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

Nurse hours

3.78 /day

Staff turnover

42%

Serious cites

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Grace Manor runs 3.78 nurse hours per resident per day, a bit under the national average of 3.86, and weekends dip about 15% below its own weekday coverage. Turnover sits at 41.7%, slightly better than the 45.8% national figure. The current record shows 7 deficiencies, none at harm or jeopardy level and none abuse-related, with a 5-star health inspection rating from CMS from an April 2026 visit. Quality measures score 2 out of 5, which pulls down an otherwise solid picture. For a 31-bed for-profit home in Burlington, the inspection history and manageable turnover are real positives, the question is whether that weekend staffing gap and weaker quality scores matter for the person you're placing.

Nurse hours

5.36 /day

Staff turnover

62%

Serious cites

0

AHC Of Lakewood runs high on direct care hours, 5.36 per resident day against a national average near 3.86, and its last inspection in March 2026 came back clean enough to earn top marks for health and quality measures, with no deficiencies at the harm level and none tied to abuse. The catch is who's delivering that care and whether they stick around: turnover sits at 61.9% versus roughly 45.8% nationally, and weekends run about a fifth thinner than weekdays. Ten deficiencies and fifteen fines totaling $67,696 round out a record that's better than most but not spotless.

Nurse hours

3.55 /day

Staff turnover

—

Serious cites

0

Rosewood is a 155-bed for-profit home in Pensacola, and its inspection record is genuinely solid, four out of five stars from CMS, eight total deficiencies with none at the harm or jeopardy level and nothing abuse-related, and a December 2025 inspection that's still recent. Where it slips is daily care capacity. Total nurse staffing runs 3.55 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below the home's own weekday levels, which matters if your family visits or needs answers on a Saturday. The quality measure score of two stars is the other soft spot worth asking about directly.

Nurse hours

3.41 /day

Staff turnover

—

Serious cites

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Marianna Nursing And Care Center runs 120 certified beds under individual for-profit ownership, and its staffing sits about 12 percent under the national average at 3.41 nurse hours per resident day. Weekends dip roughly 13 percent below the home's own weekday coverage, which matters most when families visit and when fewer eyes are on residents. The inspection record itself looks solid, five deficiencies on file, none at the harm or jeopardy level, no abuse findings, and the most recent survey came in May 2025. Quality measure scores land at 2 out of 5, so the clinical numbers behind the care don't match the cleaner inspection history. Read the staffing and quality scores as the real story here.

Nurse hours

3.67 /day

Staff turnover

52%

Serious cites

0

Pruitthealth-North Tampa runs 90 certified beds in Lutz under for-profit LLC ownership, and its inspection record is the weak spot: 22 deficiencies on file, one tied to abuse, and a one-out-of-five health inspection rating from CMS. Fines total $32,812 across six separate penalties. Staffing sits at 3.67 nurse hours per resident day, about 5% under the national average, with weekends running roughly 16% lighter than weekdays, that gap matters when a resident needs help on a Sunday. Annual turnover is 51.7%, well above the 45.8% national figure, which is a lot of faces cycling through the building. The five-star quality measure score is genuinely good; the question is whether it holds with this much staff churn.

Nurse hours

3.71 /day

Staff turnover

57%

Serious cites

0

Oxley Park runs 3.71 nursing hours per resident per day, a bit under the national average of 3.86, and the gap widens on weekends, weekend staffing drops roughly 21% below what the home staffs on weekdays. Annual turnover sits at 57%, well above the 45.8% national figure, so the people around your family member change often. The inspection record is cleaner than those numbers might suggest: eight deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in March 2026. As a nonprofit, it answers to a mission rather than shareholders, which often matters in how staffing money gets spent.

Nurse hours

3.13 /day

Staff turnover

47%

Serious cites

0

Pruitthealth - Eastside runs on thin nursing coverage: 3.13 hours per resident per day, roughly 19% under the national average, with weekends about 20% below its own weekday pace. That staffing level is the weak spot behind its federal ratings, one star for staffing against four for health inspections and five for quality measures. Turnover sits at 46.8%, close to the national 45.8%, so the issue isn't churn so much as how few hands are scheduled each shift. The inspection record is clean where it matters most: 19 deficiencies total, but none tied to harm or abuse, and the most recent survey came in January 2026. As a for-profit corporate home with 90 beds, it's recently inspected and clinically steady, just lightly staffed, especially on weekends.

Nurse hours

3.43 /day

Staff turnover

50%

Serious cites

0

Pruitthealth - Athens Heritage runs 104 certified beds in Clarke County under individual for-profit ownership, and the staffing numbers are the part worth your attention. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 19% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover hits 50%, above the 45.8% national figure. The inspection record shows 30 deficiencies, including one at harm or jeopardy level and one abuse-related, with $16,801 in fines across three penalties. Quality measures score well; staffing is where the gap shows.

Nurse hours

3.35 /day

Staff turnover

44%

Serious cites

0

Pruitthealth - West Atlanta runs 120 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.35 nurse hours per resident day, roughly 13 percent under the national average, with weekends dropping about 19 percent below its own weekday levels. That thin weekend coverage matters because the inspection record is heavy, 42 deficiencies on file, including one at the harm or jeopardy level and five tied to abuse. Turnover sits at 43.7 percent, slightly better than the national 45.8 percent, so the problem isn't retention so much as how few hands are scheduled. The 4/5 quality measure score looks strong, but the 1/5 inspection rating from a September 2025 visit is the number families should weigh hardest.

Nurse hours

3.35 /day

Staff turnover

39%

Serious cites

0

Pruitthealth - Decatur runs 146 certified beds under for-profit limited liability ownership, and its nursing hours sit at 3.35 per resident day, roughly 13% under the national average of 3.86. That gap widens on weekends, when staffing drops about 21% below the home's own weekday level. Turnover of 38.9% is actually better than the 45.8% national figure, so retention isn't the main worry here; raw coverage is. The inspection record shows 24 deficiencies, none flagged at harm or jeopardy level, but one abuse-related citation appears. Health inspection and staffing each earned 2 of 5 stars from CMS, while quality measures scored 4. The last inspection was March 2026, so the record is current.

Nurse hours

3.67 /day

Staff turnover

80%

Serious cites

0

Sunny Ridge runs 43 beds in Nampa under for-profit LLC ownership, and its staffing is the clearest signal in the numbers: 3.67 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage. That thin margin gets harder to ignore next to 80% annual turnover, nearly double the national 45.8%, because replacements rarely arrive trained. The inspection record shows 34 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related; the last state visit was January 2026. Quality measures score well, but a 2/5 staffing rating and 2/5 inspection rating tell you where the strain actually lives.

Nurse hours

2.49 /day

Staff turnover

35%

Serious cites

0

Wheaton Village runs on 2.49 nurse hours per resident per day, roughly a third below the national average, and weekends drop about 24% below what the building staffs on weekdays. That's the number to sit with if you're weighing a move here, because staffing is what families notice first. Turnover of 34.9% is actually better than the national 45.8%, so the people who stay tend to stay. The current inspection record carries 30 deficiencies, including one at the harm level and two tied to abuse, with the last inspection in November 2024. For-profit, LLC-owned, 123 beds. Ask about weekend coverage and how those abuse deficiencies were resolved.

Nurse hours

4.15 /day

Staff turnover

39%

Serious cites

0

Gallatin Manor runs 4.15 nurse hours per resident day, roughly 8% above the national average, so daytime coverage looks solid on paper. The catch shows up on weekends, when staffing drops about 25% below its own weekday level, and staff turnover sits at 39%, better than the 45.8% national figure, but still meaning four in ten caregivers left within the year. Its inspection record is the strongest part of the picture: 14 deficiencies, none at harm or jeopardy level, and one abuse-related citation. The last inspection was September 2025. A for-profit limited liability company owns the 71-bed home.

Nurse hours

4.01 /day

Staff turnover

45%

Serious cites

0

Casey Rehab And Nursing runs 69 certified beds under for-profit partnership ownership, and its staffing sits at 4.01 nurse hours per resident day, roughly 4% above the national average. That headline number looks decent, but weekends drop about 22% below the home's own weekday staffing, so coverage gets thinner exactly when families tend to visit. Turnover of 45.3% is basically the national rate, meaning little continuity of caregivers. The bigger concern is the inspection record: 48 deficiencies, including 3 at the harm or jeopardy level and 4 abuse-related, with two fines totaling $66,580 and a January 2025 inspection. Staffing scores well; the care environment is where the trouble sits.

Nurse hours

3.57 /day

Staff turnover

43%

Serious cites

0

Trailpoint Village is county-owned, which matters less than what's inside the numbers. Nurse staffing sits at 3.57 hours per resident day, about 7% under the national average, and weekends run roughly 17% thinner than weekdays, so coverage depends on when you visit. The inspection record shows 14 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $14,069. Turnover at 42.7% is slightly better than the national 45.8%, and the most recent inspection was April 2026, so the record is current. Quality measures score well; the health inspection side is where the problems sit.

Nurse hours

3.17 /day

Staff turnover

49%

Serious cites

0

Franklin Meadows is county-owned, and its inspection record reflects that, 13 deficiencies on file, but none at the harm level, and the most recent state visit was just this September. Where the home runs into trouble is staffing. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekend coverage drops another 18% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Staff turnover of 49% is slightly worse than the national 45.8%, which means aides and nurses are cycling through fairly steadily. Quality measures look strong on paper; the question is whether consistent hands are there to deliver that care.

Nurse hours

3.31 /day

Staff turnover

—

Serious cites

0

Kendallville Manor’s inspections look strong on paper, a recent January 2026 visit, seven deficiencies total, none rising to harm or jeopardy. That’s a clean record for a 60-bed for-profit. The trouble sits in daily staffing: 3.31 nurse hours per resident, roughly 14% under the national average, with weekends running about 8% thinner than weekdays. One abuse-related deficiency also shows up in the file. So you have a home that passes its checkups but runs lean between them, and leaner still on Saturdays and Sundays when families tend to visit. Ask about actual weekend coverage on the shifts you’d rely on.

Nurse hours

3.16 /day

Staff turnover

—

Serious cites

0

Envive of Huntington runs on 3.16 nursing hours per resident day, roughly 18 percent under the national average, with weekends about 7 percent thinner than weekdays, so the coverage gap is real and it's worst when families tend to visit. The health inspection record shows 19 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level; the last inspection was March 2026. Quality measures score well, but that's the part of the record that depends least on having enough hands on the floor. Corporate-owned, 55 beds, and a staffing rating near the bottom of the federal scale: the numbers describe a building where the care depends heavily on who's working that shift.

Nurse hours

3.27 /day

Staff turnover

48%

Serious cites

0

Majestic Care of North Vernon runs 120 certified beds, and the staffing numbers are where I'd start if your family is considering it. Nurses give residents 3.27 hours of care per day, about 15% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday levels. That thin coverage shows up in the federal staffing rating: 1 out of 5. Turnover sits at 48.2%, above the national 45.8%. Inspections turned up 29 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with one fine of $14,015. The most recent inspection was June 12, 2025. Quality measures score well, but care hours and inspection history are the harder facts here.

Nurse hours

3.55 /day

Staff turnover

49%

Serious cites

0

Wellbrooke Of Crawfordsville runs lean on the floor. At 3.55 nurse hours per resident each day, it sits about 8% under the national average, and weekends dip roughly 16% below its own weekday staffing, meaning the days when families visit most are the thinnest. Staff turnover of 48.5% runs slightly above the national figure, so the people caring for residents keep changing. On paper the state survey history looks strong: a 4/5 inspection rating, most recent visit in November 2025, and just one deficiency at the harm level out of sixteen total, none abuse-related. The staffing star tells the harder truth here, one out of five, and it's the number worth asking about when you tour.