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

Nurse hours

3.23 /day

Staff turnover

42%

Serious cites

0

Complete Care at Chestnut Hill is a for-profit LLC home with 111 beds in Passaic, and its numbers tell a mixed but mostly concerning story. Nurse staffing sits at 3.23 hours per resident day, roughly 16% below the national average, and weekends run about 14% lighter than weekdays, which matters because that's when families often visit and when coverage gaps show. The health inspection record is where things get serious: 27 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $41,688. Annual turnover of 41.8% is slightly better than the national average, and the quality measure score is strong, but a 1-out-of-5 inspection rating and thin staffing are hard to look past.

Nurse hours

3.08 /day

Staff turnover

32%

Serious cites

0

Avalon Rehabilitation and Healthcare Center runs 180 beds in Hamilton, and the numbers show a home stretched thin on care. Nurse staffing sits at 3.08 hours per resident day, about a fifth below the national average, and weekends get roughly 7% less coverage than weekdays, which matters when families visit and needs don't pause. The inspection record is the bigger concern: 37 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and $83,544 in fines across five penalties, all from a single-star health inspection history that was last reviewed in December 2025. Turnover at 31.6% is actually better than the national 45.8%, so some staff clearly stay, but lower turnover hasn't translated into safer care here.

Nurse hours

3.80 /day

Staff turnover

51%

Serious cites

0

Atlas Rehabilitation and Healthcare at Washington runs 120 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.80 hours per resident day, just under the national average of 3.86, but weekends drop roughly 8% below the home's own weekday coverage, worth asking about if your family visits Saturday or Sunday. Annual turnover of 51.4% tops the national 45.8%, so expect some unfamiliar faces. The health inspection record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, plus two fines totaling $43,947; the last inspection was September 2024. Quality measures score well, but staffing and inspection results are where the concerns sit.

Nurse hours

3.40 /day

Staff turnover

49%

Serious cites

0

Avon Nursing Home is a small for-profit home in Livingston County, 40 beds, individually owned. The staffing numbers are the main thing to know: 3.40 nurse hours per resident per day, roughly 12% under the national average, and weekends run thinner than weekdays by about the same margin. Turnover sits at 48.9%, a few points above the national rate. Its inspection record is genuinely strong, six deficiencies, one at harm level, none abuse-related, with the most recent inspection in October 2024. But one deficiency causing actual harm, a $32,975 fine, and weaker quality measures pull against that. If you're considering it, ask how weekend coverage is handled and what that harm-level citation involved.

Nurse hours

4.34 /day

Staff turnover

32%

Serious cites

0

Palm Gardens runs 4.34 nurse hours per resident day, roughly 12% above the national average, and its 31.5% turnover is notably better than the 45.8% typical elsewhere. Those are real positives, and weekend coverage only dips about 7% below weekday levels. The catch is quality: CMS gives it 1 out of 5 stars on quality measures, with 16 deficiencies on record, one abuse-related, none at harm or jeopardy level, and a December 2025 inspection. A 240-bed for-profit LLC in Brooklyn carrying that quality score against otherwise decent staffing tells you the care process, not the hours, is where the trouble sits.

Nurse hours

3.27 /day

Staff turnover

—

Serious cites

0

Crown Park runs about 3.27 nurse hours per resident day, roughly 15 percent under the national average of 3.86, and weekend coverage drops another 15 percent below its own weekday levels, so the thinnest shifts land when families tend to visit. The current record shows 25 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $12,735 fine. Inspectors were last in on January 17, 2025, and CMS rates the home 2 out of 5 on health inspections, 2 on quality measures, and 1 on staffing. It's a 200-bed for-profit partnership. Ask about weekend and evening staffing, and ask how that abuse-related deficiency was resolved.

Nurse hours

3.37 /day

Staff turnover

64%

Serious cites

0

Cooperstown Center runs 174 beds under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip even further, about 13% below the home's own weekday coverage. Staff turnover is 64.3%, well above the 45.8% national figure, which means aides and nurses are cycling through faster than residents can get used to them. The inspection record shows 34 deficiencies, two tied to abuse; none rose to harm or jeopardy level. CMS gives the home middle marks on health inspections and quality measures, but only 2 of 5 stars for staffing. The last inspection was May 2, 2024.

Nurse hours

3.30 /day

Staff turnover

48%

Serious cites

0

Stonecreek runs on 3.30 nurse hours per resident per day, about 14% under the national average, and weekends drop another 13% below its own weekday pace. That staffing pattern matters because the home's last inspection in April 2025 left 15 deficiencies on record, two of them serious enough to involve harm or jeopardy, along with a $38,431 fine; the 47.6% turnover rate sits slightly above the national figure, so the aides and nurses cycling through aren't staying long. The five-star quality measure score looks reassuring, but it's built from self-reported resident data, while the one-star inspection result reflects what surveyors actually found on site.

Nurse hours

3.43 /day

Staff turnover

54%

Serious cites

0

Valley Hill runs 150 certified beds as a for-profit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekend coverage drops another 10% below its own weekday levels, which matters when families visit on Saturdays and Sundays. Staff turnover is 54.2%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record is the harder part to hear: 32 deficiencies on file, including 5 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $58,949, with the most recent inspection in June 2025. Quality measures score well, but that's a paper snapshot, not the daily staffing reality.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Rocky Mount Rehabilitation Center runs 117 certified beds as a for-profit limited liability operation, and its staffing sits just under the national average at 3.76 nurse hours per resident day. Weekends dip about 9% below its own weekday level, and turnover is 47.2%, slightly above the 45.8% national figure, which means a lot of new faces on the floor. On inspections, the record shows 27 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse; CMS has fined the home twice for a total of $27,872, and the most recent inspection was November 2025. The inspection and quality ratings both sit at 2 out of 5.

Nurse hours

3.31 /day

Staff turnover

53%

Serious cites

0

Autumn Care of Marshville runs on thin staffing. At 3.31 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 11 percent below its own weekday coverage, so the shifts most likely to be short are the ones families visit. Staff turnover is 53.1 percent, well above the 45.8 percent national figure, which means aides and nurses cycle through quickly. Inspectors cited 15 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, with four fines totaling $44,751 from a February 2026 inspection. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Asheboro Rehabilitation and Healthcare Center runs about 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average. Weekends fall another 13% below its own weekday level, and annual turnover is 59.1% against a national 45.8%, meaning nearly six in ten staff left within the year. The current record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Its last inspection was August 2025, and federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The staffing picture, not the inspection history, is what pulls the overall result down.

Nurse hours

3.73 /day

Staff turnover

47%

Serious cites

0

Signature Healthcare of Kinston runs 106 certified beds under for-profit limited liability ownership, and its staffing sits just under the national mark, 3.73 nurse hours per resident day against 3.86 nationally. Weekends drop roughly 14% below the home's own weekday coverage, and turnover lands at 46.7%, slightly above the 45.8% national average. What stands out most on the current record is the deficiency count: 21 total, including one at the harm or jeopardy level and four tied to abuse. The health inspection rating is 3 out of 5, while quality measures and staffing each come in at 2. The last inspection was December 9, 2025, so the record is recent.

Nurse hours

3.09 /day

Staff turnover

57%

Serious cites

0

Crown Haven runs on 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 5% below its own weekday level. Staff turnover sits at 56.6%, nearly eleven points above the national figure, so the people around your family member keep changing. The current record shows 44 deficiencies, five at harm or jeopardy level and three tied to abuse, with four fines totaling $71,235; the last inspection was July 3, 2025. Its quality measure stars look strong, but that score reflects resident health outcomes, not the staffing and safety problems sitting underneath them.

Nurse hours

3.39 /day

Staff turnover

40%

Serious cites

0

The Laurels of Forest Glenn runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 10% thinner than weekdays. Turnover is 40.2%, a bit better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. What stands out is the inspection record: 12 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and three fines totaling $182,083, with the most recent inspection in May 2025. The quality measure rating of four stars comes from resident data, but that inspection history is a real concern worth asking about directly.

Nurse hours

3.22 /day

Staff turnover

58%

Serious cites

0

Swannanoa Valley Health and Rehabilitation runs 106 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.22 nurse hours per resident day, about 16 percent under the national average of 3.86. Weekends dip roughly 8 percent below the home's own weekday coverage, and annual turnover sits at 57.8 percent against a national 45.8 percent, meaning the aides and nurses your family member sees are cycling through faster than average. The inspection record is comparatively solid: 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was October 2025. Quality and staffing measures each land mid-range.

Nurse hours

3.30 /day

Staff turnover

49%

Serious cites

0

Liberty Commons runs 82 certified beds under corporate ownership in Wilmington, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends thin out further, running about 13% below the home's own weekday numbers, and nearly half the staff turned over in the past year. The inspection record is where the real weight sits: 17 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $30,608 in fines across three penalties. A 2/5 health inspection rating against a 4/5 quality measure score tells you the clinical picture and the compliance picture don't match here.

Nurse hours

4.23 /day

Staff turnover

56%

Serious cites

0

Clear Creek runs 4.23 nurse hours per resident day, roughly 10% above the national average, and its staffing rating reflects that. But look at what else is on the record: 40 deficiencies, five at harm or jeopardy level, four abuse-related, and two fines totaling $105,396. Weekend staffing dips about 5% below its own weekday level, and 56.1% annual turnover means more than half the nursing staff leaves each year. The last inspection was March 2025.

Nurse hours

3.95 /day

Staff turnover

51%

Serious cites

0

Springbrook's nurse staffing sits slightly above the national average, but that average hides a gap: weekends run about 11% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 50.9%, higher than the 45.8% national figure, which means familiar faces are not the norm here. The current record carries 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $25,625 in fines. The last inspection was April 2025, so the picture is reasonably current rather than stale.

Nurse hours

3.03 /day

Staff turnover

61%

Serious cites

0

Englewood Health And Rehab runs 116 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing you'd notice: 3.03 nurse hours per resident day, roughly 22% below the national average, with weekends running about 7% thinner than weekdays. Annual turnover sits at 61.3% against a national 45.8%, which means a lot of the people caring for residents are still learning the building. The inspection record shows 46 deficiencies, none at harm or jeopardy level but one flagged as abuse-related, and CMS rates staffing at 1 out of 5 stars. Quality measures score well, but staffing is where the risk lives.