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

Nurse hours

3.89 /day

Staff turnover

49%

Serious cites

0

Stonespring Of Vandalia runs 144 beds under for-profit LLC ownership, and the clinical picture is genuinely strong: a 4/5 inspection rating, a 5/5 on quality measures, and 14 deficiencies on record with none at the harm level and nothing abuse-related. The last inspection was in April 2024. Where it slips is staffing. Total nurse hours sit at 3.89 per resident day, barely a whisker over the national 3.86, which explains the 2/5 staffing star. Weekend coverage drops about 8% below weekday levels, and turnover runs 49.4% against a national 45.8%. Good outcomes, thin margin on the floor.

Nurse hours

3.69 /day

Staff turnover

51%

Serious cites

0

O'Neill Healthcare Fairview Park scores well on inspections, a 5/5 health inspection rating, last survey in April 2024, and 11 deficiencies on record with none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Where the numbers get thinner is staffing: 3.69 nurse hours per resident day sits about 4% under the national average, weekends run roughly 13% below the home's own weekday level, and turnover is 50.9% against a national 45.8%. That combination, strong survey results, weaker day-to-day coverage, is why the staffing rating lands at 2/5 while quality measures hit 5/5.

Nurse hours

3.32 /day

Staff turnover

49%

Serious cites

0

Sequoyah Pointe runs on thinner staffing than most homes its size, 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, which matters when that's when families visit and problems tend to surface. Turnover sits near 49%, a bit above the national figure, so the aides and nurses around your relative may not be the same faces a year from now. The record shows 22 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The bright spot: a January 2025 inspection, so the picture is current.

Nurse hours

3.36 /day

Staff turnover

52%

Serious cites

0

Stillwater Creek runs lean on nursing hours, 3.36 per resident day against a national average of 3.86, and weekends are thinner still, about 8% below its own weekday coverage. That matters because staffing tends to dip right when families visit and when backup is hardest to find. Annual turnover sits at 52.2%, well above the 45.8% national figure, so the aides and nurses caring for residents are changing often. The inspection record shows 32 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy; the most recent state visit was March 2024. All three CMS star ratings land at 2 out of 5. For-profit partnership ownership rounds out the picture.

Nurse hours

3.38 /day

Staff turnover

63%

Serious cites

0

Arbor Village runs about 12% leaner on nursing hours than the national average, and weekends dip roughly 14% below its own weekday staffing, so the coverage gap widens exactly when families tend to visit. The bigger red flag is turnover: 63% of staff leaving annually against a national average near 46% means caregivers cycle through fast, which matters more at 142 beds than a single inspection finding does. Sixteen deficiencies sit on the current record, one serious enough to cause harm, with one fine totaling $14,385. A 3/5 on health inspections and quality measures is middling, but a 2/5 on staffing is the number that drags this home's profile down.

Nurse hours

3.89 /day

Staff turnover

57%

Serious cites

0

Shady Rest Care Center runs 65 certified beds in Pryor under for-profit LLC ownership. Nurse staffing sits at 3.89 hours per resident day, just barely above the national average, with weekend coverage dipping slightly below its own weekday level, a small gap, but worth knowing if your visits fall on Saturdays or Sundays. The bigger issue is turnover: 57.1% of staff leave each year, well above the 45.8% national rate, which matters because unfamiliar caregivers struggle to learn a resident's routines. Twenty-two deficiencies sit on the current record, one serious enough to involve harm or jeopardy, along with a $14,069 fine. The last inspection was August 2024. Two out of five stars on both health inspections and quality measures tells you the care record itself has problems.

Nurse hours

3.69 /day

Staff turnover

54%

Serious cites

0

Bell Avenue Nursing Center runs 3.69 nurse hours per resident day, about 4% under the national average of 3.86, and weekend staffing dips roughly 5% below its own weekday levels. Staff turnover sits at 53.6%, well above the 45.8% national figure, that's the number worth sitting with, because it means more than half the nursing staff leaves each year. The current record shows 7 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single fine of $31,008. A 4-star health inspection rating from CMS suggests the most recent survey, dated March 26, 2025, went better than that record alone implies, though inspection ratings reflect the last three years combined.

Nurse hours

3.43 /day

Staff turnover

63%

Serious cites

0

English Village runs 3.43 nurse hours per resident day, about 11% under the national average, and weekends dip roughly 11% below its own weekday staffing. Staff turnover sits at 62.7% against a national 45.8%, meaning a lot of the people caring for residents are still new to the building. Inspections are the strong point here: the most recent one came in April 2025 and yielded six deficiencies, one serious enough to reach harm or jeopardy level, with no abuse findings and a single fine of $7,443. For a 128-bed corporate-owned home, the care record looks reasonably clean, but the thin staffing and heavy churn are the things worth asking about directly.

Nurse hours

3.37 /day

Staff turnover

64%

Serious cites

0

Northwest Nursing Center runs 3.37 nurse hours per resident day, about 13% under the national average, and weekend coverage drops roughly 7% below its own weekday levels. Staff turnover sits at 63.9% against a national average of 45.8%, meaning most of the people caring for residents were not there a year ago. The inspection record shows 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, and the most recent inspection was in July 2025. Corporate-owned for profit, 100 beds, with a $10,062 fine on file. The quality measure score suggests some clinical care is being tracked well, but the staffing and inspection numbers tell a harder story.

Nurse hours

4.91 /day

Staff turnover

57%

Serious cites

0

Royale Gardens runs on a for-profit LLC structure with 145 beds, and the staffing numbers are the strongest thing it has going: 4.91 nurse hours per resident day, about 27% above the national average. But weekends drop roughly 13% below its own weekday level, and annual turnover sits at 56.6% against a national 45.8%, so the coverage that looks generous on paper is stretched thin by constant churn. The inspection record is where it gets harder to defend: 67 deficiencies, seven at harm or jeopardy level, six tied to abuse, and an $81,613 fine. A recent March 2026 inspection and a 1-star health inspection rating sit alongside that 5-star quality measure score, which tells you the day-to-day care metrics and the surveyor findings are telling two different stories.

Nurse hours

4.57 /day

Staff turnover

55%

Serious cites

0

Keizer Nursing and Rehabilitation runs 49 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.57 nurse hours per resident day, roughly 18% above the national average. That's the strongest thing in the file. The rest is more uneven, weekend coverage drops about 12% below weekday levels, and annual turnover sits at 54.8% against a national 45.8%, so the people providing that care keep changing. The current record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the last inspection in May 2025. Enough good hours on paper, but consistency and safety history are where the concerns live.

Nurse hours

5.26 /day

Staff turnover

69%

Serious cites

0

Belmont Care and Rehabilitation runs 41 beds in Portland under for-profit LLC ownership, and the raw staffing number looks strong: 5.26 nurse hours per resident day, roughly a third more than the national average of 3.86. But that average hides a lot. Weekend staffing drops about 7% below the home's own weekday coverage, and annual turnover sits at 68.6% against a national 45.8%, meaning most of the people providing that care are new, and the ones working weekends are stretched thinnest. The inspection record is the bigger concern: 47 deficiencies, including five tied to abuse and one serious enough to reach harm or jeopardy level. The most recent inspection was in February 2025.

Nurse hours

4.04 /day

Staff turnover

50%

Serious cites

0

Oakwood Healthcare & Rehabilitation Center runs 148 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That edge narrows on weekends, when staffing drops about 9% below the home's own weekday level, and annual turnover runs 50% against a national 45.8%, so the people providing that care change often. The current inspection record shows 22 deficiencies, none at the harm or jeopardy level but two tied to abuse, plus two fines totaling $5,269. Its last inspection was May 2026, so the picture is recent rather than stale, and the health inspection rating came in at 4 of 5 stars.

Nurse hours

3.27 /day

Staff turnover

54%

Serious cites

0

Ambler Extended Care Center runs about 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekend staffing drops another 8% below its own weekday level. That staffing shortfall shows up in the one-star CMS staffing rating, and 54% of staff turned over last year against a 45.8% national average, meaning the people caring for your relative are often new. The clinical side holds up better: five stars on quality measures, four on health inspections, with nine deficiencies on record and none at the harm or jeopardy level. A recent March 2026 inspection is a good sign. It's a for-profit corporation, so ask how they plan to close the staffing gap.

Nurse hours

3.49 /day

Staff turnover

44%

Serious cites

0

Brookside runs lean on nursing hours, 3.49 per resident day, roughly 10% under the national average, and weekends dip about 7% below what the home staffs during the week. That pattern matters because care doesn't pause on Saturdays. Turnover sits at 44.3%, essentially tracking the national figure, so the staffing shortage isn't an exodus problem; it's an hours problem. The inspection record shows 20 deficiencies, none at the harm level, though one is abuse-related and the most recent state visit was December 3, 2025. Corporate ownership and a two-star staffing rating sit behind the grade, even as the quality measures look stronger.

Nurse hours

3.45 /day

Staff turnover

38%

Serious cites

0

York South Skilled Nursing and Rehabilitation Center runs 142 beds under for-profit LLC ownership, and its nurse staffing sits around 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 7% below its own weekday coverage, so the thinnest shifts are the ones families often visit. Turnover is 37.9%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 55 deficiencies, two at harm or jeopardy level, one tied to abuse, and a $15,593 fine, with the most recent inspection in May 2025. Quality measures score well; staffing and inspections don't.

Nurse hours

3.66 /day

Staff turnover

53%

Serious cites

0

Maple Ridge runs about 92 beds in Kingston under for-profit LLC ownership, and its staffing is the weak spot worth knowing about: 3.66 nurse hours per resident day against a national average of 3.86, plus weekends that run roughly 7% thinner than weekdays. Turnover sits at 53.1%, nearly eight points above the national figure, which matters because aides who keep leaving don't learn your mother's routine. The inspection record shows 23 deficiencies, including one at the harm level and one abuse-related, with a single fine of $8,278 and a recent survey dated April 2026. Quality measures score well, but the hands-on care hours and that deficiency history are what a family should weigh before deciding.

Nurse hours

3.86 /day

Staff turnover

44%

Serious cites

0

Rosewood runs a tight ship on the things inspectors can see: a five-star health inspection record with just four deficiencies, none causing harm or involving abuse, and a survey closed out in January 2026. Nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, though weekends dip about 9% below the home's own weekday coverage. Annual turnover of 44.4% is a hair better than the 45.8% norm. Where the picture darkens is quality measures, which CMS rates 1 out of 5, the clinical outcomes data families should ask about directly, since it can diverge sharply from a clean inspection sheet. Corporate-owned, 142 beds.

Nurse hours

3.30 /day

Staff turnover

30%

Serious cites

0

Majestic Oaks runs below the national average on nurse staffing at 3.30 hours per resident day, and weekends dip about 9% below its own weekday levels, so coverage on Saturdays and Sundays is thinner than the weekday numbers suggest. The tradeoff is stability: 30.3% turnover is well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. What pulls the record down is the inspection side: 50 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with a $35,175 fine. The most recent inspection was March 2026, so that picture is current, not stale.

Nurse hours

3.31 /day

Staff turnover

46%

Serious cites

0

Green Meadows runs 184 beds in Malvern under for-profit partnership ownership. Its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 5% below its own weekday coverage. Turnover is 46%, almost exactly the national 45.8%. The record shows 13 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent inspection was December 11, 2025. Inspection and quality measure ratings both land at 4 of 5 stars. What the numbers describe is a decently inspected home where the main soft spot is daily staffing depth, especially on weekends.