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

Nurse hours

3.25 /day

Staff turnover

48%

Serious cites

0

The Bradford runs about 3.25 nurse hours per resident day against a national average of 3.86, roughly 16 percent below, and weekends dip another 11 percent under its own weekday pace. That staffing shortfall shows up in the federal star rating for nursing hours, which sits at 1 out of 5. On the inspection side, the home carries 31 deficiencies, none flagged at harm or jeopardy level, though four are abuse-related, and its last survey was in September 2025. The for-profit LLC ownership structure adds a layer of accountability worth asking about directly. With roughly 48 percent annual turnover, slightly above the national rate, you'd want to know who actually shows up on weekends.

Nurse hours

3.79 /day

Staff turnover

47%

Serious cites

0

Southern Hills runs 101 certified beds as a for-profit LLC, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86, with weekends about 9% thinner than weekdays. Turnover is 47.1%, a bit above the national 45.8%. What stands out more is the inspection record: a 1/5 health inspection rating, 20 deficiencies on file, four of them at harm or jeopardy level and two tied to abuse, plus $61,584 in fines across two penalties. The most recent inspection was April 15, 2026. Its quality measure rating is 2/5, staffing 3/5.

Nurse hours

3.52 /day

Staff turnover

53%

Serious cites

0

Lady Of The Oaks runs 3.52 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 14% below what it manages on weekdays. Staff turnover sits at 52.9% against a national 45.8%, so nearly half the nursing staff left within a year, a problem that shows up in a staffing star rating of 1 out of 5, even though the state's June 2025 inspection earned 4 out of 5 stars. Twenty-one deficiencies are on the current record, none rising to harm or jeopardy, but one is abuse-related. For-profit, LLC-owned, 137 beds. The inspection looks fine; the daily staffing math is where the risk lives.

Nurse hours

4.04 /day

Staff turnover

55%

Serious cites

0

Kennebunk Center for Health & Rehabilitation runs 78 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That cushion shrinks on weekends, when coverage drops about 7% below the home's own weekday level. Staff turnover is the bigger issue: 54.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The home carries 36 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated April 2026. CMS rates it 2 of 5 stars on both health inspections and quality measures, and 3 on staffing.

Nurse hours

3.51 /day

Staff turnover

47%

Serious cites

0

Autumn Lake Healthcare At Patuxent River runs 153 beds under for-profit LLC ownership, and its staffing numbers are the thing to watch. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekend coverage drops roughly 7% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is 47.1%, slightly above the national 45.8%. The inspection record shows 60 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Its last inspection was August 2025, so that record is fairly current rather than stale. Quality measures score well; staffing is where it lags.

Nurse hours

4.18 /day

Staff turnover

51%

Serious cites

0

Future Care Irvington runs 4.18 nurse hours per resident day, about 8% above the national average, which is a real point in its favor. But look at the rest: weekend staffing drops roughly 10% below its own weekday level, so coverage thins out exactly when families tend to visit, and annual turnover sits at 50.7% against a national 45.8%. The inspection record shows 44 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,417. The last inspection was September 2025, so the picture is current. Staffing quantity is decent; consistency isn't, and that gap shows in the numbers.

Nurse hours

3.55 /day

Staff turnover

52%

Serious cites

0

Autumn Lake Healthcare at Glade Valley runs 124 beds in Walkersville under a for-profit limited liability company. Its nurses provide 3.55 hours of care per resident per day, about eight percent under the national average, and weekends run roughly ten percent thinner than weekdays, so the gaps show up when families tend to visit. Staff turnover sits at 52.3 percent against a national 45.8 percent, meaning more than half the nursing team leaves each year. The inspection record is where this home draws real concern: 80 deficiencies, including one at the harm or jeopardy level and 12 tied to abuse, with a $37,265 fine and a 2-out-of-5 inspection rating. Quality measures score well at 4, but that sits alongside 2 for staffing. The most recent inspection was May 2025.

Nurse hours

3.39 /day

Staff turnover

43%

Serious cites

0

Autumn Lake Healthcare At Baltimore Washington runs 129 beds in Glen Burnie under corporate ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 8% thinner than weekdays, so coverage dips when families tend to visit. Turnover is 42.5%, slightly better than the 45.8% national figure. What stands out is the inspection record: 77 deficiencies, five tied to abuse, with the last state visit in February 2026 and a two-star health inspection rating. Nothing on the current record rises to harm or jeopardy level, but that volume of findings is worth asking about directly.

Nurse hours

4.09 /day

Staff turnover

39%

Serious cites

0

Blaire House Of Milford runs 73 certified beds under corporate ownership, and its staffing is the one number that holds up, 4.09 nurse hours per resident day, about 6% above the national average, with turnover at 39% against a national 45.8%. Weekends dip roughly 8% below weekday coverage, which is worth asking about directly. The inspection record is where the picture darkens: 55 deficiencies on file, three of them at harm or jeopardy level and six tied to abuse, plus one fine of $38,610. The last inspection was May 2025, so this is current, not stale. Quality measures sit at 1 out of 5 stars. Ask about the abuse deficiencies and what changed since.

Nurse hours

3.27 /day

Staff turnover

41%

Serious cites

0

Webster Manor runs lean on nursing staff, 3.27 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when residents need help with meals, mobility, and toileting. The home holds 42 deficiencies on its current record, including two tied to abuse, though none rose to the harm or jeopardy level. Its last inspection was in April 2025, so the picture is recent. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay. For-profit corporate ownership and a two-star inspection rating round out what the numbers show.

Nurse hours

3.41 /day

Staff turnover

34%

Serious cites

0

Regalcare At Worcester runs 160 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average of 3.86, with weekend coverage dipping about 5 percent below its own weekday levels. Turnover is a genuine bright spot: 34 percent against a national average near 46 percent, so the people here tend to stay. The record shows 31 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection came in April 2025, so the picture is current. The weak spot is quality measures, which CMS scores at 1 out of 5 despite a 3 out of 5 on inspections.

Nurse hours

3.76 /day

Staff turnover

27%

Serious cites

0

Staffing at Regalcare At Courtyard-Medford runs a little under the national average, and weekends dip about 7% below its own weekday levels, so the coverage you see midweek isn't quite what you get on a Saturday. The bigger concern is the inspection record: 80 deficiencies, six at the harm or jeopardy level and seven tied to abuse, plus $165,163 in CMS fines. That record is why federal regulators placed this 224-bed for-profit home in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Turnover is genuinely low by industry standards, which helps, but low turnover only goes so far when the last inspection, in March 2025, still left that many findings on the books.

Nurse hours

4.09 /day

Staff turnover

39%

Serious cites

0

Life Care Center of Merrimack Valley runs 4.09 nurse hours per resident day, about 6% above the national average, and its 38.8% turnover is better than the 45.8% typical elsewhere. Those are real strengths. But weekend staffing drops roughly 12% below weekday levels, and the inspection record is where the trouble sits: 27 deficiencies, four at harm or jeopardy level, one abuse-related, plus a $161,920 fine. A 2/5 inspection rating against a 4/5 quality measure rating usually means the day-to-day care looks fine on paper until something goes wrong. A December 2025 inspection is recent enough to reflect current conditions. Ask about weekend coverage and the abuse deficiency specifically.

Nurse hours

3.65 /day

Staff turnover

45%

Serious cites

0

Agawam North Rehab And Nursing runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average. Weekends dip about 14% below its own weekday level, so coverage thins out right when families tend to visit. The current inspection record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine totaling $86,130 and a survey as recent as April 2025. Staff turnover runs 44.5%, slightly better than the national rate of 45.8%. CMS rates the health inspection side 1 out of 5 stars, though quality measures come in at 4 out of 5.

Nurse hours

3.27 /day

Staff turnover

45%

Serious cites

0

Optalis Health & Rehabilitation Of Ionia runs 107 certified beds under for-profit LLC ownership, and the numbers worth knowing sit in the staffing column. At 3.27 nurse hours per resident day, it comes in about 15% under the national average of 3.86, and weekends dip roughly 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Its record shows 15 deficiencies, two tied to abuse, none severe enough to reach harm or jeopardy. Staff turnover, at 45.3%, tracks close to the national 45.8%. Ownership changed within the past year, and the most recent inspection was March 2025, recent enough to mean something.

Nurse hours

2.96 /day

Staff turnover

49%

Serious cites

0

Regency At Fremont runs on 2.96 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 11% below its own weekday staffing. That thin coverage meets a record of 33 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with the most recent inspection in April 2025. Annual turnover sits at 49.4%, above the national rate, so caregivers keep cycling through. The quality measure score of 3 out of 5 is the strongest part of the file; the one-star health inspection rating is the weakest. Corporate for-profit ownership, 129 certified beds.

Nurse hours

3.15 /day

Staff turnover

50%

Serious cites

0

Cherry Hill runs 3.15 nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop another 7 percent below its own weekday staffing. Turnover sits near 49.5 percent, a few points above the national figure. The inspection record is the bright spot: 27 deficiencies but none at harm or jeopardy level, and the last visit was January 2026. One abuse-related citation is on the books. For-profit LLC ownership, 127 beds. Families should ask how the weekend shift is actually covered and what that abuse deficiency involved.

Nurse hours

3.55 /day

Staff turnover

50%

Serious cites

0

Clark Retirement Community runs 39 certified beds as a nonprofit, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 7% below the home's own weekday levels, and annual turnover hits 50% against a national 45.8%. The current inspection record shows 28 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse. Its last inspection was July 30, 2025. Federal ratings put health inspections and staffing at 2 out of 5 stars each, with quality measures at 3. For a family weighing this one, the staffing shortfall and the abuse-related findings are the two things worth asking about directly.

Nurse hours

3.82 /day

Staff turnover

51%

Serious cites

0

Optalis Health And Rehabilitation Of Dearborn Heights runs 124 certified beds under corporate for-profit ownership, and the numbers show a home juggling real strengths against real problems. Nurse staffing sits at 3.82 hours per resident day, just under the national average, but weekends drop about 15% below its own weekday level, and annual turnover of 51.4% tops the national figure of 45.8%. Its inspection record carries 34 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus a $42,136 fine. What keeps this from being a purely grim picture is the 4-out-of-5 quality measure rating, meaning charted care outcomes look better than the inspection history would suggest. That gap between paper quality and on-the-ground compliance is worth asking about directly.

Nurse hours

3.52 /day

Staff turnover

47%

Serious cites

0

Imperial, A Villa Center runs 265 certified beds in Dearborn Heights under for-profit individual ownership, and its inspection record is the main thing to know. State surveyors have logged 38 deficiencies on the current record, two of them at the harm or jeopardy level and one tied to abuse. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends drop about 7% below the home's own weekday numbers. Annual turnover is 46.6%, close to the national 45.8%. The last inspection was April 23, 2026. Inspections rate 2 out of 5 stars; quality measures and staffing each rate 3.