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

Nurse hours

3.17 /day

Staff turnover

53%

Serious cites

0

Villa Georgetown runs on thin staffing. At 3.17 nurse hours per resident day, it sits roughly 18% under the national average, and weekends drop another 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 53% tops the national 45.8%, meaning the aides and nurses around your relative are likely newer than the building itself. Inspections look better: a 4-star health inspection rating, a clean abuse record, and the last survey in June 2024, though 15 deficiencies and two at harm level are on the current record. Quality measures score 5 stars, but those often reflect documentation as much as daily care. Corporate-owned, 100 beds.

Nurse hours

3.43 /day

Staff turnover

41%

Serious cites

0

Sanctuary at Ohio Valley runs 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekend coverage dips about 9% below its own weekday level. That's the kind of gap families notice on a Sunday afternoon when a call light stays on. Turnover sits at 40.6%, better than the 45.8% national figure, and the non-profit corporation behind it has kept a clean harm record: 11 deficiencies on file, none at the harm or jeopardy level, though one is abuse-related. A March 2025 inspection is recent, and the 4/5 inspection and quality-measure stars suggest the care itself holds up despite thinner staffing than most homes.

Nurse hours

3.03 /day

Staff turnover

47%

Serious cites

0

Villa Springfield runs lean on nurses: 3.03 hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time, and weekend coverage dips about 8% below its own weekday level. The 46.9% annual turnover is close to the national 45.8%, not an outlier, just steady churn. Inspections tell a similarly mixed story: 20 deficiencies on file with none at harm or jeopardy level and no abuse citations, from a February 2025 visit, while the federal staffing rating sits at the lowest tier and the quality measure rating at the highest. A for-profit limited liability company owns the 110-bed building. Families should ask how the weekday-to-weekend staffing gap gets covered in practice.

Nurse hours

2.92 /day

Staff turnover

64%

Serious cites

0

Majestic Care of Kent runs on 2.92 nurse hours per resident day, roughly a quarter below the national average of 3.86, and staffing thins out further on weekends. That gap matters more when you look at who's providing the care: 64.1% of staff turned over in the past year, against a national rate near 46%. The inspection record is heavy, 41 deficiencies, including one at the harm level and six tied to abuse. A recent inspection in September 2025 means the findings are current, not old history. The quality measure score looks strong, but it's built largely from resident assessments, while the staffing and inspection scores tell a different story about daily conditions.

Nurse hours

3.85 /day

Staff turnover

40%

Serious cites

0

The Gables of Marysville runs a 102-bed for-profit operation where nurse staffing lands at 3.85 hours per resident day, essentially even with the national average of 3.86. That headline number hides a wrinkle: weekends run about 10% thinner than weekdays, so the coverage your family member gets depends on which day they need it. Staff turnover sits at 39.6%, better than the 45.8% national figure, which matters more than it sounds, familiar aides tend to notice changes sooner. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in February 2026. Ownership is corporate, and the staffing star rating comes in at 2 out of 5 despite the average hours.

Nurse hours

3.18 /day

Staff turnover

48%

Serious cites

0

Crestwood Ridge runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip another 10% below its own weekday staffing. The quality measure score looks strong on paper, but the staffing rating sits at 2 out of 5, and 47.5% annual turnover means the aides and nurses at the bedside keep changing. The current record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the last inspection in December 2024. That's a lot of findings for a 50-bed building, and it's worth asking what specifically the harm-level citation involved before you decide.

Nurse hours

3.33 /day

Staff turnover

51%

Serious cites

0

Anchor Lodge runs leaner than most homes on nurse staffing, 3.33 hours per resident day against a national average of 3.86, with weekends about 7% thinner than its own weekdays. Turnover sits at 51.1%, above the 45.8% national mark, which means a lot of the people caring for residents are still learning the building. The inspection record shows 34 deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $20,678. No abuse findings, and the last inspection was recent, in December 2025. Quality measures score well; staffing is where the gaps show.

Nurse hours

2.89 /day

Staff turnover

47%

Serious cites

0

Lexington Court runs 75 certified beds under corporate ownership, and the number that stands out is nurse staffing: 2.89 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 46.6%, close to the national figure of 45.8%, meaning nearly half the nursing staff leaves each year. The current record shows 23 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related; the last inspection was in March 2025. Quality measures score well, but the inspection and staffing picture is what pulls the overall result down.

Nurse hours

3.13 /day

Staff turnover

52%

Serious cites

0

Carlisle Manor runs about 3.13 nurse hours per resident day, roughly 19% under the national average, and weekends dip another 6% below its own weekday levels. That thin staffing shows up in the numbers: 52% annual turnover against a national 45.8%, and a one-out-of-five CMS staffing rating. The health inspection side looks stronger, four stars, with nine deficiencies on record, including one at the harm level and one abuse-related, last surveyed in February 2023. Quality measures score five stars. So you have a home that charts well on paper but runs lean on the floor, and that gap is what the C grade reflects. Ask about weekend coverage and how they've addressed the abuse finding.

Nurse hours

4.16 /day

Staff turnover

65%

Serious cites

0

Mill Run Care Center sits in Hilliard with 66 certified beds and a for-profit LLC owner, and the numbers tell two different stories. Nurse staffing runs 4.16 hours per resident day, roughly 8% above the national average of 3.86, but weekends drop about 10% below its own weekday coverage, and annual turnover hits 64.6% against a national 45.8%, so the aides and nurses you meet may not be there next year. The health inspection record is heavier: 33 deficiencies, three at harm or jeopardy level, one $91,350 fine, and a 1-out-of-5 inspection star. Quality measures score 5 out of 5, but that reflects resident outcomes, not the building's compliance record.

Nurse hours

3.13 /day

Staff turnover

54%

Serious cites

0

Carecore At The Meadows runs 97 beds as a for-profit partnership, and the numbers tell two different stories. The clinical quality measures look strong, but staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 11% below the home's own weekday level. Annual turnover of 54.4% tops the national rate, so the people providing that care keep changing. On inspections, the record shows 46 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the most recent visit in May 2024. A partnership-run home with that many findings and that thin a staffing floor is worth asking hard questions about before you decide.

Nurse hours

3.31 /day

Staff turnover

31%

Serious cites

0

Canterbury Villa runs lean on nurses. At 3.31 hours per resident day, it's about 14% under the national average, and weekends drop roughly 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is the one number working in its favor: 30.9% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. The current inspection record is the real concern, 22 deficiencies, three serious enough to put residents in harm's way and two tied to abuse. That inspection dates to May 2024. A for-profit corporation runs the place, and 82 beds is small enough that one bad shift can ripple through the whole building.

Nurse hours

3.14 /day

Staff turnover

51%

Serious cites

0

Autumn Court runs lean on nursing hours, 3.14 per resident day against a national average of 3.86, and weekends dip roughly another 10% below what the home staffs on weekdays. That thin coverage sits alongside a 51.2% annual turnover rate, higher than the 45.8% national figure, and a staffing rating of 2 out of 5. The inspection record is cleaner: 13 deficiencies, none at the harm or jeopardy level, though one is abuse-related, with the last survey in October 2024. Quality measures score 5 out of 5. A for-profit corporation owns the 50-bed home. The clinical numbers look strong; the question is who's actually there on a Sunday.

Nurse hours

3.89 /day

Staff turnover

56%

Serious cites

0

Parkside Villa sits in Middleburg Heights with 178 certified beds and a for-profit corporate owner. The raw staffing number, 3.89 nurse hours per resident day, barely edges past the national average, but that's the whole picture only if you ignore weekends, when coverage drops about 14% below the home's own weekday level. Staff turnover runs 56%, well above the 45.8% national figure, which matters more than a single day's ratio because it speaks to who's actually there month to month. Inspections in April 2025 turned up 23 deficiencies with nothing at the harm or jeopardy level and no abuse citations, and the quality measures score well. The staffing star tells the harder story.

Nurse hours

3.14 /day

Staff turnover

39%

Serious cites

0

Continuing Healthcare At Willow Haven runs 81 certified beds on the for-profit side, and the numbers tell a mixed story. Nurse staffing sits at 3.14 hours per resident day, roughly 19 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover runs 39.1 percent, actually better than the 45.8 percent national figure, so the problem isn't retention so much as how few hands are scheduled. The inspection record is where things get harder to explain: 66 total deficiencies, two of them at harm or jeopardy level and two abuse-related, with a one-star health inspection rating from CMS. A recent August 2025 inspection means the record is current.

Nurse hours

3.22 /day

Staff turnover

36%

Serious cites

0

Parkview Northwest runs on 3.22 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 7% below its own weekday staffing. That thin coverage sits behind 36 deficiencies on the current record, including two at the harm level and three tied to abuse, plus $45,503 in fines across two penalties. Turnover is the one bright spot: 35.9% against a national 45.8%, meaning aides tend to stay. The last inspection was September 2024, and the quality measure score is strong, but with corporate ownership and below-average staffing, the inspection history carries more weight than the five-star quality number.

Nurse hours

2.94 /day

Staff turnover

31%

Serious cites

0

North Royalton Post Acute runs lean on nursing hours, 2.94 per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage barely dips past its weekday level, so the shortfall is steady rather than a weekend problem. Turnover at 31.2% is better than the 45.8% national figure, which means the staff who are there tend to stay. The trouble sits elsewhere: 25 deficiencies on the current record, three of them serious enough to involve harm or jeopardy, and a $24,007 fine. Inspectors last visited in January 2024. Corporate-owned, 130 beds, and a staffing rating that matches what the hours show.

Nurse hours

3.35 /day

Staff turnover

37%

Serious cites

0

Tuscany Gardens runs 55 deficiencies on its current record, and while none reached the harm or jeopardy level, five are abuse-related, a number worth asking about directly. The 2/5 inspection rating reflects that recent survey history, most recently updated September 2025. Staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends run about 9% thinner than weekdays. The one clear bright spot: turnover is 36.9%, noticeably better than the 45.8% national figure, meaning the people who are there tend to stay. Quality measures score 4/5. It comes down to whether consistent caregivers can offset thin weekend coverage and a long inspection record.

Nurse hours

3.74 /day

Staff turnover

31%

Serious cites

0

Mill Creek runs lean on nurse staffing, 3.74 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 13% below its own weekday coverage. That's the kind of gap that matters most when a resident needs help on a Saturday night. On the plus side, turnover sits at 30.6%, well under the 45.8% national figure, so the aides and nurses who are there tend to stay. Nine deficiencies are on record with none at the harm level, though two abuse-related citations stand out for a home this size. State inspectors last visited in February 2025, so the picture is reasonably current.

Nurse hours

3.52 /day

Staff turnover

60%

Serious cites

0

Trueman Pointe runs a tight ship on inspections, a five-star health inspection record with 11 deficiencies on file, none of them causing harm or jeopardy to a resident. That's a genuinely strong signal, and the quality measures back it up. The staffing side tells a different story. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and weekends dip roughly 11% below what the home staffs during the week. Annual turnover of 59.5% is well above the 45.8% national figure, which matters when you're thinking about who's actually at the bedside over time. It's a for-profit corporation with 72 beds, last inspected in May 2026.