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

Nurse hours

3.99 /day

Staff turnover

53%

Serious cites

0

The Villages at Historic Silvercrest runs 14 deficiencies on its current record, including one abuse-related citation, though none rose to the harm or jeopardy level. That's a meaningful distinction, but fourteen findings is still a lot to work through. Staffing tells a mixed story: 3.99 nurse hours per resident day sits barely above the national average, and weekends drop about 16% below the home's own weekday numbers. Meanwhile, 52.5% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The state's most recent inspection, in July 2025, is recent enough to be useful. Good inspection and quality scores are doing real work here; the staffing numbers are what hold this one back.

Nurse hours

3.86 /day

Staff turnover

63%

Serious cites

0

Salem Lutheran Home in Elk Horn runs 64 beds under corporate ownership, and its staffing numbers look solid at first glance, 3.86 nurse hours per resident day, right at the national average, with a four-star staffing rating. But weekends drop about 18% below weekday levels, and turnover sits at 63% against a national average of 45.8%, meaning most of the aides and nurses caring for residents are relatively new to the building. The health inspection record is the real concern: 46 deficiencies, including 7 tied to abuse and 3 serious enough to put residents in harm's way. State inspectors were last on site in June 2025.

Nurse hours

2.93 /day

Staff turnover

44%

Serious cites

0

Accura Healthcare of Carroll runs on 2.93 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage shows up in its inspection record: 53 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse. The health inspection rating sits at 1 out of 5, and the home was last inspected on April 2, 2026. Staff turnover of 44.2% is close to the national average of 45.8%, so retention isn't the outlier here, the numbers point to staffing hours and inspection findings as the real concerns.

Nurse hours

3.87 /day

Staff turnover

—

Serious cites

0

Atchison Senior Village runs 45 beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86, so there's no real cushion there. Weekends drop about 13% below its own weekday coverage, which is where thin staffing usually shows up first. The inspection record carries 39 deficiencies, including one at the harm or jeopardy level, plus three fines totaling $20,817; the last inspection was February 2026. The quality measure rating of 4 out of 5 is the bright spot here, and the health inspection rating of 3 reflects a mixed record rather than a troubled one. Weigh the weekend gap and that harm-level deficiency against the decent quality scores.

Nurse hours

3.81 /day

Staff turnover

43%

Serious cites

0

Colonial Nursing and Rehabilitation Center runs 48 certified beds in Bowling Green under corporate for-profit ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. That gap is small, but weekends run about 15% leaner than weekdays, which matters when care needs don't pause on Saturday. The 43.1% annual turnover is slightly better than the national 45.8%, so staff tenure isn't the main concern here. What pulls the record down is the inspection history: 13 deficiencies, three at harm or jeopardy level and one abuse-related, plus a single $56,814 fine. The health and quality measure ratings both land at 4 out of 5, and the last inspection was April 2026, so the picture is recent. The staffing rating of 3 is the softer spot.

Nurse hours

3.40 /day

Staff turnover

29%

Serious cites

0

Cumberland Nursing and Rehabilitation Center runs 93 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends thin out further, about 17 percent below the home's own weekday coverage, so the hours when families tend to visit are the leanest. Turnover is the bright spot: 29.4 percent against a national 45.8 percent, meaning the aides and nurses you meet are likelier to still be there next year. The current record shows 11 deficiencies, including one at the harm level and two tied to abuse, with the last inspection in April 2025.

Nurse hours

3.95 /day

Staff turnover

37%

Serious cites

0

Grayson Nursing And Rehab Center sits in Leitchfield with 72 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.95 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 17% below weekday levels, a gap families often notice on Saturdays and Sundays. The inspection record is the real bright spot: a single deficiency on file, none at the harm level, nothing abuse-related, and a perfect five-star health inspection rating. Staff turnover at 37.1% is better than the 45.8% national figure, which matters for continuity of care. Five fines totaling $12,235 and a three-star quality measure rating keep this from being a standout across the board.

Nurse hours

4.37 /day

Staff turnover

55%

Serious cites

0

Signature Healthcare of East Louisville runs 128 beds under for-profit limited liability ownership, and the staffing numbers are a mixed picture. Nurses provide 4.37 hours per resident day, about 13% above the national average, but weekends drop roughly 17% below the home's own weekday levels, and turnover sits at 55.4% against a national 45.8%. That churn matters more than the headline staffing figure. The inspection record is where the real concern lives: 25 deficiencies, including two at harm or jeopardy level and one abuse-related, with two fines totaling $10,364. A 2/5 health inspection rating reflects that, even as quality measures score 4/5. The most recent inspection was February 2026, so the record is current. Ask about weekend coverage and that abuse citation specifically before deciding.

Nurse hours

3.72 /day

Staff turnover

50%

Serious cites

0

Heritage Manor South runs 145 beds in Shreveport under for-profit limited liability ownership, and its staffing sits a little thin, 3.72 nurse hours per resident day against a national average of 3.86. That gap is small, but weekends tell a bigger story: coverage drops roughly 18% below the home's own weekday level, and half the staff turns over each year, worse than the 45.8% national figure. The inspection record shows 17 deficiencies, none involving harm, jeopardy, or abuse, and the most recent visit was January 2026. Quality measure scores land at 2 of 5 stars, softer than its inspection and staffing marks.

Nurse hours

3.94 /day

Staff turnover

52%

Serious cites

0

Forest Manor runs 3.94 nurse hours per resident day, a hair above the national average of 3.86, but weekends drop about 18% below its own weekday staffing, and that gap matters when a resident needs help on a Saturday. Annual turnover sits at 52.2% against a national 45.8%, so roughly half the nursing staff leaves each year. The health inspection record is genuinely good, 4 of 5 stars, last inspected February 2026, 15 deficiencies with just one at harm level and none tied to abuse, plus a single $13,625 fine. The staffing star rating tells a different story than the raw hours suggest, and that tension is what pulls the overall picture down.

Nurse hours

3.49 /day

Staff turnover

50%

Serious cites

0

Princeton Place-Ruston runs about 10% leaner on nurse staffing than the national average, at 3.49 hours per resident day, and weekends dip roughly 16% below its own weekday coverage. That gap matters most when families visit Saturday and Sunday, since fewer hands are on deck. Staff turnover sits at 50%, above the 45.8% national figure, so the people caring for your relative may not stay long. The current record shows 9 deficiencies, none rated at harm or jeopardy, though one involved abuse. Inspections are recent as of September 2025, and the health inspection rating is solid even as staffing and quality measures lag, worth asking the administrator directly how weekend coverage gets filled.

Nurse hours

3.55 /day

Staff turnover

40%

Serious cites

0

Savoy Care Center runs 3.55 nursing hours per resident per day, about 8% under the national average, and weekends drop roughly 17% below what the home staffs on weekdays. That gap matters more than the headline number, since weekends are when families often visit and when problems surface. Turnover sits at 40.3%, a bit better than the 45.8% national figure, so the same aides are somewhat more likely to still be there next year. The current record shows 27 deficiencies, three tied to abuse, though none rose to the harm or jeopardy level. The last inspection was March 2026, so the picture is recent.

Nurse hours

3.78 /day

Staff turnover

53%

Serious cites

0

Sterling Care Riverside runs 3.78 nurse hours per resident day, just under the national average, and weekend coverage drops about 17% below its own weekday levels, so the thin days are the ones when families tend to visit. Staff turnover sits at 53.2% against a national 45.8%, which means the people caring for your relative are changing often, and the CMS staffing rating of 2 out of 5 reflects that. The record isn't careless: 41 deficiencies but none at harm or jeopardy level, one abuse-related finding, and a single $4,194 fine. Inspections are recent, in August 2025.

Nurse hours

3.18 /day

Staff turnover

43%

Serious cites

0

Devlin Manor runs on thinner nursing coverage than most homes, 3.18 hours per resident day against a national average of 3.86, and weekends drop about 19% below its own weekday levels. That's the kind of gap families notice as slower call-button response. The 24 deficiencies on file, including one at the harm level and four abuse-related citations, are worth asking the administrator about directly, since the last inspection was in March 2026. Staff turnover at 42.5% is slightly better than the 45.8% national figure, though still high. For-profit corporate ownership, 124 beds, and middling marks across all three CMS categories.

Nurse hours

3.48 /day

Staff turnover

59%

Serious cites

0

Future Care Cold Spring carries 137 certified beds under corporate ownership, and its staffing tells a story worth sitting with. At 3.48 nurse hours per resident day, it runs about 10% below the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. That gap matters because 59.2% of staff left over the past year, well above the 45.8% national figure, meaning the people providing care keep changing. The inspection record is heavier still: 75 deficiencies, including one at the harm or jeopardy level and six tied to abuse. One fine totaling $16,042 is on file, and the most recent inspection came in October 2025. Quality measures score well, but that doesn't offset what the staffing and inspection numbers show.

Nurse hours

3.71 /day

Staff turnover

—

Serious cites

0

The Orchards at Harper Woods runs 151 certified beds under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, with weekends dipping roughly 8% below its own weekday level. That thin weekday-to-weekend gap matters because care doesn't pause on Saturdays. The current record carries 49 deficiencies, three of them abuse-related, and while none reached harm or jeopardy level, that's still a lot of citations to accumulate. Federal inspectors last visited in May 2026, and the staffing rating came back at the lowest tier. If you're weighing this one, ask specifically how abuse-related issues were resolved and what weekend coverage actually looks like on the floor.

Nurse hours

3.62 /day

Staff turnover

—

Serious cites

0

The Orchards At Northwest runs 154 certified beds under corporate ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends running about 12% thinner than its own weekdays. The inspection record is where the real weight sits: 43 deficiencies, three of them serious enough to put residents at risk of harm, plus three abuse-related findings and a $15,889 fine. Its last inspection was March 2026, so the record is current, not stale. Quality measures score well, but that's a narrow slice of the picture. A single star on both inspections and staffing tells you more about daily life here than the quality score does.

Nurse hours

3.87 /day

Staff turnover

53%

Serious cites

0

The Lodge at Taylor runs 134 certified beds under for-profit LLC ownership in Wayne County, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That's a thin margin, and weekends drop about 15 percent below weekday coverage, so the care you'd see on a Saturday may not match what you'd see midweek. Staff turnover is 52.8 percent, well above the 45.8 percent national figure, meaning the people helping your family member likely change often. The current record shows 32 deficiencies, three of them at harm or jeopardy level, plus one abuse-related citation and a $16,801 fine. The last inspection was December 11, 2025.

Nurse hours

3.75 /day

Staff turnover

40%

Serious cites

0

Woodlands Rehabilitation and Healthcare Center runs 145 certified beds in Clinton under corporate for-profit ownership, and its staffing picture is mixed in ways worth understanding. Total nurse coverage sits at 3.75 hours per resident day, just under the national average, and weekends drop roughly 17% below the home's own weekday levels, so the hours your family member gets depend heavily on which day they need them. Turnover at 39.7% is actually better than the 45.8% national figure, and the four-star staffing rating reflects that. What pulls the record down is oversight: 30 deficiencies on file, five at harm or jeopardy level, two tied to abuse, and $35,648 in fines across four penalties. The last inspection was August 2025.

Nurse hours

3.90 /day

Staff turnover

45%

Serious cites

0

Columbia Rehabilitation and Healthcare Center runs 119 certified beds under corporate ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That margin shrinks on weekends, when coverage drops about 15% below the home's own weekday levels. Staff turnover is 44.8%, essentially in line with the 45.8% national figure. Inspectors last visited in September 2025 and found 9 deficiencies, none at the harm or jeopardy level, though one was abuse-related. The 4/5 health inspection rating stands out against a 1/5 quality measure score, a split worth asking the administrator about directly.