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

Nurse hours

2.79 /day

Staff turnover

53%

Serious cites

0

Sienna Skilled Nursing runs on 2.79 nursing hours per resident per day, roughly 28% under the national average, and weekends drop another 10% below its own weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.7% against a 45.8% national rate, meaning more than half the nursing staff turns over annually. The current inspection record carries 40 deficiencies, one of them serious enough to reach harm or jeopardy level, and the health inspection rating is 1 out of 5. Its 4/5 quality measure score reflects charted clinical outcomes, but that number sits on a staffing and compliance foundation the state has repeatedly cited.

Nurse hours

3.52 /day

Staff turnover

53%

Serious cites

0

The Home At Taylor's Pointe runs a 92-bed for-profit operation in Cincinnati, and its numbers pull in two directions. Inspections look solid, a recent March 2025 survey with 14 deficiencies, none rising to harm or jeopardy level, and no abuse citations. But look at the people doing the work: 3.52 nurse hours per resident day sits roughly 9% under the national average, weekend coverage drops about 12% below its own weekday staffing, and 53.1% of staff turned over in a year against a 45.8% national rate. You can have a clean inspection record and still feel short-staffed on a Sunday afternoon. Ask how they cover weekends and how long their current aides have actually been there.

Nurse hours

4.30 /day

Staff turnover

53%

Serious cites

0

Otterbein Monclova runs 60 beds as a federal government facility, and its staffing is the weakest part of the picture, a one-star CMS rating on that measure, with 53.1% annual turnover against a national average of 45.8%. The inspection record backs that up: 50 deficiencies, three of them serious enough to be flagged at the harm or jeopardy level, and a $47,171 fine. A two-star health inspection rating and a three-star quality measure rating round out a mixed profile, though there are no abuse-related citations on file and the most recent inspection, from March 2025, is recent. For a family weighing options, the turnover number is the one worth asking about directly.

Nurse hours

3.19 /day

Staff turnover

49%

Serious cites

0

The Laurels of Steubenville runs 3.19 nurse staffing hours per resident day, about 17% under the national average of 3.86, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 48.8%, a few points above the national 45.8%. The current inspection record carries 46 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with the most recent inspection dated March 20, 2025. Ownership is for-profit corporate. The 4/5 quality measure rating looks better than the staffing and inspection numbers do; ask what specifically drove those two harm-level findings before deciding.

Nurse hours

3.62 /day

Staff turnover

54%

Serious cites

0

Bath Creek Estates sits in Cuyahoga Falls with 99 certified beds under corporate for-profit ownership, and its inspection record is genuinely solid: a 4/5 health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level, and a December 2023 inspection that's still fairly recent. The staffing picture is where it gets uneven. Total nurse coverage runs 3.62 hours per resident day, about 6% under the national average, and weekends dip roughly 9% below the home's own weekday numbers, so the hours your family member gets on a Saturday won't match a Tuesday. Annual turnover of 54.2% also runs well above the 45.8% national figure, meaning caregivers cycle through faster than average. Ask how they cover weekends.

Nurse hours

3.66 /day

Staff turnover

47%

Serious cites

0

Belpre Landing runs 3.66 nurse hours per resident per day, about 5% under the national average of 3.86, and weekends drop roughly 8% below what the home staffs on weekdays. That thinner weekend coverage matters because the record shows 47 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Annual turnover sits at 47.3%, slightly above the national 45.8%, and the health inspection rating is 2 out of 5, though the quality measure score is 4. The last inspection was January 8, 2025, so the picture is current. Corporate-owned, 62 beds.

Nurse hours

3.93 /day

Staff turnover

52%

Serious cites

0

The Laurels of Gahanna sits in Columbus with 112 certified beds and a for-profit corporate owner, and its current record includes 82 deficiencies, seven at the harm or jeopardy level and seven tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for homes with a pattern of serious problems, and the two fines on record total $164,617. Staffing looks decent on paper at 3.93 nurse hours per resident day, slightly above the national average, but weekend coverage drops about 12% below weekday levels and annual turnover hits 52% against a national 45.8%. The one-star health inspection rating, paired with a five-star quality measure score, suggests the clinical numbers and the lived reality don't match.

Nurse hours

4.26 /day

Staff turnover

58%

Serious cites

0

Aspen Health and Rehab runs 126 beds in Broken Arrow, and its nurse staffing comes in around 4.26 hours per resident day, roughly 10% above the national average. That's a real plus. But weekends drop about 11% below its own weekday coverage, and annual turnover sits at 58.3% against a national 45.8%, so the faces change often. The inspection record shows 18 deficiencies, including one at the harm level and two tied to abuse, with a $35,721 fine. Ownership is for-profit corporate. Staffing looks better than average on paper, but the turnover and inspection history are what pull the overall picture down.

Nurse hours

4.63 /day

Staff turnover

71%

Serious cites

0

Chehalem Post Acute runs 4.63 nurse hours per resident day, about 20% above the national average, which sounds like a good story until you look at who's actually delivering those hours. Annual turnover hits 70.9% against a national norm of 45.8%, so more than two-thirds of the staff cycle out each year, and weekends already run 9% leaner than weekdays. The inspection record is the harder problem: 58 deficiencies on the current record, including 3 at the harm or jeopardy level and 5 tied to abuse, plus $54,581 in fines. The most recent inspection closed in March 2025. Solid quality scores don't offset that pattern.

Nurse hours

3.41 /day

Staff turnover

41%

Serious cites

0

Quakertown Center runs 138 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 6% below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 40.9%, which is actually better than the 45.8% national figure, and the current record shows 20 deficiencies with none at harm or jeopardy level and nothing abuse-related. The last inspection was March 18, 2026. Nothing here reads as dangerous, but the staffing gap and weekend slide are the numbers worth asking about directly.

Nurse hours

4.00 /day

Staff turnover

50%

Serious cites

0

Heritage Ridge runs a for-profit LLC operation with 90 certified beds in Philipsburg, and its staffing sits at 4.00 nurse hours per resident day, about 4% above the national average of 3.86. That edge is real but thin, and it narrows on weekends, when coverage drops roughly 5% below the home's own weekday level. Annual turnover hits 50%, higher than the 45.8% national figure, which means the people at the bedside keep changing. On the inspection side, the record shows 30 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The most recent state visit was July 2025. Staffing and health inspection each earned 2 out of 5 stars from CMS; quality measures came in at 3.

Nurse hours

3.55 /day

Staff turnover

71%

Serious cites

0

Quality Life Services - Sarver runs 66 certified beds under for-profit LLC ownership, and its staffing numbers are the thing to look at first. At 3.55 nurse hours per resident day, it sits about 8% under the national average, with weekends running roughly 9% thinner than its own weekdays. The bigger concern is turnover: 70.6% of staff leaving annually, against a national average of 45.8%, which means the people showing up for your family member are often still learning the building. Inspections in November 2025 turned up 37 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Ownership is for-profit and staffing earns two stars.

Nurse hours

3.42 /day

Staff turnover

51%

Serious cites

0

Transitions Healthcare North Huntingdon runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 6% below the home's own weekday coverage, and annual turnover is 51.4%, higher than the 45.8% national figure. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with three-out-of-five stars each for health inspections, quality measures, and staffing. Its last inspection was April 30, 2026. What you're looking at is a home that stays out of serious trouble but runs leaner on direct care than the typical facility, and cycles through staff faster.

Nurse hours

3.88 /day

Staff turnover

55%

Serious cites

0

Kadima Rehabilitation & Nursing at Lakeside runs 31 certified beds in Dallas, Luzerne County, under for-profit partnership ownership. Staffing sits at 3.88 hours per resident day, essentially matching the national average of 3.86, though weekends run about 6% thinner than weekdays. Turnover is the bigger concern: 55% annually against a national rate of 45.8%, meaning more than half the staff leaves each year. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and four tied to abuse. A 2/5 health inspection rating and a 2/5 quality measure rating, with the most recent inspection in September 2025, round out a picture that's worth asking hard questions about before deciding.

Nurse hours

3.74 /day

Staff turnover

50%

Serious cites

0

Transitions Healthcare Gettysburg runs 135 beds as a for-profit LLC, and the numbers tell a middling story. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 49.6%, nearly four points above the national figure, and the current record carries 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $16,334 in fines. The last inspection was November 2025. Three stars on health inspections, quality measures, and staffing put this home squarely in the middle.

Nurse hours

3.45 /day

Staff turnover

52%

Serious cites

0

Centennial runs 180 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends dipping about 7% below its own weekday levels. Turnover runs 52.4% against a national 45.8%, which matters because residents see a rotating cast of caregivers. The current record shows 21 deficiencies, none at harm or jeopardy level but two tied to abuse. Inspections are recent, from August 2025, and the health inspection rating is a middling 3 out of 5, while quality measures come in at 1 out of 5. If you're weighing this one, ask about weekend coverage and how they keep consistent assignments.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

The numbers split sharply at Whitehall Borough Post Acute. The quality measures that Medicare tracks, things like pressure sores and functional decline, score at the top of the range, but the record that matters most for day-to-day safety doesn't match: a 1-star health inspection rating, 33 deficiencies on file, including one that caused actual harm and four tied to abuse. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends running thinner still and turnover at 50.3%, above the norm. At 166 beds under limited-liability ownership, that combination of thin coverage and a flagged inspection history is what a C really reflects here.

Nurse hours

3.14 /day

Staff turnover

38%

Serious cites

0

Adviniacare Waterview Villas runs 132 beds under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the 3.86 national average. Weekends drop about 6% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 38.4%, which is actually better than the 45.8% national figure, so the problem isn't retention so much as raw hours on the floor. The inspection record is where it gets harder to ignore: 25 deficiencies, 5 serious enough to involve harm or jeopardy, and two fines totaling $99,003. A 2-out-of-5 inspection rating with a March 2026 survey date tells you regulators have found real problems here.

Nurse hours

3.51 /day

Staff turnover

50%

Serious cites

0

Pruitthealth-Columbia runs 144 certified beds as a for-profit corporation, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, and annual turnover hits 49.5%, a bit above the 45.8% national figure. The current record shows 22 deficiencies, none at harm or jeopardy level, but one tied to abuse, plus two fines totaling $48,523. A July 2025 inspection is recent, and the quality measure score of 3 out of 5 lands in the middle. The staffing star rating of 4 is the strongest number here; the 1 out of 5 on health inspections is the one worth asking about directly.

Nurse hours

3.29 /day

Staff turnover

46%

Serious cites

0

Valley Falls Terrace runs 88 certified beds in Spartanburg, owned by an individual for profit. The staffing number is the one to watch: 3.29 nurse hours per resident day, about 15 percent under the national 3.86, and weekends drop roughly another 10 percent below the home's own weekday levels. That thin coverage shows up in its one-star staffing rating, even though turnover at 45.8 percent lands right at the national average. Inspections look better. The home carries a four-star health inspection rating and a clean record on its most recent survey from May 2026, 12 deficiencies total, none at harm or jeopardy level, none abuse-related. So you're weighing a decent survey history against daily staffing that runs light, especially on weekends.