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

Nurse hours

4.97 /day

Staff turnover

19%

Serious cites

0

Addolorata Villa sits in Wheeling with 86 certified beds and a church-affiliated nonprofit owner. Staffing is the standout number: 4.97 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping only about 10% below weekdays and turnover at 19% against a national 45.8%. That kind of retention usually means consistent caregivers who know the residents. The inspection record is where it gets harder to read. Twenty-five deficiencies are on file, including eight at the harm or jeopardy level and six tied to abuse, plus five fines totaling $161,411. The most recent inspection was January 2026. Strong staffing, real quality marks, but a citation history a family should ask about directly.

Nurse hours

3.96 /day

Staff turnover

24%

Serious cites

0

Northwest Manor is county-owned, which is unusual in this business, and it shows in the workforce: only 24.2% of staff left last year, well under the national rate of 45.8%. Nurse staffing sits at 3.96 hours per resident day, running slightly above the national average, though weekends dip about 14% below the home's own weekday coverage. The tradeoff is on inspections. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and the health inspection rating is 2 out of 5. Quality measures score 5 out of 5, and the last inspection was May 13, 2026. Stable staff, respectable daily coverage, but a survey history worth asking about directly.

Nurse hours

5.47 /day

Staff turnover

39%

Serious cites

0

Westminster Village runs one of the better staffing operations you'll find in Indiana, 5.47 nurse hours per resident day, well above the national average, and weekend coverage only dips about 6% below weekdays, which matters because that's where a lot of homes cut corners. Turnover sits at 39.3%, better than the national rate. The trouble is the inspection record: 15 deficiencies, one serious enough to cause harm, and a $72,545 fine. A recent January 2026 inspection means that record is fresh, not stale. Strong hands-on care, but a survey history that suggests problems with how care gets delivered and documented. Worth asking the administrator directly about that harm-level finding before you decide.

Nurse hours

3.96 /day

Staff turnover

28%

Serious cites

0

Good Samaritan in Oakland City runs on a nonprofit model with 103 certified beds, and the staffing picture is genuinely solid, 3.96 nurse hours per resident day puts it modestly above the national average of 3.86. Weekend coverage dips about 12% from weekday levels, which is common but worth knowing if you're visiting on a Saturday. What stands out most is retention: 27.5% annual turnover against a national average of 45.8% suggests people stay here, and that continuity matters for residents who need consistent caregivers. Nine deficiencies on record with none at harm or jeopardy level and none abuse-related, plus a recent March 2026 inspection, is a relatively clean sheet. The quality measure score of 5/5 reinforces that the clinical outcomes are tracking well.

Nurse hours

4.59 /day

Staff turnover

23%

Serious cites

0

Ridgewood Health Campus runs on 4.59 nurse hours per resident per day, roughly 19% more than the national average, and its weekend staffing stays within about 4% of weekday levels, a gap that tends to widen at homes with thinner coverage. Staff turnover sits at 23.2%, about half the national rate, which matters because consistent caregivers learn residents' routines. The tradeoff shows up in inspections: 16 deficiencies on the current record, though none at the harm level and none abuse-related, with the most recent inspection in July 2025. The quality measure rating is strong, staffing solid, inspection record middling. Corporate-owned and for-profit, 71 beds.

Nurse hours

3.60 /day

Staff turnover

27%

Serious cites

0

Manly Specialty Care runs a nonprofit home with 44 certified beds, and the staffing picture is mixed. Nurses provide 3.60 hours per resident day, roughly 7% under the national average of 3.86, and weekends dip about 8% below the home's own weekday coverage. Retention is a genuine strength: 27% turnover against a national 45.8%. Where the record gets concerning is inspections, a 2-out-of-5 health inspection rating, 21 deficiencies on file including one at the harm level and four tied to abuse, plus a $13,627 fine. The most recent inspection was March 5, 2026. Steady caregivers matter, but the enforcement history is what a family should ask about directly.

Nurse hours

3.62 /day

Staff turnover

25%

Serious cites

0

Lake Mills Care Center runs 61 certified beds under corporate ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25% annually against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows six deficiencies, one serious enough to involve harm or jeopardy, with nothing abuse-related; the last survey was April 2026. Quality measures score well, but staffing and health inspection results both land mid-range, which is what holds this home back from the top tier.

Nurse hours

4.00 /day

Staff turnover

28%

Serious cites

0

Westview Of Indianola runs about 4.00 nurse hours per resident day, a bit above the national average, and weekend coverage dips roughly 7% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 27.8%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record is clean: zero deficiencies, none at the harm level, none abuse-related, with the last visit in December 2025. It's a for-profit LLC with 71 beds, and on the federal stars it earns fives for inspections and quality measures, four for staffing.

Nurse hours

4.26 /day

Staff turnover

40%

Serious cites

0

Halcyon House sits in Washington, Iowa, with 54 certified beds and a nonprofit owner. The staffing numbers are strong, 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 11% below weekdays. Turnover runs 40%, better than the 45.8% national figure, and CMS gives top marks for staffing and quality measures. The tension is in inspections: a 2/5 health inspection rating, five deficiencies on record, one serious enough to reach harm or jeopardy level. No abuse citations. The most recent inspection was March 2026. Good hands on deck, but the survey history is where the concern lives.

Nurse hours

3.96 /day

Staff turnover

33%

Serious cites

0

Heritage House runs a nonprofit operation with 61 beds in Atlantic, and the staffing numbers are the first thing worth noticing. At 3.96 nurse hours per resident day, it sits just above the national average, and weekend coverage dips about 11% below its own weekday level, a gap families should ask about directly. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for whether your parent sees the same faces week to week. The inspection record shows 11 deficiencies, none involving harm or abuse, with the most recent state visit in September 2025. Ownership is nonprofit, which often means steadier budgets and less pressure to trim direct care hours.

Nurse hours

4.52 /day

Staff turnover

40%

Serious cites

0

Lexington Park runs on 4.52 nurse hours per resident per day, about 17% above the national average, and weekend staffing dips only around 8% below its own weekday level, a modest drop, though it's worth asking how coverage holds up on Sundays. Turnover sits at 39.5%, better than the 45.8% national figure but still meaning roughly two in five caregivers leaving in a year, which matters for how well staff know residents. The inspection record is the strongest signal here: a 5/5 health inspection rating with just 8 deficiencies on file, none at the harm level and none abuse-related, from an inspection dated April 2026. Corporate-owned and for-profit, but the numbers back it up.

Nurse hours

4.05 /day

Staff turnover

27%

Serious cites

0

Arkansas City Presbyterian Manor runs on a nonprofit model with 60 certified beds, and the staffing numbers tell a steady story: 4.05 nurse hours per resident day, roughly 5% above the national average. Weekend coverage dips about 11% below its own weekday level, which is common but worth knowing if you're planning visits. Annual turnover sits at 26.8%, well under the national 45.8%, so the people caring for residents tend to stay. The current record shows seven deficiencies, none at the harm level and none abuse-related, with an inspection as recent as August 2025.

Nurse hours

3.78 /day

Staff turnover

43%

Serious cites

0

Quaker Hill Manor runs 53 certified beds in Baxter Springs under for-profit LLC ownership, and the numbers behind its grade are mostly steady. Nurse staffing sits at 3.78 hours per resident day, a hair under the national 3.86, and weekends dip about 11% below its own weekday levels, worth asking about if your family visits Saturdays and Sundays. The 42.9% annual turnover is actually slightly better than the national 45.8%. On inspections, a December 2025 visit is recent, and its 20 deficiencies include none at the harm or jeopardy level and none abuse-related, which matters more than the raw count. All three CMS star ratings, health inspection, quality measures, and staffing, land at 4 out of 5.

Nurse hours

4.70 /day

Staff turnover

36%

Serious cites

0

Christwood runs a small 30-bed nonprofit home in Covington, and the staffing picture is the strongest part of it: 4.70 nurse hours per resident day, about 22% above the national average, with weekend coverage dipping roughly 12% below its own weekday level. Turnover sits at 35.7%, notably under the 45.8% national figure, which matters for consistency of care. Inspections are recent, from late January 2026, and the record shows 8 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The quality measure score is the softer spot at 3 out of 5, so ask what specific measures are pulling that down.

Nurse hours

3.79 /day

Staff turnover

35%

Serious cites

0

Springbrook Center runs 123 certified beds in Westbrook under corporate for-profit ownership, and its record splits sharply depending on where you look. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average of 3.86, and weekend coverage drops about 8% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 34.5%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stick around longer than at the typical home. The inspection side is the real concern: a 1-out-of-5 health inspection rating, 30 deficiencies on the current record, including 2 at the harm or jeopardy level and 1 abuse-related, plus $17,388 in fines across two penalties. The last inspection was July 19, 2024. Strong quality measure scores and stable staffing don't erase that history.

Nurse hours

3.60 /day

Staff turnover

30%

Serious cites

0

Waldorf Center runs 115 certified beds under corporate ownership, and its staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so if you're visiting or calling on a Saturday or Sunday, expect a thinner floor. The good news is retention: 29.9% turnover against a national 45.8% means caregivers here tend to stay, which matters more than a single staffing snapshot. Inspections turned up 42 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last survey was January 2026. Quality measures score well; the tradeoff is consistent coverage rather than standout numbers.

Nurse hours

3.69 /day

Staff turnover

35%

Serious cites

0

Agawam East Rehab and Nursing runs 123 certified beds under for-profit LLC ownership, and its staffing sits at 3.69 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 10% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the genuine bright spot: 34.9% against a national 45.8%, which matters because consistent caregivers tend to know residents' routines. On inspections, the home holds a 4/5 health inspection rating and a 5/5 quality measure rating, with 17 deficiencies on record, none at harm or jeopardy level, though two are abuse-related. The last inspection was March 2026, so the record is recent.

Nurse hours

3.90 /day

Staff turnover

22%

Serious cites

0

Holt Senior Care and Rehab Center runs 101 certified beds under for-profit LLC ownership, and the staffing picture is steadier than most. Nurse coverage sits at 3.90 hours per resident day, just above the national average, and weekend staffing dips only about 9% below weekdays, a smaller drop than many homes show. Annual turnover of 21.8% is less than half the national rate of 45.8%, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in the inspection record: 16 deficiencies, one serious enough to involve harm or jeopardy. State surveyors last visited in April 2026, so that record is recent, not stale.

Nurse hours

3.30 /day

Staff turnover

24%

Serious cites

0

St. Joseph's runs 169 beds in Hamtramck under corporate for-profit ownership, and its strongest card is stability: staff turnover sits at 23.8 percent, roughly half the national average, so the people caring for residents tend to stick around. Inspections back that up, a recent March 2026 survey, 15 deficiencies on record with none at the harm level and none abuse-related. The tradeoff is raw staffing volume: 3.30 nurse hours per resident day lands about 14 percent under the national figure, and weekends dip another 8 percent below the home's own weekday coverage. Quality measures score well, but the daily hours are thinner than average, and that gap is where families should focus their questions.

Nurse hours

4.01 /day

Staff turnover

30%

Serious cites

0

Shady Lawn runs a hundred beds in Vicksburg under corporate ownership, and the numbers here mostly hold up. Nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average, and the five-star staffing rating backs that up, though weekend coverage dips about 11% below what the home manages on weekdays. Staff turnover is the standout: 29.6% against a national average near 46%, which suggests people actually stay. The inspection record is clean where it matters most, five deficiencies total with none at harm level and nothing abuse-related, and the most recent survey was in March 2026. Quality measures come in at three stars, softer than everything else.