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

Nurse hours

— /day

Staff turnover

51%

Serious cites

0

Lane House runs on county government ownership, and its record shows where that leaves residents. Nurse staffing sits at 2.98 hours per resident day against a national average of 3.86, roughly a quarter less hands-on care, and weekends drop about 12% below the home's own weekday level. Annual turnover of 51.1% means more than half the nursing staff leaves each year, above the 45.8% national figure. The inspection history is the harder read: 27 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a single $175,065 fine. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection problems underneath it.

Nurse hours

3.11 /day

Staff turnover

49%

Serious cites

0

Woodmont Health Campus runs on county government ownership and about 3.11 nurse hours per resident day, roughly 20% under the national average of 3.86. That gap shows up most on weekends, when staffing drops another 12% below the home's own weekday level, and in a 49% annual turnover rate that edges past the national 45.8%. Twenty-eight deficiencies sit on the current record, though none at the harm level and none abuse-related, and the last inspection was September 2025. Quality measures score well at 4 of 5 stars, but inspections and staffing both land at 2, which is where the tension in this home's record lives.

Nurse hours

2.99 /day

Staff turnover

43%

Serious cites

0

Cathedral Health Care Center runs about 3 hours of nursing time per resident each day, roughly a quarter below the national average, and weekends dip another 10% under its own weekday level. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 43.4% is slightly better than the 45.8% national figure. Inspections look stronger: a 4-star health inspection rating, 17 deficiencies on record with none at the harm level, and one abuse-related citation, with the last survey in July 2025. A 3-star quality measure rating rounds it out. The pattern is a home that's been surveyed cleanly but may be stretched on the floor day to day.

Nurse hours

5.58 /day

Staff turnover

60%

Serious cites

0

Waters Of Georgetown runs on a paradox worth understanding. Nurse staffing sits at 5.58 hours per resident day, roughly 44% above the national figure, yet Indiana records show 40 deficiencies, one tied to abuse, and a 1-star inspection rating. None of those deficiencies reached the harm or jeopardy level, so the problems look more like process and documentation failures than direct resident injury. Turnover is the other piece: 59.6% annually against a national 45.8% means a lot of the people providing that generous staffing are still learning the building. The last state visit came in mid-2025, so the record is fairly current. Weekend coverage dips only slightly from weekdays. Nonprofit ownership, strong hours, weak oversight, that mix usually points to a management problem, not a money problem.

Nurse hours

3.74 /day

Staff turnover

61%

Serious cites

0

Ignite Medical Resort Crown Point runs 70 beds under corporate ownership, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, with weekend coverage dipping about 4% below its own weekday levels. The bigger concern is turnover: 61.2% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year, which matters for anyone counting on consistent caregivers. Inspections are another weak spot, with a 1-out-of-5 health inspection rating and 44 deficiencies on record, including two tied to abuse, though none reached documented harm or jeopardy. Its quality measure score is strong, but that reflects charted care, not the hands available to deliver it.

Nurse hours

3.26 /day

Staff turnover

48%

Serious cites

0

Creston Specialty Care runs 74 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop about 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover is 48.1%, a bit above the 45.8% national figure. The current inspection record shows 17 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $19,663; the most recent inspection was May 8, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at 3 out of 5.

Nurse hours

3.31 /day

Staff turnover

27%

Serious cites

0

Pinnacle Specialty Care is a 100-bed for-profit home in Cedar Falls, and the numbers point in a few different directions. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends run about 8% thinner than weekdays, which is when families tend to visit and notice. Turnover, though, is genuinely low at 27.4% against a 45.8% national figure, so the people who are there tend to stay. The inspection record is the bigger concern: 20 deficiencies, one serious enough to reach harm or jeopardy level, with a $8,362 fine and a 2-star health inspection rating. That's a lot of citations for a home this size, and it's what pulls the overall picture down.

Nurse hours

3.31 /day

Staff turnover

52%

Serious cites

0

Correctionville Specialty Care runs 39 certified beds as a nonprofit corporation, and the staffing picture is mixed. Nurse coverage sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 10% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 51.6%, above the 45.8% national figure, which matters for how well aides know residents. The inspection record is the harder read: 42 deficiencies, seven at harm or jeopardy level, seven abuse-related, two fines totaling $60,316, and a survey completed December 31, 2025. Quality measures rate mid-range, but that inspection history is what drives the low overall mark.

Nurse hours

3.02 /day

Staff turnover

53%

Serious cites

0

Maple Manor Village runs on 3.02 nurse hours per resident day, roughly a fifth below the national figure, and weekend coverage drops further below what it manages on weekdays. About 52.6% of staff turned over in the past year, higher than the 45.8% national rate, that's a lot of new faces for a 42-bed home. The current record shows seven deficiencies, none rising to harm or jeopardy, though two are abuse-related. Inspectors were last in on February 18, 2026, and the health inspection rating sits at 4 of 5, which is genuinely good; the staffing rating of 2 tells the other half of the story.

Nurse hours

3.72 /day

Staff turnover

67%

Serious cites

0

The Village of Ackley runs 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 9% below its own weekday coverage. Staff turnover is the number that stands out: 66.7% annually against a 45.8% national average, meaning most of the people caring for residents were not there a year ago. The inspection record shows 33 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $47,149. The last inspection was March 2026, so the picture is current. Quality and staffing star ratings both sit at 4/5, but the deficiency history and turnover tell a different story than the stars suggest.

Nurse hours

3.66 /day

Staff turnover

54%

Serious cites

0

Ignite Medical Resort Overland Park runs 102 certified beds under nonprofit corporate ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 4% below its own weekday coverage, and annual turnover hits 53.5% against a national 45.8%, so the people on shift change often and thin out when families tend to visit. The inspection record shows 36 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, with one fine of $6,942 and a last survey dated July 2024. Quality measures score well; staffing and health inspections do not.

Nurse hours

3.73 /day

Staff turnover

45%

Serious cites

0

Winfield Senior Living runs 55 certified beds under corporate ownership, and its nurse staffing sits at 3.73 hours per resident day, roughly 4% under the national average. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families are most likely to visit. Turnover is 45.2%, essentially matching the national rate, so that's not the problem here. The real issue is the inspection record: 23 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent state visit in February 2025. No abuse citations appear. Quality and staffing measures both land mid-range, but a recent inspection with a harm-level finding is the number worth asking about directly.

Nurse hours

3.84 /day

Staff turnover

55%

Serious cites

0

Heritage Gardens runs about 3.84 nurse staffing hours per resident day, essentially matching the national average of 3.86, but weekends drop roughly 9% below what the home staffs on weekdays, so the coverage your family member gets depends on the day of the week. Staff turnover sits at 54.5%, well above the national 45.8%, meaning nearly six in ten caregivers left over the past year. The inspection record shows 42 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $13,056 and a survey completed in May 2025. For-profit, limited liability ownership, 60 beds.

Nurse hours

4.00 /day

Staff turnover

57%

Serious cites

0

Sandpiper runs 104 certified beds in Wichita under corporate ownership, and the staffing picture is mixed in a way the star ratings capture: 4.00 nurse hours per resident day sits about 4% above the national average, yet weekends drop roughly 12% below its own weekday level, and annual turnover is 56.5% against a national 45.8%. That churn shows up in the CMS staffing score of 2 out of 5 even though raw hours look fine on paper. The quality measure score is 5 out of 5, which is genuinely strong, but the inspection record carries 32 deficiencies with no harm-level or abuse findings and one fine of $16,801, most recently surveyed in November 2024.

Nurse hours

3.79 /day

Staff turnover

54%

Serious cites

0

Richmond Healthcare & Rehab Center runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.79 hours per resident day, a bit under the national average, with weekends about 12% thinner than weekdays. That pattern matters, because the staff you get on a Saturday is the staff you get. Annual turnover of 53.6% is roughly eight points above the national rate, so caregivers cycle through faster than average. The current record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2025. Quality measures score near the bottom even as staffing scores well above it, an unusual split worth asking the administrator to explain directly.

Nurse hours

3.69 /day

Staff turnover

52%

Serious cites

0

Signature Healthcare of Bowling Green runs 176 certified beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, 13 deficiencies on the current record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as September 2025. Staffing is where the picture dims. At 3.69 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 10% below its own weekday level, and annual turnover of 52.2% runs well above the 45.8% national figure. Quality measures score 4 out of 5, so care outcomes look better than the staffing numbers alone would suggest, but thin weekend coverage and high turnover are the things to ask about directly.

Nurse hours

4.31 /day

Staff turnover

60%

Serious cites

0

Hillcrest runs 4.31 nurse hours per resident day, roughly 12% above the national average, and that staffing shows up in a 4/5 CMS staffing rating. Weekends thin out by about 14% from weekday levels, though, and annual turnover sits at 60% against a national 45.8%, meaning the people covering those hours keep changing. The current record shows 9 deficiencies, none at harm or jeopardy level, but 3 tied to abuse, and the quality measure rating is 1/5. The last inspection was August 2025, so it's recent. A 4/5 inspection rating with no harm-level findings is a real strength; the abuse citations and turnover are what pull the overall picture down.

Nurse hours

3.75 /day

Staff turnover

44%

Serious cites

0

Heritage Hall runs 94 certified beds in Lawrenceburg under individual for-profit ownership, and its numbers tell two different stories. Nurse staffing sits at 3.75 hours per resident day, about 3% under the national average, and weekends dip roughly 12% below what the home staffs on weekdays, so the coverage your family member gets on a Saturday isn't what they'd get on a Tuesday. Annual turnover of 43.8% is slightly better than the 45.8% national figure. What pulls the record down is the inspection side: 20 deficiencies on file, 5 of them at harm or jeopardy level, 4 tied to abuse, plus a single $185,227 fine and a July 2025 inspection. A 1-out-of-5 health inspection star against 4-out-of-5 for staffing.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Woodcrest runs 127 certified beds under corporate ownership, and its staffing sits about 9% under the national average at 3.50 nurse hours per resident day. Weekends dip roughly another 8% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 45.6%, essentially matching the national rate, so this isn't a retention crisis, just thin coverage. The inspection record is the bright spot: three deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was in May 2025, so the findings are current. The tradeoff is straightforward, a clean recent inspection and steady turnover against below-average daily staffing.

Nurse hours

3.65 /day

Staff turnover

48%

Serious cites

0

Boonespring runs about 3.65 nursing hours per resident per day, roughly 5% under the national average, and weekend coverage drops about 11% below its own weekday level, so the days families visit most are the thinnest. Staff turnover sits at 47.8%, a bit above the national 45.8%. Inspectors found 12 deficiencies, none causing harm or jeopardy, though one is abuse-related, and the last visit was March 19, 2025. That combination, solid inspection and quality marks, weaker staffing, is the whole story here. The corporate owner keeps the building in decent regulatory shape; the question is whether there are enough hands on weekends.