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

Nurse hours

4.53 /day

Staff turnover

22%

Serious cites

0

Forest Grove Post Acute runs on 4.53 nursing hours per resident per day, roughly 17 percent above the national average, and its staff turnover of 21.5 percent is less than half the national rate of 45.8 percent, that kind of stability usually shows up in how residents are cared for. Inspectors were last in the building in July 2025, and the home carries a 4-out-of-5 health inspection rating alongside a similar mark for quality measures. The catch is the deficiency record: 21 citations, four of them serious enough to involve harm or jeopardy, and one tied to abuse. Strong staffing and recent inspections don't erase that, so ask directly how those four were resolved.

Nurse hours

5.03 /day

Staff turnover

32%

Serious cites

0

Marquis Centennial runs a leaner ship than most on the people side: 5.03 nurse hours per resident day against a national average of 3.86, and staff turnover at 32% where the typical home sits near 46%. That combination, more hands and fewer people walking out the door, is uncommon. The tradeoffs show up elsewhere. Nineteen deficiencies sit on the current record, including one at the harm level and two tied to abuse, and weekend staffing dips about 10% below its own weekday numbers, so the weekday picture isn't the whole week. A single fine of $10,033 and a recent August 2025 inspection round out the record. Strong staffing, real compliance problems underneath.

Nurse hours

5.25 /day

Staff turnover

41%

Serious cites

0

Avamere Riverpark Of Eugene runs 119 certified beds under corporate for-profit ownership, and the staffing picture is genuinely strong: 5.25 nurse hours per resident day, roughly a third more than the national average, with turnover at 41.1%, better than the 45.8% norm. Weekends dip about 10% below weekday coverage, which is worth asking about. The catch sits in inspections. A 2/5 health inspection rating and 47 deficiencies on record, two of them serious enough to reach harm or jeopardy, weigh against the 4/5 marks for quality measures and staffing. No abuse citations, and the most recent inspection was March 2026, so the record is current. Strong day-to-day care numbers, uneven regulatory history, that's the tradeoff here.

Nurse hours

4.67 /day

Staff turnover

41%

Serious cites

0

Nurse staffing at Hillsboro Health & Rehabilitation Center runs 4.67 hours per resident day, about 21% above the national average of 3.86, a real margin, though weekend coverage dips roughly 10% below its own weekday level. Annual turnover sits at 41.1%, a bit better than the 45.8% national figure, so this isn't a home cycling through staff faster than everyone else. The current inspection record shows 27 deficiencies, three tied to abuse, but none at the harm or jeopardy level, and the most recent inspection was in May 2025. Corporate for-profit ownership, 78 beds, and a four-star inspection rating alongside that staffing picture.

Nurse hours

5.05 /day

Staff turnover

25%

Serious cites

0

Nurse staffing at Marquis Oregon City runs about 5.05 hours per resident day, roughly 31% above the national average, and the 24.7% turnover rate is nearly half the national figure, that kind of retention is unusual and it shows up in consistent coverage. Weekend hours dip about 10% below weekdays, so care may look different on a Saturday. The inspection history isn't clean: 13 deficiencies on record, 3 tied to abuse, though none rose to harm or jeopardy level, and the last survey was in February 2026. For-profit corporate ownership, 102 beds. Strong numbers overall, but read the abuse citations yourself before deciding.

Nurse hours

4.97 /day

Staff turnover

19%

Serious cites

0

Avamere Court at Keizer runs a tight ship on staffing: 4.97 nurse hours per resident day, roughly 29% above the national average, and its 18.5% turnover rate is less than half the national figure. Weekend coverage dips about 9% from weekday levels, worth knowing if you're visiting Saturday or Sunday. The 18 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the last inspection was September 2025. For-profit, limited liability ownership is standard for the area, and the four-out-of-five marks across health inspections, quality measures, and staffing point to a home with no glaring weak spot.

Nurse hours

5.85 /day

Staff turnover

45%

Serious cites

0

Advanced Health Care of Hanover runs a lean 46-bed operation in Bethlehem, and the staffing numbers stand out: 5.85 nurse hours per resident day, roughly half again the national average of 3.86. That's real coverage, though weekends dip about 15% below its own weekday pace. Turnover sits at 44.6%, essentially level with the national 45.8%. The inspection record is where you'll want to look closer. Twenty-one deficiencies on file, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. A single fine of $3,387 is modest. The last inspection was May 2026, so the record is current rather than stale. For-profit, LLC-owned. Ask about that abuse citation and how weekends are staffed.

Nurse hours

3.97 /day

Staff turnover

44%

Serious cites

0

Lake Forest Village By Purehealth runs 60 certified beds in Denton under for-profit LLC ownership. Nurse staffing sits at 3.97 hours per resident day, modestly above the national average of 3.86, though weekends dip roughly 14% below the home's own weekday coverage, so the aide or nurse you reach on a Saturday may be stretched thinner than on a Tuesday. The 44.2% annual turnover roughly tracks the national 45.8% rate. Twelve deficiencies appear on the current record with none at harm or jeopardy level and none abuse-related; the most recent inspection was September 2025, so the picture is current. CMS gives 5 of 5 stars on quality measures, 4 of 5 on staffing, and 3 of 5 on health inspections.

Nurse hours

4.20 /day

Staff turnover

40%

Serious cites

0

Stonehenge Of Ogden runs on 4.20 nurse hours per resident day, about 9% above the national average, and staffing holds a top federal rating. Weekend coverage drops roughly 11% below the home's own weekday level, which matters if your family visits on Saturdays or Sundays. The 12 deficiencies on record include three tied to abuse, though none reached the level of actual harm or jeopardy. Turnover sits at 40%, below the 45.8% national figure. The last inspection was June 2024, so the record is reasonably current. All of this sits inside a for-profit limited liability company, meaning decisions about staffing and spending answer to owners rather than a public or nonprofit board.

Nurse hours

3.72 /day

Staff turnover

43%

Serious cites

0

Belmont Terrace runs 102 beds in Bremerton under corporate for-profit ownership, and its numbers tell a mixed story worth sorting through. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Staff turnover lands at 42.5%, a touch better than the 45.8% national figure, though still meaning nearly half the workforce turning over in a year. The 78 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2026. Strong quality measures and solid staffing stars sit alongside a 2-star inspection record; read the inspection reports themselves before deciding.

Nurse hours

4.28 /day

Staff turnover

38%

Serious cites

0

Avalon Care Center Federal Way runs 4.28 nurse hours per resident day, roughly 11% above the national average, and its staff turnover of 38.3% sits well below the 45.8% national figure, both signs of a stable floor. Weekend staffing dips about 12% from weekday levels, so coverage thins out on Saturdays and Sundays. The home carries 48 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and it was inspected as recently as November 2025. The quality measure rating is strong; the health inspection rating is middling, which is where the deficiency count shows up.

Nurse hours

3.73 /day

Staff turnover

21%

Serious cites

0

Ellsworth Health Services runs about 3.7 nurse hours per resident per day, a touch under the national average, and weekends are roughly 13% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. The bigger story is retention: turnover sits at 20.6% against a national average near 46%, so the people caring for residents tend to stay. Its record shows eight deficiencies, none at the harm level and none abuse-related, with a clean four-star inspection history as recently as August 2025. For a for-profit, 50-bed home, that combination of stable staff and low-severity findings is what separates it from the pack.

Nurse hours

3.83 /day

Staff turnover

31%

Serious cites

0

Windsor The Ridge runs 103 certified beds in Salinas under for-profit LLC ownership, and its staffing sits at 3.83 nurse hours per resident day, just a hair under the national average, with weekends running about 5% lighter than weekdays. That thin margin matters more than the rounding suggests, though the home holds a 4/5 staffing star and a strong 5/5 on quality measures. Staff turnover is the real bright spot at 30.6%, well below the 45.8% national figure, which suggests less churn than most places. The 52 deficiencies on record include two abuse-related citations, but none rose to harm or jeopardy level, and the last inspection came in November 2025.

Nurse hours

4.82 /day

Staff turnover

24%

Serious cites

0

Rosewood Health Facility runs on unusually strong staffing for a 79-bed nonprofit home in Bakersfield, 4.82 nurse hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 9% below weekdays. Turnover sits at 24.1%, well under the national 45.8%, which matters because consistent caregivers know the residents. The catch is the inspection record: 47 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. That mix, excellent staffing and quality scores against a long, sometimes serious deficiency history, is why this lands at a solid B rather than higher.

Nurse hours

4.36 /day

Staff turnover

30%

Serious cites

0

Fair Oaks Healthcare Center runs on a genuinely strong staffing model, 4.36 nurse hours per resident day, roughly 13% above the national average, with weekend coverage dipping only modestly below weekdays. Turnover sits at 30.4%, well under the 45.8% national rate, which matters for consistency of care. The trouble is the inspection record: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, with a health inspection rating of just 2 out of 5. Fines are modest at $8,990, and the most recent inspection was February 2026. Strong staffing and quality scores are pulling against a thin inspection history at this for-profit, limited-liability operation.

Nurse hours

3.83 /day

Staff turnover

26%

Serious cites

0

Boulder Creek Post Acute runs 149 beds in Poway under for-profit LLC ownership, and its numbers tell a mixed story worth sorting through. Nurse staffing sits at 3.83 hours per resident day, just under the national average, and weekends dip about 4% below weekdays, so coverage gets thinnest exactly when families tend to visit. The standout figure is turnover: 26.4% against a national average of 45.8%, meaning this building keeps its caregivers far longer than most. Inspections landed at a 3 out of 5, with 59 deficiencies on record, none at harm or jeopardy level but one tied to abuse. The last full inspection was February 2025, so the picture is reasonably current. Strong retention and quality scores are doing real work here; the deficiency count is the counterweight.

Nurse hours

4.05 /day

Staff turnover

33%

Serious cites

0

Villa Rancho Bernardo runs a 299-bed for-profit operation, and the numbers behind its grade are mostly about staffing consistency. Nurse coverage sits at 4.05 hours per resident day, roughly 5% above the national average, and weekends dip only about 6% below weekdays, a smaller drop than many homes show. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a long deficiency record: 37 citations, including 2 tied to abuse, though none rose to harm or jeopardy level. The last inspection was November 2024.

Nurse hours

4.21 /day

Staff turnover

41%

Serious cites

0

Monterey Palms runs about 4.21 nurse hours per resident per day, roughly 9% above the national average, and its staff turnover of 41% sits a little below the national figure of 45.8%. The trade-off shows up on weekends, when staffing drops about 7% below its own weekday level. Its inspection record carries 30 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was January 31, 2025. This is a for-profit limited liability company with 99 certified beds. The staffing and quality measure ratings both land at 4 and 5 out of 5, which is what's carrying the score despite the deficiency count.

Nurse hours

4.81 /day

Staff turnover

31%

Serious cites

0

Royal Oaks Manor-Bradbury Oaks runs on a small 48-bed nonprofit campus, and its staffing is the headline: 4.81 nurse hours per resident day, roughly a quarter more than the national average, with a 5/5 staffing rating to match. Turnover sits at 30.8% against a 45.8% national figure, which suggests people stay. Weekends dip about 8% below weekday coverage, so ask how that plays out on a Sunday. The caution is inspection history: 42 deficiencies on record, two of them at harm or jeopardy level, and a 3/5 inspection rating despite a January 2026 survey.

Nurse hours

3.79 /day

Staff turnover

42%

Serious cites

0

Heritage Park runs lean on direct care: 3.79 nurse hours per resident per day sits just under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover at 42% is better than the 45.8% national figure, which matters for continuity. The inspection history is the harder read, 21 deficiencies on record, including one at the harm level and five tied to abuse. Its most recent inspection was June 2025, so that record is current, not stale.