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

Nurse hours

3.17 /day

Staff turnover

56%

Serious cites

0

The staffing numbers at Avir At Madisonville tell the clearest story: 3.17 nurse hours per resident day against a national average of 3.86, with weekends running roughly 15% leaner than weekdays. That's the kind of gap that shows up when aides are stretched thin, and a 56.1% annual turnover rate, well above the 45.8% national figure, means the people providing most of the hands-on care are often new or on their way out. The 49 deficiencies on record, three at harm or jeopardy level and one abuse-related, are worth asking the administrator about directly. The five-star quality measure score reflects chart-based outcomes; inspections, at two stars, reflect what surveyors actually found.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

Princeton Medical Lodge runs on a government hospital district license with 138 certified beds, and its inspection record is genuinely clean, a five-star health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Where the picture changes is daily care capacity. Nurse staffing sits at 3.06 hours per resident day against a national average of 3.86, roughly a fifth below it, and weekends drop about 15% below the home's own weekday coverage. Staff turnover of 51.1% tops the 45.8% national figure. Strong surveys, thin staffing, and a workforce that keeps cycling through, that combination is what pulls the overall grade down.

Nurse hours

3.02 /day

Staff turnover

57%

Serious cites

0

Diversicare Of Montgomery runs 138 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.02 hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about 18% below what the home itself staffs on weekdays, and annual turnover is 57.1% against a national 45.8%, so the people who remain are stretched thinner than the numbers alone suggest. Inspectors were last on site in April 2023, and the current record carries 14 deficiencies, none at harm or jeopardy level, one tied to abuse. CMS rates the quality measures well at 4 out of 5, but inspection and staffing each land at 2. The clinical results look better on paper than the day-to-day coverage likely feels.

Nurse hours

2.85 /day

Staff turnover

46%

Serious cites

0

Diversicare of Oneonta runs about 2.85 nursing hours per resident day, roughly a quarter below the national average, and weekends drop another 15% below its own weekday numbers. That thin coverage sits behind its two-out-of-five staffing rating. The home's 10 deficiencies include one at the harm level and one abuse-related citation, with a $9,318 fine on record; its last inspection was July 2023. Staff turnover at 46% is essentially the national rate, so continuity isn't unusually bad. Ownership is for-profit corporate, and the five-star quality measure score reflects resident assessments rather than the hands available to help. The gap between those quality marks and the staffing and inspection results is the whole story here.

Nurse hours

3.73 /day

Staff turnover

48%

Serious cites

0

Haven Health Prescott runs 58 beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, about 3% under the national average of 3.86. That gap isn't huge, but weekends dip roughly 16% below the home's own weekday coverage, and annual turnover is 47.8%, slightly worse than the 45.8% national figure. The inspection record shows 16 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was July 2025. A four-star inspection rating with three stars each for staffing and quality measures suggests a home that passes the basics but isn't outpacing its peers on the numbers families feel day to day.

Nurse hours

3.59 /day

Staff turnover

45%

Serious cites

0

Nightingale At Crossett runs 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekends dip about 18% below its own weekday coverage. Staff turnover sits at 44.6%, a hair under the national 45.8%, so retention isn't the problem here, daily coverage is. The inspection record looks solid on paper: no deficiencies at the harm or jeopardy level, nothing abuse-related, one fine of $12,353, and a survey as recent as April 2026. But 17 total deficiencies and a one-star quality measure rating pull against that four-star inspection score, which is why the overall picture lands at a C.

Nurse hours

3.08 /day

Staff turnover

58%

Serious cites

0

Hiram Shaddox Health and Rehab runs 140 certified beds in Mountain Home, and the numbers point in two directions at once. Inspections look solid, a recent May 2025 survey, 17 deficiencies on record with none at the harm level and nothing abuse-related, and quality measures hold up well. Staffing is the weak spot. At 3.08 nurse hours per resident day, it sits about 20 percent under the national average, and weekends drop roughly 22 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 57.8 percent runs well above the 45.8 percent national figure.

Nurse hours

3.87 /day

Staff turnover

65%

Serious cites

0

Belleair Health Care Center sits in Clearwater with 120 certified beds under for-profit partnership ownership. Its most recent health inspection, in August 2025, turned up 14 deficiencies, none at the harm or jeopardy level, none tied to abuse, which matters more than the raw count suggests. Nurse staffing lands at 3.87 hours per resident day, essentially level with the national average, but weekends run roughly 19% leaner than weekdays. The bigger concern is turnover: 64.8% annually against a national 45.8%, meaning nearly two of every three caregivers left within the year. Consistent inspection results, unstable floor staff, that combination is what shapes the outlook here.

Nurse hours

4.30 /day

Staff turnover

57%

Serious cites

0

Magnolia Manor of Columbus West runs 166 certified beds under nonprofit ownership, and its nurse staffing sits at 4.30 hours per resident day, about 11% above the national average. That's a real strength, but weekends dip roughly 17% below the home's own weekday coverage, so the care you'd see on a Saturday may be thinner than the weekday numbers suggest. Staff turnover is 56.9%, well above the 45.8% national average, which matters for whether your family member sees the same faces. The inspection record carries four deficiencies, all at harm or jeopardy level, three tied to abuse, plus a $34,431 fine. The most recent inspection was December 2025.

Nurse hours

3.26 /day

Staff turnover

41%

Serious cites

0

Pruitthealth - Lafayette runs 100 certified beds under corporate for-profit ownership, and its staffing is the number that stands out. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly another 17% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover lands at 41.3%, which is actually better than the 45.8% national figure, and inspections look decent: a 4/5 health inspection rating, 8 deficiencies on record with none at harm or jeopardy level, though one is abuse-related. A single $4,963 fine and a March 2026 inspection round out the picture.

Nurse hours

3.38 /day

Staff turnover

55%

Serious cites

0

Winthrop Health And Rehabilitation runs 80 certified beds as a nonprofit, and its inspection record is the strongest part of the picture, a clean four-star health inspection rating and a survey completed in September 2025. The staffing side is where questions start. At 3.38 nurse hours per resident day, it sits roughly 12 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday levels. Annual turnover of 55.3 percent runs well above the 45.8 percent national figure. Then there's the current deficiency record: 18 total, including 6 at the harm or jeopardy level and 6 tied to abuse.

Nurse hours

3.87 /day

Staff turnover

29%

Serious cites

0

Pruitthealth - Ocilla runs 83 beds in Irwin County under corporate ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. That average is doing some work, though, because weekends drop about 19% below weekday coverage, so the care you'd see on a Saturday looks different from a Tuesday. Turnover is the bright spot: 29.1% against a 45.8% national rate, meaning aides and nurses here stick around longer than most. Inspections are recent and clean on the serious stuff, 9 deficiencies, none at harm or jeopardy level, no abuse findings, and a 4-star health inspection. So why the middling grade? Quality measures score 1 out of 5, and staffing only 2.

Nurse hours

3.77 /day

Staff turnover

63%

Serious cites

0

Ansley Park runs a tight ship on inspections, a five-star health inspection record with just four deficiencies on file, none of them serious enough to cause harm, and no abuse findings. That's genuinely hard to do. The problem sits elsewhere. Staffing hours come in slightly under the national average, weekends run noticeably thinner than weekdays, and turnover sits at 63.2% against a national 45.8%, meaning most of the people caring for your family member this year probably won't be there next year. Quality measures land at two stars, which suggests the day-to-day outcomes aren't keeping pace with how clean the paperwork looks. Clean inspections, shaky consistency.

Nurse hours

3.62 /day

Staff turnover

60%

Serious cites

0

Pruitthealth - Creekside runs 193 certified beds in Augusta under corporate for-profit ownership, and its staffing numbers are the main thing to know going in. At 3.62 nurse hours per resident day, it sits about 6% under the national average, with weekend coverage dropping roughly 18% below its own weekday levels. Annual turnover hits 60% against a national average of 45.8%, which tells you the same faces often aren't there month to month. On the plus side, its three deficiencies include nothing at the harm or jeopardy level and no abuse findings, and the last inspection was recent, May 2025. Quality measures score well; staffing is where it thins out.

Nurse hours

3.36 /day

Staff turnover

49%

Serious cites

0

Pearl of Naperville runs 115 certified beds under for-profit LLC ownership, and its staffing is the clearest trouble spot: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor matters when you consider the inspection history, 42 deficiencies on the current record, including three tied to abuse and one serious enough to reach harm or jeopardy level, even though the last inspection came fairly recently in December 2025. Staff turnover sits at 48.7%, a bit above the 45.8% national figure, which means the people providing that already-light care are cycling out steadily.

Nurse hours

3.63 /day

Staff turnover

40%

Serious cites

0

Farmington Village runs a bit leaner than most homes, at 3.63 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 15% below its own weekday coverage, which is when families tend to notice. Turnover sits at 39.7%, better than the 45.8% national figure, so the staff who are there tend to stay. Inspections look solid on paper: a 4/5 health inspection rating, no deficiencies at the harm or jeopardy level, nothing abuse-related, and the most recent visit was May 2025. The catch is the 15 deficiencies and one $73,577 fine on the current record, which is a lot of paperwork for a home this size.

Nurse hours

4.94 /day

Staff turnover

57%

Serious cites

0

Springfield Suites Rehab And Nursing runs 4.94 nurse hours per resident day, roughly 28% above the national average, which sounds like a lot until you see that weekends drop about 19% below the home's own weekday level. Staff turnover sits at 57.1% against a national 45.8%, so the people providing that care are cycling through fast. The current record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, and the last inspection was in December 2025. Ownership is a for-profit LLC. High raw staffing numbers can mask a thin, constantly changing crew, here the schedule gap and turnover suggest that's exactly what's happening.

Nurse hours

4.28 /day

Staff turnover

56%

Serious cites

0

Hickory Creek At Rochester runs 4.28 nurse hours per resident day, about 11% above the national average, and its quality measure rating sits at the top of the scale. But staffing drops roughly 18% on weekends compared to weekdays, and turnover hits 55.6% against a national 45.8%, that churn erodes the consistency families depend on. The inspection record shows 17 deficiencies, including one at the harm level and one abuse-related, plus a $14,901 fine; the last inspection was June 2025. A nonprofit corporation operates its 36 beds. Strong clinical measures and above-average weekday hours are real, but the staffing rating and inspection history pull the other way.

Nurse hours

3.18 /day

Staff turnover

58%

Serious cites

0

Canterbury runs about 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend staffing drops another 17% below its own weekday levels. Annual turnover sits at 58% against a national 45.8%, which means the aides and nurses at the bedside keep changing. The inspection record is cleaner: ten deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent survey was in September 2025. The quality measure score is strong. The tension here is between what the charts show and who's actually in the building on a Saturday. For-profit corporate ownership. Ask about weekend coverage and how long the current director of nursing has been in place.

Nurse hours

4.07 /day

Staff turnover

62%

Serious cites

0

Brooke Knoll Village is county-owned, with 117 certified beds in Avon. Nurse staffing averages 4.07 hours per resident day, roughly 5% above the national figure of 3.86, but weekends run about 15% thinner than weekdays, and annual turnover sits at 61.7% against a national 45.8%. That churn matters more than the headline hours. The current record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 9, 2026. CMS gives 2 of 5 stars for both health inspections and staffing, while quality measures score 4 of 5. The county backing is steady; the workforce underneath it is not.