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

Nurse hours

3.30 /day

Staff turnover

57%

Serious cites

0

The Waterview Pines runs on 3.30 nurse hours per resident day, about 15% under the national average, and weekend staffing drops roughly 11% below its own weekday level. That thin coverage shows up in the inspection record: 39 deficiencies, including two at the harm or jeopardy level and five tied to abuse, against a one-star health inspection rating. Staff turnover sits at 57.1%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar aides. It's a for-profit partnership with 83 beds, fined $10,036, last inspected January 15, 2026. The quality measure rating of three stars suggests some clinical metrics track better than the day-to-day staffing and safety picture.

Nurse hours

4.60 /day

Staff turnover

24%

Serious cites

0

The Emeralds At St Paul runs on a for-profit corporate model, and its nurse staffing sits at 4.60 hours per resident day, about 19% above the national average, with weekend coverage dipping roughly 8% below its own weekday levels. Annual turnover is 23.6%, well under the 45.8% national figure, so the same caregivers are largely sticking around. What pulls the record down is the inspection side: 62 deficiencies on file, 7 of them at harm or jeopardy level and 8 abuse-related, plus four fines totaling $138,736. The most recent inspection was July 30, 2025. Good staffing and a troubled survey history are both true here at once.

Nurse hours

3.23 /day

Staff turnover

81%

Serious cites

0

Glenoaks Senior Living Campus runs 52 certified beds in New London under corporate for-profit ownership, and the numbers deserve a close look before you visit. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends run about 11 percent thinner than weekdays, so care on a Saturday may look different than on a Tuesday. Staff turnover of 80.5 percent, against a national average near 46 percent, means the aides and nurses who know your family member are likely to change often. The health inspection record is the harder part: 47 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $29,822. The most recent inspection was in April 2025, so the record is current, not stale.

Nurse hours

3.32 /day

Staff turnover

64%

Serious cites

0

The Waterview Shores runs about 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage slips about 12% below its own weekday level. That thin staffing shows up against a 64.4% annual turnover rate, well above the 45.8% national figure, so the people caring for your relative are frequently new. Inspectors have cited 26 deficiencies, including 2 at the harm or jeopardy level and 1 abuse-related, and the single $334,488 fine on record is substantial for a 44-bed home. The most recent inspection was June 5, 2025. Quality measures score well, but the staffing and inspection records are where the real concerns sit.

Nurse hours

3.72 /day

Staff turnover

53%

Serious cites

0

Trend Health and Rehab of Natchez runs 80 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.72 nurse hours per resident day, slightly under the national average, with weekends about 14% thinner than weekdays. Staff turnover sits at 53%, well above the 45.8% national figure, which matters because residents see fewer familiar faces. The inspection record shows 23 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus two fines totaling $9,770. Quality measure scores sit at the bottom of CMS's scale. If you're weighing this one, ask directly how they cover weekends and what's changed since the April 2025 inspection.

Nurse hours

3.64 /day

Staff turnover

53%

Serious cites

0

Holly Springs Rehabilitation and Healthcare Center runs 120 certified beds under corporate ownership, and its inspection record is the first thing that stands out: 27 deficiencies on file, three of them serious enough to involve actual harm or jeopardy, plus one tied to abuse, and $23,078 in fines across three separate penalties. Staffing looks better on paper, 3.64 nurse hours per resident day, a touch under the national average of 3.86, but weekends drop about 11% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. That churn matters in a building where the last inspection was June 2025 and both the health inspection and quality measure ratings sit at one star out of five.

Nurse hours

4.32 /day

Staff turnover

64%

Serious cites

0

Great Oaks runs 4.32 nurse hours per resident day, about 12% above the national average of 3.86, but weekends drop roughly 12% below its own weekday level, and turnover sits at 64.3% against a national 45.8%. That churn matters more than the headline staffing number. The inspection record shows 22 deficiencies, including three tied to abuse and one at the harm level, with a single $8,788 fine and a survey dated May 2026. The quality measure rating lands at 1 out of 5, even as staffing and health inspection each sit at 3. Corporate-owned and Medicare-certified for 60 beds, it's a home where the clinical numbers and the compliance record pull in different directions.

Nurse hours

3.32 /day

Staff turnover

58%

Serious cites

0

Life Care Center of Sullivan runs 120 certified beds as a for-profit corporation, and its staffing numbers are the part worth sitting with. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 11% below its own weekday coverage. Turnover is 57.7% against a national 45.8%, which means a good share of the people caring for residents are still learning the building. The inspection record shows 30 deficiencies, two at harm or jeopardy level and one abuse-related, with the most recent inspection in October 2024. Staffing and quality measures each land mid-range; the staffing star doesn't.

Nurse hours

3.24 /day

Staff turnover

37%

Serious cites

0

Community Springs runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, with weekends about 14 percent below its own weekday coverage. That thin weekend margin matters most when families visit and see less staff on the floor. Turnover works in the home's favor, though: 36.9 percent leaving annually is meaningfully better than the 45.8 percent national figure, so the people who stay tend to know residents. Inspections look solid on the surface, a recent January 2025 visit and no deficiencies at the harm or jeopardy level, but twelve total deficiencies, two tied to abuse, sit on the record. The low quality-measure score suggests outcomes aren't keeping pace with the staffing and inspection picture.

Nurse hours

3.36 /day

Staff turnover

79%

Serious cites

0

Claru Deville runs 90 beds in Fredericktown under corporate ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, with weekends about 9% thinner than weekdays. The bigger number is turnover: 79.1% of staff left over the past year, against a national rate near 46%, which means the people caring for residents are, more often than not, new. Its inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse, plus one fine of $81,964, and the most recent inspection was in January 2025.

Nurse hours

3.97 /day

Staff turnover

55%

Serious cites

0

Country Club Rehab runs 73 beds in Warrensburg under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse hours come in slightly above the national average, but that average masks a 55.4% annual turnover rate, well past the national 45.8%, and weekends run about 6% thinner than weekdays. CMS rates staffing just 1 out of 5 stars despite the decent hours on paper. The inspection record is heavier: 56 deficiencies, including one at the harm-or-jeopardy level and two tied to abuse allegations. A March 2025 inspection is recent, which counts for something, but a 2-star health inspection rating alongside that deficiency count suggests the problems are ongoing rather than past.

Nurse hours

3.07 /day

Staff turnover

78%

Serious cites

0

Holden Manor runs on about 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 10% under its own weekday level. Staff turnover sits at 77.8%, well above the 45.8% national figure, which means the people caring for your family member are likely to change often. The current inspection record carries 38 deficiencies, four of them abuse-related, though none reached the harm or jeopardy level. The last inspection was in August 2024. Quality measures score mid-range, but staffing and inspection results both come in at 2 out of 5 stars under a for-profit corporate owner. Worth asking about weekend coverage and how they retain aides before deciding.

Nurse hours

3.44 /day

Staff turnover

57%

Serious cites

0

Beautiful Savior Home runs 126 certified beds in Belton under for-profit LLC ownership, and its nurse staffing sits about 11 percent under the national average, 3.44 hours per resident day against 3.86. That gap widens on weekends, when coverage drops roughly 10 percent below the home's own weekday levels, and turnover runs 56.8 percent compared with a national 45.8 percent. Its current record carries 22 deficiencies, none flagged at harm or jeopardy level, though two are abuse-related. The last inspection was December 13, 2024, so the picture is fairly recent. Federal ratings land at three stars for health inspections and quality measures, two for staffing. Nothing here reads as dangerous, but the staffing numbers explain why the grade lands where it does.

Nurse hours

3.73 /day

Staff turnover

58%

Serious cites

0

Seasons Rehab runs 78 beds under limited-liability, for-profit ownership, and its inspection record is the bright spot: 23 deficiencies on the current record, none flagged at harm or jeopardy level, and a four-out-of-five health inspection rating with a visit as recent as January 2025. Staffing is where it frays. At 3.73 nurse hours per resident day, it sits about 3% under the national average, weekends run roughly 12% below its own weekday levels, and turnover hits 57.7% against a national 45.8%, meaning more than half the nursing staff turns over in a year. Two abuse-related deficiencies also appear on the record.

Nurse hours

3.99 /day

Staff turnover

69%

Serious cites

0

Carnegie Village runs 3.99 nurse hours per resident day, slightly above the national average of 3.86, but the staffing picture gets thinner on weekends, about 13% below its own weekday level. More telling is the 69.4% annual turnover, well above the 45.8% national figure, which means the people showing up are often new. The inspection record shows 42 deficiencies, including one at the harm level and two tied to abuse, with a $15,646 fine and a survey as recent as July 2025. The quality measure rating sits at 4 out of 5, but the staffing rating is 2 out of 5, and with a for-profit corporate owner, that gap between clinical scores and day-to-day coverage is worth asking about directly.

Nurse hours

3.11 /day

Staff turnover

60%

Serious cites

0

Northern Pines runs on 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends dip about 10% below its own weekday levels. That thinner coverage shows up elsewhere: 51 deficiencies on the current record, including 3 at harm or jeopardy level and 6 tied to abuse, plus six fines totaling $105,044. Staff turnover sits at 60% against a national 45.8%, so the people providing most of the hands-on care keep changing. The last inspection was January 15, 2026, and the health inspection rating is 2 out of 5. A for-profit limited liability company owns the 41-bed home. Ask about weekend coverage and what's changed since the abuse findings.

Nurse hours

3.39 /day

Staff turnover

60%

Serious cites

0

Falls City Nursing and Rehabilitation Center runs 63 beds under corporate for-profit ownership, and its staffing numbers are the first thing to look at. At 3.39 nurse hours per resident day, it sits about 12 percent under the national average, weekends dip roughly another 10 percent below its own weekday level, and 60 percent of staff turned over in a year against a national 45.8 percent. That combination earned it a 1 out of 5 on CMS staffing, and it shows up in the care record too: seven deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. The most recent inspection was July 31, 2025, so the picture is current.

Nurse hours

4.25 /day

Staff turnover

65%

Serious cites

0

Adept Nursing & Rehab Of Ashland runs 97 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.25 hours per resident day, roughly 10% above the national average of 3.86. That's the good news, and it's real. But weekends run about 10% thinner than weekdays, and annual turnover sits at 64.7% against a national average of 45.8%, so the people providing that care change over constantly. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy. CMS rates quality measures just 1 out of 5 stars. The most recent inspection was July 22, 2025. Combine thin weekend coverage, heavy turnover, and three harm-level findings, and the picture is a home with adequate weekday hours but shaky follow-through.

Nurse hours

3.40 /day

Staff turnover

60%

Serious cites

0

Green Valley Health and Wellness Suites runs 124 beds in Henderson under for-profit LLC ownership, and its staffing is the number that stands out. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.6% against a 45.8% national average means the aides and nurses working with your relative are likely to change often. The inspection record is current, with 28 deficiencies but none at harm or jeopardy level and no abuse citations, and the last survey was in January 2026.

Nurse hours

3.41 /day

Staff turnover

40%

Serious cites

0

Jaffrey Rehabilitation and Nursing Center runs on thinner nurse staffing than most homes nationally, about 3.41 hours per resident day against a 3.86 average, and weekends dip roughly 6% below its own weekday level, so coverage is lightest exactly when families tend to visit. The inspection record is the bigger concern: 21 deficiencies, one of them abuse-related, and the most recent inspection was May 2026. Turnover at 39.7% is actually better than the 45.8% national figure, which tells you something is keeping some staff around. With 83 beds under individual for-profit ownership, this is a home where the staffing and inspection numbers deserve a hard look before you decide.