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

Nurse hours

3.22 /day

Staff turnover

38%

Serious cites

0

Aperion Care Tolleston Park runs 178 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86, with weekends about 12% thinner than weekdays. Staff turnover, at 37.9%, actually comes in below the national 45.8%, so the problem isn't retention so much as how few hours each resident gets. The CMS staffing and health inspection ratings both sit at 1 out of 5, backed by 52 deficiencies on the current record, including two tied to abuse, though none at the harm or jeopardy level. The last inspection was recent, so that picture is current rather than stale.

Nurse hours

3.36 /day

Staff turnover

50%

Serious cites

0

Majestic Care of Carmel runs on thinner staffing than most homes its size, 3.36 nurse hours per resident per day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That pattern matters, because the gaps in coverage tend to land exactly when families are visiting and aides are stretched. Turnover sits at 50%, a few points above the national figure, which means the people caring for your relative are changing often. The record shows 24 deficiencies, none at the harm level and none abuse-related, and the most recent inspection was in July 2025, so the picture is reasonably current. Quality measures score well; staffing does not.

Nurse hours

3.46 /day

Staff turnover

54%

Serious cites

0

Envive of Anderson runs 97 certified beds under for-profit LLC ownership, and its numbers split in two directions. The clinical quality measures look decent at 4 out of 5 stars, but staffing sits at 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 8% thinner than weekdays and turnover at 54.1%, well above the 45.8% national figure. That combination, low hours plus high churn, is what pulls the staffing rating down to 1 out of 5. Inspections land at 3 stars, with 18 deficiencies on record, including two tied to abuse, though none reached harm or jeopardy level and fines total $8,390. The most recent inspection was April 2026. Ask about weekend coverage and how they keep CNAs from leaving.

Nurse hours

2.91 /day

Staff turnover

20%

Serious cites

0

Mcgivney Health Care Center runs on 2.91 nursing hours per resident per day, roughly a quarter below the national average, which is the main reason its staffing rating sits at the bottom of the federal scale. The tradeoff is a workforce that largely stays put: 20% annual turnover against a national rate of 45.8%, and weekend coverage holds level with weekdays rather than dropping off. The record cuts both ways, 43 deficiencies, including one at the harm level and two tied to abuse, with an $8,189 fine, but the most recent inspection came in August 2025, so the picture is current. At 37 beds, this is a small nonprofit where the same aides likely know every resident by name.

Nurse hours

3.30 /day

Staff turnover

46%

Serious cites

0

Grundy Care Center runs 40 certified beds in Grundy Center, Iowa, under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 8% below its own weekday level. Staff turnover is 45.8%, which matches the national average rather than beating or trailing it. The inspection record is the harder part. Thirty-five deficiencies are on file, three of them at the harm or jeopardy level and three flagged as abuse-related, with two fines totaling $65,677. CMS gave the health inspection domain one star out of five, while the quality measure domain scored four. That combination, thin staffing, a recent inspection in January 2026, and a serious deficiency history, is what pulls the overall picture down. If you're considering this home, ask directly how those abuse-related findings were resolved and what weekend coverage looks like now.

Nurse hours

3.71 /day

Staff turnover

54%

Serious cites

0

Southfield Wellness Community runs 65 certified beds as a for-profit limited liability company, and its state inspection record is the thing you'd want to look at first: 58 deficiencies on file, including four at the harm or jeopardy level and six tied to abuse. Two fines total $71,897, and the most recent inspection was in February 2026. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86, with weekends about 12% thinner than weekdays. Annual turnover is 53.6% against a national 45.8%, so the people caring for residents keep changing. Ask about that inspection history and how they cover weekends before deciding anything.

Nurse hours

3.85 /day

Staff turnover

43%

Serious cites

0

Lutheran Living Senior Campus runs 155 certified beds as a church-affiliated nonprofit, and its nurse staffing comes in at 3.85 hours per resident day, basically dead even with the national average of 3.86. That sounds fine until you look at the inspection record: 43 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, with $253,886 in fines across three penalties. Staff turnover sits at 42.9%, slightly better than the 45.8% national figure, but weekend coverage drops about 11% below weekday levels. The most recent inspection was February 13, 2026. The quality measure rating is mid-range at 3 out of 5, but a 1-out-of-5 inspection star tells you where the real trouble lives.

Nurse hours

4.24 /day

Staff turnover

93%

Serious cites

0

Nurse staffing at Medicalodges Leavenworth runs about 10% above the national average, which sounds good until you look at how thin weekends get, roughly 13% below the home's own weekday coverage. The bigger issue is turnover: 93.3% of staff leave each year, double the national rate, so the people providing that care are constantly new. Inspections back this up. The home carries 61 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse, and its last inspection was September 2024. A single fine of $8,281 is on file. For-profit corporate ownership, 45 beds.

Nurse hours

2.92 /day

Staff turnover

51%

Serious cites

0

Overland Park Post Acute runs 140 beds under for-profit LLC ownership, and its nurse staffing sits at 2.92 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below its own weekday levels, so coverage thins exactly when families tend to visit. Staff turnover is 51.3%, higher than the 45.8% national figure, which means the people caring for residents are often new to the building. The inspection record is the harder read: 59 deficiencies, three at harm or jeopardy level, two tied to abuse, and $59,683 in fines. The most recent inspection was September 11, 2024.

Nurse hours

3.23 /day

Staff turnover

44%

Serious cites

0

Pittsburg Care and Rehab runs 86 certified beds under for-profit LLC ownership, and its staffing sits at 3.23 nurse hours per resident day, about 16% under the national average of 3.86. Weekends drop roughly 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover lands at 43.5%, slightly better than the 45.8% national figure, and the last inspection was March 2026. The inspection history is the harder part: 36 deficiencies on record, including three at harm or jeopardy level and one abuse-related. Strong inspection and staffing stars don't cancel out a quality measure star of 1, which suggests the day-to-day clinical picture lags the paperwork.

Nurse hours

3.93 /day

Staff turnover

57%

Serious cites

0

Frankfort Community Care Home runs a nonprofit operation with 40 certified beds, and its nurse staffing sits slightly above the national average, 3.93 hours per resident day versus 3.86. That margin shrinks on weekends, when coverage drops about 13% below the home's own weekday level. Staff turnover is the bigger concern: 57.1% annually against a national 45.8%, meaning more than half the nursing team leaves each year. The inspection record is where things get harder to explain away, 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus two fines totaling $25,413. A 2025 inspection is recent enough to reflect current conditions. Strong staffing numbers sit alongside real quality and safety problems here.

Nurse hours

3.84 /day

Staff turnover

75%

Serious cites

0

The inspection record is the first thing that stands out here, a 1-out-of-5 health inspection rating, 55 deficiencies on file, including two tied to abuse and three serious enough to cause actual harm or put residents in jeopardy. Staffing sits just under the national average, which wouldn't matter much on its own, but weekend coverage dips about 4% below the facility's own weekday level, and turnover runs at 74.6% against a national average of 45.8%. That combination, a thin weekend crew in a building where most caregivers are new, is what drives the low marks. Two fines totaling nearly $30,000 round out the picture.

Nurse hours

3.92 /day

Staff turnover

41%

Serious cites

0

The Terrace sits at 102 certified beds in Berea, run by a for-profit LLC. Its most recent inspection was in March 2025, and the record shows five deficiencies, none at the harm level and none tied to abuse, that's a relatively clean inspection history, reflected in a five-star health inspection rating. The staffing picture is more uneven. Overall nurse hours run slightly above the national average, but weekends drop about 14% below weekdays, and the staffing star rating is just one out of five. Turnover at 41.2% is a bit below the national average, which helps. Quality measures land mid-range at three stars. The split is real: strong inspections, thin staffing depth.

Nurse hours

2.96 /day

Staff turnover

49%

Serious cites

0

Frankfort Trails runs a 100-bed building, and its staffing is the number that should worry you. At 2.96 nurse hours per resident per day it sits about 23% under the national average, and weekends dip another 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover near 50% means the aides and nurses you meet may not be there in six months, which matters more than any single inspection result. The record itself is cleaner than that suggests: seven deficiencies, none at harm or jeopardy level, no abuse findings, and a recent July 2025 inspection. A 3/5 on health inspections and 4/5 on quality measures say the care delivered is adequate. The question is capacity.

Nurse hours

3.61 /day

Staff turnover

79%

Serious cites

0

Clifton Heights runs 3.61 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. The bigger number is turnover: 78.9% of staff leave each year, well above the 45.8% national rate, so the people caring for your relative are often new and still learning the building. Its current record carries 35 deficiencies, 10 at harm or jeopardy level and 4 abuse-related, and CMS has placed it in the Special Focus Facility program. For-profit, LLC-owned, last inspected December 2025.

Nurse hours

3.67 /day

Staff turnover

64%

Serious cites

0

Greenwood Rehabilitation and Healthcare Center runs 128 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see. Nurse coverage averages 3.67 hours per resident day against a national figure of 3.86, and weekends dip roughly 14% below the home's own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 64.3% is well above the 45.8% national average, so aides and nurses cycle through quickly. The inspection record carries 18 deficiencies, including two at harm or jeopardy level and one tied to abuse, with the most recent survey in August 2025. Quality measure scores look strong, but that's a narrow slice of the picture.

Nurse hours

3.62 /day

Staff turnover

49%

Serious cites

0

Pine Meadows Post Acute runs 120 beds in Lexington under for-profit LLC ownership. Its staffing is the weak spot: 3.62 nurse hours per resident day sits about 6% under the national average, weekends drop roughly 12% below its own weekday levels, and turnover runs 48.8% against a 45.8% national figure. That combination earned a 1-star staffing rating from CMS, even though quality measures scored 4 stars and health inspections came in at 3. The current record shows 16 deficiencies, none involving harm or abuse, and the last inspection was recent, in September 2025. So you're looking at a home that can point to decent clinical measures but asks families to accept thin, unstable coverage, especially on weekends.

Nurse hours

4.14 /day

Staff turnover

42%

Serious cites

0

Oakmont Manor runs 85 certified beds in Flatwoods under for-profit LLC ownership, and its nurse staffing sits at 4.14 hours per resident day, about 7% above the national average. That headline number comes with a wrinkle: weekends run roughly 13% leaner than weekdays, so coverage depends on when you visit. Annual turnover of 41.5% is a touch better than the 45.8% national figure, which matters for continuity of care. The inspection record shows seven deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey was May 2025. Quality and inspection measures both land mid-range, while the staffing star comes in lower than the raw hours suggest.

Nurse hours

3.09 /day

Staff turnover

57%

Serious cites

0

Crittenden County Health & Rehabilitation Center runs 101 certified beds in Marion under corporate for-profit ownership, and its nurse staffing sits at 3.09 hours per resident per day, roughly 20% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, and annual turnover is 57.4% against a national average of 45.8%, meaning the aides and nurses at the bedside change over faster than at most homes. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was in March 2026, so the record is recent. The staffing star comes in at 2 out of 5 from CMS, below its 3s on inspections and quality measures.

Nurse hours

3.36 /day

Staff turnover

38%

Serious cites

0

Essex Rehabilitation and Healthcare Center runs 128 certified beds in Louisville under corporate for-profit ownership, and its staffing is the number that stands out. At 3.36 nurse hours per resident per day, it sits about 13 percent under the national average of 3.86, and weekends drop roughly 15 percent below its own weekday coverage, so the thinnest coverage lands when families tend to visit. Turnover of 37.6 percent actually beats the national 45.8 percent, which is a real point in its favor. The inspection record is current, dated May 2025, with 10 deficiencies and none at harm or jeopardy level, though four are abuse-related and worth asking about directly.