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

Nurse hours

3.51 /day

Staff turnover

48%

Serious cites

0

Lewiston Transitional Care of Cascadia runs 96 beds under for-profit LLC ownership, and its staffing is the number to look at first. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 48.1%, a bit above the national 45.8%, which means the aides and nurses cycling through are still learning residents' routines. The good news: state inspectors were last in on August 21, 2025, and found 20 deficiencies, none at harm or jeopardy level and none abuse-related.

Nurse hours

3.78 /day

Staff turnover

38%

Serious cites

0

Allure of Mendota runs 85 beds under a for-profit limited liability company, and its nurse staffing sits at 3.78 hours per resident day, just under the national average of 3.86. Weekends dip about 4% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 37.5%, better than the 45.8% national figure, which matters for consistency of care. But the inspection record is the real story: 23 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $28,669 in fines across two events. The most recent inspection was November 2024. Good staffing numbers don't cancel out four serious findings.

Nurse hours

3.18 /day

Staff turnover

37%

Serious cites

0

Thryve of Burbank runs about 3.18 nursing hours per resident per day, roughly 18% under the national average, and weekends dip another 14% below its own weekdays, so coverage thins out exactly when families tend to visit. Turnover sits at 37.1%, better than the 45.8% national figure, which means the staff who are there tend to stay. The current inspection record is the heavier concern: 51 deficiencies, eight at harm or jeopardy level, one tied to abuse, and $54,208 in fines across three penalties, with the last inspection in August 2024. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.

Nurse hours

3.20 /day

Staff turnover

32%

Serious cites

0

Citadel Of Sterling runs 121 certified beds under corporate for-profit ownership, and nurse staffing sits at 3.20 hours per resident day, roughly 17% below the national average of 3.86. Weekends dip about 5% below its own weekday numbers, so coverage is thinnest when families tend to visit. Turnover is 31.8%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is the harder read: 25 deficiencies, two at harm or jeopardy level and three abuse-related, plus one fine of $11,213. A May 2025 inspection is recent enough to be current. Low staffing and that deficiency count together explain the weak marks.

Nurse hours

3.27 /day

Staff turnover

34%

Serious cites

0

Elevate Care Riverwoods runs 240 beds as a for-profit LLC, and the number that should stop you is 3.27 nurse hours per resident day, roughly 15% under the national average, with weekends dipping about 9% below its own weekday staffing. That thin coverage sits alongside 30 deficiencies, seven of them serious enough to involve harm or jeopardy and five tied to abuse, plus $152,185 in fines across five penalties. The one genuine bright spot is staff turnover at 33.6%, better than the 45.8% national average, but low turnover can't offset a floor that's simply understaffed. The most recent inspection was August 2025, so the record is current.

Nurse hours

2.90 /day

Staff turnover

41%

Serious cites

0

Norridge Gardens runs 292 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 40.6% is actually a bit better than the 45.8% national figure, which matters less than it sounds given the low base of hours. The current record shows 56 deficiencies, five serious enough to involve harm or jeopardy, plus $15,836 in fines; the most recent inspection was December 2024.

Nurse hours

2.87 /day

Staff turnover

38%

Serious cites

0

Bridgeway Senior Living runs 226 beds in Bensenville under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 2.87 nurse hours per resident day, it sits about 26 percent under the national average of 3.86, and weekend coverage drops roughly 11 percent below its own weekday level. Turnover at 38 percent is actually better than the national 45.8 percent, so the problem isn't retention so much as how few hours each resident gets. Inspections tell a similar story: a 2 out of 5 health inspection rating, 53 deficiencies on the current record, four of them at harm or jeopardy level, and two fines totaling $40,798. The last inspection was December 13, 2024.

Nurse hours

2.95 /day

Staff turnover

49%

Serious cites

0

Beecher Manor runs 128 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average of 3.86. That thin coverage thins further on weekends, which run about 11% below the home's own weekday level, and annual turnover of 48.5% tops the national 45.8%. Its current record carries 38 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $15,935; the last inspection was August 30, 2024. CMS rates the staffing domain 1 out of 5 while quality measures score 4, a split worth asking about directly.

Nurse hours

3.69 /day

Staff turnover

52%

Serious cites

0

Avantara Palos Heights runs 184 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing: 3.69 nurse hours per resident day sits about 4% under the national average, with weekends running roughly 3% thinner than weekdays. Staff turnover is 52.3%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 42 deficiencies, three at harm or jeopardy level and one abuse-related, plus $22,645 in fines across two penalties; the most recent inspection was in September 2025. CMS rates staffing and health inspections at 2 out of 5 stars each, with quality measures at 3.

Nurse hours

3.11 /day

Staff turnover

36%

Serious cites

0

Thryve of South Holland runs 216 beds under for-profit LLC ownership in Cook County, and its nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 12% below its own weekday levels, so coverage thins exactly when families tend to visit. The current inspection record carries 40 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $45,650; the last inspection was August 2025. Turnover at 36.3% does beat the national 45.8%, but that's the one bright spot against thin hours and a serious deficiency history. Ask about weekend nurse coverage and the abuse-related findings before deciding.

Nurse hours

3.12 /day

Staff turnover

26%

Serious cites

0

Elevate Care Niles runs 302 beds in Cook County under for-profit LLC ownership, and its staffing sits at 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 12% below its own weekday levels, so coverage thins exactly when families tend to visit. The inspection record carries 41 deficiencies, nine at harm or jeopardy level and one abuse-related, plus $109,216 in fines; the most recent inspection was November 21, 2025. Turnover of 26.3% is genuinely better than the 45.8% national figure, which matters for continuity of care. But the state survey findings and thin daily staffing are the numbers worth weighing hardest if you're deciding.

Nurse hours

3.65 /day

Staff turnover

39%

Serious cites

0

Bella Terra Schaumburg is a 214-bed for-profit home in Cook County, and the staffing numbers are where I'd start. It runs 3.65 nurse hours per resident day, about 5% under the national average of 3.86, and weekends dip roughly 4% below its own weekday staffing, which matters if your family visits on Saturdays. Turnover sits at 39.2%, better than the national 45.8%. The inspection history is the harder part: 37 deficiencies on the current record, three at harm or jeopardy level and two abuse-related, plus $96,025 in fines across three penalties. The most recent inspection was January 15, 2026.

Nurse hours

3.65 /day

Staff turnover

40%

Serious cites

0

Aliya Of Homewood runs 132 beds in Cook County under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, with weekends dipping roughly 3% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover of 40.2% is better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is the inspection side: 27 deficiencies, six of them serious enough to risk harm or jeopardy, one tied to abuse, and $123,708 in fines across three penalties. The most recent inspection was November 2024, so the picture is current. Quality measures look decent; the direct-care and compliance numbers are where the concerns sit.

Nurse hours

3.23 /day

Staff turnover

36%

Serious cites

0

Bella Terra Wheeling runs 215 beds under corporate ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips a couple points below its own weekday levels. Turnover is 36%, which is actually better than the 45.8% national figure, so the problem isn't retention so much as how thin the daily hours are. On inspections, the home scores well, with a recent March 2025 survey and no recent citation history suggesting chaos. But the record shows 22 deficiencies, four at harm or jeopardy level and three tied to abuse, plus two fines totaling $28,054. Strong surveys and weak staffing don't cancel out.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

Eldorado Rehab runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekend coverage dips further below its own weekday level. Staff turnover is the better number here: 36.2% against a national 45.8%. The 28 deficiencies on record include none flagged at harm or jeopardy level, though two are abuse-related. A 4/5 inspection rating and an April 2025 survey suggest the state's findings have stayed manageable, but a 1/5 quality measure score points to clinical outcomes that don't track with that inspection picture. For-profit LLC ownership. Ask about weekend nurse coverage and what those quality measures reflect.

Nurse hours

3.26 /day

Staff turnover

46%

Serious cites

0

Beardstown Health & Rehab Center runs on thinner staffing than most homes its size. At 3.26 nurse hours per resident day, it sits about 16 percent under the national average, and weekends drop roughly another 10 percent below its own weekday level, the shifts when families often visit and problems tend to surface. Turnover is 46.2 percent, essentially matching the national rate. What keeps this home's record from being worse is its inspections: a 5-star health inspection rating and a recent survey from May 2024. But that same record carries 14 deficiencies, including one at the harm level and three tied to abuse. A for-profit LLC with a 1-star staffing rating and that abuse history is worth a close look before you decide.

Nurse hours

3.42 /day

Staff turnover

43%

Serious cites

0

Taylorville Skld Nur & Rehab runs 96 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.42 nurse hours per resident day, about 11% under the national average of 3.86, with weekends dropping roughly 15% below the home's own weekday coverage. Turnover sits at 43.1%, a touch better than the 45.8% national figure, so the problem is less about people leaving than about how few hours remain on the schedule. Inspections are a different story, a 4/5 health inspection rating and a January 2025 visit, though the record still carries 18 deficiencies, one at harm or jeopardy level, plus $5,269 in fines across two penalties.

Nurse hours

3.87 /day

Staff turnover

34%

Serious cites

0

Manor Court of Freeport is a 117-bed nonprofit home, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. That headline number hides a drop on weekends, when coverage runs about 12% below its own weekday level, and turnover, while better than the 45.8% national figure at 33.9%, still means roughly a third of staff leave each year. The inspection record is where the trouble concentrates: 50 deficiencies on file, 10 serious enough to involve harm or jeopardy, 2 tied to abuse, and six fines totaling $124,105. State surveyors were last in on November 25, 2025, so that record is current.

Nurse hours

2.94 /day

Staff turnover

42%

Serious cites

0

Mercer Manor runs lean on nursing hours: 2.94 per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday coverage. That thin schedule is the main reason its staffing rating sits at 2 out of 5. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $137,996. The last inspection was January 22, 2026, so the picture is current. What complicates the story is turnover: 41.7%, slightly better than the 45.8% national average, suggesting workers do stay longer here than elsewhere even with fewer hours on the floor. Quality measures score 5 out of 5, which means charted outcomes look good despite the light staffing.

Nurse hours

3.40 /day

Staff turnover

54%

Serious cites

0

Stonebridge runs 80 certified beds in Benton under corporate for-profit ownership, and its staffing sits at 3.40 nurse hours per resident per day, roughly 12% under the national average of 3.86. Weekend coverage holds steady against weekdays, so the shortfall isn't a weekend problem; it's the baseline. Annual turnover of 54% tops the national 45.8% figure, meaning a good share of the people providing that care are new to the building. The inspection side looks better: a 4-out-of-5 health inspection rating, seven deficiencies on record with none at the harm level and none abuse-related, and the most recent survey done in December 2025. Quality measures are where it slips, at 1 out of 5, the kind of split that usually means the home passes its surveys but struggles to hit clinical targets.