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

Nurse hours

3.47 /day

Staff turnover

53%

Serious cites

0

Greenfield Skilled Nursing and Rehabilitation runs on thinner staffing than most homes its size, 3.47 nurse hours per resident day against a national average of 3.86, and weekends get about 15% less coverage than weekdays, which is when gaps tend to show up. Turnover sits at 53.1%, well above the 45.8% national figure, so the people providing that care are changing often. The record shows 16 deficiencies, including one at the harm level and two tied to abuse, plus a $15,269 fine; the most recent inspection was in April 2026. The quality measure score is strong, but that reflects charted clinical outcomes, not how consistently hands are available.

Nurse hours

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Staff turnover

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Serious cites

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Avenue At Macedonia runs 98 certified beds under corporate ownership, and its inspection record is the part I'd want you to sit with: 34 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. That's a lot of citations, and the abuse-related ones aren't paperwork problems. The health inspection rating sits at 2 out of 5, which tracks with that count. Its quality measure rating is 4 out of 5, so the clinical metrics families often see look better than the survey history does. One fine on record, $23,140. The most recent inspection was February 27, 2025, so the picture is current, not stale. If you're considering this home, ask specifically what changed after those abuse and harm citations.

Nurse hours

3.21 /day

Staff turnover

—

Serious cites

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Allbridge runs 3.21 nursing hours per resident per day, roughly 17 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in its federal staffing rating of 1 out of 5. The inspection record carries 17 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a 2-out-of-5 inspection rating; the last survey was May 21, 2025. Resident outcome measures score 5 out of 5, which is the one bright spot. This is a 43-bed for-profit corporate home, and the gap between its quality scores and its staffing and inspection results is the thing to weigh.

Nurse hours

3.51 /day

Staff turnover

48%

Serious cites

0

Elmbrook Home runs 126 certified beds in Ardmore under individual for-profit ownership, and its staffing record is the strongest part of an otherwise mixed file. Nurses provide 3.51 hours per resident day, roughly 9% under the national average of 3.86, and weekends drop about 19% below the home's own weekday coverage. Annual turnover sits at 47.8%, a bit above the national 45.8%. Inspectors last visited in January 2025 and logged 12 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse. Both the health inspection and quality measure ratings come in at 2 out of 5 stars, so the decent staffing score is doing a lot of work here.

Nurse hours

4.06 /day

Staff turnover

59%

Serious cites

0

Fairmont Skilled Nursing and Therapy runs 4.06 nurse hours per resident day, about 5% above the national average, and that staffing shows up in its four-star staffing rating. The trouble is who's providing it and how long they stay: turnover sits at 59.4% against a national 45.8%, and weekend coverage drops roughly 15% below the home's own weekday levels. On the record are 24 deficiencies, two serious enough to involve harm or jeopardy and five tied to abuse, plus two fines totaling $70,695. The last inspection was in December 2025. A 125-bed for-profit partnership in Oklahoma City, it earns its four stars on hours worked, not on consistency or inspection history.

Nurse hours

3.75 /day

Staff turnover

44%

Serious cites

0

Morgan Health Center runs 120 certified beds under corporate ownership, and the staffing numbers are where the trouble shows up first. Nurses provide 3.75 hours of care per resident per day, a bit under the national average, and weekends drop roughly 17% below what the home staffs on weekdays, so the thinnest coverage lands when families are most likely to visit. Turnover sits at 43.8%, slightly better than the national figure, which is one small bright spot. The bigger concerns are 27 deficiencies on the current record, including one at the harm level and four tied to abuse, plus two fines totaling $61,780. The most recent inspection was May 2025, so that record is current, not stale.

Nurse hours

3.05 /day

Staff turnover

43%

Serious cites

0

Westerly Health Center runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends are thinner still, about 19% below its own weekday coverage. That gap is the main reason its staffing score sits low even though inspections and quality measures both come back strong. Turnover at 42.9% is slightly better than the national 45.8%, and the last inspection in April 2025 is recent. The record isn't spotless: 21 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. For-profit LLC ownership. If your family member needs steady hands on weekends especially, ask how they cover those shifts.

Nurse hours

3.58 /day

Staff turnover

44%

Serious cites

0

Pruitthealth-Orangeburg runs 88 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekends are the bigger gap: staffing drops about 24% below the home's own weekday level, which is where families often notice the difference. Turnover lands at 44.2%, essentially tracking the national 45.8%, so that's not the standout issue here. The 22 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and one fine totaling $3,728 has been issued. A May 2025 inspection is recent. Where the numbers pull against each other is staffing, thin, especially on weekends, set against a clean harm record.

Nurse hours

3.59 /day

Staff turnover

—

Serious cites

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Ashley River Healthcare runs 125 certified beds in Charleston under for-profit limited liability ownership. Its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 11 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $46,164. Quality measures score well and the last inspection was recent, but the staffing pattern and that harm-level citation are the numbers worth weighing.

Nurse hours

3.61 /day

Staff turnover

39%

Serious cites

0

Aberdeen Health and Rehab is a for-profit limited liability company home with 78 certified beds, and its staffing numbers tell two different stories. Nurses provide 3.61 hours per resident day, about 7% under the national average, and weekends run roughly 16% thinner than weekdays, but annual turnover of 38.6% actually beats the national 45.8%, so people tend to stay once hired. The trouble sits elsewhere: a 1-out-of-5 inspection rating, 24 deficiencies on the current record including four at the harm level and two tied to abuse, and $64,270 in fines across four penalties. The most recent inspection was June 4, 2026.

Nurse hours

3.86 /day

Staff turnover

58%

Serious cites

0

Nhc Healthcare, Oak Ridge runs 128 certified beds as a for-profit corporation, and its health inspection record is the strongest part of the story: a 4-out-of-5 inspection rating with just nine deficiencies on file, none of them serious enough to cause harm and none tied to abuse. Staffing tells a more uneven story. Total nurse hours per resident day land at 3.86, essentially matching the national average, but weekends run roughly 18% thinner than weekdays, so coverage depends on when you visit. Annual turnover sits at 57.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. The most recent inspection was in February 2026, so the picture is current.

Nurse hours

3.72 /day

Staff turnover

49%

Serious cites

0

Gallatin Center for Rehabilitation and Healing runs 207 certified beds under for-profit LLC ownership, and its staffing tells the main story: 3.72 nurse hours per resident day, about 4% under the national average, with weekends running roughly 19% below its own weekday level. Annual turnover sits at 48.7%, above the 45.8% national figure. The current record shows 25 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was April 24, 2025. CMS rates quality measures 5 out of 5 but staffing just 2, a gap worth weighing against the recent inspection and the weekend coverage pattern.

Nurse hours

3.49 /day

Staff turnover

32%

Serious cites

0

Life Care Center of Morgan County runs 124 certified beds as a for-profit corporation, and its nurse staffing sits about 10 percent under the national average, 3.49 hours per resident day against 3.86, with weekends dropping roughly 19 percent below its own weekday coverage. That thinner weekend schedule matters when you're the one visiting on a Saturday. Turnover is the brighter spot: 31.5 percent, well below the 45.8 percent national figure, meaning the aides in the building are more likely to be people who know the residents. On the other side, the current record shows 14 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, and the last inspection was November 2022, so the picture is a couple years old.

Nurse hours

3.40 /day

Staff turnover

44%

Serious cites

0

Signature Healthcare of Memphis runs a 140-bed for-profit home where the care record and the staffing numbers tell different stories. Inspectors gave it full marks on health inspections, with seven deficiencies on file and none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The catch is coverage: 3.40 nurse hours per resident day sits about 12% under the national average, and weekends drop roughly 16% below the home's own weekday staffing. Turnover at 44.3% is basically in line with the national figure, so the issue isn't retention so much as how many hands are on deck at a given hour.

Nurse hours

2.79 /day

Staff turnover

54%

Serious cites

0

A family looking at Fairpark will see two very different pictures depending on which numbers they check. The clinical quality measures look strong, but the staffing tells another story: 2.79 nurse hours per resident per day, roughly 28% under the national average, with weekend coverage dropping about 17% below its own weekday level. Turnover runs 53.8%. The inspection record backs that up, 15 deficiencies, two at harm or jeopardy level and one abuse-related, with a $27,771 fine, and the most recent inspection was July 2025. For-profit, limited liability ownership. The five-star quality rating reflects how residents are doing on paper. The one-star staffing rating reflects how thin the coverage is. Both are true.

Nurse hours

3.44 /day

Staff turnover

53%

Serious cites

0

Life Care Center of Elizabethton runs 158 certified beds under corporate ownership, and the numbers show a building leaning hard on its clinical scores while staffing lags behind. Nurses provide 3.44 hours per resident day, roughly 11% under the national average of 3.86, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover sits at 53.3%, well above the 45.8% national figure, so the people at the bedside keep changing. The inspection record is the sharper concern: 11 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. A single fine of $10,036 has been levied, and the last full inspection was November 2023. Strong quality-measure scores don't offset that pattern.

Nurse hours

3.49 /day

Staff turnover

42%

Serious cites

0

Signature Healthcare of Fentress County runs 140 beds in Jamestown under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 18% below the home's own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover comes in at 41.8%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 23 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. The most recent inspection was January 7, 2026.

Nurse hours

3.55 /day

Staff turnover

47%

Serious cites

0

Signature Healthcare of Cleveland runs 100 beds under a for-profit LLC, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 15% below what the home staffs on weekdays, and annual turnover is 47.2%, a bit above the 45.8% national figure. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5 out of 5. The current record shows 11 deficiencies, none at the harm level and none abuse-related, with the last inspection dated February 19, 2026. The quality scores look strong; the staffing and inspection numbers are what pull against them.

Nurse hours

3.04 /day

Staff turnover

40%

Serious cites

0

Silver Creek runs lean on nursing hours: 3.04 per resident day against a national average of 3.86, which is roughly a fifth less hands-on time than most homes provide. Weekends dip about 15% below the home's own weekday staffing, so coverage thins out right when families tend to visit. The inspection record is stronger than the staffing number suggests, 4 out of 5 stars, last surveyed in July 2025, with 20 deficiencies on file and none rising to actual harm, though one is abuse-related. Turnover at 39.7% beats the national 45.8%, which means caregivers stick around longer here. The Limited Liability ownership structure is worth knowing about, but the numbers themselves tell the larger story: stable staff, thin hours.

Nurse hours

3.44 /day

Staff turnover

—

Serious cites

0

Mission At Richfield runs 3.44 nurse hours per resident day, about 11% under the national average of 3.86, and weekends drop roughly 7% below its own weekday coverage. That thin staffing shows up in the federal staffing rating, which sits at the bottom of the scale even as quality measures score at the top. The inspection record carries 17 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,148. The last inspection was February 2024. Corporate for-profit ownership, 98 certified beds. Strong quality numbers, but the hands-on coverage is the thing to ask about directly.