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

Nurse hours

4.34 /day

Staff turnover

67%

Serious cites

0

Farmington Wellness & Rehabilitation runs 4.34 nurse hours per resident per day, about 13 percent above the national average, and weekends drop roughly 13 percent below its own weekday coverage. That gap matters more when two of every three workers are leaving each year, turnover sits at 66.7 percent against a national 45.8 percent, so the familiar faces on Saturday may not be familiar for long. The inspection record is clean where it counts: zero deficiencies at the harm or jeopardy level, nothing abuse-related, and the most recent survey came in May 2026. Sixteen total deficiencies still add up, and a for-profit limited liability company owns the place.

Nurse hours

3.07 /day

Staff turnover

33%

Serious cites

0

Yonkers Gardens runs 200 beds under for-profit LLC ownership, and its staffing sits about 20% under the national average at 3.07 nurse hours per resident day. Weekends drop roughly 12% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 33.1%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The trouble is the inspection record: 53 deficiencies, including 8 tied to abuse and 2 serious enough to trigger fines totaling $98,914. A 1/5 inspection rating against a 4/5 quality measure score is a wide gap, and the last survey in February 2026 means that record is recent. Ask about the abuse citations directly.

Nurse hours

3.27 /day

Staff turnover

55%

Serious cites

0

Absolut Center in Gasport runs 83 certified beds and is owned by a for-profit limited liability company. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 55% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record lists 12 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $8,281. Its last inspection was July 19, 2024.

Nurse hours

2.76 /day

Staff turnover

77%

Serious cites

0

Elderwood At Lancaster runs 96 certified beds under corporate for-profit ownership, and the numbers show a home stretched thinner than most. Nurse staffing sits at 2.76 hours per resident day, roughly 28 percent below the national average, and weekends drop about 9 percent below its own weekday level, so coverage is lightest exactly when families tend to visit. Annual turnover of 77.2 percent is well above the national 45.8 percent, meaning many of the aides and nurses you'd meet are relatively new. The inspection record, last updated in November 2024, carries 16 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Quality measures score well; staffing and inspections are where the problems concentrate.

Nurse hours

3.47 /day

Staff turnover

46%

Serious cites

0

Royal Park runs about 3.47 nursing hours per resident day, roughly 10% under the national average of 3.86, and weekends get thinner still, about 11% below its own weekday staffing. Turnover sits at 46.2%, almost exactly the national rate, so the shortfall isn't a retention problem so much as a bare-bones schedule. On inspections, the record shows 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $39,811 and a 2/5 inspection rating. That combination of thin coverage and serious findings is what drags the score down, even though the quality measures look better at 4/5.

Nurse hours

3.36 /day

Staff turnover

43%

Serious cites

0

Pruitthealth-Durham runs 125 beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, about 14% below the home's own weekday level, so coverage dips right when families tend to visit. The inspection record carries 33 deficiencies, six of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $34,632 fine. Turnover at 43% is slightly better than the 45.8% national figure, and the most recent inspection was April 2025. The quality measure rating holds at 3 of 5, but staffing and inspection ratings both sit at 2.

Nurse hours

3.65 /day

Staff turnover

52%

Serious cites

0

Sunnybrook runs about 95 beds in Raleigh under for-profit LLC ownership, and its staffing sits below the national average, 3.65 nurse hours per resident day against 3.86 nationally. That gap widens on weekends, when hours drop roughly 13% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 51.5%, several points above the 45.8% national figure, which means more than half the nursing staff turns over in a year. The current inspection record shows 13 deficiencies, two serious enough to reach harm or jeopardy level, and three fines totaling $38,662. Its last inspection was February 2025, so the record is recent.

Nurse hours

2.96 /day

Staff turnover

44%

Serious cites

0

Walnut Cove Health and Rehabilitation runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. That thin staffing shows up in the inspection record: 23 deficiencies, three serious enough to reach harm or jeopardy, five tied to abuse, and $40,149 in fines across three penalties. Staff turnover at 43.5% is slightly better than the 45.8% national figure, which is the one number here that isn't working against the home. Ownership is for-profit, through a limited liability company, and the most recent inspection was August 21, 2025.

Nurse hours

3.54 /day

Staff turnover

55%

Serious cites

0

The Greens at Pinehurst runs 120 certified beds under for-profit LLC ownership, and its staffing numbers are the clearest thing to look at: 3.54 total nurse hours per resident day sits about 8% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and annual turnover lands at 54.8% against a national 45.8%. Its record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, plus a single fine of $41,844. The most recent inspection was March 2026. Quality measures score well, but staffing and inspection results are where the caution sits.

Nurse hours

3.71 /day

Staff turnover

55%

Serious cites

0

Five Oaks runs leaner than most: 3.71 nurse hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home staffs on weekdays. That gap matters because turnover sits at 55%, well above the 45.8% national figure, so the people covering those shifts are often new. Inspectors cited 14 deficiencies, three of them serious enough to put residents at risk of harm, and the home has paid one fine of $17,345. The last inspection was March 2026. With 160 beds under limited-liability, for-profit ownership, the pattern here is thin staffing and a recent record that hasn't been clean.

Nurse hours

3.88 /day

Staff turnover

57%

Serious cites

0

Willow Ridge sits just barely above the national average for nurse staffing, but that thin margin hides two problems: weekend coverage drops about 13% below its own weekday level, and annual turnover runs 56.5% against a national 45.8%. The inspection record is what really stands out, 27 deficiencies, four of them at harm or jeopardy level and three abuse-related, with $146,939 in fines across four penalties. A 2/5 inspection rating and a 4/5 on quality measures tell different stories, and the gap matters: the quality score reflects resident care metrics, while the inspection score reflects what surveyors actually found on the ground. The most recent inspection was in March 2026, so the record is current.

Nurse hours

3.43 /day

Staff turnover

46%

Serious cites

0

Eden Rehabilitation and Healthcare Center runs 112 certified beds in Rockingham County, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends get thinner still, about 12% below what the home staffs on weekdays, so a Saturday or Sunday shift is where the gap shows most. Annual turnover lands at 46%, essentially level with the 45.8% national figure, though inspection history is the heavier weight here: 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a $25,495 fine. The last inspection was February 2026, and CMS rates staffing and health inspections both at 2 out of 5 stars.

Nurse hours

3.47 /day

Staff turnover

63%

Serious cites

0

The Greens At Spruce Pines runs a 127-bed for-profit building where nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends dip about 8 percent below its own weekday numbers. It's worth noting the last inspection, from February 2025, is recent. What's less reassuring: 62.8% annual turnover against a national rate near 46%, 11 deficiencies on record, one of them serious enough to involve harm or jeopardy, and $153,439 in fines across three actions. The four-star quality measure score stands out against a two-star inspection record, but quality measures are largely self-reported, so the inspection findings carry more weight here.

Nurse hours

2.96 /day

Staff turnover

43%

Serious cites

0

Cleveland Pines runs on 2.96 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about a third below what the home itself staffs on weekdays. That thin coverage shows up in the federal staffing rating, which sits at two stars, and in 13 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse. Turnover at 43.3% is almost exactly the national rate, so this isn't a retention crisis so much as a bare-bones floor. The inspection in November 2025 came back mid-range, and quality measures score well, but a for-profit home with this few hands on weekends is asking families to do their own watching.

Nurse hours

3.07 /day

Staff turnover

47%

Serious cites

0

Liberty Commons runs about 50 beds in Weldon under for-profit LLC ownership, and its inspection record is the strongest part of the story: five deficiencies on file, none at the harm or jeopardy level, no abuse citations, and a survey completed in late November 2025. The weaker piece is direct care time. At 3.07 nurse hours per resident day, staffing sits roughly 20 percent under the national average of 3.86, and weekends dip about 9 percent below the home's own weekday levels. Turnover lands at 46.7 percent, close to the national 45.8, so retention isn't the outlier here, the shortfall is hours at the bedside, which matters most on Saturdays and Sundays when families tend to visit.

Nurse hours

3.46 /day

Staff turnover

61%

Serious cites

0

Abbotts Creek Center runs 64 beds in Lexington under corporate ownership, and its inspection record is the strongest thing about it, a recent January 2026 survey and 12 deficiencies with none rising to harm or jeopardy, none tied to abuse. The staffing side tells a different story. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, weekends drop roughly 15% below its own weekday levels, and turnover hits 61.3% against a national 45.8%. High turnover plus thin weekend coverage means the aide helping your mother on a Saturday may be new and unfamiliar with her. Ask specifically how they cover weekends and how long their current staff have actually been there.

Nurse hours

3.27 /day

Staff turnover

55%

Serious cites

0

Forrest Oakes Healthcare runs 60 certified beds in Albemarle under corporate for-profit ownership, and the staffing numbers are the first thing that stands out. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. Annual turnover of 55.2% is well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 30 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS has fined the home once for $5,242. A recent inspection means the record is current.

Nurse hours

3.38 /day

Staff turnover

54%

Serious cites

0

Guilford Health Care Center is a 110-bed for-profit home in Greensboro, and the staffing numbers are the first thing I'd look at. At 3.38 nurse hours per resident day, it runs about 12% under the national average, and weekends drop roughly 9% below its own weekday coverage. Meanwhile annual turnover sits at 53.8% against a national 45.8%, that churn matters more than any single shift count, because it means the people caring for your family member are often new. The 27 deficiencies on record, including one abuse-related citation, with no harm-level findings, and a two-star inspection rating suggest a home that's had recurring problems without a recent serious incident. Its last inspection was March 2026.

Nurse hours

3.78 /day

Staff turnover

52%

Serious cites

0

Carolina Rehab Center of Cumberland runs 136 beds in Fayetteville under corporate ownership, and the numbers split in an unusual way. Its quality measure score is perfect, but staffing tells a different story: 3.78 nurse hours per resident day sits just under the national average, weekend coverage drops about 12% below its own weekdays, and turnover hits 51.7% against a national 45.8%. The inspection record is the heavier problem, 25 deficiencies, 7 of them at harm or jeopardy level, 2 involving abuse, and five fines totaling $97,936, with the most recent inspection in July 2025. Strong quality scores and a weak inspection history rarely coexist by accident. Ask what those harm-level findings involved.

Nurse hours

3.36 /day

Staff turnover

82%

Serious cites

0

St Rose Care Center runs 36 beds in Lamoure under nonprofit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, and it thins out further on weekends. The bigger concern is turnover: 82.1 percent of staff leave each year, against a national average near 46 percent. That kind of churn means residents see a rotating cast of caregivers, which matters more in a small home where everyone knows everyone. The 13 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was in April 2026.