekends, when coverage drops about 12% below its own weekday level. The staff itself turns over fast: 59.8% annually, well above the 45.8% national figure, which means new faces are constantly learning the building. Inspectors have logged 31 deficiencies, including one at the harm level and three tied to abuse, and the health inspection rating sits at 1 out of 5. The quality measure stars are perfect, but those come from resident assessments, not from how the place is run day to day.

Nurse hours

3.44 /day

Staff turnover

49%

Serious cites

0

Barberton Post Acute runs 3.44 nurse hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 CMS staffing rating and 49.3% annual turnover, which runs above the 45.8% national figure. The quality measure score is a bright spot at 5 out of 5, so residents' clinical outcomes look better than the floor-level staffing would suggest. But 19 deficiencies sit on the current record, one at the harm or jeopardy level, and the most recent inspection was in January 2025. A for-profit corporation owns the 104-bed home.

Nurse hours

3.77 /day

Staff turnover

66%

Serious cites

0

Jamestown Place runs 50 beds under for-profit LLC ownership, and its nursing hours sit just under the national average, about 2% below. That gap widens on weekends, when staffing drops roughly 13% beneath its own weekday level, and turnover compounds the problem: 65.7% of nursing staff leave annually, well above the 45.8% national rate. The inspection record is heavy, with 43 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Quality measures score well, but that sits against a 2-out-of-5 staffing rating and a recent January 2026 inspection. Worth asking directly how they hold weekend coverage and what's behind the turnover.

Nurse hours

3.06 /day

Staff turnover

44%

Serious cites

0

Ayden Healthcare of Jackson runs on 3.06 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 8% below what the home staffs on weekdays. The state's inspection record shows a recent look in May 2025, and the home scores well on health inspections and quality measures, though its staffing rating sits at the low end. Staff turnover of 43.8% is close to the national figure, so retention isn't the standout problem, daily coverage is. Twenty-eight deficiencies sit on the current record, including one at the harm level and one tied to abuse, which is the kind of detail worth asking about directly before you decide.

Nurse hours

3.50 /day

Staff turnover

44%

Serious cites

0

Majestic Care of Fairfield runs 200 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, with weekends about 7% thinner than weekdays. Turnover lands at 43.6%, a touch better than the 45.8% national figure, so retention isn't the main issue; coverage is. The current record carries 33 deficiencies, none at the harm or jeopardy level but two tied to abuse, and the last inspection dates to September 2023. CMS gives it 2 of 5 stars for both health inspections and staffing, while its quality measure score reaches 4. That gap between reported care quality and the hands available to deliver it is what holds the overall picture down.

Nurse hours

3.31 /day

Staff turnover

50%

Serious cites

0

Altercare Newark North runs 75 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 9% below the home's own weekday levels, and annual turnover hits 50%, a bit worse than the 45.8% national figure. The current inspection record carries 41 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey dated February 2025. Federal stars split sharply here: two for staffing, two for health inspections, five for quality measures. The quality scores look strong, but the hours of care behind them don't.

Nurse hours

3.03 /day

Staff turnover

42%

Serious cites

0

Prestige Gardens runs about 3.03 nurse hours per resident each day, roughly a fifth below the national average, and weekends get thinner still, around 13 percent below its own weekday coverage. That gap matters more than the single star CMS gives it for staffing. On inspections, the record shows 51 deficiencies, including five tied to abuse and one at the harm or jeopardy level; the last survey was May 2025. Turnover sits at 42.1 percent, slightly better than the national 45.8. Resident quality measures score well, but a for-profit limited liability company can keep those numbers up while the hands-on floor stays short.

Nurse hours

3.69 /day

Staff turnover

42%

Serious cites

0

Hickory Creek Of Athens runs about 90 beds under corporate ownership, and its staffing sits roughly 4% under the national average at 3.69 nurse hours per resident day, a gap that widens on weekends, when coverage drops about 10% below its own weekday level. Turnover lands at 42.4%, a touch better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. Inspections are recent, from August 2025, and the health inspection rating of 4 out of 5 is the strongest part of the record. The catch is the 24 deficiencies on file, one of them serious enough to reach harm or jeopardy level, though none involve abuse.

Nurse hours

3.51 /day

Staff turnover

51%

Serious cites

0

The Laurels of West Carrollton runs on thinner nurse coverage than most homes, 3.51 hours per resident day against a national average of 3.86, and weekends dip about 9% below what it manages during the week. That staffing level earned a 1 out of 5 from CMS, and annual turnover of 51.2% sits well above the 45.8% national figure, meaning the aides and nurses around your family member are likely to keep changing. The 35 deficiencies on record include five tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection came in September 2025. Quality measures score well, but that reflects resident outcomes more than the hands available each shift.

Nurse hours

3.25 /day

Staff turnover

52%

Serious cites

0

The Colony Healthcare Center is a 117-bed for-profit operation in Tallmadge, and its numbers point in two directions at once. On the clinical side, residents are getting care that federal quality measures rate at the top of the scale, and the home was inspected as recently as August 2025. But staffing sits at 3.25 hours per resident day, roughly 16% under the national average, and weekends run about 10% thinner than weekdays, when families are most likely to visit. Annual turnover of 52.2% outpaces the national rate, and 49 deficiencies on record include one tied to abuse. A 2-star inspection rating alongside a 5-star quality score is a tension worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

45%

Serious cites

0

Advanced Healthcare Center runs 99 certified beds in Toledo under corporate ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is 45.1%, essentially tracking the national figure of 45.8%, which means this isn't a retention crisis so much as a home that simply staffs fewer people per resident than most. The inspection record shows 38 deficiencies, two tied to abuse, though none rose to harm or jeopardy, and the most recent survey came in January 2026. Quality measures score well; staffing is where the shortfall lives.

Nurse hours

3.27 /day

Staff turnover

58%

Serious cites

0

Austintown Healthcare Center runs 89 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, 20 deficiencies on file with none at the harm or jeopardy level, plus a 4-out-of-5 health inspection rating and a perfect 5 on quality measures. Staffing is where the picture shifts: 3.27 nurse hours per resident day sits roughly 15% under the national average of 3.86, weekends run about 8% lighter than weekdays, and 57.6% annual turnover means more than half the nursing staff leaves each year, against a national rate of 45.8%. One abuse-related deficiency also appears on the current record.

Nurse hours

3.25 /day

Staff turnover

53%

Serious cites

0

Heather Knoll Retirement Village has a clean inspection record, nine deficiencies on the books, none of them serious enough to cause harm or jeopardy, and nothing abuse-related. That's a genuinely good sign, and it lines up with the five-star ratings on health inspections and quality measures from CMS. The catch is staffing. At 3.25 nurse hours per resident day, this home runs about 16% below the national average, and weekends dip another 13% below its own weekday numbers. Annual turnover sits at 52.8%, higher than the 45.8% national figure. A corporation owns it, and the last inspection was March 2025. Ask who's actually on the floor on Saturday.

Nurse hours

3.65 /day

Staff turnover

66%

Serious cites

0

Broadview Multi Care Center runs 200 beds in Parma under corporate ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 5% under the national average of 3.86, with weekends running about 10% thinner than weekdays. The bigger number is turnover: 65.8% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are, more often than not, new. Its current record carries 45 deficiencies, including two at the harm or jeopardy level and four tied to abuse, and the health inspection rating is 1 out of 5. Quality measures score 5 out of 5. The last inspection was March 20, 2025.

Nurse hours

3.31 /day

Staff turnover

46%

Serious cites

0

Copley Health Center runs 130 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 10% below the home's own weekday level, so coverage thins when families tend to visit. Turnover lands at 45.7%, essentially matching the national rate, meaning the churn problem here isn't unusual but it isn't solved either. The inspection record carries 30 deficiencies, three of them serious enough to involve harm or jeopardy, plus one fine of $36,559. Federal quality measures score well, but the last inspection was March 2026, and the staffing and deficiency numbers are what pull the overall picture down.