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

Nurse hours

3.23 /day

Staff turnover

41%

Serious cites

0

Pruitthealth-Crystal Coast runs 104 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly another 16% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 40.6%, which is actually a bit better than the 45.8% national figure. On paper the inspection record looks steady: a 4/5 health inspection star, nine deficiencies with none at harm or jeopardy level and none abuse-related, one fine of $3,728, and a January 2026 inspection. The 2/5 quality measure star is the outlier worth asking about.

Nurse hours

3.22 /day

Staff turnover

—

Serious cites

0

Warsaw Rehabilitation and Healthcare Center runs 100 certified beds under for-profit limited liability ownership that changed hands within the last year. Nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 8% thinner than weekdays, a pattern that matters when falls and infections don't check the calendar. The inspection record carries 19 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus four fines totaling $43,924. The last inspection was March 21, 2025. A 4/5 quality measure score sits alongside a 1/5 staffing rating, which tells you the two aren't measuring the same thing.

Nurse hours

3.41 /day

Staff turnover

46%

Serious cites

0

The Carrolton of Fayetteville runs lean on nursing hours: 3.41 per resident day against a national average of 3.86, with weekends dipping roughly 16 percent below its own weekday coverage. Staff turnover sits at 45.7 percent, essentially matching the national rate, so the issue isn't retention so much as how few hands are scheduled per shift, particularly on Saturdays and Sundays. The inspection record carries 25 deficiencies, three of them at the harm or jeopardy level and three tied to abuse. That mix, thin weekend staffing paired with serious past findings, is what drives the middling ratings. Ask the administrator directly how weekend coverage is filled and how those harm-level issues were resolved.

Nurse hours

3.06 /day

Staff turnover

36%

Serious cites

0

Emerald Ridge runs 3.06 nurse hours per resident per day, about 21% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Staff turnover sits at 35.8%, better than the 45.8% national figure, but the inspection record is where things get harder to explain: 32 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with two fines totaling $73,475. The most recent inspection was April 9, 2026. A for-profit limited liability company owns the 100-bed home, and federal inspectors rated its health inspection record 1 out of 5 stars, worth asking about directly before you decide.

Nurse hours

3.31 /day

Staff turnover

67%

Serious cites

0

Montgomery Care Center is a for-profit LLC home with 99 certified beds in Cincinnati. Its aide and nurse hours come to 3.31 per resident day, roughly 14% under the national average, and weekends run about 16% lighter than weekdays. Staff turnover sits at 66.7% against a national 45.8%, which is a lot of retraining and unfamiliar faces. The inspection record shows 28 deficiencies, one at the harm or jeopardy level, though none abuse-related. The most recent inspection was in December 2024, and CMS gives it 3 of 5 stars for health inspections and 4 for quality measures but only 2 for staffing. Ownership is plain: a limited liability company operating for profit.

Nurse hours

4.52 /day

Staff turnover

48%

Serious cites

0

Parkside runs 4.52 nurse hours per resident day, roughly 17% above the national average, but weekends drop about 16% below its own weekday staffing, so the coverage your family sees on a Saturday may look thinner than a Tuesday. The current record carries 34 deficiencies, two at the harm or jeopardy level and two abuse-related, along with two fines totaling $45,804, and the most recent inspection was in July 2025. Staff turnover sits at 48.4%, slightly above the national figure. Ownership is a for-profit corporation. The high quality measure score stands apart from the inspection and staffing ratings, which is worth asking about directly.

Nurse hours

3.47 /day

Staff turnover

44%

Serious cites

0

O'Neill Healthcare Middleburg Heights runs 82 certified beds under for-profit LLC ownership, and its numbers pull in two directions. The clinical side looks solid on paper, a 4/5 inspection rating, a 5/5 quality measure rating, and turnover at 44.1%, slightly better than the national 45.8%. Staffing is where it slips: 3.47 nurse hours per resident day, roughly 10% under the national average, and weekends run about 15% below the home's own weekday level, which matters when families visit less and needs don't pause. Eleven deficiencies sit on the current record, one serious enough to reach harm or jeopardy level, with a single fine totaling $166,764. The most recent inspection was December 2025. Ask how they cover weekend gaps.

Nurse hours

3.29 /day

Staff turnover

64%

Serious cites

0

Altercare Somerset runs 79 beds under corporate ownership, and the staffing numbers are where the trouble shows. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 18% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover of 64.4% is well above the 45.8% national figure, which matters because familiar caregivers are the ones who notice changes first. Its record carries 29 deficiencies, including one at the harm level and one abuse-related. The most recent inspection was February 26, 2026, so the picture is current.

Nurse hours

3.23 /day

Staff turnover

38%

Serious cites

0

Continuing Healthcare At Cedar Hill runs 90 certified beds in Zanesville under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends run about 16% thinner than weekdays, so coverage dips exactly when families tend to visit. Turnover at 38.3% is actually better than the national 45.8%, which suggests some stability in who's showing up. The concern is the inspection record: 42 deficiencies on file, two serious enough to involve harm or jeopardy, and $30,227 in fines, with the most recent inspection in January 2025. Ask about weekend coverage and how they've addressed those two harm-level findings.

Nurse hours

3.48 /day

Staff turnover

57%

Serious cites

0

The Timbers Skilled Nursing and Therapy is a for-profit partnership home in Edmond with 129 certified beds, and the numbers point in different directions depending on where you look. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and weekends run about 16 percent thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover is 56.6 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. On inspections, the record shows 12 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $34,706, with the most recent inspection dated February 27, 2026.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Eastwood Manor runs 80 certified beds in Commerce under individual for-profit ownership, and its staffing score sits at the bottom of CMS's scale, meaning residents here get fewer direct care hours than the national average, and that gap is the single biggest thing working against it. The inspection record shows 23 deficiencies, though none rose to the level of actual harm or jeopardy and none involved abuse, which matters. Ten fines totaling $54,540 have accumulated over time, and the most recent inspection was in February 2025, so the picture is fairly current. Quality measures land below average too. Nothing here suggests danger, but the thin staffing is the thing to ask about directly.

Nurse hours

3.39 /day

Staff turnover

—

Serious cites

0

Aventura At Pembrooke runs 180 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 31 deficiencies, three of them at harm or jeopardy level, plus one fine of $85,255; the last inspection was August 2025. Staffing and quality measures both score 2 of 5 stars, inspections 1 of 5. No abuse citations appear on the current record. If you're weighing this one, ask specifically how weekend coverage is handled and what changed after those harm-level findings.

Nurse hours

3.52 /day

Staff turnover

—

Serious cites

0

Clarion Nursing and Rehab runs 83 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop further, about 8% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is the strongest part of the picture: a 4-out-of-5 health inspection rating and a recent survey dated March 2026. But 18 deficiencies are logged, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,018. Quality measures and staffing each earned 2 out of 5 stars.

Nurse hours

3.03 /day

Staff turnover

52%

Serious cites

0

Avantara Redfield runs on 3.03 nurse hours per resident day, about 22 percent below the national average, and weekend coverage drops roughly 19 percent below its own weekday levels. Staff turnover sits at 52.1 percent against a national 45.8 percent, so the people providing that already-thin care are cycling out faster than average. The current inspection record shows 17 deficiencies, three at harm or jeopardy level and two tied to abuse, with $23,044 in fines across three events. The most recent inspection was January 28, 2026, so the record is current rather than dated. For-profit, limited liability ownership, and the family should ask directly how weekend shifts are covered before deciding.

Nurse hours

3.06 /day

Staff turnover

35%

Serious cites

0

Avantara North runs about 3.06 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop further, about 20% under its own weekday baseline, which is when families tend to visit and notice. Staff turnover sits at 35.4%, better than the 45.8% national figure, so the people who are there tend to stay. The current record carries 17 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with $24,108 in fines across two penalties. The last inspection was February 2026. For-profit, LLC-owned, 68 beds.

Nurse hours

4.07 /day

Staff turnover

73%

Serious cites

0

Nashville Center for Rehabilitation and Healing runs 142 beds under for-profit LLC ownership, and its nurse staffing averages 4.07 hours per resident day, slightly above the national figure of 3.86. That headline number hides a catch: weekends run about 20% leaner than weekdays, and annual turnover sits at 72.8% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 30 deficiencies, one tied to abuse, though none reached the harm or jeopardy level; the last inspection was March 2023. CMS rates its quality measures 5 out of 5 but staffing 1 out of 5, a split worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

—

Serious cites

0

Concho Health & Rehabilitation Center runs on 3.15 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop another 8 percent below its own weekday coverage. Inspectors visited recently, in July 2025, and found 14 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse, which families should ask about directly. The staffing star comes in at 1 out of 5 while quality measures sit at 2, even as the inspection star reads 5. Hospital district ownership doesn't change the math: thin daily coverage is the pattern here, and it's what pulls the overall picture down.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Rocky Mount Health & Rehab runs 180 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends drop about 16 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover, at 45.1 percent, is essentially the national rate. The current inspection record shows 18 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $30,297. Inspectors were last on site in March 2025. The quality measure stars look strong, but that score rests on charted clinical data, not on how many hands are actually available at 3 a.m.

Nurse hours

3.12 /day

Staff turnover

55%

Serious cites

0

Canterbury Center runs on thin staffing. At 3.12 nurse hours per resident day, it sits roughly 19% under the national average, and weekends drop about 16% below what the home manages Monday through Friday. More than half the nursing staff turned over in a year, 55.2%, against a national 45.8%, which means the people doing the hands-on work keep changing. The inspection record backs that up: 73 deficiencies, including 2 at the harm level and 5 tied to abuse. Its last inspection was in March 2025. Quality measures score well, but scores on paper don't staff a night shift. Ask about weekday versus weekend coverage before you visit.

Nurse hours

3.60 /day

Staff turnover

38%

Serious cites

0

Avina On Division runs 50 beds under limited-liability ownership, and its inspection record is the part that should worry you most: 42 deficiencies on file, three of them serious enough to put residents in harm's way. The one-star health inspection rating reflects that. Staffing is a mixed picture, 3.60 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 18% below the home's own weekday coverage, which is when families often notice fewer hands available. Turnover at 37.5% actually beats the national 45.8%, so the workers who stay seem to stay. A May 2025 inspection means the record is recent, not stale.