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

Nurse hours

3.21 /day

Staff turnover

51%

Serious cites

0

Greenbrier Health Center runs 162 certified beds in Parma Heights, and the staffing numbers are the first thing worth knowing. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover runs 50.8% against a national 45.8%. The inspection record is the harder read: 54 deficiencies, two at harm or jeopardy level, one abuse-related, and a $26,685 fine, with the most recent inspection in October 2025. The five-star quality measure score reflects reported clinical data, not the care environment itself.

Nurse hours

3.90 /day

Staff turnover

74%

Serious cites

0

Altercare of Cuyahoga Falls runs 91 certified beds under corporate ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin margin matters more when you see annual turnover at 74.1% against a national average of 45.8%, which is a lot of churn for a building this size. The health inspection record shows 33 deficiencies, none at harm or jeopardy level but one abuse-related, with the last inspection in June 2025.

Nurse hours

3.92 /day

Staff turnover

30%

Serious cites

0

The Laurels of Walden Park runs 225 beds under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.92 nurse hours per resident day against 3.86 nationally. That thin cushion thins further on weekends, when coverage drops about 11% below the home's own weekday level. Turnover at 29.6% is genuinely better than the 45.8% national figure, so the people who stay tend to stay. The trouble is the inspection record: 53 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus two fines totaling $112,653. The most recent inspection was August 2025, so that record is current, not stale. Quality measures score well; the hands-on care and safety history are where the concerns concentrate.

Nurse hours

3.06 /day

Staff turnover

53%

Serious cites

0

Brookview Healthcare Center runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and the weekend gap makes that thin coverage thinner. Staff turnover sits at 53.2%, well above the norm, which matters for a place where residents need consistent hands. The record shows 24 deficiencies, one serious enough to cause harm or jeopardy, though none tied to abuse. Ownership is for-profit through a limited liability company. The quality measure score looks strong on paper, but that reflects charted care, not hours worked. The last inspection was March 2025, so the picture is fairly current.

Nurse hours

3.18 /day

Staff turnover

38%

Serious cites

0

Muskingum Skilled Nursing & Rehabilitation runs on thin staffing: 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip about 10% below its own weekday coverage. That shortfall sits alongside a health inspection record of 64 deficiencies, including six at harm or jeopardy level and seven tied to abuse, plus three fines totaling $177,922, and its most recent inspection was May 2026, so the record is current, not stale. Turnover at 38.2% is actually better than the 45.8% national figure, and the quality measure score is strong, but the state survey findings and daily staffing numbers are what a family should weigh hardest here.

Nurse hours

3.23 /day

Staff turnover

36%

Serious cites

0

Continuing Healthcare of Toledo runs 75 beds under for-profit LLC ownership, and its staffing sits at 3.23 nurse hours per resident day, roughly 16% under the national average of 3.86, with weekends about 7% thinner than its own weekdays. Turnover is 36.1%, which actually beats the 45.8% national figure, so the people who stay tend to stay. The problem is the record: 61 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $21,598 fine. Its last inspection was August 2024. Quality measures score well, but a 1-star inspection rating and thin staffing are what a family should weigh.

Nurse hours

3.35 /day

Staff turnover

51%

Serious cites

0

Three Meadows runs on 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends dip roughly 10 percent below its own weekday coverage. That staffing pattern sits behind a 2-out-of-5 staffing rating, and turnover of 50.5 percent means roughly half the nursing staff leaves each year. The inspection record is the harder read: 65 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the most recent inspection in May 2025. The 4-out-of-5 quality measure rating reflects reported clinical outcomes, but it does not offset a 1-out-of-5 inspection rating. Ask about weekend nurse coverage and how the abuse-related citations were resolved before deciding.

Nurse hours

3.77 /day

Staff turnover

63%

Serious cites

0

Heritage The runs 96 certified beds in Findlay under for-profit limited liability ownership, and its staffing numbers are the place to start. At 3.77 nurse hours per resident day it sits just under the national average of 3.86, but weekends drop about 14% below its own weekday level, and turnover hits 62.8% against a national 45.8%, that churn rate is the kind of thing families feel when aides keep changing. The health inspection record shows 44 deficiencies, none flagged at harm or jeopardy level but one tied to abuse, with the most recent inspection in March 2025. Quality measures score well; staffing does not. Ask directly how they hold weekend coverage steady before you decide.

Nurse hours

3.04 /day

Staff turnover

48%

Serious cites

0

Ayden Healthcare of Piqua runs about 3.04 nurse hours per resident day, roughly 21% under the national average, and weekend coverage drops another 11% below its own weekday level, so the thinnest shifts are when families tend to visit. Staff turnover sits at 48.1%, slightly above the national rate, meaning nearly half the nursing staff turns over in a year. The inspection record is the heavier concern: 41 deficiencies, seven tied to abuse and two serious enough to put residents at risk of harm. A $19,890 fine and a June 2025 inspection round out the picture. The quality measure rating looks better than the staffing and inspection scores suggest, but federal quality scores are drawn from self-reported assessment data, while the deficiency record is what surveyors found on site.

Nurse hours

3.21 /day

Staff turnover

47%

Serious cites

0

Nurse staffing at Willows Health and Rehab runs about 3.21 hours per resident day, roughly 17 percent under the national average, and weekends dip another 9 percent below its own weekday level. That thin coverage shows up in the federal staffing rating, which sits near the bottom of the scale. The inspection record carries 25 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $39,683 fine, though the most recent visit was in May 2024. Turnover at 46.8 percent is essentially the national rate. Quality measure scores are strong, but that's a self-reported area, and it's worth asking how the home keeps those numbers up when the floor is this lean.

Nurse hours

3.40 /day

Staff turnover

62%

Serious cites

0

Mentor Hills runs 147 beds under a for-profit LLC, and its staffing is the number to sit with. At 3.40 nurse hours per resident day, it's about 12% under the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 62.1% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The current record shows 35 deficiencies, including one at the harm level and four tied to abuse. Recent inspection, February 2025. Quality measures look solid, but staffing and that deficiency history are what pull the overall picture down.

Nurse hours

3.10 /day

Staff turnover

51%

Serious cites

0

Ayden Healthcare of Fairfield runs 90 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident per day, roughly a fifth below the national average, and weekends dip another 8 percent below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 51.4 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. Its current inspection record carries 59 deficiencies, including two at the level where harm or jeopardy to residents was found and three tied to abuse. One fine totaling $141,833 is on file. The last inspection was September 18, 2024.

Nurse hours

3.31 /day

Staff turnover

52%

Serious cites

0

Royal Oak runs about 3.31 nurse staffing hours per resident per day, which is roughly 14% under the national average, and weekends dip another 5% below its own weekday levels. More than half the nursing staff turned over in the past year. Inspectors have logged 21 deficiencies, two of them serious enough to put residents in harm's way, though none abuse-related, and the last visit was in March 2024. The 4/5 quality measure rating reflects how well the home scores on clinical measures like falls and infections, but those numbers sit on top of thin, unstable staffing. Ownership is a for-profit corporation. A C is a fair read here.

Nurse hours

3.38 /day

Staff turnover

40%

Serious cites

0

Embassy of Cambridge runs 95 certified beds under corporate ownership, and its staffing sits at 3.38 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the heavier problem: 91 deficiencies, including four at the harm or jeopardy level and six tied to abuse, plus four fines totaling $131,018. The last inspection was July 2025. Turnover of 40.3% is actually a bit better than the 45.8% national figure, and resident quality measures score well, but staffing and inspection ratings both land at the bottom of CMS's scale, and that combination is what drives the grade down.

Nurse hours

3.28 /day

Staff turnover

66%

Serious cites

0

Piketon Nursing Center runs 46 beds in Pike County, and its inspection history is genuinely solid, a recent April 2025 survey and high marks on health and quality measures. Where it slips is staffing. At 3.28 nurse hours per resident per day, it sits about 15% under the national average, with weekends running roughly 14% lighter than weekdays. That's the pattern families notice: fewer hands on Saturdays and Sundays. Annual turnover of 66%, against a national rate near 46%, means the aides and nurses caring for your relative are frequently new. The 48 deficiencies on record, including one at harm level and one abuse-related, are worth asking about directly.

Nurse hours

3.43 /day

Staff turnover

51%

Serious cites

0

Providence Care Center runs a 138-bed nonprofit home in Sandusky with about 3.43 nurse hours per resident day, roughly 11% under the national average, and weekends dip another 11% below its own weekday coverage. That thin staffing lines up with a 1-out-of-5 staffing rating and a 50.5% turnover rate, meaning half the nursing staff leaves within a year. Inspectors cited 41 deficiencies, none rising to harm or jeopardy, but six tied to abuse. The quality measure rating sits at 4 out of 5, and a May 2025 inspection is recent. The church affiliation doesn't change the math: care quality may look strong on paper, but the people providing it are stretched and cycling through fast.

Nurse hours

3.47 /day

Staff turnover

35%

Serious cites

0

Spring Meadows runs leaner on nursing hours than most homes, 3.47 per resident day against a national average of 3.86, with weekends dropping roughly another 11% below its own weekday staffing. The 28 deficiencies on record, including two at the harm level and two tied to abuse, suggest that thin coverage has shown up in practice, and the $63,072 in fines reflects it. Turnover at 35.1% is lower than the national 45.8%, which helps, but the staffing star rating of 2 out of 5 tells you CMS sees a real gap between what this building schedules and what residents need.

Nurse hours

4.05 /day

Staff turnover

64%

Serious cites

0

Heritagespring runs 144 certified beds in West Chester under corporate for-profit ownership, and its state inspection record is the first thing I'd flag. Thirteen deficiencies are on file, two of them serious enough to involve harm or jeopardy to a resident, plus one tied to abuse. Inspectors last visited in November 2025, so the picture is fairly current, and two fines totaling $40,745 have been levied. Nurse staffing looks decent on paper, 4.05 hours per resident day, slightly above the national average, but weekend coverage drops about 13% below weekday levels, and annual turnover sits at 63.5% against a national 45.8%. High churn with thinner weekend shifts is where care tends to slip.

Nurse hours

3.17 /day

Staff turnover

70%

Serious cites

0

Als Mount Vernon Inc runs 20 certified beds in Knox County, and its staffing is the part that stands out. Nurse hours come to 3.17 per resident day, roughly 18% under the national average of 3.86, and weekends drop about 5% below what the home already provides on weekdays. Annual turnover hits 70.4% against a national 45.8%, which means most of the people caring for residents this year likely won't be there next year. The inspection record shows 23 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Quality measures score well, but with that much churn and that few staff hours, the day-to-day consistency is the real question.

Nurse hours

3.36 /day

Staff turnover

55%

Serious cites

0

Meadow Grove runs a split personality. Inspectors have found 20 deficiencies on the current record, but none rose to harm or jeopardy, and none involved abuse, and the most recent visit was in March 2025, so the picture is current. Quality measures and inspections both score well above average. The staffing side is where it frays. At 3.36 nurse hours per resident day, this home runs about 13% under the national figure, and weekends dip another 5% below its own weekdays. Annual turnover of 55.1% sits nearly ten points above the national rate, which means the people at the bedside are often new. Corporate-owned and for-profit at 99 beds. Read the inspection record closely; watch the staffing.