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

Nurse hours

3.23 /day

Staff turnover

51%

Serious cites

0

Jefferson Healthcare Center runs 90 certified beds under corporate for-profit ownership, and its staffing is the weakest part of the picture: 3.23 nurse hours per resident day sits about 16% under the national average of 3.86, and weekends dip roughly 10% below its own weekday coverage. Annual turnover of 51.1% tops the national 45.8% mark. What keeps this home from being worse on paper is a clean inspection record, six deficiencies, none at harm or jeopardy level, and a five-star health inspection rating, though one deficiency was abuse-related. The most recent inspection was November 2024, so the findings are fairly current.

Nurse hours

3.38 /day

Staff turnover

85%

Serious cites

0

Carecore At Margaret Hall runs 99 certified beds under for-profit LLC ownership, and the numbers show a home stretched thin on the people side. Nurses provide 3.38 hours per resident day, roughly 13% under the national average of 3.86, and weekends drop about another 10% below the home's own weekday staffing. Turnover sits at 84.8% against a national 45.8%, nearly double, which means the aides and nurses your family member sees are cycling through fast. The inspection record is where the real concern lives: 34 deficiencies, one at harm or jeopardy level, four tied to abuse, and a one-star health inspection rating from CMS last updated in February 2024. The five-star quality measure score reflects reported care metrics, but staffing and inspections tell the harder story.

Nurse hours

3.72 /day

Staff turnover

56%

Serious cites

0

Bath Manor runs 3.72 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That thin weekend coverage matters more when you look at turnover: 56% of staff left over the past year, against a national rate near 46%. The inspection record carries 46 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a $14,433 fine. Ownership is a for-profit corporation, and the last inspection was May 13, 2025. Families comparing options here should weigh that staffing and inspection history carefully.

Nurse hours

3.54 /day

Staff turnover

57%

Serious cites

0

Lodge Nursing & Rehab Center runs 3.54 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 12% below its own weekday coverage. Staff turnover sits at 57.3% against a national 45.8%, so a large share of caregivers are relatively new. The inspection record shows 23 deficiencies, one serious enough to involve harm or jeopardy, plus a $15,924 fine; the most recent inspection was in April 2026. Quality measures score well and inspections land above average, but the staffing numbers are the part I'd ask about directly, who is on the floor on a Saturday, and how long the current crew has been there.

Nurse hours

3.15 /day

Staff turnover

63%

Serious cites

0

Norwood Towers runs a 120-bed for-profit operation where the nurse staffing works out to 3.15 hours per resident per day, roughly 18 percent under the national average, and weekends drop another 14 percent below what the home manages on weekdays. Turnover sits at 62.7 percent against a national 45.8, so the aides and nurses cycling through are often new to the building. The current record carries 37 deficiencies, including one at the harm level and five tied to abuse, with the most recent inspection dated December 16, 2025. Its quality measure score looks strong, but that reflects charted care, not the hands available at 2 a.m.

Nurse hours

3.70 /day

Staff turnover

55%

Serious cites

0

Veranda Gardens is a 99-bed for-profit home in Cincinnati, and its numbers pull in different directions. The clinical quality measures look strong, but staffing sits at 3.70 hours per resident day, under the national average, and weekends run about 12% thinner than weekdays, which matters when that's when families tend to visit. Staff turnover of 55.1% is well above the 45.8% national figure, so the people providing care keep changing. Inspections tell the harder story: 22 deficiencies on record, two at harm or jeopardy level, one tied to abuse, plus a $30,715 fine. The last inspection was recent, in January 2026.

Nurse hours

3.82 /day

Staff turnover

51%

Serious cites

0

St. Clare Commons runs 3.82 nurse hours per resident day, just under the national average, and weekends drop about 8% below what the home staffs on weekdays. The bigger concern is turnover: 50.8% annually against a 45.8% national rate, meaning roughly half the nursing staff leaves each year. Inspections tell a similar story, 49 deficiencies on record, including one at the harm level and six tied to abuse, plus a $40,433 fine. The most recent inspection was June 2025, so the record is current. Quality measures score well, but staffing and inspection results are where the problems sit.

Nurse hours

3.71 /day

Staff turnover

64%

Serious cites

0

Emerald Care Center Midwest runs 116 certified beds under for-profit LLC ownership, and the staffing picture is the first thing worth noticing. Nurse hours come in at 3.71 per resident day, a bit under the national average, and weekends drop roughly 7% below the home's own weekday coverage, so the days families visit most are the thinnest. Annual turnover of 64.4% sits well above the 45.8% national figure, meaning aides and nurses cycle through steadily. The inspection record shows 31 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and a single $4,017 fine. The most recent inspection was in April 2025, so the record is current.

Nurse hours

3.20 /day

Staff turnover

57%

Serious cites

0

Cross Timbers runs 187 beds under corporate ownership, and its current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, and five tied to abuse. That's a lot to answer for, and the $126,808 fine on file reflects it. Staffing sits at 3.20 nurse hours per resident day, roughly 17% under the national average, with weekends running about 14% lighter than weekdays and turnover at 57.4% against a national 45.8%, meaning the people who do show up are often new. The last inspection was February 2025, so the picture is current, not stale.

Nurse hours

3.45 /day

Staff turnover

52%

Serious cites

0

Kingston Court runs 151 certified beds in York under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Nurses provide 3.45 hours per resident day, roughly 11 percent under the national average, and weekends drop about 5 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.4 percent against a 45.8 percent national figure, meaning more than half the nursing staff leaves each year. The inspection record is the heavier concern: 56 deficiencies, five at harm or jeopardy level, two tied to abuse, and four fines totaling $91,960.

Nurse hours

3.62 /day

Staff turnover

58%

Serious cites

0

Hillcrest runs 103 certified beds in Lower Burrell under for-profit LLC ownership, and the numbers that stand out most aren't the quality measures, those sit around the middle, but the staffing and inspection record. Nurses provide 3.62 hours per resident day, about 6% under the national average, and weekends drop roughly 8% below the home's own weekday staffing. Annual turnover hits 58.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record shows 81 deficiencies, including 2 at the harm or jeopardy level and 9 tied to abuse. That combination, thin coverage, heavy turnover, and a harm-level citation, is what drives the low staffing and health inspection ratings.

Nurse hours

3.44 /day

Staff turnover

47%

Serious cites

0

The Pavilion at St Luke Village is a for-profit LLC home in Hazleton with 120 certified beds, and its nursing hours come in around 3.44 per resident day, roughly 11% under the national average, with weekends running about 13% lighter than weekdays. Turnover sits at 47.1%, just above the national figure. What stands out most is the record: 42 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus three fines totaling $90,662. The health inspection rating is 2 out of 5, though quality measures score 4 and staffing 3. A recent inspection date doesn't offset a pattern with this many citations, especially the serious ones.

Nurse hours

4.01 /day

Staff turnover

72%

Serious cites

0

The Holland Center runs 66 beds in Bucks County under corporate ownership, and the headline number is staffing: 4.01 nurse hours per resident day, about 4% above the national average. That's real, but it comes with churn, 71.7% annual turnover against a national 45.8%, meaning most of the people caring for your relative are new to the building. Weekends run about 7% leaner than weekdays. On inspections, the record shows 45 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a $36,186 fine and a 2-out-of-5 inspection rating. Quality measures score well at 4/5, but the survey history is the part I'd ask about directly on a tour.

Nurse hours

3.08 /day

Staff turnover

47%

Serious cites

0

Fairlane Gardens is a for-profit LLC home in Reading with 124 certified beds, and the numbers tell two different stories. On the clinical side, its quality measure rating is strong at 4 out of 5, but staffing sits at 3.08 nurse hours per resident day, roughly 20% under the national average, and weekends run about 9% leaner than weekdays, so coverage thins out exactly when families tend to visit. Inspections are the bigger concern: a 1-star health inspection rating, 15 deficiencies on record including one at the harm or jeopardy level, and a single $156,310 fine. Turnover at 46.7% is essentially in line with the national 45.8%, so that alone isn't the problem. The last inspection was August 2025.

Nurse hours

3.39 /day

Staff turnover

39%

Serious cites

0

Silver Creek runs 128 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86, with weekend coverage dropping about 9% below its own weekday level, so care thins out exactly when families tend to visit. The inspection record is the heavier problem: 29 deficiencies, 8 of them serious enough to involve harm or jeopardy and 3 tied to abuse, plus five fines totaling $216,258. Turnover at 39.3% is actually better than the 45.8% national figure, but that's the lone bright spot. The most recent inspection was January 23, 2026.

Nurse hours

3.08 /day

Staff turnover

45%

Serious cites

0

The Oaks Post Acute runs on 3.08 nurse hours per resident day, about a fifth below the national average, and weekends drop roughly 11% below what the home already staffs during the week. Twenty-one deficiencies sit on its current record, including one at the harm level and one tied to abuse, with 14 fines totaling $111,710. Ownership is for-profit, through a limited liability company, and the last inspection was January 13, 2026. Turnover among nursing staff is 45.3%, almost exactly the national figure, so the problem here isn't retention, it's how few hours each resident actually gets and what inspectors keep finding.

Nurse hours

3.42 /day

Staff turnover

49%

Serious cites

0

Pruitthealth-Moncks Corner runs 132 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 26% below its own weekday levels, that gap matters when families visit Saturday and Sunday. Turnover is 48.7%, a few points above the national figure, so the faces change often. Inspections show 19 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $21,970 in fines across three events. The most recent inspection was August 2025, so the record is current.

Nurse hours

3.17 /day

Staff turnover

31%

Serious cites

0

St George Healthcare Center runs 88 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is the relative bright spot at 30.6%, well under the 45.8% national figure, which means less churn in who's actually at the bedside. Against that, the current inspection record carries 13 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $16,894. The most recent inspection was February 17, 2026.

Nurse hours

3.05 /day

Staff turnover

55%

Serious cites

0

Lancaster Health and Rehabilitation runs 142 beds under for-profit LLC ownership, and its staffing is the number that jumps out: 3.05 nurse hours per resident per day against a national average of 3.86, roughly a fifth lighter. Weekends drop about another 10% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover sits at 54.7%, well above the 45.8% national figure, meaning the aides and nurses you meet may not be there in a year. Fifteen deficiencies are on record, one tied to abuse, none flagged at harm or jeopardy level, and the last inspection was May 2025, so the picture is reasonably current.

Nurse hours

3.22 /day

Staff turnover

39%

Serious cites

0

Magnolia Manor in Rock Hill is a for-profit home with 106 certified beds, and the numbers that stand out most are on the inspection side. Twenty deficiencies sit on its current record, five of them serious enough to involve harm or jeopardy, and four tied to abuse. Federal fines total $128,214 across five penalties. Nurse staffing runs about 3.22 hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below its own weekday levels. Turnover, at 39 percent, is actually better than the 45.8 percent national figure. The last inspection was in December 2025, so the record is recent, not stale.