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

Nurse hours

3.47 /day

Staff turnover

22%

Serious cites

0

Rockdale Healthcare Center runs 103 certified beds in Conyers, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, with weekends about 8 percent thinner than weekdays. Turnover is the bright spot: 21.7 percent against a national average near 46 percent, so the people who are there tend to stay. The inspection record is heavier: 25 deficiencies, three at harm or jeopardy level and three tied to abuse, with the most recent inspection in January 2026. Quality measure scores land at 1 out of 5 stars and staffing at 2, which is where the weak hours per resident show up.

Nurse hours

3.31 /day

Staff turnover

31%

Serious cites

0

Wildwood Health and Rehab runs 44 beds in Talking Rock under for-profit LLC ownership, and its inspection record is genuinely clean, a recent survey with just four deficiencies, none causing harm, no abuse findings, and modest fines totaling $8,736. Where the picture shifts is staffing and quality measures. At 3.31 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly 11% below its own weekday levels, so care thins out exactly when families tend to visit. Turnover at 31% is better than the 45.8% national figure, which matters for consistency. The tension between that strong inspection history and weak quality and staffing scores is the real story here.

Nurse hours

2.36 /day

Staff turnover

35%

Serious cites

0

Heather Health Care Center runs on 2.36 nurse hours per resident per day, roughly 39% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level, so the thinnest shifts are also the least supervised. That staffing shortfall sits alongside 36 deficiencies on the current record, including 10 at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $308,658. Turnover at 35.1% is better than the 45.8% national figure, and the quality measure rating is strong, but a 1/5 inspection rating with a March 2026 survey that recent tells you the problems are current rather than historical.

Nurse hours

3.28 /day

Staff turnover

33%

Serious cites

0

Carlton At The Lake runs 244 beds on Chicago's South Side under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing: 3.28 nurse hours per resident day, roughly 15 percent under the national average. Weekends drop about 5 percent below the home's own weekday level. Turnover sits at 33.1 percent, better than the 45.8 percent national figure, so the problem isn't retention so much as how few hands are scheduled at once. The inspection record is heavier. Sixty-two deficiencies, six serious enough to reach harm or jeopardy, eight tied to abuse, and four fines totaling $241,131. The most recent inspection was April 2025. Ask about staffing on weekends and how the abuse citations were resolved.

Nurse hours

3.48 /day

Staff turnover

49%

Serious cites

0

The Pearl of Fox River Valley runs about 10% leaner on nurse staffing than the national average, and weekends dip roughly 7% below its own weekday levels, the stretch when families typically visit and problems surface. Turnover sits at 48.5%, a few points above the national rate, so the people caring for your relative are often new to the building. Its record shows 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $142,448. The last inspection was in September 2025, so the picture is current.

Nurse hours

3.12 /day

Staff turnover

21%

Serious cites

0

The Pavilion of Logan Square runs 222 beds under for-profit LLC ownership, and its 3.12 nurse hours per resident day sits well under the national 3.86, with weekends dipping about 12% below its own weekday levels. That thin coverage likely explains the one-star CMS staffing rating. What's interesting is the 20.8% turnover, less than half the national average, so the staff who are there tend to stay. The clinical record is the bigger problem: 52 deficiencies, four at harm or jeopardy level, two tied to abuse, and $67,360 in fines. The last inspection was August 2025. Steady workers, thin hours, and a long citation history.

Nurse hours

2.58 /day

Staff turnover

42%

Serious cites

0

Nurse staffing at Countryside runs about 2.58 hours per resident day, roughly a third below the national average of 3.86, and it thins out further on weekends, which tells you the weakest coverage lands when families are most likely to visit. The inspection record is heavy: 53 deficiencies, including two at the harm or jeopardy level and nine tied to abuse. Staff turnover of 42.3% is slightly better than the national figure, so the problem looks more like too few hands than constant churn. This individually owned, 197-bed home draws a 1 out of 5 on CMS's staffing rating, and with its last inspection in July 2025, ask directly what has changed since.

Nurse hours

3.71 /day

Staff turnover

51%

Serious cites

0

Warren Barr Orland Park runs 275 certified beds under for-profit LLC ownership, and the staffing numbers are where the story sits. At 3.71 nurse hours per resident day, it lands about 4% under the national average, and weekends dip another 4% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.2% outpaces the national 45.8%, which matters more than a single day's census because it means unfamiliar hands on repeat. The current record shows 35 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus three fines totaling $60,348. The last inspection was April 2025, so that record is recent. Quality measures score well; staffing is the weak point.

Nurse hours

3.34 /day

Staff turnover

46%

Serious cites

0

Greenville Nursing & Rehab runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record is the strong point: a 4-out-of-5 health inspection rating with the last survey in August 2024. But 17 deficiencies are on file, including two at harm or jeopardy level and one abuse-related, plus a $10,874 fine. Quality and staffing each rate 2 out of 5, and turnover of 45.6% tracks the national average almost exactly, meaning staffing stability isn't better here, just typical.

Nurse hours

2.87 /day

Staff turnover

42%

Serious cites

0

Alhambra Rehab & Healthcare runs on 2.87 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, though turnover at 41.7% is actually a little better than the 45.8% national figure. Inspections tell a different story: a 5/5 health inspection rating and no deficiencies at the harm or jeopardy level, with the last visit in May 2025. But 13 total deficiencies and two abuse-related findings sit on the record, and the quality measure rating is only 2/5.

Nurse hours

3.15 /day

Staff turnover

43%

Serious cites

0

The Waters of Huntington runs on thin nursing coverage, 3.15 hours per resident day against a national average of 3.86, and weekend staffing dips even lower than its own weekday level. That shortfall shows up in its inspection record: 26 deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, and one tied to abuse. A single fine of $85,480 followed. What's odd is the split in the federal stars: five out of five on quality measures, but one out of five on both staffing and health inspections. Staff turnover, at 43.1%, is slightly better than average, so retention isn't the core problem, the problem is how few hours of nursing care make it to residents each day.

Nurse hours

3.35 /day

Staff turnover

68%

Serious cites

0

Brickyard Healthcare's Twelfth Street location runs on thin staffing. At 3.35 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly another 10% below its own weekday levels, the shifts where families tend to visit. Annual turnover of 67.6% is well above the 45.8% national figure, meaning the people caring for residents change often. The inspection record shows 28 deficiencies, none flagged at harm or jeopardy level and none abuse-related, which matters. Its most recent inspection was September 2025, so the picture is fairly current. Quality measures score well, but that's a narrow slice. The daily staffing reality and the churn are the parts worth weighing.

Nurse hours

3.17 /day

Staff turnover

39%

Serious cites

0

Brickyard Healthcare - Terrace Care Center runs 176 certified beds in La Porte under for-profit LLC ownership. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86, and weekends drop about 11% below the home's own weekday level. Turnover is 38.5%, which is actually better than the 45.8% national figure. What stands out is the inspection record: 43 deficiencies, one abuse-related, none flagged at the harm level. The 43-deficiency count is a lot to carry on a current record, and a 2/5 on health inspections, quality measures, and staffing across the board tells you where the weak spots sit.

Nurse hours

2.88 /day

Staff turnover

44%

Serious cites

0

Waters of Clifty Falls sits in Madison, and the numbers here are worth walking through slowly. Nurse staffing runs 2.88 hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record shows 57 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in June 2025. Staff turnover, at 44.1%, is actually slightly under the national rate of 45.8%. This is a for-profit limited liability company with 138 certified beds, and its health inspection and staffing ratings both sit at the lowest tier on CMS's scale, with quality measures only slightly higher.

Nurse hours

2.91 /day

Staff turnover

68%

Serious cites

0

The Waters of Huntingburg runs on thin nursing coverage, about 2.91 nurse hours per resident each day, roughly a quarter below the national average, and weekends are leaner still than weekdays. More than two-thirds of the nursing staff turned over in a year, against a national rate near 46%, which means the people at the bedside keep changing. Its inspection record carries 50 deficiencies, one serious enough to involve harm, from a visit in September 2025. The five-star quality measure score reflects how residents' conditions are tracked, but that sits alongside a one-star inspection history and a one-star staffing rating.

Nurse hours

3.03 /day

Staff turnover

50%

Serious cites

0

Brickyard Healthcare's Bloomington center runs 3.03 nurse hours per resident day, roughly 22% under the national average, and weekends drop about 8% below what the building already staffs on weekdays. That thin coverage comes with a 49.5% annual turnover rate, meaning nearly half the nursing staff leaves each year. The inspection record shows 21 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one fine of $9,249 and a survey completed in April 2025. The quality measure score looks better than the staffing score, but quality measures describe resident outcomes on paper; staffing is what determines whether anyone answers the call light at 2 a.m.

Nurse hours

3.74 /day

Staff turnover

64%

Serious cites

0

Envive of Liberty runs 60 certified beds under corporate for-profit ownership, and its staffing sits at 3.74 hours per resident day, a little under the national average of 3.86. The bigger issue is turnover: 63.9% of staff leave each year, well above the 45.8% national figure, which matters more than the raw hours because it means unfamiliar faces are often the ones providing care. The current inspection record shows 15 deficiencies, including 3 at the harm or jeopardy level and 1 tied to abuse. The last inspection was September 2025, so the record is recent. Weekend staffing actually runs slightly above the home's own weekday level, which is unusual and worth noting.

Nurse hours

3.55 /day

Staff turnover

61%

Serious cites

0

River Bend runs on thinner staffing than most homes, about 3.55 nurse hours per resident each day, roughly 8% under the national average, and weekends dip even lower. That matters when you consider turnover: 61.3% of staff left over the past year, against a national rate near 46%, so the people caring for residents are constantly changing. The inspection record is harder to look past: 53 deficiencies, including one at the harm level and three tied to abuse. Its last inspection was January 2026. For-profit corporate ownership isn't unusual here, but combined with a 1-star health inspection rating, it's worth asking direct questions before you decide.

Nurse hours

3.33 /day

Staff turnover

61%

Serious cites

0

Majestic Care of Newburgh runs on thin staffing: 3.33 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, meaning the aides and nurses your family member sees are cycling out faster than average. The inspection record backs that up, 42 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent survey in July 2025. Quality measures look strong at 4 out of 5 stars, but those often reflect charted care rather than daily presence. The corporate for-profit owner, low staffing score, and heavy deficiency count are the parts worth asking about on a visit.

Nurse hours

3.55 /day

Staff turnover

55%

Serious cites

0

Silver Oak runs on 3.55 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 15% below its own weekday staffing. The 55.4% annual turnover is well above the 45.8% national figure, so the faces around your relative change often. Its record shows 60 deficiencies, three at harm or jeopardy level and six tied to abuse, with $29,107 in CMS fines and a one-star inspection rating; the most recent inspection was April 2026. Ownership is for-profit, a limited liability company. Quality measures score mid-range and staffing scores well on paper, but the inspection history is where the concern sits.