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

Nurse hours

3.66 /day

Staff turnover

58%

Serious cites

0

Aperion Care Peru runs 3.66 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 12% below what the home staffs on weekdays. Staff turnover sits at 57.9%, well above the 45.8% national figure, which matters because residents see a rotating cast of caregivers. The inspection record shows 28 deficiencies, none flagged at harm or jeopardy level and none abuse-related, with the most recent visit in January 2026. Federal staffing stars come in at 1 out of 5, while quality measures score 5 out of 5, a split worth understanding before you visit.

Nurse hours

3.29 /day

Staff turnover

53%

Serious cites

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Oak Village runs about 15% below the national average on nurse staffing, at 3.29 hours per resident day against 3.86. That gap shows up on weekends too, when coverage drops roughly 13% below the home's own weekday levels. Staff turnover sits at 52.8%, well above the 45.8% national figure, so the people providing care change often. The inspection record shows 25 deficiencies, none of them at the harm or jeopardy level and none abuse-related. A December 2025 inspection gives you recent information to work with, though the health inspection rating of 2 out of 5 suggests the state has found repeated problems. This is a 50-bed for-profit home where the numbers point to thin staffing rather than safety violations.

Nurse hours

3.60 /day

Staff turnover

50%

Serious cites

0

Envive Of Beech Grove runs 52 beds as a for-profit LLC, and its record is a real mix. Inspections are a genuine strength, a 4 out of 5 health inspection rating, a recent survey in December 2025, and 11 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. Where it slips is staffing: a 1 out of 5 rating, the weakest piece of the picture, plus 50% annual turnover against a national average of 45.8%. Quality measures land mid-range at 3 out of 5. So you're looking at a home that inspects cleanly but runs lean on the people doing the daily work, and that gap is worth asking about directly before you decide.

Nurse hours

3.35 /day

Staff turnover

30%

Serious cites

0

Ravenwood Specialty Care is a 176-bed nonprofit home in Waterloo, and the numbers pull in two directions. Staffing sits at 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends run roughly 8 percent thinner than weekdays. Turnover, though, is a genuine bright spot at 30.2 percent against a national average near 46. What drags the picture down is the inspection record: 36 deficiencies, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating. The last inspection was recent, in November 2025, so that record reflects current conditions rather than old problems. A 2/5 on quality measures doesn't offset it. Plenty of direct-care hours have left the building, and the state has documented what that looks like.

Nurse hours

4.03 /day

Staff turnover

31%

Serious cites

0

Windmill Manor runs 120 beds in Coralville under nonprofit ownership, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 14% below weekday levels. What stands out more is the workforce stability: turnover runs 31.1%, well under the 45.8% national figure. The caution signs come from oversight. Inspectors found 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $11,213 fine. Quality measures score poorly, and the most recent inspection was April 2026. Staffing consistency is the strength here; the inspection record is the question.

Nurse hours

3.55 /day

Staff turnover

99%

Serious cites

0

The Bridges at Ankeny runs on thinner nurse coverage than most Iowa homes, 3.55 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, exactly when families tend to visit. Staff turnover is the harder number to get past: 99.1% a year means roughly the entire nursing staff turns over annually, against a national rate near 46%. Its current inspection record carries 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus a $14,015 fine. The five-star quality measure score reflects how residents are doing clinically; the two-star inspection and staffing ratings reflect what's happening around them.

Nurse hours

3.56 /day

Staff turnover

58%

Serious cites

0

Rock Creek Of Ottawa runs 75 certified beds under corporate for-profit ownership, and its staffing sits at 3.56 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and annual turnover hits 58.2% against a national figure of 45.8%, so consistent hands-on care is the real question here. The inspection record shows 28 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $12,735; the last survey was January 30, 2025. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5.

Nurse hours

3.74 /day

Staff turnover

52%

Serious cites

0

Wheatridge Park runs 51 beds in Liberal under for-profit LLC ownership, and its last health inspection was in September 2024. That inspection record is where the trouble sits: 34 deficiencies on file, including three at the harm or jeopardy level and one tied to abuse, with $158,640 in CMS fines across two cases. Staffing tells a split story, the government gives the home 4 of 5 stars for nurse hours, but actual turnover runs 52.3% against a 45.8% national average, and weekends come in about 12% below the home's own weekday level.

Nurse hours

3.35 /day

Staff turnover

27%

Serious cites

0

Landmark of Lancaster runs 96 beds under for-profit LLC ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about another 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is the brighter spot: 26.6% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The current record shows 9 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated December 4, 2025. All three CMS star ratings, health inspection, quality measures, staffing, land at 2 out of 5.

Nurse hours

3.14 /day

Staff turnover

32%

Serious cites

0

Landmark of Laurel Creek runs 106 certified beds in Manchester under corporate for-profit ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 14% below what the home staffs on weekdays, so coverage thins out when families tend to visit. The tradeoff is retention: 31.6% annual turnover beats the national 45.8%, meaning the aides who are there tend to stay. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in July 2025. Quality measure and staffing stars both come in at 2 of 5, inspection at 3.

Nurse hours

3.93 /day

Staff turnover

24%

Serious cites

0

Stanton Nursing and Rehabilitation Center runs 81 certified beds under individual for-profit ownership, and its staffing sits slightly above the national average at 3.93 nurse hours per resident day. That edge narrows on weekends, which run roughly 13% below the home's own weekday coverage. Turnover is the real bright spot: 23.9% against a national average of 45.8%, meaning far fewer familiar faces leave each year. The trade-offs show up elsewhere. Eight deficiencies sit on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection came in June 2025. Quality measure scores land at the low end even as inspectors rate the home well.

Nurse hours

3.97 /day

Staff turnover

66%

Serious cites

0

Forest Springs Health Campus runs 58 beds in Louisville under for-profit LLC ownership. Its overall nurse staffing comes in at 3.97 hours per resident day, slightly above the national average, but weekends dip about 9% below its own weekday level, and annual turnover sits at 66.2%, well above the 45.8% national mark. That churn matters more than the headline staffing number, since a quarter of the clinical team cycling through each year is hard on continuity. The health inspection record is the strong point: 4 of 5 stars, seven deficiencies, none at harm or jeopardy level, none abuse-related, with a December 2025 inspection on file. Quality measures earn 3 of 5.

Nurse hours

3.77 /day

Staff turnover

49%

Serious cites

0

Landmark Nursing Center Hammond runs 150 beds under for-profit LLC ownership, and its staffing sits at 3.77 nurse hours per resident day, a bit under the national average of 3.86. Weekends drop roughly 15% below its own weekday coverage, and turnover is closing in on half its staff each year, above the national rate. Those staffing numbers earned a 4-star CMS rating, yet the inspection record tells a different story: 11 deficiencies, two serious enough to reach harm or jeopardy level, and a single fine of $175,997. Both the health inspection and quality measure ratings land at 2 stars. The last inspection was January 22, 2026.

Nurse hours

3.30 /day

Staff turnover

57%

Serious cites

0

High Hope Care Center runs on 3.30 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops about 11 percent below its own weekday levels. That thin schedule helps explain the two-out-of-five staffing score, and a 56.8 percent annual turnover rate, well above the 45.8 percent national figure, means many of the aides and nurses on that schedule are still new. The good news is the inspection record: 11 deficiencies, none involving harm or abuse, and a recent March 2026 survey that earned four stars on health inspections. For-profit, limited liability ownership, 101 beds. The pattern here is a home that passes inspections but runs lean on the floor.

Nurse hours

3.59 /day

Staff turnover

21%

Serious cites

0

Adviniacare Newton Wellesley runs lean on nursing hours, 3.59 per resident day against a national average of 3.86, with weekends dipping roughly 8% below its own weekday staffing. That thin coverage matters more given the inspection record: 43 deficiencies, four serious enough to cause harm or jeopardy, five tied to abuse, and a $132,408 fine. Staff turnover is genuinely low at 20.7%, well under the national 45.8%, so the people who stay tend to stay. But the last inspection was December 2025 and the quality measure score is strong while staffing sits at two stars. The pattern is a home that charts well on paper outcomes but runs short-staffed enough to draw repeated state findings.

Nurse hours

3.66 /day

Staff turnover

56%

Serious cites

0

Port Rehabilitation and Healthcare Center runs 123 certified beds in Newburyport under corporate, for-profit ownership. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, and it thins out further on weekends, when coverage drops about 13% below the home's own weekday level. Annual turnover is 55.9%, well above the 45.8% national figure, that much churn usually means families meet a lot of new faces. The inspection record shows 22 deficiencies, two of them abuse-related, though none rose to harm or jeopardy. A recent August 2025 inspection is a point in its favor. Strong quality-measure scores don't cancel out thin staffing.

Nurse hours

3.75 /day

Staff turnover

51%

Serious cites

0

Charlene Manor runs 123 beds in Greenfield under nonprofit ownership, and its last inspection was recent, February 2026, which matters, because what that inspection record shows is a lot of history: 47 deficiencies, two of them at the harm or jeopardy level and three tied to abuse. Fines total just under $100,000 across three penalties. Staffing sits slightly under the national average at 3.75 hours per resident day, and it thins out on weekends by roughly 13% compared with weekdays, when coverage is already close to average. Turnover runs about 50.7%, above the national figure. None of these numbers alone is disqualifying, but together they point to a home where the daily margin for error is thinner than most.

Nurse hours

3.49 /day

Staff turnover

54%

Serious cites

0

West Newton Healthcare runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 8% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 53.5% runs well above the 45.8% national figure, so caregivers cycle through faster than residents can get used to them. The inspection record is heavier still: 82 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a $184,166 fine. A December 2025 inspection is recent, but recent isn't the same as clean.

Nurse hours

3.49 /day

Staff turnover

33%

Serious cites

0

Melrose Healthcare is owned by a for-profit limited liability company and holds 106 certified beds. Nurse staffing runs about 3.49 hours per resident day, roughly 10 percent under the national average, and weekends dip about 5 percent below weekdays. Turnover sits at 32.9 percent, better than the 45.8 percent national figure. What stands out is the inspection record: 67 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $49,324 fine. CMS places it in the Special Focus Facility program, and the most recent inspection was April 9, 2025.

Nurse hours

3.30 /day

Staff turnover

30%

Serious cites

0

Watertown Rehabilitation and Nursing Center runs 163 beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage barely changes from weekdays, so that shortfall isn't a weekend problem; it's constant. Turnover is the one bright spot at 30.2%, well below the 45.8% national figure, which suggests some stability in the workforce even if there aren't enough hands. The inspection record is the bigger concern: 62 deficiencies, including one at harm or jeopardy level and three abuse-related, with a $56,440 fine and a survey as recent as May 2025.