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

Nurse hours

3.72 /day

Staff turnover

71%

Serious cites

0

Riverside Nursing Centre runs 34 beds in Grand Haven under corporate ownership, and its inspection record is the loudest signal here: 53 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. The most recent inspection was in February 2026, so the record is current, not stale. Staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends run roughly 10% thinner than weekdays. Annual turnover of 71%, against a national 45.8%, means the people around your family member change often. Quality measures score mid-range, but that doesn't offset a harm-level finding and 53 citations. Ask hard questions before choosing this one.

Nurse hours

4.02 /day

Staff turnover

38%

Serious cites

0

Willowbrook Manor runs on better-than-average nurse hours, 4.02 per resident day, roughly 4% above the national figure, and its staff turnover of 38.2% actually beats the 45.8% national rate, which matters because consistent caregivers know the residents. Weekends get thinner, though, running about 14% below weekday coverage. The trouble sits in its inspection record: 46 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, with $89,021 in fines and a two-star health inspection rating. That combination, decent daily staffing, real quality concerns, is why the home lands where it does.

Nurse hours

3.31 /day

Staff turnover

64%

Serious cites

0

The Emeralds At Faribault runs lean on nursing staff, 3.31 hours per resident per day against a national average of 3.86, and weekends drop about 8% below its own weekday coverage. Staff turnover sits at 63.8%, well above the 45.8% national figure, which matters because that's a lot of caregivers cycling through the building each year. The inspection record is where the real concern lives: 61 deficiencies, including 8 tied to abuse, with the most recent inspection in May 2025. None were cited at the harm or jeopardy level, so this isn't a home where residents have been seriously injured in a documented incident, but the sheer volume and the abuse-related findings are worth asking about directly before you decide.

Nurse hours

3.16 /day

Staff turnover

37%

Serious cites

0

The Villas At The Park runs 3.16 nurse staffing hours per resident day, about 18% under the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is a genuine bright spot at 36.6%, well under the 45.8% national figure, and the quality measure rating sits at 4/5. The inspection record is where this home gets tripped up: 29 deficiencies on file, two at harm or jeopardy level, two abuse-related, and 16 fines totaling $162,230. The most recent inspection was November 2025. A for-profit corporate owner, steady staff retention, and a long citation history coexist here, the staffing numbers and deficiency log are what deserve your scrutiny.

Nurse hours

3.48 /day

Staff turnover

52%

Serious cites

0

Parmly On The Lake runs 91 certified beds in Chisago City and staffs at 3.48 total nurse hours per resident day, roughly 10% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 11% below its own weekday level, and 52% annual turnover means a lot of the aides and nurses your family meets will be new. The current inspection record carries 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $8,193. The most recent inspection was September 19, 2024, so that record is fairly current. For-profit corporate ownership, and the quality measure star rating sits at 2 of 5.

Nurse hours

3.30 /day

Staff turnover

55%

Serious cites

0

The Estates at Greeley runs 64 beds in Stillwater under for-profit partnership ownership, and its nursing hours come in around 14% under the national average, with weekends staffed roughly 12% lighter than weekdays. Turnover sits at 54.7% against a national 45.8%, meaning nearly six in ten caregivers left over the year. Its inspection record carries 22 deficiencies, including one at the harm level and four tied to abuse. The most recent inspection was in August 2024. CMS rates the staffing 4 out of 5 but the quality measures just 2, and those two numbers don't tell the same story about what daily life looks like here.

Nurse hours

4.19 /day

Staff turnover

65%

Serious cites

0

Sterling Park runs 40 beds in Waite Park under for-profit partnership ownership. The raw staffing number looks good, 4.19 nurse hours per resident day, about 8% above the national average, and CMS gives it 4 out of 5 stars on staffing. But the stability behind that number is shaky: annual turnover sits at 65.3% against a national average of 45.8%, and weekend hours drop roughly 14% below its own weekday coverage. On the health inspection side, 19 deficiencies are on record, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. Quality measures land at 3 out of 5. Plenty of hands scheduled, in other words, fewer of them staying, and inspection problems that haven't gone away.

Nurse hours

3.76 /day

Staff turnover

73%

Serious cites

0

Thorne Crest, a nonprofit home with 52 beds in Albert Lea, has a record worth reading carefully. State inspectors cited 36 deficiencies, three of them at a level where residents were actually harmed or put in jeopardy, and two tied to abuse, with one fine totaling $43,082. Staffing sits at 3.76 nurse hours per resident day, a bit under the national average, and the workforce is churning: 72.7% annual turnover against roughly 46% nationally, with weekends running about 9% leaner than weekdays. The bright spots are real, a 4-out-of-5 quality measure rating and 4 for staffing, but a 1-out-of-5 inspection rating, with citations including abuse, is the piece families should weigh heaviest.

Nurse hours

3.64 /day

Staff turnover

51%

Serious cites

0

Plaza Community Living Center runs 100 certified beds in Pascagoula under corporate, for-profit ownership. Nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.5% tops the national 45.8% average, meaning many of the people caring for residents are still learning the building. The current inspection record carries 23 deficiencies, four of them serious enough to involve harm or jeopardy and two tied to abuse. That's a lot to weigh against the January 2025 inspection date and whatever the quality measures are showing.

Nurse hours

3.64 /day

Staff turnover

52%

Serious cites

0

Highland Home runs leaner than the typical U.S. nursing home on nurse staffing, 3.64 hours per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops roughly 14% below its own weekday level. Staff turnover sits at 52.3%, noticeably above the 45.8% national figure, which matters because it's the same familiar faces that build trust with residents over time. The inspection record shows 18 deficiencies, three of them serious enough to put residents at risk of harm, though none involved abuse, and one fine of $10,033 has been assessed. Its last inspection was June 2024, so the picture is reasonably current.

Nurse hours

4.71 /day

Staff turnover

66%

Serious cites

0

Union Co Health And Rehab Center runs a tight ship on the clinical side. Its 4.71 nurse staffing hours per resident day sit about 22% above the national average, and its last inspection in August 2025 turned up nine deficiencies with none at the harm or jeopardy level and nothing abuse-related. But look closer at the numbers. Weekend staffing drops roughly 29% below its own weekday level, which matters if your family visits or needs answers on a Saturday. And 66.4% of staff turned over in a year against a national average of 45.8%, that's a lot of new faces learning your parent's routine. The health inspection record is strong; the quality measure score and turnover tell a more mixed story.

Nurse hours

3.62 /day

Staff turnover

42%

Serious cites

0

Delmar Gardens West is a 321-bed for-profit home in Town and Country, and the numbers pull in different directions. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 3% thinner than weekdays, so the floor is leanest exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, which matters for consistency of care. What weighs things down is the inspection record: 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus $22,623 in fines, with the most recent inspection in April 2025. The staffing rating is strong; the quality measure rating is not. Ask about weekend coverage and how those harm-level deficiencies were corrected.

Nurse hours

3.28 /day

Staff turnover

50%

Serious cites

0

Nhc Healthcare, Joplin runs 124 certified beds under for-profit limited liability ownership, and its last inspection was recent, August 4, 2025, so the 31 deficiencies on record, including one at the harm or jeopardy level and four tied to abuse, reflect current conditions rather than old problems. Staffing is where the numbers get hardest to ignore: CMS gives it 1 out of 5 stars, and annual turnover sits at 50 percent, above the 45.8 percent national average. Inspection and quality measure ratings both land at 3 out of 5. Put plainly, the care measures are middling while the workforce that delivers them is thin and constantly changing.

Nurse hours

3.66 /day

Staff turnover

45%

Serious cites

0

Southbrook runs lean on nurse staffing, 3.66 hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday coverage. Turnover sits at 45.4%, essentially tracking the national rate, so the churn here isn't unusual for the industry, but it doesn't help a floor that's already thin. What keeps this home out of trouble is its inspection record: 17 deficiencies on file with none at the harm or jeopardy level, plus a clean five-star health inspection rating, even with one abuse-related citation in the mix. For-profit, LLC-owned, 104 beds, inspected most recently in April 2026. Families weighing this one should ask how the weekend shift actually gets covered.

Nurse hours

3.47 /day

Staff turnover

—

Serious cites

0

Aspire Senior Living Pleasant Hill runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop another 17% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 60 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $14,433. Its last inspection was November 2024. CMS rates staffing 1 out of 5 stars and health inspections 2 out of 5, though quality measures come in at 3. The staffing number is the one I'd ask about directly.

Nurse hours

3.36 /day

Staff turnover

48%

Serious cites

0

Delmar Gardens of Meramec Valley runs 190 beds under corporate ownership, and its inspection record comes back clean where it counts most: zero deficiencies at the harm or jeopardy level, which is not nothing given 22 total findings on the books. Three of those are abuse-related, worth asking about directly. Where the numbers get shakier is staffing, 3.36 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly another 10% below its own weekday levels. Turnover runs 47.8%, slightly above the national 45.8%. A recent December 2025 inspection means the picture is current.

Nurse hours

4.63 /day

Staff turnover

39%

Serious cites

0

Adept Nursing & Rehab Of South Sioux City runs on a for-profit LLC structure and sits in Dakota County, Nebraska with 72 certified beds. The staffing numbers are the bright spot: 4.63 nurse hours per resident day, roughly 20 percent above the national average, with weekend coverage dropping about 15 percent below weekday levels. Turnover lands at 39.2 percent, better than the 45.8 percent national figure. What pulls the record down is the inspection history, 34 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $33,784 fine. The most recent inspection was August 2025. CMS gives the home 2 out of 5 stars for health inspections and 1 out of 5 for quality measures, even as staffing earns 4 out of 5.

Nurse hours

3.48 /day

Staff turnover

47%

Serious cites

0

North Las Vegas Care Center runs 182 beds under individual for-profit ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about another 10% below its own weekday level, and turnover runs 47.3%, a bit above the national 45.8%. The inspection record is the bigger concern: 35 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with a $9,311 fine and a 2-out-of-5 health inspection rating. The last inspection was recent, in August 2025, and the quality measure rating of 3 shows some clinical measures holding up. Staffing and safety are where the gaps show.

Nurse hours

4.12 /day

Staff turnover

40%

Serious cites

0

Marquis Plaza Regency runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 39.5% actually beats the national 45.8%. That matters, because consistent caregivers tend to know residents and catch problems earlier. But weekends run about 12% thinner than weekdays, so coverage isn't even across the week. The inspection record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus a $13,065 fine, a serious finding inside an otherwise recent, four-star inspection history from September 2025. Corporate-owned, 188 beds: solid staffing, real blemishes. Ask about weekend coverage and how that abuse deficiency was corrected.

Nurse hours

3.69 /day

Staff turnover

41%

Serious cites

0

Royal Springs runs 225 beds on the east side of Las Vegas, and its numbers pull in two directions. The nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, which is where shortfalls tend to show up. Turnover at 40.5% is actually better than the 45.8% national figure, so leadership isn't churning through aides the way many for-profits do. The problem is the inspection record: 39 deficiencies, one serious enough to cause harm, a $40,359 fine, and a March 2026 inspection that produced a two-star health rating and a one-star quality measure score. Ask to see the plan of correction for that harm-level citation.