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

Nurse hours

3.60 /day

Staff turnover

61%

Serious cites

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Green Village runs about 3.6 nursing hours per resident day, roughly 7% under the national average, and weekend staffing dips another 6% below its own weekday coverage. That thinner weekend floor matters because turnover sits at 60.9%, well above the 45.8% national figure, so the aides and nurses cycling through are often new to the building. Its 15 deficiencies on record include nothing flagged at the harm level and nothing abuse-related, and the most recent inspection came in April 2025, so the record is fairly current. Quality measures score well; staffing is where the numbers lag.

Nurse hours

3.53 /day

Staff turnover

44%

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Canal Winchester Care Center runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 6% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 54 deficiencies, including two at the harm level and two tied to abuse, plus a $26,685 fine. Staff turnover of 43.6% is slightly better than the national 45.8%, and the 5/5 quality measure score stands out against a 2/5 staffing rating and a 2/5 inspection rating. The last survey was February 17, 2026, recent enough to be current.

Nurse hours

3.06 /day

Staff turnover

53%

Serious cites

0

Strongsville Healthcare and Rehabilitation runs about 3.06 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends dip even lower than the home's own weekdays. That thin coverage shows up in the staffing rating, and so does a 53.2% annual turnover rate, which is well above the 45.8% national figure. The current inspection record carries 16 deficiencies, two of them serious enough to involve harm or jeopardy, plus two abuse-related citations and $27,254 in fines, with the last inspection in February 2024. The quality measure score looks strong and the inspection history is mixed, but the direct-care numbers are what a family will actually feel day to day.

Nurse hours

3.30 /day

Staff turnover

67%

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0

Claremore Skilled Nursing And Therapy runs 118 certified beds under for-profit partnership ownership, and the staffing numbers are the first thing worth noticing. At 3.30 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and CMS's own staffing rating lands at 2 out of 5. Weekend coverage barely dips from weekday levels, so that's not the problem, the baseline is just thin. Turnover tells a similar story: 67.1% annually against a national average of 45.8%, meaning more than two-thirds of staff leave each year. The inspection record shows 16 deficiencies, including one at harm or jeopardy level and two abuse-related, though the most recent inspection was March 2026, so the picture is current.

Nurse hours

5.11 /day

Staff turnover

65%

Serious cites

0

Hennessey Nursing & Rehab is a 50-bed for-profit home in Kingfisher County, and the numbers point to real strain. Staff turnover runs at 64.5% a year against a national average of 45.8%, and CMS gives staffing its lowest mark. That churn shows up on the inspection side too: 32 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, plus a $33,924 fine. The last inspection was in March 2026, so the record is recent, not stale. Quality measures sit at 2 out of 5. Nothing here is abuse-related, and that matters, but a home losing nearly two-thirds of its staff annually is a home where care is hard to keep consistent. If you're considering it, ask directly how they're holding staffing together.

Nurse hours

3.22 /day

Staff turnover

69%

Serious cites

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Montevista Rehabilitation and Skilled Care is a 105-bed nonprofit home in Lawton, and the numbers that stand out most are about its workforce. Nurses provide 3.22 hours of care per resident per day, roughly 17% below the national average, and staffing drops about 10% further on weekends. Annual turnover runs 68.9%, well above the national 45.8%, so the people showing up are often new. Clinical quality measures look solid at 4 out of 5 stars, but the inspection record shows 18 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $20,069. The last inspection was September 2024.

Nurse hours

3.39 /day

Staff turnover

60%

Serious cites

0

Beacon Ridge runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, with weekends dropping about 7% below its own weekday level, so the hours when families visit most are also the leanest. Staff turnover sits at 60%, well above the 45.8% national figure, meaning roughly six in ten caregivers cycled out over a year. The current record shows 35 deficiencies, two tied to abuse, none flagged at harm or jeopardy level, and the last inspection was November 2024. Two stars each on health inspections and quality measures, three on staffing, under for-profit LLC ownership.

Nurse hours

3.51 /day

Staff turnover

62%

Serious cites

0

The Manor at Penn Village runs 159 certified beds in Selinsgrove under for-profit LLC ownership, and its staffing hours come in around 9% under the national average, with weekends dropping another 9% below its own weekday levels. That thin coverage shows up in the numbers: a 61.9% annual turnover rate against a national average of 45.8%, and CMS staffing and health inspection ratings both at 2 out of 5. What keeps this from being worse is the safety record, 66 deficiencies on file but none at harm or jeopardy level, nothing abuse-related, and a single fine of $3,145. The most recent inspection was in December 2025, so the picture is current.

Nurse hours

3.27 /day

Staff turnover

32%

Serious cites

0

Laureldale Skilled Nursing runs 198 beds under corporate ownership, and its nurse staffing sits around 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 31.8% is well below the 45.8% national figure, meaning aides and nurses here tend to stay. The current inspection record, though, carries 23 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $16,036 in fines. The last inspection was July 2025, so the record is recent. Ask about weekend coverage and how those abuse-related findings were corrected.

Nurse hours

3.19 /day

Staff turnover

36%

Serious cites

0

Julia Ribaudo runs about 3.19 nursing hours per resident each day, roughly 17 percent under the national average of 3.86, and weekends dip about 7 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover of 36.4 percent actually beats the national 45.8 percent, which suggests the staff who are there tend to stay. The 32 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in August 2025. Quality measures score well; staffing is where this Lake Ariel home lags.

Nurse hours

3.72 /day

Staff turnover

59%

Serious cites

0

Lecom At Village Square runs about 110 beds as a nonprofit, and its most recent inspection wrapped up in December 2025, so the record is current. The staffing picture is where things get uneven: 3.72 nurse hours per resident day sits a bit under the national average, weekend coverage dips roughly 10% below its own weekdays, and staff turnover of 58.7% is well above the national 45.8%, that's a lot of new faces cycling through. On paper, the inspection history is decent, rated 4 out of 5 stars. But the current record carries 17 deficiencies, including one at the harm level and one tied to abuse, plus three fines totaling $14,971. Quality and staffing measures both land mid-range. Ask about weekend coverage and how they keep experienced aides.

Nurse hours

3.47 /day

Staff turnover

30%

Serious cites

0

Embassy of Woodland Park runs 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop about another 5% below its own weekday pace, so the thinnest coverage lands when families tend to visit. Turnover sits at 29.6%, well under the 45.8% national figure, which suggests a steadier aide and nurse workforce than most places. But the current record carries 51 deficiencies, including one at the harm level and four tied to abuse, with the last inspection in December 2025. A single fine of $8,155 has been assessed. The staffing and inspection ratings both land at 2 out of 5; quality measures sit at 3. If you're weighing this one, ask specifically what changed since that inspection.

Nurse hours

3.37 /day

Staff turnover

57%

Serious cites

0

University City runs 3.37 nursing hours per resident per day, roughly 13% under the national average of 3.86, and weekends drop about 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57%, well above the 45.8% national figure, which means unfamiliar faces are the norm rather than the exception. Its record carries 54 deficiencies, including three tied to abuse; none reached the harm or jeopardy level, and the most recent inspection was January 2026. Ownership is for-profit, through a limited liability company.

Nurse hours

2.86 /day

Staff turnover

45%

Serious cites

0

Liberty Center runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday pace. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's scale, and in a record of 41 deficiencies, one serious enough to cause harm, three tied to abuse. Staff turnover, at 45.2%, is basically the national norm, so the problem isn't retention so much as how few hours actually reach the floor. The quality measure score looks strong, but that's built from reported clinical data, not the inspection findings from June 2025.

Nurse hours

3.98 /day

Staff turnover

34%

Serious cites

0

Transitions Healthcare Shook Home runs a 65-bed for-profit operation in Chambersburg, and the staffing picture is genuinely its strong point: 3.98 nurse hours per resident day, slightly above the national average, with weekend coverage dipping about 12% below weekdays. Turnover sits at 33.9%, better than the 45.8% national figure. The trouble shows up everywhere else. Two out of five stars on health inspections and on quality measures, 30 deficiencies on the current record including three at harm or jeopardy level and one tied to abuse, plus a $205,694 fine. The last inspection was March 2026. Good hands on deck, but a documented pattern of serious problems that staffing alone doesn't offset.

Nurse hours

3.41 /day

Staff turnover

40%

Serious cites

0

Adviniacare Pawtucket Pleasant Rehab Center runs 129 certified beds under for-profit LLC ownership, and its staffing numbers are the main thing to know: 3.41 nurse hours per resident day, roughly 12% under the national average, with weekends running about 9% thinner than weekdays. That thin weekend coverage matters because the current inspection record carries 36 deficiencies, three of them serious enough to reach harm or jeopardy level, plus two fines totaling $21,964. Turnover sits at 40.2%, actually better than the 45.8% national figure, so the problem isn't retention so much as how many hands are scheduled. Its last inspection was August 2025, and the quality measure rating is stronger than the staffing picture.

Nurse hours

3.71 /day

Staff turnover

41%

Serious cites

0

Overlook Nursing and Rehabilitation Center runs 100 certified beds in Pascoag under for-profit LLC ownership. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekends drop roughly 10% below the home's own weekday coverage, worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover of 40.7% actually beats the national rate, so the people caring for residents tend to stick around longer than at the typical home. The tradeoff shows up in the inspection record: 23 deficiencies, including one at the harm level and one abuse-related, plus a $10,358 fine, with the most recent inspection in May 2025.

Nurse hours

3.61 /day

Staff turnover

44%

Serious cites

0

Cordova Wellness runs 240 beds under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, with weekends running roughly 15% thinner than weekdays. That pattern matters more than the raw number, since care doesn't pause on Saturdays. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which is a small point in its favor. The 12 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the last inspection was recent, in April 2026. Quality and staffing both rate 2 out of 5 from CMS, so the decent inspection record is carrying more weight here than day-to-day care measures.

Nurse hours

3.33 /day

Staff turnover

51%

Serious cites

0

Foothills Transitional Care and Rehabilitation runs 185 certified beds in Maryville under corporate for-profit ownership, and its staffing numbers are the thing to look at first. At 3.33 nurse hours per resident day, it sits roughly 14% under the national average, weekend coverage drops about 13% below its own weekday level, and annual turnover hits 51.1% against a national 45.8%, that combination matters more than any single star rating. The inspection record shows 25 deficiencies, including two at the harm-or-jeopardy level and one tied to abuse, with $17,883 in fines and a last inspection in January 2024. Quality measures score well, but good numbers on paper don't staff a hallway on a Sunday.

Nurse hours

3.41 /day

Staff turnover

63%

Serious cites

0

Elk River Health & Rehabilitation Of Fayetteville runs 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday level. Turnover sits at 63.2% against a national 45.8%, which is the number that most explains the 2/5 staffing rating even as inspections and quality measures both land at 4/5. The current record shows eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Nonprofit ownership and clean inspections are real strengths; the thin, churning direct-care hours are the tradeoff families should weigh.