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

Nurse hours

2.64 /day

Staff turnover

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Serious cites

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Aspire Senior Living Carthage runs 120 certified beds as a for-profit corporation, and its nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 14% below its own weekday coverage, which matters when a resident needs help on a Sunday afternoon. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though two are abuse-related; state surveyors last visited March 31, 2025. Quality measures score well, but that strength rests on a thin staffing base in a building where the government's own staffing rating sits at the bottom of the scale.

Nurse hours

2.39 /day

Staff turnover

48%

Serious cites

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Pillars of North County runs about 2.39 nurse hours per resident day against a national average near 3.86, roughly 38% less hands-on time than the typical home. Weekends dip even further, about 16% below what the building staffs on weekdays, and nearly half the nursing staff turned over in the past year. State inspectors cited 59 deficiencies on the current record, including two at the harm level and four tied to abuse. The five-star quality measure score reflects how well the home documents resident care, but the one-star staffing rating and the inspection history tell you what those daily hours actually look like.

Nurse hours

3.60 /day

Staff turnover

64%

Serious cites

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James River Nursing and Rehabilitation runs 120 certified beds in Springfield under individual for-profit ownership, and its staffing picture is the main thing to know. Nurses provide 3.60 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover sits at 64% against a national 45.8%, so the people caring for residents change often. The current record shows 27 deficiencies, one abuse-related, though none at the harm or jeopardy level. Inspectors last visited July 30, 2024. CMS gives the home middle marks for health inspections and quality measures, but two stars for staffing, the number that tracks closest to daily care.

Nurse hours

3.02 /day

Staff turnover

44%

Serious cites

0

Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.

Nurse hours

3.54 /day

Staff turnover

36%

Serious cites

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Good Samaritan Society - Auburn is a nonprofit home with 102 beds, and its staffing sits at 3.54 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends run about 15% lighter than weekdays, so coverage thins out right when families tend to visit. Turnover is 35.6%, which is actually better than the 45.8% national figure, meaning the crew here is steadier than most. Nine deficiencies appear on the current record, none at the harm level and none abuse-related, with the last inspection dated February 2026. Quality measures score 2 out of 5, the weakest of its three federal ratings.

Nurse hours

2.70 /day

Staff turnover

43%

Serious cites

0

Heritage Care Center runs about 2.70 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekends dip another 22% below its own weekday staffing. That gap matters more than the inspection record, which shows 11 deficiencies with none at the harm level and one abuse-related finding, last reviewed in June 2025. Turnover sits at 42.5%, slightly better than the 45.8% national figure, a small positive for a nonprofit-run home with 100 beds. Quality measures score well, but the staffing number is the one families should ask about directly, especially on weekends.

Nurse hours

3.81 /day

Staff turnover

48%

Serious cites

0

Mitchell Care Center runs on thin margins, and the numbers show it. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but the real gap is weekends, coverage drops about 18% below what the home staffs on weekdays, which is when falls and infections tend to happen. Turnover runs 47.5%, higher than the national rate, and the current record carries 19 deficiencies, including five tied to abuse. None rose to the harm level, and the most recent inspection was in September 2025, so the picture is current rather than stale. City- or county-run ownership can mean steadier funding, but it doesn't change what the staffing pattern and survey history already tell you.

Nurse hours

3.69 /day

Staff turnover

—

Serious cites

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Meadowbrook's quality measure score looks great on paper, but that top rating sits next to a one-star staffing score, and staffing is what actually shows up at the bedside. Twenty deficiencies on the current record, including one that caused harm and two tied to abuse, plus a $48,266 federal fine. That combination matters more than any single star. The inspection itself is recent, from May 2025, so this is a current picture, not an old one. Nonprofit ownership doesn't automatically mean better care here; the numbers say this home is short on staff relative to what residents need. If you're considering it, ask directly about nurse aide hours per resident per day and how they've addressed the abuse-related findings.

Nurse hours

3.52 /day

Staff turnover

62%

Serious cites

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Casa Del Sol Center runs on thinner nurse coverage than most homes, 3.52 hours per resident day against a national average of 3.86, and the gap widens on weekends, when staffing drops roughly 19% below its own weekday level. That's the pattern that tends to matter most, since families often visit Saturday and Sunday. The bigger concern is turnover: 62.3% of nursing staff left over the past year, well above the 45.8% national figure, which means the people caring for your relative are frequently new. Fifty-five deficiencies sit on the current record, two tied to abuse, though none reached harm or jeopardy level. The last inspection was March 2025, so the picture is reasonably current.

Nurse hours

4.02 /day

Staff turnover

54%

Serious cites

0

Elizabeth Church Manor runs a nonprofit home of 120 beds in Binghamton, and its staffing sits slightly above the national average at 4.02 nurse hours per resident day. That number comes with caveats: weekends run about 16% leaner than weekdays, and annual turnover is 54.2%, well past the national 45.8%. Inspections are the harder story. The home's last survey, in August 2025, left 25 deficiencies on record, including two at the harm or jeopardy level and two tied to abuse. One fine totaling $151,625 has been levied. Resident care measures look strong on paper, but a single-star inspection history with that many open citations is what a family should weigh hardest.

Nurse hours

3.79 /day

Staff turnover

39%

Serious cites

0

Safire Rehabilitation of Northtowns runs 100 certified beds in Tonawanda under for-profit LLC ownership, and its inspection record is the part that stands out: 35 deficiencies on file, 6 of them abuse-related, against a 1-out-of-5 health inspection rating. None of those deficiencies rose to actual harm or jeopardy, and the most recent inspection was in March 2025, so the record is current rather than stale. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekends run roughly 16 percent leaner than weekdays. Turnover is 39.2 percent, which is better than the 45.8 percent national figure. The quality measure rating of 4 out of 5 contrasts sharply with the inspection result.

Nurse hours

3.53 /day

Staff turnover

53%

Serious cites

0

New Paltz Center for Rehabilitation and Nursing runs 79 beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, about 9% under the national average, with weekends roughly 19% leaner than its own weekdays. Annual turnover of 52.9% tops the national rate of 45.8%, meaning the people caring for your relative are likelier than average to be new or on their way out. The health inspection record is the weak spot: 27 deficiencies, five tied to abuse, and a 1/5 inspection rating. Medication and treatment measures look strong, but those are self-reported. Ask about weekend coverage and how abuse complaints were resolved.

Nurse hours

3.24 /day

Staff turnover

56%

Serious cites

0

Sapphire Nursing at Wappingers runs 62 beds in Dutchess County under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.24 nurse hours per resident day, about 16% under the national average, with weekends dropping roughly 21% below its own weekday level. More than half the nursing staff turned over in a year, 55.9% against a national 45.8%. The inspection record shows 35 deficiencies, five tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was April 2024. Quality measures score well, but a 1-out-of-5 inspection rating and thin weekend coverage are the tradeoffs worth weighing.

Nurse hours

3.55 /day

Staff turnover

64%

Serious cites

0

North Gate runs 200 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-star health inspection rating with 11 deficiencies on file, none rising to harm or jeopardy, and the last survey from March 2024. Staffing is where the picture dims: 3.55 nurse hours per resident day sits about 8% under the national average, weekend coverage drops roughly 18% below its own weekday levels, and annual turnover of 63.8% runs well above the 45.8% national figure. One abuse-related deficiency also appears on the record. Families weighing this one should ask directly how weekends are covered and how often the aide answering Mom's call light is brand new to the floor.

Nurse hours

2.91 /day

Staff turnover

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Serious cites

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Throgs Neck Extended Care runs 205 beds as a for-profit corporation, and its staffing numbers are the thing to look at first. At 2.91 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 11% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. The health inspection record shows 16 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was December 2023. Quality measures score well, but that 1-out-of-5 staffing rating tells you where the tradeoff lives.

Nurse hours

4.02 /day

Staff turnover

66%

Serious cites

0

Hillside Plaza sits at 47 beds in Cleveland, run by a for-profit corporation. The staffing picture splits in two directions: overall nurse hours come in slightly above the national average, but that average hides a weekend drop of about 22 percent, and the staff star rating sits at the lowest rung. Annual turnover is 66 percent against a national 45.8, roughly two-thirds of the nursing staff leaving in a year. The quality measure star is a 5, though the 30 deficiencies on record include three tied to abuse, even with none at the harm level. A May 2025 inspection keeps eyes on the place.

Nurse hours

3.53 /day

Staff turnover

—

Serious cites

0

Green Hills Center runs on thinner nurse coverage than most homes, 3.53 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, which is when problems tend to surface. The inspection record shows 16 deficiencies, including one at the harm level and one tied to abuse, plus a $16,801 fine. A recent inspection in September 2025 means the picture is current, not stale. Quality measures score well, but that staffing number and those deficiencies are what a family should ask about directly before deciding.

Nurse hours

3.41 /day

Staff turnover

41%

Serious cites

0

Willow Knoll runs lean on the floor: 3.41 nurse hours per resident day sits about 12 percent under the national average, and weekends dip roughly 15 percent below its own weekday coverage. That thinness is why CMS gives it a single staffing star even though inspection results look strong, eight deficiencies on record, none reaching harm or jeopardy, none tied to abuse, with a survey as recent as December 2025. Turnover is the bright spot. At 40.8 percent, it's below the 45.8 percent national average, which matters in a building where consistent caregivers are doing more with fewer hands. For-profit, limited liability ownership, 58 beds. The pattern here is a home that passes scrutiny but may feel stretched on a Saturday afternoon, worth asking about direct-care hours on weekends specifically.

Nurse hours

3.90 /day

Staff turnover

56%

Serious cites

0

Meadow Wind runs 99 beds in Massillon under for-profit LLC ownership, and its health inspection record is genuinely decent, 4 out of 5 stars, last surveyed in October 2024, with 17 deficiencies on file but none reaching harm or jeopardy level and nothing abuse-related. Where the picture weakens is staffing. Total nurse hours sit at 3.90 per resident day, barely a percentage point above the national average, and weekends drop roughly 17% below the home's own weekday coverage. Annual turnover of 56% tops the national 45.8% by a wide margin, which tells you aides and nurses are cycling through steadily. The care record looks steady; the workforce behind it looks stretched.

Nurse hours

4.34 /day

Staff turnover

51%

Serious cites

0

Majestic Care of Columbus runs a for-profit operation with 120 certified beds, and the numbers cut in a few directions. Nurse staffing sits at 4.34 hours per resident day, roughly 12 percent above the national average, and weekend coverage dips about 15 percent below its own weekday level. Turnover runs at 51.4 percent against a national 45.8 percent, so the people providing that care keep changing. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus $111,283 in fines across two penalties. The most recent inspection was in December 2025.