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

Nurse hours

3.83 /day

Staff turnover

45%

Serious cites

0

Good Samaritan Society - Lakota runs 38 beds in a small Nelson County town, and the nursing hours tell a mixed story: 3.83 per resident day, just under the national figure, with weekends dropping about 24% below the home's own weekday staffing. Staff turnover is 44.7%, roughly in line with the national average, so retention isn't the problem here. The inspection record is. Twenty-seven deficiencies, two of them at harm or jeopardy level, plus two fines totaling $74,283, and a quality measure rating of 1 out of 5. The most recent inspection was June 2025, so the record is current. Nothing suggests abuse. But a home with this many cited problems and quality scores this low is one to visit unannounced and ask hard questions about.

Nurse hours

4.32 /day

Staff turnover

54%

Serious cites

0

Cedarview runs a for-profit, LLC-owned home of 83 beds in Lebanon, and the staffing picture is mixed. Its 4.32 nurse hours per resident day sits about 12% above the national average of 3.86, but weekends drop roughly 20% below its own weekday levels, and turnover is 54.2% against a national 45.8%. Inspections look better than that turnover might suggest: a 4/5 health inspection rating, with 29 deficiencies on record but none at the harm or jeopardy level, though one is abuse-related. The last inspection was March 19, 2026. Quality measures also rate 4/5, so the weak spot is consistency of staff, not the care itself.

Nurse hours

3.71 /day

Staff turnover

50%

Serious cites

0

The Laurels of Chagrin Falls runs 82 certified beds as a for-profit limited liability company, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 15% below its own weekday levels, and annual turnover reaches 50%, higher than the 45.8% national figure. On inspections, the home carries 26 deficiencies, two of them at the harm or jeopardy level, with a 3-out-of-5 health inspection rating and a 2 out of 5 on quality measures. Its last inspection was February 6, 2025, so the record is reasonably current. No abuse deficiencies appear on file.

Nurse hours

3.77 /day

Staff turnover

58%

Serious cites

0

Staffing is where Timberland Ridge runs thin. At 3.77 nurse hours per resident day, it sits just under the national average, and weekends drop about 15% below its own weekday level, so the coverage you see on a Tuesday isn't what your mother gets on a Sunday. Turnover runs 58% against a national 45.8%, meaning the aides and nurses are cycling through faster than most places. The inspection record backs that up: 23 deficiencies, including one at harm level and one abuse-related, with the most recent survey in August 2025. The five-star quality measure score reflects how residents are doing on paper, but with 75 beds under corporate ownership and a two-star staffing rating, the day-to-day reality deserves your own visit.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Wecare at Murrysville runs 120 certified beds under for-profit LLC ownership, and the inspection record is the first thing you notice: 98 deficiencies on file, including one at the harm or jeopardy level and 12 tied to abuse. The staffing rating sits at 1 out of 5, meaning the hours per resident fall at the bottom of what CMS expects, and that shortfall shows up in the day-to-day care residents get. One fine totaling $8,883 is on record, which is modest for a home with this many findings. The quality measure score, 3 out of 5, looks better on paper, but understand that it's drawn from resident assessments, not from what surveyors saw. A recent inspection dated March 2026 means the picture is current rather than stale.

Nurse hours

3.49 /day

Staff turnover

49%

Serious cites

0

Capitol Rehabilitation runs 138 beds under for-profit LLC ownership, and the numbers show a building running thinner than it should. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 16% below the home's own weekday levels, so the coverage gaps get worse exactly when families tend to visit. Staff turnover is 49.3%, above the 45.8% national figure, which matters because residents see fewer familiar faces. The current record carries 32 deficiencies, one of them abuse-related, though none rise to harm or jeopardy. A November 2025 inspection is recent, and the 4/5 quality measure rating suggests some care processes are working, but staffing is the number to watch here.

Nurse hours

3.33 /day

Staff turnover

34%

Serious cites

0

Pruitthealth-Aiken runs 176 certified beds under corporate ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 24 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 33.8 percent actually beats the national 45.8 percent, which matters, but the inspection record is the real weight here: 18 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $21,645 fine. The most recent inspection closed in December 2025. A one-star health inspection rating with that abuse count deserves a close look before you decide.

Nurse hours

3.61 /day

Staff turnover

41%

Serious cites

0

Avantara Mountain View runs 101 certified beds in Rapid City under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. Weekends thin out further, running about 15% below the home's own weekday coverage, so the hours a resident gets on a Saturday look different from a Tuesday. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is where the concern concentrates: 21 deficiencies, two at harm or jeopardy level, one abuse-related, and a $9,318 fine. The most recent inspection was January 6, 2026.

Nurse hours

4.06 /day

Staff turnover

56%

Serious cites

0

Avera Mother Joseph Manor runs a nonprofit shop with 81 certified beds, and the nurse staffing numbers look solid on paper, 4.06 hours per resident day, a bit above the national figure. But weekends tell a different story, with hours dropping roughly 17% below the home's own weekday levels, and annual turnover sits at 55.7%, well past the national 45.8%. The inspection record is where the real concern lives: 18 deficiencies, three of them serious enough to reach harm or jeopardy, plus one fine of $8,824. A 2025-12-17 inspection keeps the record current, though a 2-star inspection rating and 1-star quality measures don't inspire confidence. Strong staffing scores alone can't carry a record like this.

Nurse hours

3.94 /day

Staff turnover

44%

Serious cites

0

Good Samaritan Society Luther Manor runs 92 beds under corporate ownership, and its staffing sits just barely above the national average, 3.94 nurse hours per resident day against 3.86. That thin edge narrows on weekends, when coverage drops roughly 16% below the home's own weekday level. Turnover runs 43.5%, a touch better than the 45.8% national figure. The harder numbers are on inspections: 20 deficiencies on the current record, 5 of them at harm or jeopardy level and one abuse-related, drawing two fines totaling $21,086. The most recent inspection was March 5, 2026. Families weighing this one should ask directly what changed since that survey, particularly around the harm-level findings.

Nurse hours

3.56 /day

Staff turnover

34%

Serious cites

0

Jefferson City Health and Rehab runs 170 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends drop roughly 16% below the home's own weekday coverage, which matters if your family visits then. Staff turnover is 34.1%, notably better than the 45.8% national figure, so the people caring for residents tend to stick around. Against that, the home carries eight deficiencies from its last inspection in November 2023, one serious enough to reach harm or jeopardy level, plus a single fine of $8,788. No abuse deficiencies are on record.

Nurse hours

3.40 /day

Staff turnover

—

Serious cites

0

Erwin Health Care Center runs 125 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage drops about 13% below what the home staffs on weekdays, so the thinnest shifts land when families are most likely to visit. The inspection record shows 22 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $10,024 in fines across two penalties. Its last inspection was March 19, 2025. With a 2/5 inspection rating and 2/5 on staffing, the numbers point to a home where care is present but stretched thin.

Nurse hours

3.65 /day

Staff turnover

52%

Serious cites

0

Applingwood Post Acute runs 78 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.65 hours per resident day, roughly 5% under the national average of 3.86. Weekends thin out further, landing about 17% below the home's own weekday coverage, and annual turnover hits 51.8% against a national 45.8%. The inspection record shows 10 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $63,999 fine; the last survey was August 2025. CMS gives it 2 of 5 stars on health inspections but 4 of 5 on quality measures, so the clinical metrics look better than the survey history and the staffing pattern behind them.

Nurse hours

3.43 /day

Staff turnover

56%

Serious cites

0

Windsor Gardens runs 150 certified beds in Lancaster under corporate for-profit ownership, and the numbers show a split picture worth understanding. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends drop about 17% below what the home itself provides on weekdays. Staff turnover hits 55.5% a year against a 45.8% national figure, so aides and nurses are cycling through steadily. The health inspection record carries 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $13,877. A 5/5 quality measure score stands out, but quality measures rely on reported data, while staffing and inspection results come from what surveyors actually found.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

Valley Rehabilitation and Nursing Center runs 180 certified beds in Chilhowie under for-profit LLC ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly 20 percent under the national average of 3.86. Weekends get thinner still, about 16 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Turnover is the brighter spot: 35.6 percent against a national 45.8 percent means more of the same faces stay year to year. The 16 deficiencies on record include none at harm or jeopardy level but three tied to abuse, and the last inspection came in December 2025.

Nurse hours

3.37 /day

Staff turnover

46%

Serious cites

0

Rose Hill runs on thinner staffing than most homes in the country, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below what the building manages during the week. That pattern matters for a resident who needs help with meals, toileting, or turning on a Saturday afternoon. Turnover sits at 46.2%, essentially matching the national rate, so the concern isn't churn so much as how few hands are scheduled. The inspection record shows 75 deficiencies, 11 of them abuse-related, with the last full look from the state in June 2023. Corporate-owned and Medicaid-certified, it carries a two-star health inspection rating and one star for staffing.

Nurse hours

3.40 /day

Staff turnover

44%

Serious cites

0

Blue Ridge Therapy Connection runs 190 beds in Stuart under for-profit LLC ownership, and its staffing is the weak spot: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 15% thinner than weekdays. That pattern matters because needs don't take weekends off. Turnover sits at 43.9%, slightly better than the 45.8% national figure, and the inspection record is genuinely strong, 12 deficiencies, none at harm or jeopardy level, no abuse citations, and a survey as recent as September 2025. So the picture is a home that passes its inspections cleanly but runs lean on the floor day to day. If you're considering it, ask how they staff weekend shifts and what happens when a resident needs urgent attention on a Saturday.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Langley Post Acute runs 70 beds in Hampton under corporate ownership, and its staffing is the weak spot. At 3.59 nurse hours per resident day, it sits about 7% under the national average, with weekend coverage dropping roughly 19% below its own weekday levels, that gap matters when a resident needs help on a Saturday. Turnover is 48.5%, a few points above the national figure, so familiar faces are hard to count on. The inspection record shows 24 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Its last inspection was October 2024, and quality measures score better than staffing does.

Nurse hours

4.02 /day

Staff turnover

56%

Serious cites

0

Nurse staffing at Puget Sound Care averages 4.02 hours per resident day, about 4% above the national figure, which is a real strength. The catch is consistency: weekend coverage drops roughly 16% below the home's own weekday level, so care on Saturdays and Sundays looks thinner than the average suggests. Staff turnover sits at 56% against a national average near 46%, meaning a large share of caregivers are still new to the building. Inspections in January 2026 produced 21 deficiencies, including one causing harm and one tied to abuse, plus an $8,018 fine. Ownership is a for-profit limited liability company.

Nurse hours

3.49 /day

Staff turnover

—

Serious cites

0

Riverside Valley Of Journey runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident per day, roughly 10 percent under the national average of 3.86. Weekends dip about 9 percent below the home's own weekday coverage, so the thinnest shifts land when families often visit. The current record shows 40 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives quality measures 4 stars but staffing only 2, which is the tension worth weighing: the clinical picture looks steadier than the day-to-day coverage numbers do.