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

Nurse hours

3.96 /day

Staff turnover

67%

Serious cites

0

Avenue At Broadview Heights runs 78 certified beds under corporate ownership, and its staffing ratio looks fine on paper, 3.96 nurse hours per resident day, a hair above the national average. But that average hides a real problem: weekends run about 11 percent thinner than weekdays, and 67 percent of staff turned over in a year against a national rate of 45.8 percent. The people caring for your family member keep changing. Inspectors have logged 46 deficiencies, three serious enough to risk harm and one tied to abuse, with the most recent visit in November 2024. Resident outcomes score well on paper, but consistent, familiar caregivers matter more day to day.

Nurse hours

3.28 /day

Staff turnover

56%

Serious cites

0

Ambassador Manor runs 171 beds in Tulsa under for-profit partnership ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage actually edges out weekdays slightly, so the shortfall isn't a weekend problem; it's across the board. Annual turnover of 55.9% tops the national 45.8%, meaning caregivers cycle through faster than average. The inspection record is where things get serious: 25 deficiencies, one at harm or jeopardy level, and five tied to abuse. A single fine of $9,077 is on file, and the last inspection was October 2024. CMS rates the health inspection side 1 out of 5 stars.

Nurse hours

4.07 /day

Staff turnover

79%

Serious cites

0

Woodward Skilled Nursing and Therapy runs nurse staffing at 4.07 hours per resident day, about 6% above the national average, though weekends dip roughly 6% below its own weekday levels. That staffing cushion is undercut by turnover: 78.7% of staff leave annually, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces. The current inspection record carries 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single $8,278 fine. The last inspection was in October 2024, and the quality measure rating sits at 2 out of 5. For-profit partnership ownership, 80 certified beds.

Nurse hours

3.88 /day

Staff turnover

53%

Serious cites

0

Fort Gibson Care & Rehab runs 66 certified beds under for-profit LLC ownership, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86 nationwide. That thin margin disappears on weekends, when coverage drops roughly 15% below the home's own weekday level, and annual turnover of 52.7% outpaces the 45.8% national figure. The inspection record shows 35 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $53,271; the last survey was in January 2025. CMS gives the home mid-range marks for health inspections and resident outcomes, but only two stars for staffing, the number families feel most directly when call lights go unanswered.

Nurse hours

4.43 /day

Staff turnover

60%

Serious cites

0

Ignite Medical Resort Okc runs 75 certified beds in Oklahoma City under corporate for-profit ownership. The raw staffing number looks generous, 4.43 nurse hours per resident day, roughly 15% above the national average, but weekends drop about 8% below the home's own weekday level, and annual turnover sits at 60.2% against a national average of 45.8%, which is a lot of churn for a building this size. Its record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated September 11, 2025. CMS scores staffing at 1 out of 5 stars, so the hours on paper aren't translating into stability.

Nurse hours

2.91 /day

Staff turnover

61%

Serious cites

0

Boyce Manor runs 2.91 nursing hours per resident per day, about a quarter below the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 61.4% against a national 45.8%, which means the aides and nurses your family member sees are cycling out faster than at most homes. The record backs that up: 32 deficiencies, three at harm or jeopardy level, three tied to abuse, and $90,499 in fines. Ownership is for-profit, through a limited liability company. One bright spot, the quality measure rating is 4 of 5, but that reflects resident health outcomes on paper, not the daily staffing reality.

Nurse hours

3.88 /day

Staff turnover

86%

Serious cites

0

Accel At Crystal Park runs 69 certified beds in Oklahoma City under nonprofit ownership, and its total nurse staffing of 3.88 hours per resident day sits essentially even with the national average of 3.86. The problem isn't the headline number, it's how that coverage holds up: weekends drop roughly 14 percent below the home's own weekday level, and annual turnover hits 85.6 percent against a national average of 45.8. Inspectors have cited 43 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated January 15, 2025.

Nurse hours

5.29 /day

Staff turnover

65%

Serious cites

0

Independence Health and Rehabilitation runs a for-profit operation under a limited liability company, and the numbers tell a mixed story. Nurse staffing sits at 5.29 hours per resident day, well above the national average, but weekends run about 11% thinner than weekdays, so coverage isn't evenly spread across the week. Staff turnover is the bigger concern at 65.1%, far above the national rate, which matters because familiar caregivers know residents' routines and changes. The inspection record shows 31 deficiencies, including one at the harm level, and three fines totaling nearly $70,000. Health inspection and quality measure ratings both sit at 2 out of 5.

Nurse hours

3.10 /day

Staff turnover

57%

Serious cites

0

The Gardens at Gettysburg runs about 3.10 nurse hours per resident day, roughly 20% under the national average of 3.86, and weekends drop another 5% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at 2 out of 5, and in turnover: 56.8% of staff left over the year, against a national norm of 45.8%, so aides and nurses are cycling through faster than residents can get to know them. Inspections are a different story. The home was last surveyed in May 2025 and holds a 4/5 health inspection rating, with 27 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. It's a for-profit corporation with 102 beds.

Nurse hours

3.27 /day

Staff turnover

60%

Serious cites

0

Meadowview runs 244 beds in White Marsh under corporate ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 6% below its own weekday levels, and annual turnover hits 60.3% against a national 45.8%, so the aides and nurses cycling through the building change often. The current inspection record carries 41 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus one fine totaling $79,414. The most recent inspection was April 16, 2026. Quality measures score well, but the inspection and staffing picture is where a family should focus its questions.

Nurse hours

3.46 /day

Staff turnover

44%

Serious cites

0

West Chester Rehabilitation and Healthcare Center runs 180 certified beds under for-profit LLC ownership, and its staffing sits around 3.46 nurse hours per resident day, roughly 10 percent under the national average of 3.86, with weekends about 6 percent thinner than weekdays. That shortfall shows up in its CMS staffing rating of 2 out of 5, even though its quality measure score is a stronger 4. Staff turnover lands at 43.8 percent, slightly better than the 45.8 percent national figure. The inspection record is the bigger concern: 41 deficiencies, four at harm or jeopardy level, one abuse-related, and $40,019 in fines across two penalties, with the most recent inspection in October 2024.

Nurse hours

3.47 /day

Staff turnover

51%

Serious cites

0

Harston Hall runs 120 beds in Flourtown under corporate for-profit ownership, and the staffing numbers are where the trouble starts: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends dipping another 7% below its own weekdays. That thin coverage shows up in the numbers, 66 deficiencies on the current record, including 2 at harm or jeopardy level and 8 tied to abuse, plus $17,113 in fines. Staff turnover sits at 51.4%, above the 45.8% national figure, which means caregivers keep leaving. The 4/5 quality measure score looks better than the 1/5 staffing score and 2/5 inspection rating, but quality measures reflect resident outcomes, not the hands available day to day.

Nurse hours

3.22 /day

Staff turnover

43%

Serious cites

0

Complete Care At Lehigh runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average, and weekends dip another 12% below its own weekday staffing. The 2-out-of-5 staffing rating reflects that gap, though the 43% turnover rate is actually a touch better than the 45.8% national figure. The inspection record looks cleaner by comparison: 12 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025 earning 4 of 5 stars. It's a for-profit corporate home where care quality measures land mid-range, so the main question for your family is whether the thinner staffing on weekends matches what you see when you visit.

Nurse hours

3.60 /day

Staff turnover

56%

Serious cites

0

Aventura At Creekside runs 81 certified beds in Carbondale under corporate ownership, and the staffing numbers are the first thing worth noticing: 3.60 nurse hours per resident day, about 7% under the national average, with weekends running roughly 8% thinner than its own weekdays. Turnover sits at 56% against a national 45.8%, so the people caring for residents keep changing. The inspection record carries 73 deficiencies, including 3 at the harm or jeopardy level and 5 tied to abuse, plus a $136,785 fine. Its quality measure score looks good on paper, but that's resident-level data, not a measure of how reliably the place is run day to day.

Nurse hours

3.28 /day

Staff turnover

56%

Serious cites

0

Avalon Care Center runs 84 beds in New Castle under for-profit limited liability ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends slip about 7% below its own weekday coverage, and annual turnover of 55.6% runs well above the 45.8% national figure, meaning the people who do show up are often still learning the building. The current inspection record carries 27 deficiencies, three at harm or jeopardy level and one tied to abuse, with two fines totaling $19,888. Its last inspection was June 26, 2025. If you're weighing this one, ask specifically how weekends and evenings are covered, and what's changed since that abuse finding.

Nurse hours

3.39 /day

Staff turnover

35%

Serious cites

0

Lincolnwood Rehabilitation and Healthcare Center is a for-profit, LLC-owned home with 200 beds in North Providence. Its staffing sits around 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends run about 11 percent thinner than its own weekdays, so coverage dips exactly when families tend to visit. The inspection record is the harder problem: 52 deficiencies, eight of them at harm or jeopardy level, three tied to abuse, and six fines totaling $70,731. Turnover at 35.1 percent actually beats the national 45.8 percent, so the issue isn't retention so much as raw hours on the floor and a survey history that keeps repeating.

Nurse hours

3.72 /day

Staff turnover

37%

Serious cites

0

Avantara Groton runs 37 beds under for-profit LLC ownership, and its nurse staffing sits about 4% under the national average, with weekends roughly 12% thinner than weekdays. Turnover is where it looks better than most: 37% against a national 45.8%. The trouble is care quality, CMS scores it 1 out of 5 on quality measures, and the current record carries 22 deficiencies, one serious enough to reach harm or jeopardy level, plus a $6,168 fine. That combination of thin weekend coverage, weak measured outcomes, and a harm-level finding is what pulls the grade down, even though staffing hours and turnover aren't the main problem here.

Nurse hours

3.49 /day

Staff turnover

55%

Serious cites

0

Nhc Healthcare, Franklin runs 80 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 14% below its own weekday coverage, and annual turnover reaches 55.3% against a national 45.8%, so continuity of caregivers is a real question here. The inspection record shows 9 deficiencies, one serious enough to reach harm or jeopardy level, with one fine totaling $62,491 and nothing new since September 2022. Quality measures score well, but staffing and inspection results are where the gaps sit.

Nurse hours

3.17 /day

Staff turnover

55%

Serious cites

0

Heritage Place in Winchester passed its last health inspection in July 2023 with just four deficiencies on record and none rise to harm or jeopardy level, which is a genuinely strong inspection result. The weaker spot is staffing: at 3.17 nurse hours per resident day, it runs about 18 percent under the national average, and weekends dip roughly 10 percent below its own weekday coverage. Annual turnover sits at 54.8 percent, nearly ten points above the national figure, so the people providing that care are cycling through faster than is typical. A for-profit limited liability company operates the 132-bed home. Inspections look good; the day-to-day staffing math is what pulls the overall picture down.

Nurse hours

4.17 /day

Staff turnover

55%

Serious cites

0

Greystone runs 4.17 nurse hours per resident day, roughly 8% above the national average, so the raw staffing number looks better than most. Look closer and the picture shifts: weekend coverage drops about 11% below its own weekday level, and annual turnover sits at 54.6% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with a $15,041 fine and a one-star health inspection rating from CMS. The last inspection was October 30, 2024, so it's fairly recent. For-profit LLC ownership rounds out the profile.