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

Nurse hours

3.79 /day

Staff turnover

75%

Serious cites

0

Mala Strana runs 69 certified beds under for-profit corporate ownership, and its inspection history is genuinely strong, a 4-out-of-5 health inspection rating with the most recent survey completed in April 2026. The trouble sits elsewhere. Nurse staffing comes in at 3.79 hours per resident day, just under the national average, and weekends drop roughly 10% below what the home staffs on weekdays, which matters when aides are already stretched. Turnover is the number that should give you pause: 75.3% of staff leaving annually against a national average of 45.8%. Ten deficiencies sit on the current record, including one at the harm level and two tied to abuse. Good surveys, thin staffing, heavy churn.

Nurse hours

3.79 /day

Staff turnover

66%

Serious cites

0

Oaklawn Care & Rehabilitation Center runs 60 certified beds in Mankato under corporate for-profit ownership. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 66.3% is well above the national 45.8%, meaning roughly two of every three caregivers leave each year. The current inspection record carries 20 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus six fines totaling $59,001. The most recent inspection was April 16, 2025, so it's fairly current.

Nurse hours

3.89 /day

Staff turnover

54%

Serious cites

0

Bedford Care Center of Hattiesburg runs 120 certified beds under for-profit LLC ownership, and its staffing sits right at the national line, 3.89 nurse hours per resident day against 3.86 nationally. That margin is thin, and weekends dip about 13% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Two things pull in opposite directions here. The health inspection side is strong: a 4-star rating, 12 deficiencies on record, and none of them at the harm or jeopardy level or tied to abuse. But quality measures come in at 1 star, the lowest tier, and annual turnover runs 53.7% against a national 45.8%, more than half the nursing staff turning over in a year affects consistency of care. The last inspection was March 2026, so the record is current. Mixed picture: clean inspections, weaker day-to-day quality and retention.

Nurse hours

3.69 /day

Staff turnover

39%

Serious cites

0

Christian Extended Care & Rehabilitation runs 60 beds as a nonprofit, and its last inspection in March 2025 came back clean at the serious end, 12 deficiencies on record, none causing harm or jeopardy, none tied to abuse. Nurse staffing sits at 3.69 hours per resident day, a bit under the national 3.86, and weekends dip about 12% below the home's own weekday coverage. Turnover is the bright spot: 38.7%, better than the 45.8% national figure, which suggests aides and nurses tend to stay. The tradeoff shows in the federal stars, five for inspections, but two for staffing. Consistent care from a stable team, thinner coverage on weekends.

Nurse hours

2.76 /day

Staff turnover

47%

Serious cites

0

Westwood Hills runs lean on nursing hours, 2.76 per resident day against a national average of 3.86, and that gap, about 28%, is the single biggest thing pulling its grade down. Weekends are thinner still, roughly 10% below what the home staffs on weekdays, so a Saturday or Sunday shift is where you'd notice it most. Turnover sits at 47.4%, a touch above the national 45.8%, meaning the people at the bedside keep changing. The good news: inspections are recent and clean at the harm level, with no abuse citations among the 19 deficiencies, and quality measures score well. It's a for-profit LLC with 132 beds, solid on care outcomes, short on hands.

Nurse hours

3.92 /day

Staff turnover

50%

Serious cites

0

Puxico Nursing and Rehabilitation Center sits in Stoddard County with 60 certified beds under individual for-profit ownership. Its last health inspection, in November 2025, found 16 deficiencies, none of them causing harm or involving abuse, a record that supports the four-star inspection rating. The trouble is elsewhere. Quality measures earn only two stars, and staffing earns two as well despite total nurse hours of 3.92 per resident day, just barely above the national average of 3.86. Weekend coverage drops about 10% below weekday levels, and annual turnover runs 50% against a national 45.8%. Roughly half the staff leaving each year is worth asking about directly before you visit.

Nurse hours

3.44 /day

Staff turnover

52%

Serious cites

0

Windsor Healthcare & Rehab Center runs on thinner staffing than most homes, about 3.44 nurse hours per resident each day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday levels. That's when families tend to notice. Annual turnover sits at 51.5%, well above the 45.8% national figure, so the people caring for your relative are likely to change. The current record shows 23 deficiencies, none at harm or jeopardy level, though one is abuse-related. A June 2025 inspection is recent, and the 3/5 health inspection rating isn't alarming on its own. The 1/5 quality measure rating is the number worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

53%

Serious cites

0

Ignite Medical Resort St Marys runs 130 beds in Blue Springs under for-profit LLC ownership, and its nurses provide 3.15 hours of care per resident per day, roughly 18 percent below the national average, with weekends dropping another 13 percent below its own weekday levels. Staff turnover sits at 52.9 percent against a national 45.8 percent, so the aides and nurses cycling through are not staying long. The inspection record shows 35 deficiencies, one involving actual harm or jeopardy and one abuse-related, and the last state visit was August 2024. Quality scores look strong, but staffing and inspection results are where the concern sits, and both are rated two out of five.

Nurse hours

2.67 /day

Staff turnover

41%

Serious cites

0

St. Joseph Chateau runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 15% below its own weekday coverage, so the thinnest shifts come when families often visit. The inspection history is better than that staffing picture suggests: 52 deficiencies on record with none at the harm level, though two are abuse-related, and the last survey was in May 2025. Turnover at 40.7% is slightly better than the national 45.8%, and the health inspection rating sits at 4 of 5. The staffing rating of 2 tells you where the real concern lies.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Ignite Medical Resort Kansas City runs 90 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. Annual turnover sits at 50%, above the 45.8% national figure, which means the people helping your family member may be relatively new to the building. The current record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $6,368 fine; the last inspection was February 2026. Quality measures score well, but staffing and inspection history are where the concerns concentrate.

Nurse hours

2.95 /day

Staff turnover

55%

Serious cites

0

Union Nursing runs 60 beds in Franklin County under corporate ownership, and its staffing is the number that stands out: 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekends dip another 9% below its own weekday level, and 54.5% of staff turn over annually against a national rate near 46%, so the thin coverage is also a moving target. Inspections look steadier, a 4-star health inspection rating, 14 deficiencies on record with none at harm level, though two are abuse-related, and the most recent survey was August 2025. Quality measures also rate 4 stars; staffing rates 2.

Nurse hours

4.46 /day

Staff turnover

76%

Serious cites

0

Sunterra Springs Dardenne Prairie runs a 38-bed for-profit home in St. Charles County where the nursing hours look better than average, 4.46 per resident day, roughly 15% above the national figure, but weekends drop about 12% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue is stability: 76.1% annual turnover against a national average of 45.8% means most of the people caring for residents are new, and 31 deficiencies on the current record, three at harm or jeopardy level, with two fines totaling $49,722, point to real gaps in care delivery. The most recent inspection was January 2026, so the record is current, not stale.

Nurse hours

2.70 /day

Staff turnover

45%

Serious cites

0

Hot Springs Health & Rehabilitation Center runs 40 certified beds under corporate ownership, and its staffing numbers are the first thing to notice: 2.70 nurse hours per resident day against a national average of 3.86, roughly 30% lower. Weekend coverage drops about 11% below the home's own weekday level, so the thinnest shifts are the ones families tend to visit. Turnover sits at 45.2%, essentially tracking the national average, and the current record shows 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $22,614. The most recent inspection was February 10, 2026.

Nurse hours

4.29 /day

Staff turnover

80%

Serious cites

0

Eastern Montana Veterans Home in Glendive runs 4.29 nurse hours per resident day, about 11% above the national average, but weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover: 79.7% annually, well above the 45.8% national figure, which means the people at the bedside keep changing. Its record shows 31 deficiencies, including 6 at the harm or jeopardy level and 6 abuse-related, with three fines totaling $50,805. The last inspection was February 13, 2025, and the state owns the 80-bed home. Strong weekday coverage doesn't cancel out a heavy deficiency history and unstable staffing.

Nurse hours

3.79 /day

Staff turnover

53%

Serious cites

0

St. Joseph's Villa runs a nonprofit shop in David City with 58 beds, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekends drop about 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. Staff turnover of 52.9% runs well above the national 45.8%, which matters because familiar faces are hard to keep when half the team leaves each year. Fourteen deficiencies sit on the current record, including one at the harm level and one tied to abuse, with a $27,115 fine attached. The most recent inspection was in August 2025.

Nurse hours

3.55 /day

Staff turnover

45%

Serious cites

0

Wolfeboro Bay Center runs 104 certified beds under for-profit LLC ownership, and its nursing hours land at 3.55 per resident day, roughly 8% under the national average of 3.86. Weekends dip about 7% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 45.1%, essentially matching the national rate. The inspection record shows 20 deficiencies, none at harm or jeopardy level, though four are abuse-related, a category worth asking about directly. The last inspection was April 2026, so the record is current. CMS gives 3 stars for health inspections, 2 for quality measures, and 4 for staffing. The staffing number looks strong on paper, but the quality measure score and those abuse citations are what pull the overall picture down.

Nurse hours

3.31 /day

Staff turnover

54%

Serious cites

0

St. Mary's Center runs 215 beds in Cherry Hill under for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 12% below its own weekday numbers, so the thinnest coverage lands when families tend to visit and when physicians are hardest to reach. Turnover tells a related story: 54.4% annually against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 35 deficiencies, three tied to abuse, though none at the harm or jeopardy level. The last inspection was December 6, 2024, so the record is fairly current. Quality measures score well. Staffing and inspections are where the concerns sit.

Nurse hours

3.29 /day

Staff turnover

41%

Serious cites

0

Complete Care At Brakeley Park runs 120 beds in Phillipsburg under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86. Weekends get thinner still, about 12% below what the home staffs on weekdays. Turnover is 41.3%, a bit better than the 45.8% national figure, so the same faces are more likely to stick around. The bigger issue is the inspection record: 26 deficiencies, two serious enough to involve harm or jeopardy, and $55,647 in fines across two penalties. The last state visit was May 2025, so the record is current.

Nurse hours

3.59 /day

Staff turnover

57%

Serious cites

0

Complete Care at Ocean Grove is a 147-bed for-profit run by a limited liability company, and the numbers split sharply depending on what you look at. Its quality measure score is strong, but nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, with weekends about 3% thinner than weekdays and turnover at 57.3% against a national 45.8%, that churn matters more than a single day's headcount. The inspection record shows 26 deficiencies, four tied to abuse, none flagged at harm or jeopardy, and the last survey was July 2025. A recent inspection with no harm-level findings is a real point in its favor; the thin, restless staffing is the part to ask about.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Laurel Brook runs about 3.47 nurse hours per resident each day, roughly 10% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thinner weekend coverage matters because this is a 220-bed for-profit home where nearly half the nursing staff turns over annually, 49.7%, above the 45.8% national figure, and the health inspection record shows 37 deficiencies, including one at the harm or jeopardy level and five tied to abuse, plus $51,495 in fines across two penalties. The quality measure stars look good, but staffing and inspection results tell the harder story.