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

Nurse hours

3.52 /day

Staff turnover

27%

Serious cites

0

The numbers that matter most here are the inspection record and the quality measures, both sit at the lowest tier CMS assigns. Twenty-three deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, is a lot to carry for a home this size. The staffing picture is mixed: 3.52 nurse hours per resident day lands about 9% under the national average, and weekends run roughly 10% thinner than weekdays, but turnover at 26.8% is well below the national 45.8%, which suggests the people who stay tend to stay. Ownership is for-profit, through a limited liability company. Two fines totaling $8,512 aren't large on their own, but combined with the deficiency count they point to a pattern of problems rather than isolated slips.

Nurse hours

3.71 /day

Staff turnover

62%

Serious cites

0

Ironwood Rehabilitation and Care Center runs 80 certified beds in Coeur d'Alene under corporate for-profit ownership, and the numbers a family should weigh are turnover and inspection history. Annual staff turnover sits at 62.2% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year, and weekend nurse coverage drops about 13% below the home's own weekday level. Total nursing hours come in at 3.71 per resident day, slightly under the 3.86 national figure. The current record carries 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was May 1, 2026.

Nurse hours

3.23 /day

Staff turnover

34%

Serious cites

0

Citadel Care Center-Kankakee runs 107 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 33.7%, which is better than the national 45.8%, meaning the aides and nurses who are there tend to stay. The current record shows 23 deficiencies, one at harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Federal ratings split sharply here: four stars for health inspections, two for quality measures and two for staffing.

Nurse hours

3.23 /day

Staff turnover

46%

Serious cites

0

Pavilion of Bridgeview runs 146 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and turnover lands at 46.3%, right around the national figure. Inspections in December 2025 turned up 30 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse. Quality and health inspection ratings both sit mid-range at three stars; staffing comes in at two. For a family weighing this one, the recent inspection and that harm-level finding are the things worth asking about directly.

Nurse hours

3.48 /day

Staff turnover

48%

Serious cites

0

Paxton's Accolade Senior Living runs 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends dip about 8% below its own weekday staffing. The CMS staffing rating sits at 1 out of 5, which tracks with those numbers, while annual turnover of 48.4% edges past the national rate of 45.8%. Inspections tell a different story: a 5-star health inspection rating with a February 2025 visit on record, though 16 deficiencies include one at the harm level. That split, strong survey results against thin daily staffing, is the tension worth weighing as you decide.

Nurse hours

2.73 /day

Staff turnover

29%

Serious cites

0

Citadel of Skokie runs lean on nursing hours, 2.73 per resident day against a national average of 3.86, with weekends dipping below its own weekday level. That thin coverage sits alongside 19 deficiencies on the current record, four of them at the harm or jeopardy level and two tied to abuse. The ownership is a for-profit corporation, and the fines add up to $27,891 across three penalties. One thing runs in the home's favor: staff turnover of 28.6% beats the national 45.8%, so the people who stay tend to stay. But stable staff can only stretch so far when there are too few of them, and the harm-level findings suggest the margin for error has already been crossed.

Nurse hours

2.53 /day

Staff turnover

15%

Serious cites

0

Clark Manor runs on 2.53 nurse hours per resident day, roughly a third below the national average, and weekends dip another 6% under its own weekday levels, so the thinnest coverage lands when families tend to visit. The 267-bed for-profit home does hold onto staff unusually well, with turnover at 14.8% against a national 45.8%, which matters for continuity of care. The inspection record is harder to overlook: 34 deficiencies, including one at harm or jeopardy level and seven tied to abuse. Its last full inspection was May 2024, and quality measures sit at 2 of 5 stars.

Nurse hours

3.99 /day

Staff turnover

51%

Serious cites

0

Parkway Manor runs 3.99 nurse hours per resident day, a bit above the national average of 3.86, but weekends drop about 11% below its own weekday staffing. The bigger concern is turnover: 51% annually against a national 45.8%, meaning half the nursing staff leaves each year. On inspections, the home has 10 deficiencies, including one at the harm or jeopardy level and two abuse-related, though the last inspection was recent (April 2025) and the health inspection rating is 4 out of 5. Ownership is nonprofit corporate. The mix, solid inspection score but persistent turnover and weekend staffing dips, is what pulls this into average territory.

Nurse hours

3.32 /day

Staff turnover

44%

Serious cites

0

Warren Barr Lieberman runs 240 beds in Skokie under for-profit LLC ownership, and its staffing is the number that stands out first. At 3.32 nurse hours per resident day, it sits about 14 percent under the national average of 3.86, and weekend coverage slips a bit further below its own weekday level. Turnover lands at 44.4 percent, close to the national 45.8 percent. Inspections look solid, a recent May 2025 survey, 20 deficiencies on record, none at the harm level and none abuse-related. The tension is what those inspections didn't catch versus what daily staffing shows: quality measures and staffing both rate two stars, so the care hours and clinical outcomes tell a less steady story than the inspection sheet alone.

Nurse hours

3.37 /day

Staff turnover

43%

Serious cites

0

Alden North Shore runs 3.37 nurse hours per resident day, about 13% under the national average of 3.86, and weekends dip roughly 9% below its own weekday level. Staff turnover sits at 43.3%, slightly better than the 45.8% national figure, but the current record carries 10 deficiencies, five of them at harm or jeopardy level and two abuse-related, plus three fines totaling $107,443. Inspections are recent, June 2025, and the health and quality measure ratings each come in at 4 of 5. The staffing rating is 2 of 5, which is where the tension sits: decent clinical scores on paper, thin coverage on the floor, and a citation history a family should read closely before deciding.

Nurse hours

3.53 /day

Staff turnover

50%

Serious cites

0

Ignite Medical Mchenry runs 84 beds under for-profit LLC ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, with weekends dropping another 9% below its own weekday levels. Annual turnover hits 50%, above the 45.8% national figure, so the people caring for residents change often. The inspection record carries 42 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $62,153; the most recent inspection was August 2024. Quality measures score well, but staffing and inspection results are where the real story sits.

Nurse hours

3.49 /day

Staff turnover

45%

Serious cites

0

Envive of Indianapolis runs 184 certified beds under for-profit LLC ownership, and its last health inspection in March 2026 left a record of 52 deficiencies, three of them serious enough to involve actual harm or jeopardy, plus two abuse-related citations. That's a lot of paperwork for a single home. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 5% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Annual turnover lands near 44.7%, close to the national rate. The quality measure stars look good on paper, but the inspection and staffing numbers tell a different story.

Nurse hours

3.46 /day

Staff turnover

56%

Serious cites

0

Nurse staffing at The Waters of Batesville runs about 3.46 hours per resident day, roughly 10% under the national average, and weekends dip another 9% below its own weekday levels. Annual turnover sits at 55.8% against a national 45.8%, so the aides and nurses at the bedside keep changing. The inspection record shows 46 deficiencies, including one abuse-related citation; none rose to actual harm or jeopardy, and the last inspection was March 2026. Quality measure scores look strong on paper, but staffing and inspection results are where the trouble shows. If you're considering this one, ask how they hold staffing on weekends and how long the current director of nursing has been in place.

Nurse hours

3.41 /day

Staff turnover

60%

Serious cites

0

Bethany Village runs on thin staffing. At 3.41 nurse hours per resident day, it sits about 12% below the national average, and weekends drop another 14% below its own weekday level. That shortfall shows up in the numbers: a 1-out-of-5 CMS staffing rating and 59.6% annual turnover, well above the 45.8% national figure, meaning more than half the nursing staff turns over in a year. The inspection record is mixed. Twenty deficiencies on file, none at harm or jeopardy level, one abuse-related, with the most recent inspection in September 2025. Quality measures score high, but outcomes look better on paper than the hands-on care suggests.

Nurse hours

3.10 /day

Staff turnover

45%

Serious cites

0

Yorktown Manor runs 100 certified beds under individual for-profit ownership, and its staffing is the weak spot: 3.10 nurse hours per resident day, roughly 20% under the national average of 3.86, with weekends about 12% thinner than weekdays. Turnover sits at 45.3%, nearly identical to the national 45.8%, so retention isn't the problem, raw coverage is. The current record shows 15 deficiencies, none at harm or jeopardy level, though one is abuse-related. A September 2025 inspection earned 4 of 5 stars and quality measures came in at 3 of 5, which suggests care processes are being tracked reasonably well. The tension is straightforward: solid inspections and acceptable quality scores resting on thin daily staffing.

Nurse hours

3.59 /day

Staff turnover

60%

Serious cites

0

Majestic Care of Southport runs 122 beds on Indianapolis's south side, and the staffing numbers are where your attention should go. At 3.59 nurse hours per resident day, it sits about 7% under the national average, weekends drop roughly 13% below its own weekday levels, and nearly 60% of staff turned over in a year against a national rate near 46%. Inspectors were last in on September 26, 2025, and the current record shows 20 deficiencies, none rising to harm or jeopardy, but four tied to abuse. Ownership is corporate and for-profit. The quality measure score looks strong, but that reflects charted care, not necessarily the hands available on a Saturday.

Nurse hours

3.55 /day

Staff turnover

62%

Serious cites

0

Chalet Rehabilitation runs 88 beds on Indianapolis's east side, and the numbers split in two directions. Nurse staffing sits at 3.55 hours per resident day, about 8 percent under the national average, and weekends drop roughly 13 percent below its own weekday level, so the coverage families count on most is the coverage that thins out. Staff turnover is 61.8 percent against a national 45.8. On the inspection side, 15 deficiencies are on record, including one at the harm level and three tied to abuse, though the most recent inspection was June 2026. Quality measures score well; staffing and inspections don't. The corporation that owns it is for-profit.

Nurse hours

2.92 /day

Staff turnover

63%

Serious cites

0

Greenwood Health And Living Community runs on thin staffing. At 2.92 nurse hours per resident per day, it sits about 24% below the national average of 3.86, and weekends drop roughly another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 62.8% is well above the 45.8% national figure, meaning many of the aides and nurses you'd meet are new to the building. The 15 deficiencies on record include two tied to abuse, though none reached harm or jeopardy, and the most recent inspection was April 2026. Its quality measures look strong; the day-to-day staffing is where the gap shows.

Nurse hours

2.92 /day

Staff turnover

59%

Serious cites

0

Brown County Health And Living Community sits in Nashville and runs 117 certified beds under corporate for-profit ownership. The inspection record is genuinely strong, a five-star health inspection rating, only four deficiencies on file with none at the harm level, and a survey completed in August 2025. The staffing side is where the picture frays: 2.92 total nurse hours per resident day, roughly a quarter below the national average of 3.86, with weekends running about 13% thinner than weekdays and turnover at 59.1% against a national 45.8%. That combination, solid inspections, thin and churning direct care, is what pulls the overall picture down. One abuse-related deficiency also appears on the record. Ask about actual weekend coverage and how long aides tend to stay.

Nurse hours

2.97 /day

Staff turnover

—

Serious cites

0

Shady Nook Care Center is a 94-bed for-profit in Lawrenceburg, and the staffing numbers are where the trouble starts. At 2.97 nurse hours per resident day, it runs about 23 percent below the national average of 3.86, and weekends drop roughly 18 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current inspection record shows 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a health inspection rating of 2 out of 5. Quality measures rate 4 out of 5, but strong clinical scores on paper don't cancel out short staffing on the floor. The last inspection was January 6, 2026.