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

Nurse hours

3.38 /day

Staff turnover

43%

Serious cites

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Dunmore Health Care Center runs 92 beds under corporate ownership, and its staffing numbers are the main thing to know: 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends dipping about 9% below its own weekdays. The current inspection record shows 33 deficiencies, including one at the harm level and three related to abuse, plus a $12,048 fine. Turnover sits at 43%, slightly better than the 45.8% national figure, and the most recent inspection was in December 2025. Quality measures score well, but the staffing and inspection picture is what a family should weigh.

Nurse hours

3.33 /day

Staff turnover

36%

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Haida Nursing and Rehab runs 98 certified beds in Hastings under for-profit LLC ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, with weekends dipping about 5% below its own weekday levels. Turnover is 35.8%, which is actually better than the 45.8% national figure, so the problem here isn't retention so much as how thin the floor gets. The inspection record is where things get serious: 37 deficiencies on file, including two at harm or jeopardy level and three tied to abuse, plus a $32,711 fine. The most recent inspection was December 2025.

Nurse hours

3.49 /day

Staff turnover

58%

Serious cites

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Quality Life Services - Grove City runs 109 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.49 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Annual turnover of 58.3% is well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record shows 15 deficiencies, including one at the harm level and one abuse-related, with a single fine of $12,649. Its last inspection was November 2025, so the record is recent.

Nurse hours

3.60 /day

Staff turnover

22%

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Mid-Valley runs a tight ship on retention: 22.2% annual turnover is less than half the national rate, which means the aides and nurses here tend to stay. That matters more than the raw staffing number, which at 3.60 hours per resident day sits about 7% under the national average and thins out further on weekends, dropping roughly 11% below its own weekday level. The inspection record is where the concern lives, 18 deficiencies, including 2 at the harm level and 1 tied to abuse, plus two fines totaling $77,272, with the most recent inspection in August 2025. For a 38-bed for-profit home, the stable workforce is the real asset; the harm-level findings are the real question to ask about.

Nurse hours

3.14 /day

Staff turnover

65%

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Kadima Rehabilitation & Nursing At Washington runs 74 certified beds under for-profit LLC ownership, and its last inspection on January 30, 2026 turned up plenty to worry about: 62 deficiencies on the current record, two of them at the harm or jeopardy level, plus eight tied to abuse. Nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average, and weekends run about 6% thinner than weekdays, an important detail if your family visits mainly on Saturdays and Sundays. Annual turnover of 64.8% means most of the aides and nurses caring for residents are relatively new, compared with a 45.8% national rate. The 5/5 quality measure score stands out against all this, but quality measures are self-reported, and the staffing and inspection ratings both sit at 1/5. One fine totaling $20,914 is on record.

Nurse hours

3.68 /day

Staff turnover

49%

Serious cites

0

Springfield Rehabilitation and Healthcare Center runs 100 beds as a for-profit limited liability company, and the numbers suggest a building stretched thin. Nurse staffing sits at 3.68 hours per resident day against a national average of 3.86, and weekends drop roughly 10% below what the home staffs on weekdays, so the coverage gap lands exactly when families tend to visit. Staff turnover is 49%, higher than the 45.8% national figure, meaning nearly half the people caring for residents leave within a year. The inspection record carries 52 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $20,010 in fines across two penalties. The most recent inspection was April 2, 2026.

Nurse hours

3.21 /day

Staff turnover

47%

Serious cites

0

Royal Of Westerly runs about 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and weekends drop another 14% below its own weekday staffing. Turnover sits at 46.9%, right about where the national rate is, so that's not the story here, the thin weekday coverage is. The 4/5 inspection rating looks strong, but 19 deficiencies sit on the current record, one of them serious enough to reach harm or jeopardy level, with a single fine of $8,647. Last inspection was February 2026. For a 66-bed for-profit partnership, the pattern is decent state survey results propped up by staffing hours that trail what most homes deliver.

Nurse hours

3.16 /day

Staff turnover

42%

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Apple Rehab Clipper runs 60 beds in Westerly, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekends dipping about 8% below its own weekday coverage. Turnover runs 42%, a touch better than the 45.8% national figure, but the inspection record carries 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse, along with two fines totaling $238,831. The most recent inspection was in May 2025. Corporate-owned and for-profit, the home earns mid-range marks on health inspections and quality measures, while its staffing score is comparatively stronger despite the below-average hours.

Nurse hours

3.07 /day

Staff turnover

65%

Serious cites

0

Fleetwood Post Acute runs about 3.07 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekend coverage dips another 9% below its own weekday pace. That thin staffing shows up in the numbers that matter: 64.9% annual turnover against a national 45.8%, and a staffing rating of 2 out of 5. The inspection record carries 10 deficiencies, three at harm or jeopardy level and one tied to abuse, with two fines totaling $14,842 and a May 2025 inspection still recent. Ownership is for-profit, a limited liability company. The 4/5 quality measure score reflects resident care data, but staffing and inspections are where the risk sits.

Nurse hours

3.03 /day

Staff turnover

55%

Serious cites

0

Simpsonville Post Acute runs lean on nursing hours, about 3.03 per resident day against a national average near 3.86, and weekends drop roughly another 11% below its own weekday coverage. With 55.1% annual turnover, staff are cycling out faster than the national rate, which matters most on Saturdays and Sundays when fewer hands are already scheduled. The inspection record isn't clean either: seven deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $9,710 fine. That said, its last inspection was recent (January 2026) and CMS scored the health inspection and quality measures at four stars each. The weak spot is staffing, and it's a real one.

Nurse hours

3.24 /day

Staff turnover

61%

Serious cites

0

Powdersville Post-Acute runs about 3.24 nursing hours per resident each day, roughly 16% under the national average of 3.86, and weekends dip another 12% below its own weekday staffing. That thin coverage lines up with a 61.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses caring for your relative are frequently new to the building. The health inspection record is mixed: 11 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $7,496, and the most recent inspection was in August 2025. Ownership is a for-profit limited liability company. Quality measures score well, but staffing is where the numbers get tight.

Nurse hours

3.45 /day

Staff turnover

56%

Serious cites

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Piedmont Post-Acute runs about 3.45 nursing hours per resident day, roughly 11% under the national average, and weekends dip another 15% below its own weekday staffing. That thinner coverage matters more here because 55.6% of staff turned over in the last year, well above the national 45.8%. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm, and fined the home $8,018; the most recent inspection was April 2026. The quality star rating looks strong at 4/5, but it sits alongside 2/5 marks for both staffing and health inspections. For-profit LLC ownership rounds out the picture.

Nurse hours

3.49 /day

Staff turnover

52%

Serious cites

0

Westwood runs about 3.49 nurse staffing hours per resident day, roughly 9% under the national average of 3.86, and weekends drop another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.1%, higher than the 45.8% national figure, which matters because unfamiliar caregivers mean less continuity for residents with dementia or complex needs. The inspection record is current (May 2025) and the health inspection rating is decent, but five deficiencies include one at the harm level and two tied to abuse, plus a $9,620 fine.

Nurse hours

3.11 /day

Staff turnover

—

Serious cites

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The Arbors runs 110 certified beds in Rusk under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip even further, about 22% under the home's own weekday coverage, so the quietest days are also the thinnest. Inspections are a different story: a 4-out-of-5 health inspection rating and a clean record on harm-level deficiencies, though 23 total deficiencies and one abuse-related finding still sit on the current file. The last survey was January 14, 2026, so the picture is recent. Quality measures land mid-range at 3, and staffing earns just 1 star.

Nurse hours

3.12 /day

Staff turnover

—

Serious cites

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El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.

Nurse hours

3.24 /day

Staff turnover

13%

Serious cites

0

Avir At Carthage runs a lean nursing floor: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. The 12.9% turnover rate is genuinely low next to the 45.8% national figure, which suggests a stable core of caregivers even if there aren't enough of them. What weighs heaviest is the inspection record, 45 deficiencies, five at harm or jeopardy level and four tied to abuse, with $66,731 in fines across three penalties. The most recent inspection was September 17, 2025.

Nurse hours

2.92 /day

Staff turnover

52%

Serious cites

0

The Renaissance at Kessler Park runs 135 beds under corporate for-profit ownership, and its biggest problem shows up in the staffing numbers. At 2.92 nurse hours per resident day, it sits about 24% under the national average of 3.86, and the federal staffing rating comes in at just 1 out of 5. Weekend coverage dips slightly below weekday levels, and annual turnover of 51.6% runs above the national 45.8%, so the people caring for residents keep changing. Inspections look stronger on paper, a recent December 2025 survey and solid marks on health inspections and quality measures, but the record shows 30 deficiencies, including one at the harm level and two tied to abuse, plus an $11,031 fine.

Nurse hours

7.10 /day

Staff turnover

48%

Serious cites

0

Neurorestorative runs 64 certified beds in Riverton under corporate ownership, and its staffing numbers cut both ways. Raw nurse coverage of 7.10 hours per resident day sits well above the national figure, but weekends drop roughly 10% below the home's own weekday level, and CMS scored staffing just 2 out of 5. Annual turnover of 48.4% edges past the national average. The quality measure score is a perfect 5, yet the inspection record tells a harder story: 17 deficiencies, four at harm or jeopardy level and four tied to abuse, plus three fines totaling $97,796. The most recent inspection was November 2024. Strong quality metrics and heavy direct care hours coexist here with serious regulatory findings, worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

58%

Serious cites

0

Oakwood Health And Rehab Center runs 111 certified beds in Bedford under corporate for-profit ownership, and the staffing numbers are where the trouble starts. Nurses give residents 3.28 hours of care per day, roughly 15% under the national average, weekends drop about 7% below the home's own weekday hours, and more than half the staff turned over last year against a national rate nearer 46%. Its current inspection record carries 41 deficiencies, including 4 at the harm or jeopardy level and 3 tied to abuse; two fines total $15,593, and the most recent inspection dates to July 2023. Resident outcome measures score well, but consistent staffing and a clean inspection history are what keep people safe day to day.

Nurse hours

3.11 /day

Staff turnover

57%

Serious cites

0

Bay Pointe runs lean on nurses. At 3.11 hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly another 15% below its own weekday levels. That staffing picture earned a 1 out of 5 from CMS, and 56.8% of staff left over the past year versus 45.8% nationally. Its quality measure score looks strong at 5 out of 5, which is worth noting, but the current record shows 51 deficiencies, including one at the harm level and two tied to abuse. The last inspection was August 2023, so that record is getting stale. The for-profit LLC ownership adds another layer to weigh.