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

Nurse hours

3.17 /day

Staff turnover

56%

Serious cites

0

Middleton Oaks runs 3.17 nurse hours per resident day, about 18% under the national average, and weekend staffing drops roughly 11% below its own weekday level. Turnover sits at 55.8% against a national 45.8%, which means the aides and nurses who know your mother's routines are more likely than not to be gone within a year. Inspectors cited 33 deficiencies, four of them at harm or jeopardy level and four abuse-related, and fined the corporation $10,868 across two penalties. The most recent inspection was March 2025, so the record is current. For-profit corporate ownership, one star on health inspections, two on quality measures, the numbers point the same direction.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Lewis & Clark Gardens runs 142 certified beds under for-profit LLC ownership, and its staffing sits around 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends about 13% thinner than weekdays. Turnover is 53.4% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 63 deficiencies, four at harm or jeopardy level, nine abuse-related, and $139,916 in fines across three events, with the last inspection in August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 staffing rating tells you the hours exist on paper, but the survey history shows what happens in practice.

Nurse hours

3.18 /day

Staff turnover

54%

Serious cites

0

Shady Oaks runs a split operation: its last inspection, in December 2025, came back clean on the things that hurt residents most, thirteen deficiencies on record, but none at the harm level and none tied to abuse. The strain shows up in daily care instead. At 3.18 nurse hours per resident day, staffing sits about 18% under the national average, and weekends drop roughly 15% below the home's own weekday coverage. Annual turnover of 54% runs well past the 45.8% national figure, so the people handing out medications and answering call lights keep changing. For a 120-bed corporate-owned building, the pattern is straightforward: safe on paper, thin on the floor.

Nurse hours

3.00 /day

Staff turnover

57%

Serious cites

0

Parkside Manor runs about 3.00 nurse staffing hours per resident day, roughly 22% below the national average, and weekend coverage dips another 11% below its own weekday levels. Annual turnover sits at 57.1% against a national 45.8%, so the people around your family member change often. The inspection record shows 51 deficiencies, including one at the harm level and two tied to abuse, with the last visit in December 2024. Columbia has other options, and it's worth comparing them on staffing hours and turnover before deciding.

Nurse hours

3.54 /day

Staff turnover

50%

Serious cites

0

The Health Center at Galloway runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86, with weekends dipping about 8% below its own weekday levels. That thinner coverage compounds a 50% annual turnover rate, meaning half the nursing staff leaves each year, against a national average closer to 46%. Its current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $76,958. Quality measures score well, but the health inspection and staffing ratings both sit at 2 out of 5, and that gap between good numbers on paper and thin coverage on the floor is the part worth weighing.

Nurse hours

3.09 /day

Staff turnover

60%

Serious cites

0

Complete Care At Holiday City runs on thinner nursing coverage than most places, 3.09 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday numbers. That gap shows up in the federal staffing rating, which sits at the bottom of the scale. Turnover is the other number worth sitting with: 59.7% annually, well above the 45.8% national average, meaning the people caring for residents are often new to the building. Nineteen deficiencies are on the current record, including one at the harm level and one tied to abuse. The five-star quality measure rating reflects how residents are doing on paper, but it doesn't offset thin staffing or a recent inspection finding harm.

Nurse hours

3.18 /day

Staff turnover

51%

Serious cites

0

Casa Maria Healthcare runs about 3.18 nurse hours per resident day against a national average of 3.86, roughly 18 percent thinner, and weekends drop another 11 percent below what the building manages Monday through Friday. Staff turnover sits at 51.3 percent, higher than the 45.8 percent national figure, so the people left on the floor are often the newest. The current inspection record carries 54 deficiencies, five of them serious enough to involve harm or jeopardy, six tied to abuse, and $99,368 in fines across three penalties. The quality-measure score looks strong in isolation, but that is families' ratings of daily care, not proof the building is adequately staffed to deliver it.

Nurse hours

2.95 /day

Staff turnover

55%

Serious cites

0

Foltsbrook Center runs about 2.95 nursing hours per resident each day, roughly a quarter below the national average, and staffing gets thinner on weekends, down another 12% from its own weekday level. That's the kind of gap that shows up when a resident needs help on a Saturday afternoon. The inspection record backs it up: 27 deficiencies on file, including one serious enough to put a resident in harm's way, and a staffing rating of 1 out of 5 from CMS. Staff turnover sits at 54.6%, well above the national 45.8%, so the people providing care are changing often. Ownership is for-profit corporate.

Nurse hours

— /day

Staff turnover

39%

Serious cites

0

Eddy Village Green runs 192 beds as a nonprofit, and its staff turnover of 39.1% actually beats the national average of 45.8%. That's worth something. But the federal staffing rating sits at 1 out of 5, so whatever retention exists isn't translating into enough hours at the bedside. The inspection record is the bigger problem: 26 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. One fine totaling $97,383 is on the books, and the most recent inspection was April 2025. Quality measures land mid-range at 3 stars, but with staffing scored at the bottom and a harm-level citation in the recent past, ask hard questions about supervision and who's actually on the floor overnight.

Nurse hours

3.51 /day

Staff turnover

—

Serious cites

0

Delmar Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 18% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is heavy: 72 deficiencies, six of them abuse-related, with the most recent inspection dated March 13, 2026. CMS rates health inspections and staffing at one star each, though its quality measure score reaches four. That split tells the story, the clinical metrics look decent, but the day-to-day inspection and staffing picture is where the concern sits.

Nurse hours

3.42 /day

Staff turnover

58%

Serious cites

0

Peak Resources in Charlotte runs 142 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.42 nurse hours per resident day, roughly 12% under the national average, with weekends running about 7% thinner than weekdays. That shortfall shows up in the experience of care, and so does the 57.7% annual turnover, well above the national 45.8%, since a constantly changing staff makes it harder for anyone to know your family member's routines. The current inspection record carries 16 deficiencies, one serious enough to involve harm or jeopardy, plus a $14,069 fine. Staffing and quality measures both sit at 2 stars out of 5.

Nurse hours

3.18 /day

Staff turnover

34%

Serious cites

0

Ridge Valley runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends dip slightly below its own weekday staffing. That shortfall shows up in the federal staffing rating, and so does the quality measure side, which sits at the bottom of the scale despite a middling inspection history. Turnover is the one place this home beats the norm: 33.8% versus 45.8% nationally, meaning aides and nurses stick around longer than at the typical facility. Then there are the 25 deficiencies on record, two involving harm or jeopardy and one tied to abuse, with the most recent inspection in December 2025.

Nurse hours

3.34 /day

Staff turnover

49%

Serious cites

0

Elizabethtown Healthcare & Rehab Center runs 94 certified beds under corporate ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about another 10% below what the home staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover is 48.8%, a few points above the national 45.8%, meaning nearly half the nursing staff leaves each year. The inspection record shows six deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,788. The most recent inspection was September 16, 2025, and the three CMS star ratings, health inspections, quality measures, and staffing, all land at the middle.

Nurse hours

3.22 /day

Staff turnover

49%

Serious cites

0

Premier Nursing and Rehabilitation Center runs 239 certified beds in Jacksonville under for-profit LLC ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop another 12% below its own weekday levels, and annual turnover runs 48.5%, a bit above the national 45.8%. The current record shows 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single fine of $51,984. The most recent inspection was April 24, 2025. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 3 out of 5, so nothing here stands out as strong.

Nurse hours

3.32 /day

Staff turnover

40%

Serious cites

0

Pavilion Health Center at Brightmore runs 108 certified beds in Charlotte under for-profit LLC ownership. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Turnover is 40%, a bit better than the 45.8% national figure, so the problem isn't retention so much as raw hours on the floor. The inspection record carries 31 deficiencies, including 6 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $103,435. A 2-out-of-5 inspection rating and a July 2025 inspection date round out the picture.

Nurse hours

3.59 /day

Staff turnover

57%

Serious cites

0

Eastbrook runs on thin staffing. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 14% below its own weekday levels, meaning care gets leanest exactly when families tend to visit. Annual turnover of 57.1% is well above the 45.8% national figure, so the people caring for your relative are often new. The inspection history is heavier than you'd want: 43 deficiencies on record, including one at the harm level and one abuse-related, plus a $23,989 fine. Quality scores look strong on paper, but that staffing star tells the real story of what a shift actually feels like.

Nurse hours

2.95 /day

Staff turnover

63%

Serious cites

0

Lake Pointe runs on 2.95 nurse staffing hours per resident day, which is roughly a quarter below the national average of 3.86, and weekends dip about 8% below its own weekday level. Annual turnover sits at 63.2% against a national 45.8%, so the people caring for your family member are changing often. The record shows 29 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy, and the last inspection was in January 2026. Its quality measures score well; staffing does not. For-profit corporate ownership rounds out the picture.

Nurse hours

3.92 /day

Staff turnover

59%

Serious cites

0

The Pavilion At Piketon runs 155 certified beds under for-profit LLC ownership, and its inspection record looks decent on paper, a 4-out-of-5 health inspection rating and a clean 5 for quality measures, with the most recent survey done in April 2025. The staffing picture tells a different story. Total nurse hours sit at 3.92 per resident day, only slightly above the national average, and weekends drop about 10% below the home's own weekday coverage. That thin margin matters more when you see 59% annual turnover against a national average of 45.8%, and a staffing rating of 1 out of 5. Twenty-seven deficiencies are on the current record, including two at harm or jeopardy level and one abuse-related.

Nurse hours

3.13 /day

Staff turnover

46%

Serious cites

0

The staffing numbers at Arbors At Pomeroy run thin: 3.13 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. Turnover sits at 46%, essentially matching the national rate, so continuity isn't worse than typical, but the raw hours are. The inspection record is where the trouble concentrates: 56 deficiencies, four at harm or jeopardy level, six tied to abuse, and $66,911 in fines across three penalties, with the most recent inspection in February 2025. A for-profit limited liability company operates the 91-bed home. Quality measures score well; the staffing and inspection side is what drags it down.

Nurse hours

3.68 /day

Staff turnover

55%

Serious cites

0

Altercare of Navarre runs 99 certified beds under corporate ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 10% below the home's own weekday coverage, and turnover runs 54.7% against a national 45.8%, so the aides and nurses your family member sees may change often. The inspection record carries 43 deficiencies, two at the harm or jeopardy level and one abuse-related. A 2/5 on health inspections and 2/5 on staffing, with a more recent inspection in April 2026, tells you the state has been watching closely.