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

Nurse hours

3.43 /day

Staff turnover

48%

Serious cites

0

Heartland Villa runs lean on nurses. At 3.43 hours per resident per day, it's about 11% under the national average of 3.86, and weekends dip roughly 17% below the home's own weekday staffing. That thin coverage is what drives the one-star staffing rating, and 47.8% annual turnover, slightly worse than the 45.8% national figure, means the aides and nurses on the floor keep changing. The other numbers tell a more mixed story. The home's inspection record shows just 2 deficiencies, though one was serious enough to reach harm or jeopardy level, with $8,788 in fines and a January 2026 inspection. Quality measures score well. For a 45-bed for-profit run by a limited liability company, the real question is whether the weekend staffing gap is one your family can live with.

Nurse hours

3.36 /day

Staff turnover

37%

Serious cites

0

The Oaks of Houma runs lean on nurse staffing, 3.36 hours per resident day against a national average of 3.86, with weekends dropping roughly 20% below its own weekday coverage. That pattern matters because care needs don't take Saturdays off. Staff turnover sits at 36.6%, better than the 45.8% national figure, and the inspection record is clean of harm-level deficiencies across 13 total findings, though three are abuse-related. This is a for-profit limited liability company with 120 certified beds, inspected recently in March 2026. The 1-out-of-5 quality measure rating is the number worth asking about directly, it reflects how residents' clinical outcomes track over time, not how the building looks on a tour.

Nurse hours

3.11 /day

Staff turnover

59%

Serious cites

0

St. Bernard Nursing & Rehab runs 127 certified beds in New Orleans under for-profit LLC ownership, and the staffing numbers are the first thing worth understanding. At 3.11 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop another 19% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 58.8% against a national 45.8% means the aides and nurses caring for residents are, statistically, often new to the building. The current inspection record carries 44 deficiencies, seven of them abuse-related and none flagged at harm or jeopardy level. Last inspection: June 2025.

Nurse hours

4.03 /day

Staff turnover

50%

Serious cites

0

Landmark Nursing & Rehabilitation Center of West Monroe runs 140 certified beds under for-profit LLC ownership, and it does put more nursing hours into each resident's day than the typical American home, 4.03 versus 3.86. But weekends thin out about 16% below its own weekday staffing, and half the staff turns over every year, a bit worse than the 45.8% national figure. The current record carries 20 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $20,869 in fines. Its quality measure rating sits at 1 out of 5. A March 2026 inspection is recent enough to reflect the building as it stands now.

Nurse hours

3.52 /day

Staff turnover

44%

Serious cites

0

The Summit runs 130 certified beds in Alexandria under for-profit LLC ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 16% below its own weekday coverage, which matters when residents need help on a Saturday night. Staff turnover at 43.8% is slightly better than the national 45.8%, though that's a low bar. What stands out more is the inspection record: 25 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse. CMS rated health inspections 2 out of 5, quality measures 1 out of 5, and staffing 2 out of 5. One fine totaling $14,287 is on file, and the most recent inspection came April 8, 2026.

Nurse hours

3.40 /day

Staff turnover

—

Serious cites

0

Oakwood SNF in Middle River runs 130 certified beds under for-profit LLC ownership, and its federal record shows where the trouble sits: 88 deficiencies on file, including two at harm or jeopardy level and seven tied to abuse. The staffing star rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects, while the quality measure score of 4 shows resident outcomes look better than the staffing numbers would suggest. Inspections are current, with the last visit in March 2026 and $13,270 in fines recorded. The inspection history and thin staffing are the real story here, ask pointed questions about direct care hours and how abuse allegations get handled.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Royal Of Fairhaven is a 107-bed for-profit home run by a limited liability company, and staffing is where it struggles most, the federal staffing rating sits at just one star, well below what you'd want to see for a building this size. Inspectors have logged 17 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, though none involved abuse. One fine totaling $8,648 has been levied. The good news is that the last inspection was recent, in March 2025, and the health inspection rating lands at a middling three stars. Quality measures come in at two stars. If you're considering this home, ask specifically about direct-care staffing levels on evenings and weekends.

Nurse hours

3.35 /day

Staff turnover

—

Serious cites

0

The Orchards At Warren runs on 3.35 nursing hours per resident per day, about 13 percent under the national average, and weekends drop roughly 8 percent below its own weekday staffing. That thin coverage tracks with a one-star CMS staffing rating. The home's current record carries 36 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $21,273; its last inspection was in December 2025. State surveyors rated health inspections and quality measures two stars each, so the weak spots aren't isolated to staffing. Corporate for-profit ownership of this 134-bed Macomb County home rounds out the picture.

Nurse hours

2.45 /day

Staff turnover

—

Serious cites

0

Edgebrook Care Center runs on 2.45 nurse staffing hours per resident day, roughly 37 percent under the national average of 3.86, and the federal staffing rating lands at 1 out of 5 because of it. Weekend coverage tracks about 1 percent above weekdays, so that's not where the gap comes from. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse; the health inspection rating sits at 2 out of 5, with the most recent survey done in November 2025. It's a 54-bed nonprofit, and the quality measure rating of 3 shows clinical care isn't failing across the board, the shortfall is hands on deck.

Nurse hours

4.12 /day

Staff turnover

66%

Serious cites

0

Camelot runs on thin staffing margins despite what the headline number suggests. The 4.12 nurse hours per resident day sits about 7% above the national average, but weekends drop roughly 15% below the home's own weekday levels, so the coverage you see on a Tuesday isn't what you get on a Saturday. Turnover is the bigger concern: 66.3% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new or on their way out. Inspections look strong on paper, a 5/5 star rating, 12 deficiencies on record, none at harm or jeopardy level, and a recent survey in February 2026. Owned by a for-profit LLC.

Nurse hours

3.29 /day

Staff turnover

—

Serious cites

0

Memory Lane of Dexter runs 73 certified beds under for-profit LLC ownership, and its strongest card is inspections: a recent January 2025 survey, no harm-level deficiencies, and nothing abuse-related across 18 total citations. The trouble sits on the other side of the ledger. Nurse staffing averages 3.29 hours per resident day, roughly 15% under the national figure, and weekends drop about 12% below the home's own weekday coverage, which matters in a memory care setting where needs don't pause on Saturday. Quality measure scores land near the bottom of CMS's five-point scale. A clean inspection record buys some confidence, but thin and thinning weekend staffing is the number a family should press on before choosing this home.

Nurse hours

1.40 /day

Staff turnover

—

Serious cites

0

Odessa Health Care Center runs on 1.40 nurse staffing hours per resident day, roughly 64% under the national average of 3.86, and weekends drop about 5% further below its own weekday level, so the thinnest coverage happens when families tend to visit. Its record shows 74 deficiencies, including three tied to abuse, with a health inspection rating of 1 out of 5 and staffing at 1 out of 5; quality measures score 3. The last inspection was February 2026, so the findings are recent. None of the 74 deficiencies rose to harm or jeopardy level, which matters. This is a for-profit limited liability company with 60 certified beds.

Nurse hours

3.28 /day

Staff turnover

—

Serious cites

0

Hubble Creek runs about 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends drop another 14% below its own weekday levels, that staffing shortfall is what a 1-out-of-5 staffing rating reflects. The inspection record shows 42 deficiencies, including two at the harm level and three tied to abuse, plus $26,628 in fines across two penalties. Ownership changed hands within the past year, which can unsettle routines. A recent inspection in February 2026 and a 4-star health inspection rating suggest the home can pass muster when surveyors arrive, but quality measures sit at 2 stars. Ask directly how weekend coverage is handled and who is on the floor overnight.

Nurse hours

3.40 /day

Staff turnover

51%

Serious cites

0

Good Samaritan Society - St John's runs 56 certified beds in Kearney under nonprofit ownership, and the staffing numbers are the first thing to notice. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 51.1% runs above the 45.8% national figure, which means many of the people providing that care are still new to the building. The inspection record shows 29 deficiencies, including one at the harm level and two related to abuse, with the most recent survey dated April 2026.

Nurse hours

2.97 /day

Staff turnover

54%

Serious cites

0

Complete Care At Milford Manor is a 120-bed for-profit in West Milford, and the numbers split in two directions. The clinical quality measure rating sits at 4 out of 5, so residents' documented care outcomes look better than average. Staffing is where it struggles: 2.97 nurse hours per resident day against a national average of 3.86, weekend coverage running about 18% under its own weekday levels, and turnover at 53.6%, well above the 45.8% national figure. The record shows 26 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related and fines total just $3,595. The most recent inspection was March 2025, so the picture is current. Ask about weekend and evening coverage specifically when you visit.

Nurse hours

3.09 /day

Staff turnover

51%

Serious cites

0

Robinson Terrace runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Turnover sits at 50.5% against a national 45.8%, so the aides and nurses your family member sees are changing often. Inspections are a genuine bright spot: a 4/5 health inspection rating, 16 deficiencies on record with none at the harm or jeopardy level, and the most recent visit was February 2026. One abuse-related deficiency is on the books, which is worth asking about directly. Quality measures and staffing both score 2/5. Corporate-owned, 120 beds.

Nurse hours

3.32 /day

Staff turnover

62%

Serious cites

0

Utica Rehabilitation & Nursing Center runs 120 certified beds under corporate ownership, and the numbers worth knowing are on the staffing and inspection side. Nurses provide 3.32 hours per resident day, roughly 14 percent under the national average, and weekends dip about 16 percent below what the home itself staffs on weekdays. Turnover sits at 61.5 percent against a national 45.8 percent, so the people caring for residents change often. The record shows 38 deficiencies, five at harm or jeopardy level and four abuse-related, with $197,425 in fines and an inspection just completed in February 2026. Quality measures score well, but staffing and compliance are where the risk sits.

Nurse hours

3.44 /day

Staff turnover

54%

Serious cites

0

Highland Rehabilitation And Nursing Center runs about 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 19% below its own weekday staffing. That gap matters, because the question for any family is who's actually on the floor on a Saturday. Turnover sits at 53.7% against a national 45.8%, so more than half the nursing staff leaves within a year. The current record shows 39 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related. State inspectors were last in on July 3, 2025, and the health inspection rating came back 1 out of 5. It's a for-profit LLC with 98 certified beds. Ask about weekend coverage and how they screen staff before you decide.

Nurse hours

2.69 /day

Staff turnover

69%

Serious cites

0

Elderwood Of Lakeside At Brockport runs about 2.69 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekend coverage drops about 19% below what the home staffs on weekdays. Turnover sits at 68.5% against a national 45.8%, which means most of the aides and nurses around your relative are relatively new. The good news: the state's last inspection was in April 2025, and the home carries just seven deficiencies with none at the harm level and none abuse-related. So the care problems here aren't neglect or safety citations, they're thin coverage, especially on weekends, which is worth asking about directly.

Nurse hours

2.95 /day

Staff turnover

59%

Serious cites

0

Elderwood At Wheatfield runs about 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 19% below its own weekday staffing. That thin coverage shows up in the numbers: 59.3% annual turnover, well above the 45.8% national figure, and a 2-out-of-5 staffing rating from CMS. The 123-bed for-profit home carries 13 deficiencies on its current record, none at the harm level, but one abuse-related, and its last inspection was August 2024. Quality measures score well at 4 out of 5, so resident care indicators look stronger than the staffing that delivers them. Ask about weekend coverage and turnover before touring.