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

Nurse hours

4.26 /day

Staff turnover

61%

Serious cites

0

Vernon Health & Rehabilitation has a staffing edge on paper, 4.26 nurse hours per resident day, roughly 10% above the national average of 3.86, but that average covers up a rough weekend drop, with staffing running about 13% thinner than on weekdays. And the people providing that care don't stick around: turnover is 61.3% against a national average of 45.8%, meaning a large share of the staff you'd meet are relatively new to the building. The current record shows 27 deficiencies, including 2 tied to abuse, though none at the harm or jeopardy level, and the last inspection was recent, in December 2025. This is a nonprofit corporation with 71 certified beds.

Nurse hours

3.49 /day

Staff turnover

31%

Serious cites

0

Good Samaritan - Forest City runs on a church-affiliated nonprofit model with 43 beds, and its staff tends to stay: turnover is 31%, well under the 45.8% national average. That stability matters in a small home. But daily nurse coverage sits at 3.49 hours per resident, about 10% under the national 3.86, and weekends drop roughly 9% below its own weekday staffing, so the hours thin out exactly when families tend to visit. The inspection record shows 9 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with $25,945 in fines across 2 penalties. The most recent inspection was August 2025. Quality measure scores come in at 2 out of 5 stars. Ask about the abuse-related citation and what changed since.

Nurse hours

3.41 /day

Staff turnover

98%

Serious cites

0

University Park runs on thinner nurse staffing than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends dip about 10% below what it manages during the week. The bigger number is turnover: 97.5% of nursing staff leaving annually, roughly double the national rate, which means the people caring for residents are constantly new. Inspections in March 2026 turned up 22 deficiencies, one tied to abuse, though none rose to the level of actual harm. Its quality measure scores look strong on paper, but those rest on data the staff has to collect and report accurately, and a workforce that turns over almost completely every year makes consistency hard. For-profit corporate ownership, 108 beds.

Nurse hours

3.27 /day

Staff turnover

45%

Serious cites

0

Parkridge Specialty Care runs 90 certified beds in Pleasant Hill under nonprofit corporate ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, with weekends dropping about 10% below its own weekday levels. Turnover is 44.9%, essentially in line with the national 45.8%. The inspection record is the harder part: 49 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus one fine of $34,450, and the most recent inspection was October 2025. A 1-star health inspection rating against a 3-star staffing rating tells you where the problems cluster, not necessarily in raw hours, but in how care is delivered and documented when regulators look closely.

Nurse hours

3.66 /day

Staff turnover

57%

Serious cites

0

Emmetsburg Care Center is a 46-bed for-profit home where the numbers point in different directions. Nurse staffing sits at 3.66 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below its own weekday levels. Staff turnover is the bigger concern: 56.9% a year against a national average of 45.8%, meaning more than half the nursing staff leaves annually. Its inspection record shows 22 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a $25,695 fine. The most recent inspection was July 2025. Quality measures score well, but that sits against the weakest possible inspection rating.

Nurse hours

2.83 /day

Staff turnover

45%

Serious cites

0

Clarion Wellness and Rehabilitation Center runs 76 certified beds under corporate for-profit ownership, and its staffing is the number to sit with first: 2.83 nurse hours per resident per day, roughly 27% under the national average of 3.86. Weekend coverage dips about 11% below its own weekday level, so the thinnest shifts land when families often visit. The current inspection record carries 37 deficiencies, four at the harm or jeopardy level, four abuse-related, plus one fine of $24,174; the last inspection was August 28, 2025. Annual turnover of 44.9% sits near the national 45.8%, meaning the staff who remain are stretched thin, and the one-star health inspection rating reflects what surveyors have found.

Nurse hours

3.99 /day

Staff turnover

72%

Serious cites

0

Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.

Nurse hours

3.53 /day

Staff turnover

30%

Serious cites

0

Accura Healthcare of Milford runs 46 beds under corporate ownership, and its inspection record is the strongest thing it has going, a five-star health inspection rating with the most recent visit in July 2025. Eight deficiencies are on file, none causing actual harm, though one is abuse-related and worth asking about directly. Where it slips is care quality: a one-star rating on the federal quality measures. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover at 30.2% is better than the 45.8% national figure, which means aides tend to stick around.

Nurse hours

3.73 /day

Staff turnover

63%

Serious cites

0

Harmony Utica Ridge runs 115 certified beds under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 4% under the national average, and weekends drop roughly 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is the sharper concern at 62.8%, well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The inspection record shows 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $51,292 in fines. Quality measures score well; staffing and inspections do not.

Nurse hours

2.86 /day

Staff turnover

35%

Serious cites

0

Accura Healthcare of Muscatine runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 9% below its own weekday level. Turnover sits at 34.7%, better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 28 deficiencies, none at harm or jeopardy level, but three are abuse-related, which is worth asking about directly. Quality measures score 1 out of 5 and inspections 3 out of 5, with the last survey in May 2025. Corporate-owned, 100 beds. The picture is thin daily staffing against a fairly clean harm record, ask how they cover weekends.

Nurse hours

3.53 /day

Staff turnover

36%

Serious cites

0

Riverbend Post Acute Rehabilitation runs 131 certified beds in Kansas City under for-profit corporate ownership, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus $84,023 in fines across two events. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover is 35.5%, better than the 45.8% national figure, but that's the one number here that works in its favor.

Nurse hours

4.05 /day

Staff turnover

62%

Serious cites

0

Holiday Resort Of Salina runs on thin margins where it counts. The 4.05 nurse hours per resident day beats the national average, which is why staffing scores well, but a 62.3% annual turnover means the people delivering that care keep leaving, and weekend coverage drops about 9% below weekday levels, so the weakest shifts are when families visit. The inspection record is heavier: 42 deficiencies, including one at the harm level and one abuse-related, with a $16,795 fine. Ownership is for-profit, through a limited liability company, and the last inspection was July 2025. The staffing number looks better than the history behind it.

Nurse hours

4.10 /day

Staff turnover

64%

Serious cites

0

Stratford Commons runs 60 beds in Overland Park, and the nurse staffing number looks fine at first glance, 4.10 hours per resident day, a bit above the national average. The problem is who's still there and when. Weekend coverage drops about 14% below its own weekday levels, so the hours aren't spread evenly across the week. And 63.8% of staff turned over in a year against a national average near 46%, which means the people delivering that care are often new and still learning the building. State inspectors cited 45 deficiencies, including one involving harm and one abuse-related, with a $24,845 fine. Ownership is for-profit corporate.

Nurse hours

3.06 /day

Staff turnover

23%

Serious cites

0

Pikeville Nursing and Rehab runs 106 certified beds under individual for-profit ownership, and its staffing sits at 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 22.9% against a national average near 46%, meaning far fewer familiar faces disappear each year. The current record shows 14 deficiencies, none causing harm, though two are abuse-related, and the last inspection was October 2024. Quality measures score 2 of 5 stars, and that gap between steady staff and middling outcomes is the real story here.

Nurse hours

3.97 /day

Staff turnover

48%

Serious cites

0

Ridgeway runs 99 certified beds in Owingsville under for-profit LLC ownership, and its numbers pull in two directions. The health inspection record is the problem: 24 deficiencies on file, 8 of them serious enough to cause harm or put residents in jeopardy, plus 4 abuse-related citations, and a 1-out-of-5 inspection rating to match. Staffing looks better on paper, at 3.97 nurse hours per resident day, slightly ahead of the national average, but weekends dip about 11% below weekday coverage and turnover sits at 47.8%, a bit worse than the 45.8% national figure. The 5-out-of-5 quality measure score reflects clinical metrics, not oversight; the inspection history and weekend gaps are what families should weigh.

Nurse hours

3.58 /day

Staff turnover

33%

Serious cites

0

Gallatin Nursing and Rehab runs 120 certified beds in Warsaw under for-profit limited liability ownership. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below the home's own weekday levels, a pattern families often notice as thinner coverage when they visit. Staff turnover is 32.8%, well below the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows 12 deficiencies, none at the harm or jeopardy level, but five tied to abuse. Two fines total $13,800. Inspections are recent, dated January 2026.

Nurse hours

3.60 /day

Staff turnover

19%

Serious cites

0

Hessmer Nursing and Rehabilitation runs 92 certified beds under for-profit LLC ownership, and its inspection record is the strongest part of the picture, a five-star health inspection rating with only 10 deficiencies on file, none of them causing harm or jeopardy. Two abuse-related citations are still worth asking about directly. Staffing sits at 3.60 nurse hours per resident day, about 7% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage dips when families tend to visit. The genuinely unusual number is turnover: 19.4% against a national average near 46%, meaning aides and nurses here tend to stay. Quality measure scores land at one star, which is where the gap between the building's inspection performance and its clinical outcomes shows up.

Nurse hours

3.45 /day

Staff turnover

33%

Serious cites

0

Capital Oaks runs lean on nursing hours, 3.45 per resident day against a national average of 3.86, and weekends get thinner still, about 7% below its own weekday coverage. The inspection record is the bigger concern: 16 deficiencies, four of them serious enough to put residents at risk of harm, three tied to abuse. Federal fines total $158,019 across two penalties, and the most recent inspection was April 2026. Staff turnover of 32.9% actually sits below the national rate of 45.8%, so the home isn't losing caregivers unusually fast, the problem looks more like how many are scheduled and how the place performs when inspectors show up. For-profit, LLC-owned, 123 beds.

Nurse hours

3.75 /day

Staff turnover

46%

Serious cites

0

Fairland Center runs 92 certified beds in Silver Spring under corporate for-profit ownership. Nurse staffing sits at 3.75 hours per resident day, slightly under the national average of 3.86, and weekends drop roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 45.7%, essentially matching the national rate of 45.8%. The inspection record is where the real weight sits: 59 deficiencies, including five tied to abuse, though none rose to harm or jeopardy level. The last inspection was April 16, 2025. Federal ratings put health inspections and staffing at 2 out of 5 stars each, with quality measures at 3.

Nurse hours

3.39 /day

Staff turnover

39%

Serious cites

0

Autumn Lake Healthcare at Perring Parkway runs a 125-bed for-profit home in Baltimore, and the staffing picture is the first thing I'd flag. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends dip roughly 8% below its own weekday coverage, so the hours get thinnest exactly when families tend to visit. Turnover is 38.8%, which is actually better than the national 45.8%, and the quality measure rating is a perfect 5 out of 5, both real strengths. But 55 deficiencies on record, one at harm level and a $32,383 fine, with the last inspection in December 2025, tell you the care has gaps worth asking about directly.