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

Nurse hours

3.88 /day

Staff turnover

58%

Serious cites

0

Liberty Community Living Center sits at 80 certified beds under for-profit LLC ownership, and its staffing numbers are the one bright spot: 3.88 nurse hours per resident day, essentially matching the national average. But weekends drop about 12% below its own weekday coverage, and turnover runs 58.2% against a national average of 45.8%, more than half the staff leaving in a year. The inspection record is where it gets harder to defend: 23 deficiencies currently on file, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,988. The most recent inspection was in December 2025, so that record is current, not stale.

Nurse hours

3.16 /day

Staff turnover

42%

Serious cites

0

Diversicare Of Shelby runs 60 beds under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18 percent under the national average of 3.86. Weekend coverage dips about 8 percent below what the home manages on weekdays, so the thinnest shifts land when families tend to visit. Staff turnover is 41.7 percent, a bit better than the 45.8 percent national figure. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey done July 1, 2025. Federal ratings split three ways: three stars for health inspections, three for staffing, two for quality measures.

Nurse hours

3.58 /day

Staff turnover

54%

Serious cites

0

Greenbough runs on thinner staffing than most homes, 3.58 nurse hours per resident day against a national average of 3.86, and weekends get notably leaner, dropping about 14% below the home's own weekday coverage. Annual turnover sits at 53.6%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record carries 30 deficiencies, including four at the harm or jeopardy level and one tied to abuse, and the last survey was in January 2026. A corporate, for-profit owner and a two-star inspection rating round out the picture. If you're considering Greenbough, those harm-level findings and the weekend staffing gap are the things worth asking about directly.

Nurse hours

3.36 /day

Staff turnover

64%

Serious cites

0

Valley Manor runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, with weekends running about 9% thinner than its own weekdays. That gap matters because people don't stop needing help on Saturdays. The bigger signal is the 64% annual turnover against a national average near 46%: nearly two-thirds of the nursing staff leaves every year, which makes consistent care hard to build. The inspection record shows 45 deficiencies, including one abuse-related cite, and a one-star health inspection rating that was last reviewed in December 2025. Quality measures score well; the day-to-day staffing and oversight numbers are what pull this home down.

Nurse hours

3.15 /day

Staff turnover

56%

Serious cites

0

Lebanon South runs on thinner nursing coverage than most homes nationally, 3.15 nurse hours per resident day against a 3.86 average, and weekends drop roughly 11% below what the building staffs Monday through Friday. Annual turnover of 56.1% sits well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey from May 2025. Ownership is a for-profit limited liability company. Families should ask directly how the weekend shift is covered and what changed after the harm-level finding.

Nurse hours

2.98 /day

Staff turnover

54%

Serious cites

0

Avalon View runs 2.98 nurse hours per resident per day against a national average of 3.86, and weekends dip about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 54% versus 45.8% nationally, which means the people at the bedside keep changing. The record shows 46 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and one fine of $14,267. Inspectors were last in on September 19, 2025, so that picture is recent. Quality measures score well, but those depend on the staff actually present to document them.

Nurse hours

3.42 /day

Staff turnover

46%

Serious cites

0

Aspire Senior Living Malden runs about 3.42 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekend coverage dips a bit further below its own weekday levels. Staff turnover sits at 45.9%, almost exactly the national figure, so retention here isn't unusually bad for the industry, but it isn't a strength either. The health inspection record looks solid on paper: 29 deficiencies, none at the harm level, none abuse-related, and a survey as recent as May 2025. What drags the overall picture down is the quality measure side, where the home scores near the bottom even as its inspection history holds up.

Nurse hours

2.86 /day

Staff turnover

37%

Serious cites

0

Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit. Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.

Nurse hours

5.17 /day

Staff turnover

58%

Serious cites

0

Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.

Nurse hours

3.67 /day

Staff turnover

57%

Serious cites

0

Ivy At Deer Lodge runs 60 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 7% below its own weekday coverage, and annual turnover hits 56.8% against a national 45.8%, so the people showing up are often new. The bigger problem is the record: 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $112,620 in fines across three penalties, with the last inspection in December 2025. A 1/5 health inspection score against a 4/5 staffing score tells you the care hours may be there, but the outcomes and oversight aren't.

Nurse hours

3.31 /day

Staff turnover

53%

Serious cites

0

Prestige Care Center Of Plattsmouth runs 111 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage dips slightly below its own weekday level, and annual turnover hits 53.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 29 deficiencies, including two at the harm-or-jeopardy level and one tied to abuse. A February 2025 inspection is recent, and CMS rates the home 3/5 on health inspections and quality measures but only 2/5 on staffing.

Nurse hours

3.47 /day

Staff turnover

56%

Serious cites

0

Silver Ridge is a 148-bed for-profit home in Las Vegas where the direct-care staffing comes in around 3.47 hours per resident day, roughly 10% under the national average of 3.86, and it thins out further on weekends, dropping about 11% below its own weekday levels. Annual turnover sits at 55.6% against a national 45.8%, so CNAs and nurses are cycling through faster than average. The inspection record shows 32 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $69,343 in fines across two penalties and a survey dated April 2026. The five-star quality measure score reflects charted outcomes, not the hands available to deliver care.

Nurse hours

3.05 /day

Staff turnover

46%

Serious cites

0

Acclaim Rehabilitation and Nursing Center runs 183 certified beds in Jersey City under for-profit partnership ownership, and the staffing picture is the weak spot. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekend coverage dips about 4% below its own weekday levels. Turnover lands at 45.7%, essentially matching the national figure. Inspections are a different story: a 4-out-of-5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level, though one is abuse-related. The last survey came April 4, 2025, so the record is recent. Quality measures also rate 4 out of 5. The tension here is between thin daily staffing and otherwise solid oversight. If your family member needs frequent hands-on help, ask specifically about weekday-to-weekend coverage and how call lights get answered.

Nurse hours

3.03 /day

Staff turnover

28%

Serious cites

0

Abingdon runs about 3.03 nursing hours per resident per day, roughly a fifth below the national average of 3.86, and weekends dip even lower. The tradeoff isn't all bad: turnover sits at 28.4% against a national 45.8%, so the staff who are there tend to stay. What the record shows, though, is 35 deficiencies, including one at the harm level and two tied to abuse, plus a $131,966 fine, all from an inspection that closed in April 2025. A 180-bed for-profit home where care quality is measured by the federal government on a five-point scale and the inspection history is the part that lags furthest behind.

Nurse hours

3.11 /day

Staff turnover

58%

Serious cites

0

Hammonton Center runs 240 beds under for-profit LLC ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, and annual turnover hits 58.4% against a national 45.8%, so the aides and nurses cycling through are changing faster than at the typical home. The inspection record is the real story: 44 deficiencies, including one abuse-related citation, with a 1-out-of-5 health inspection rating. Nobody was harmed at the jeopardy level, and the 4-out-of-5 quality measure score suggests clinical results hold up better than the survey history. A January 2026 inspection means the picture is current.

Nurse hours

3.29 /day

Staff turnover

56%

Serious cites

0

River Front runs on 3.29 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays. Turnover sits at 55.9 percent against a national 45.8, so a lot of the people showing up are still learning the building. The inspection record shows 37 deficiencies, three of them abuse-related, though none rose to harm or jeopardy, and the last visit was in January 2026. Ownership is for-profit, through a limited liability company, with 180 certified beds. The quality measure score looks strong, but that reflects charted care, not the hours actually spent at the bedside.

Nurse hours

3.57 /day

Staff turnover

56%

Serious cites

0

Autumn Lake Healthcare At Vineland runs 190 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends dip another 8% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover of 55.9% runs well above the 45.8% national figure, which matters because constant churn makes consistent care harder. The inspection record shows 17 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, and the last survey was recent. Quality measures score well; staffing is where this home lags.

Nurse hours

3.29 /day

Staff turnover

31%

Serious cites

0

Millville Center runs 167 beds under corporate ownership, and its inspection record is the part that should give you pause: 20 deficiencies on file, including three serious enough to put residents in harm's way and five tied to abuse. Staffing sits at 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 11% below the home's own weekday levels, so care thins out exactly when families tend to visit. The one real bright spot is turnover at 31.2%, well below the national 45.8%, meaning the aides and nurses who are there tend to stay.

Nurse hours

3.58 /day

Staff turnover

58%

Serious cites

0

Preferred Care At Cumberland runs on thinner staffing than most homes its size. At 3.58 nurse hours per resident day it sits about 7% under the national average, weekends dip roughly 10% below its own weekday coverage, and turnover hits 57.8%, well above the 45.8% national figure. That churn matters more than any single number here, because it's what makes consistent care hard to hold onto. The inspection record is genuinely solid: a 4-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. For-profit corporate ownership, 196 beds, and a 4-star quality measure score round it out. The concern isn't safety findings, it's whether there are reliably enough familiar hands on the floor.

Nurse hours

3.82 /day

Staff turnover

63%

Serious cites

0

The Elms in Cranbury runs 120 beds under for-profit LLC ownership, and its staffing numbers are the first thing to look at: 3.82 nurse hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays. More striking is turnover, 62.5% of staff leaving annually against a national average of 45.8%, which means the people caring for residents are, more often than not, still learning the building. The inspection record shows 11 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus a $57,282 fine. A recent November 2025 inspection and strong quality measures don't erase that combination.