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

Nurse hours

2.77 /day

Staff turnover

63%

Serious cites

0

Heritage Health Care Center runs on 2.77 nurse hours per resident day, about 28% under the national average, and weekends drop roughly another 9% below its own weekday levels. That thin coverage shows up in the federal staffing rating, which sits at the lowest tier, and in turnover: 62.5% of staff leaving annually against a national 45.8%, meaning the aides and nurses caring for your family member are often new to the building. The current record carries 38 deficiencies, including one at the harm or jeopardy level and four abuse-related. Its last inspection was November 2023, so the picture is also getting dated.

Nurse hours

3.85 /day

Staff turnover

55%

Serious cites

0

Altercare of Alliance sits right at the national average for total nurse staffing, 3.85 hours per resident day against 3.86, but that average hides a problem: weekends run about 14% leaner than weekdays, so the coverage your family sees on a Saturday looks different from a Tuesday. Staff turnover is 55.4%, well above the 45.8% national figure, and CMS gives it just 1 out of 5 stars for staffing. The 26 deficiencies on record include two abuse-related citations, though none reached harm or jeopardy level, and the most recent inspection was in April 2025. Quality measures score 5 out of 5, which suggests the clinical care itself tracks well even where workforce stability doesn't.

Nurse hours

3.60 /day

Staff turnover

41%

Serious cites

0

Newark Nursing & Rehab runs 145 beds under for-profit LLC ownership, and its health inspection record is the weak spot: 59 deficiencies on file, including one at the harm or jeopardy level, with a 1-out-of-5 inspection rating from CMS. Staffing sits at 3.60 nurse hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover is 40.6%, slightly better than the 45.8% national figure, and the quality measure rating is 5 out of 5. That split matters: the day-to-day care measures look strong, but the inspection history and thin staffing say the building has struggled to meet federal standards.

Nurse hours

3.54 /day

Staff turnover

59%

Serious cites

0

Ayden Healthcare Of Oregon runs 99 certified beds in Lucas County under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.54 nurse hours per resident day, it sits about 8 percent under the national average, with weekends dipping roughly 12 percent below its own weekday levels. Annual turnover of 59.2 percent runs well above the 45.8 percent national figure. A one-star inspection rating and 48 deficiencies on record, none at harm or jeopardy level, none abuse-related, tell you the problems are chronic paperwork and process issues rather than acute danger. The five-star quality measure rating and a recent May 2024 inspection complicate the picture, suggesting clinical outcomes look better than the staffing and compliance record would predict.

Nurse hours

3.43 /day

Staff turnover

56%

Serious cites

0

Sycamore Trails runs on thinner nurse coverage than most homes, about 3.43 hours per resident per day against a national average near 3.86, and weekends drop roughly 14% below its own weekday level, which matters when aides call off and families visit. Staff turnover sits at 56.2%, well above the 45.8% norm, so the people caring for your relative are often the newest hires. The 50 deficiencies on record, two at harm or jeopardy level and one tied to abuse, are the part I'd ask about directly. The five-star quality score reflects reported clinical measures, but those numbers depend on consistent staff charting them accurately.

Nurse hours

2.89 /day

Staff turnover

28%

Serious cites

0

Foundation Park runs on 2.89 nurse hours per resident day, roughly a quarter below the national average, and weekends dip another 7% under its own weekday level, so care thins out exactly when families tend to visit. The inspection record is the real weight here: 55 deficiencies, three of them at harm or jeopardy level and five tied to abuse, plus two fines totaling $32,025. One genuinely good sign is turnover at 28.2%, well under the 45.8% national figure, which suggests a steadier crew than most. But a for-profit LLC with a one-star health inspection rating and that deficiency count carries real risk, whatever the quality measures say.

Nurse hours

4.61 /day

Staff turnover

68%

Serious cites

0

Grande Oaks runs on thin margins where it counts. The for-profit LLC keeps nurse staffing at 4.61 hours per resident day, roughly 19% above the national average, but weekend coverage dips about 9% below its own weekday level, and turnover sits at 68.1% against a 45.8% national figure. That churn shows up in the inspection record: 90 deficiencies, five at harm or jeopardy level, four tied to abuse, and a 1-out-of-5 health inspection rating. CMS has fined the home once, for $17,020. The 5/5 quality measure score and recent April 2026 inspection don't cancel out a staffing rating of 1/5 or four abuse findings. Families should ask directly how those abuse citations were resolved and who's actually on the floor on weekends.

Nurse hours

3.10 /day

Staff turnover

55%

Serious cites

0

Aventura At Carriage Inn runs about 3.10 nurse staffing hours per resident day, roughly 20 percent under the national average, and weekend coverage dips another 10 percent below its own weekday level. Annual turnover sits at 55.4 percent against a national 45.8 percent, so the people caring for residents are changing fairly often. The inspection history is mixed: 46 deficiencies on the current record, none flagged at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well, but staffing and health inspection results land at 2 out of 5 stars each. Corporate for-profit ownership, 85 beds.

Nurse hours

3.12 /day

Staff turnover

69%

Serious cites

0

Meadowbrook Manor runs on thin staffing. At 3.12 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. That strain shows in the numbers: 68.6% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The inspection record carries 22 deficiencies, including five tied to abuse and one at the harm or jeopardy level, with a $24,850 fine. A recent May 2025 inspection is a point in its favor, though the two-star health inspection rating suggests persistent problems rather than a one-time lapse.

Nurse hours

3.22 /day

Staff turnover

70%

Serious cites

0

Edgewood Manor Of Wellston gets high marks on inspections and quality measures, but the staffing numbers tell a different story. Nurses provide 3.22 hours per resident day, about 17% below the national average of 3.86, and weekends run roughly 15% thinner than weekdays, so the coverage gaps land exactly when families tend to visit. Annual turnover sits at 70% against a national 45.8%, meaning the people caring for your relative are likely to change often. There are 17 deficiencies on file, two of them at the harm level and one abuse-related, plus an $18,655 fine. Ownership is for-profit corporate.

Nurse hours

3.18 /day

Staff turnover

62%

Serious cites

0

Nurse staffing at Huntington Woods runs 3.18 hours per resident day, about 18% under the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Annual turnover sits at 61.6% against a national 45.8%, so more than half the nursing staff leaves each year, the kind of churn that makes consistent care hard to hold onto. The inspection record itself is strong: a 5/5 health inspection rating, 5/5 on quality measures, six deficiencies with none at harm or jeopardy level, and a January 2024 inspection that's still recent. One abuse-related deficiency appears on the record. The gap is straightforward, good survey results and quality scores, carried by thin and unstable staffing.

Nurse hours

3.97 /day

Staff turnover

54%

Serious cites

0

Austin Trace runs above the national average on total nurse staffing, about 3.97 hours per resident day, but that headline number hides the pattern: weekends drop roughly 14% below the home's own weekday levels, so the coverage your family member gets on a Saturday looks different from a Tuesday. Annual turnover sits at 54.1%, nearly nine points above the national average, which means a good share of the people providing care are still learning the building. Fourteen deficiencies are on the current record, one tied to abuse and none at the harm level, and the last inspection was October 2024.

Nurse hours

3.76 /day

Staff turnover

59%

Serious cites

0

Leisure Village runs 117 certified beds in Tulsa under for-profit limited liability ownership, and the staffing numbers are where the story sits. Total nurse coverage comes in at 3.76 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 13% below what the building staffs during the week. Meanwhile, annual turnover hits 58.6% against a national 45.8%, which means nearly three in five caregivers are leaving each year. Inspections tell a similar story: 42 deficiencies on record, three tied to abuse, and the most recent state visit was August 2024. The health inspection rating lands at 2 out of 5 stars, staffing at 1, even as quality measures score 4.

Nurse hours

2.93 /day

Staff turnover

75%

Serious cites

0

Ballard Nursing Center runs lean on nursing hours, 2.93 per resident per day against a national average of 3.86, roughly a quarter below it. Weekend coverage holds about even with weekdays, so the shortfall isn't a weekend problem; it's every day. Staff turnover sits at 75% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The current inspection record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus a $12,740 fine; the most recent inspection was in August 2025. Ownership is for-profit and individual.

Nurse hours

3.70 /day

Staff turnover

50%

Serious cites

0

Betty Ann Nursing Center runs 60 beds in Grove, and the numbers are hard to dress up. Nurse staffing sits at 3.70 hours per resident day, under the national average, and weekends drop about 7% below what the home itself provides on weekdays, so coverage thins exactly when families tend to visit. Staff turnover hits 50%, well above the 45.8% national figure, and the current record carries 32 deficiencies, including one at the harm level and three tied to abuse. One fine of $44,429 is on file, with the last inspection in October 2024. All three CMS star ratings, health inspections, quality measures, staffing, sit at the lowest mark.

Nurse hours

3.49 /day

Staff turnover

46%

Serious cites

0

Heritage Pointe runs about 3.49 nursing hours per resident per day, roughly ten percent under the national average, and weekend coverage dips another eight percent below its own weekday staffing. That's the number that matters most when you're deciding, because it's the hours a nurse or aide actually has to spend with your mother on a Saturday. Turnover is 45.8%, which is exactly the national average, no better, no worse, but it means nearly half the staff turns over in a year. The good news: eight deficiencies on record with zero at the harm level and none abuse-related, and inspectors were there in November 2025. Ownership is a for-profit LLC.

Nurse hours

3.61 /day

Staff turnover

46%

Serious cites

0

Quality Life Services - Chicora runs 114 beds in Butler County under for-profit LLC ownership, and its record shows a persistent split between how it reports care and how it delivers it. The quality measure rating sits at 4 out of 5, yet the health inspection rating is 1 out of 5, with 67 deficiencies on file, two of them serious enough to involve harm or jeopardy, and eleven tied to abuse. Nurse staffing averages 3.61 hours per resident day, about 6% under the national figure, and weekends drop roughly 6% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. Turnover of 46.3% slightly exceeds the national rate, and one fine has totaled $91,936.

Nurse hours

3.57 /day

Staff turnover

58%

Serious cites

0

Edenbrook At Hampton runs 104 certified beds in Wilkes Barre under corporate for-profit ownership, and the staffing picture is thinner than average: 3.57 nurse hours per resident day against a national 3.86, with weekends dipping about 5% below its own weekday levels. Turnover sits at 58.3%, well above the 45.8% national figure, which matters because constant churn makes it harder for residents to see familiar faces. The inspection record shows 36 deficiencies, none rising to harm or jeopardy, though four are abuse-related. Its last full inspection was April 2026, so the record is current. Quality measures score 2 out of 5 stars, which is where families should look hardest before deciding.

Nurse hours

2.98 /day

Staff turnover

56%

Serious cites

0

Embassy Of Huntingdon Park runs 93 certified beds as a for-profit corporation, and its staff clearly don't stay long, turnover hits 55.7% a year against a national average of 45.8%, and CMS gives staffing just 1 out of 5 stars. The 35 deficiencies on record include two tied to abuse, though none rose to the harm or jeopardy level. Inspectors were last in on March 5, 2026, and that visit produced a 2-star health inspection rating. What keeps the overall picture from sinking further is the 5-star quality measure score, which reflects clinical outcomes rather than day-to-day care capacity. Read the staffing number first: it tells you more about daily life here than the quality measures do.

Nurse hours

3.45 /day

Staff turnover

44%

Serious cites

0

Quality Life Services - Sugar Creek runs 114 beds under for-profit LLC ownership, and the numbers to focus on are the inspection record and the direct-care hours. Nurse staffing sits at 3.45 hours per resident day against a national average of 3.86, roughly 11% below, and weekends drop about 8% under the home's own weekday level, so coverage thins out exactly when families tend to visit. The current inspection record carries 44 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, with two fines totaling $246,480 and a 1-out-of-5 health inspection rating. Staff turnover, at 43.6%, actually lands slightly under the national 45.8%.