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

Nurse hours

3.17 /day

Staff turnover

97%

Serious cites

0

Granger Nursing & Rehabilitation Center runs on thinner staffing than almost anywhere else, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below what the home manages on weekdays. That gap matters, because the workforce itself barely holds still: turnover sits at 97.2% a year, more than double the national figure, meaning the aides and nurses your family member sees are constantly new. Inspectors logged 24 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the last visit was recent. A for-profit limited liability company owns the 67-bed home. Quality scores look decent on paper, but steady hands matter more.

Nurse hours

3.53 /day

Staff turnover

49%

Serious cites

0

Heritage Specialty Care runs 171 beds in Cedar Rapids under corporate ownership, and its last inspection in May 2026 left a record of 50 deficiencies, six of them serious enough to cause harm or jeopardy. Nurse staffing sits at 3.53 hours per resident day, roughly 9 percent under the national average, and weekends drop about 8 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover runs near 49 percent, a few points above average. No abuse citations appear on the record, and the single fine totals $14,365, but the inspection and quality ratings both sit at the bottom of CMS's five-point scale.

Nurse hours

3.81 /day

Staff turnover

61%

Serious cites

0

Azria Health Longview runs 100 beds in Missouri Valley under for-profit partnership ownership, and the numbers that stand out most are the inspection and quality scores, both one star out of five. Its current record carries 42 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, and two tied to abuse. Staffing sits at 3.81 hours per resident day, just under the national average, but weekend coverage drops about 11% below its own weekday level, and annual turnover runs 60.9% against a national 45.8%. The last inspection was June 2025.

Nurse hours

3.63 /day

Staff turnover

60%

Serious cites

0

Accura Healthcare Of Shenandoah runs 42 beds under for-profit LLC ownership, and the numbers behind its D grade are worth walking through slowly. Nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Staff turnover is 60.4% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 32 deficiencies, three at harm or jeopardy level and two tied to abuse, with a $8,414 fine and an inspection dated September 2025. All three CMS star ratings, health inspection, quality measures, staffing, sit at 1 out of 5.

Nurse hours

3.59 /day

Staff turnover

59%

Serious cites

0

Harmony West Des Moines runs 113 beds under corporate ownership, and the numbers explain the record. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover is 58.9%, well above the 45.8% national figure, which makes consistent care hard to sustain. The inspection history is the heavier problem: 46 deficiencies on the current record, including one at the harm level and five tied to abuse. The health inspection rating is 1 out of 5, with the most recent inspection dated March 5, 2026. Quality measures score better at 3 out of 5, but that sits alongside a 2 out of 5 for staffing.

Nurse hours

3.56 /day

Staff turnover

58%

Serious cites

0

Kaw River Care and Rehab runs 45 certified beds in Edwardsville under for-profit LLC ownership, and the direct-care hours tell a familiar story: 3.56 per resident day against a national average of 3.86, with weekends dropping roughly 14 percent below the home's own weekday pace. Staff turnover sits at 58.1 percent, well above the 45.8 percent national figure, so the people showing up on Saturday are often the newest hires. The inspection record is the heavier problem, 48 deficiencies, including two at harm or jeopardy level and three tied to abuse, with a 2/5 health inspection rating and 1/5 on quality measures. The most recent inspection was in May 2025.

Nurse hours

3.37 /day

Staff turnover

39%

Serious cites

0

Highlands Nursing and Rehabilitation runs 154 beds in Louisville under for-profit LLC ownership, and its nurses deliver 3.37 hours of care per resident each day, roughly 13 percent under the national average of 3.86, with weekend coverage dipping about 8 percent below its own weekday level. That thinner weekend presence matters, because the home carries 30 deficiencies on its current record, seven of them serious enough to reach harm or jeopardy, plus one tied to abuse. Turnover sits at 38.7 percent, better than the 45.8 percent national figure, and the last inspection came in February 2025, so the record is recent. Two fines totaling $17,523 round out the picture.

Nurse hours

3.63 /day

Staff turnover

56%

Serious cites

0

Eastway runs 252 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.63 nurse hours per resident day it sits about 6% under the national average, and weekends drop roughly 15% below its own weekday coverage, so the hours aren't just thin, they're thinner exactly when families tend to visit. Turnover is 56.4% against a national 45.8%, which means the aides and nurses who do show up are often new. The inspection record backs that up: 41 deficiencies, 10 at harm or jeopardy level, 4 abuse-related, three fines totaling $24,630, and a 1-out-of-5 health inspection rating. The last survey was August 2025, so the record is current, not stale.

Nurse hours

3.88 /day

Staff turnover

57%

Serious cites

0

Lexington Country Place runs 111 certified beds under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.88 nurse hours per resident day against 3.86 nationwide. That balance is thinner than it looks, though, because weekend coverage drops roughly 6% below the home's own weekday level, and annual turnover hits 56.8% compared with 45.8% nationally. Inspectors visited recently, in April 2025, and found 10 deficiencies, none involving harm or jeopardy and none abuse-related. The state inspection and quality-measure ratings both land at 3 out of 5, while staffing scores 2. If you're weighing this one, ask how they hold nurse coverage steady on Saturdays and Sundays and how they keep experienced aides from walking out the door.

Nurse hours

3.61 /day

Staff turnover

45%

Serious cites

0

Signature Healthcare of Carrollton runs on thinner staffing than most homes nationally, 3.61 nurse hours per resident day against a 3.86 average, and weekends drop about 12% below its own weekday coverage. That's the kind of gap families notice when a call light takes longer to answer on a Sunday. Turnover sits at 44.8%, roughly in line with the national figure, so the concern here isn't retention so much as how few hands are on deck at any given time. Ten deficiencies appear on the current record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was June 2025, so the picture is reasonably current.

Nurse hours

3.34 /day

Staff turnover

58%

Serious cites

0

Cherokee Park Rehabilitation runs 104 beds under for-profit limited liability ownership, and the numbers show a building leaning hard on its clinical outcomes to offset some real operational strain. Nurse staffing sits at 3.34 hours per resident day, roughly 13% under the national average, and weekends dip about 10% below the home's own weekday coverage. Staff turnover is 58.2% against a 45.8% national figure, which means more than half the nursing team turns over in a year. The inspection history is where the concern concentrates: 35 deficiencies on record, five of them at harm or jeopardy level, with a 2/5 health inspection rating and a 2/5 staffing rating from CMS. A 4/5 quality measure score and one $12,054 fine round out the picture.

Nurse hours

3.31 /day

Staff turnover

41%

Serious cites

0

Vanceburg Hills runs a for-profit operation with 94 certified beds, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average. Weekends dip about 10% below what the home itself manages Monday through Friday, so coverage is thinnest exactly when families tend to visit. Staff turnover is 40.5%, which actually beats the national 45.8%, so the picture isn't all downside. But the inspection record carries 15 deficiencies, three of them serious enough to reach harm or jeopardy level, along with one fine of $10,527. The last inspection was June 2025, so the record is current rather than stale. Read together: decent retention, thin daily coverage, and a deficiency list worth asking about directly.

Nurse hours

3.40 /day

Staff turnover

78%

Serious cites

0

Elizabethtown Nursing and Rehabilitation Center runs on thin nursing coverage: 3.40 hours per resident day against a national average of 3.86, and weekends dip about 13% below its own weekdays. The bigger warning sign is turnover, 78.2% of nursing staff leave annually, well above the 45.8% national figure, which means caregivers rarely stay long enough to know residents well. Its last inspection, on January 31, 2026, left 19 deficiencies on record, including one tied to abuse; none rose to harm or jeopardy level. Under a for-profit limited liability owner, the home posts strong quality-measure scores but the staffing picture and inspection history tell a more mixed story.

Nurse hours

4.01 /day

Staff turnover

44%

Serious cites

0

Cumberland Valley runs 4.01 nurse hours per resident day, a bit above the national average of 3.86, but that cushion thins on weekends, weekend staffing drops roughly 12% below its own weekday level. The 84-bed for-profit home carries 7 deficiencies on its current record, 2 of them serious enough to reach harm or jeopardy level, along with 2 fines totaling $15,646. Its CMS quality measure rating sits at 1 out of 5, and inspections were last done in September 2025. Staff turnover, at 43.8%, is slightly better than the 45.8% national figure, though that's the one measure here that isn't working against it.

Nurse hours

3.40 /day

Staff turnover

58%

Serious cites

0

Stonecreek runs about 12% below the national average on nurse staffing, and weekends dip roughly 9% further than its own weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 58.3% against a national 45.8%, which means the aide caring for your mother this month may well be gone by spring. The current record shows 31 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level. Federal inspectors last visited in December 2025, and all three CMS star categories land at 2 out of 5 under for-profit LLC ownership. The pattern is consistent: thin shifts, high churn, middling oversight.

Nurse hours

3.21 /day

Staff turnover

48%

Serious cites

0

Elliott Nursing and Rehabilitation runs 75 certified beds in Sandy Hook under for-profit LLC ownership, and its numbers split in two directions. The health inspection and quality measure ratings both come in at 4 out of 5, and the last inspection was recent. But nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below the home's own weekday level, which is when coverage gaps tend to show. Turnover runs 48.3 percent, slightly above the national figure. Eleven deficiencies are on the current record, three at harm or jeopardy level and one abuse-related, with a single fine of $12,844.

Nurse hours

3.23 /day

Staff turnover

32%

Serious cites

0

Marrero Healthcare Center runs about 3.23 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most: 31.8% against a national 45.8%, which matters for consistent care. But the inspection record shows 18 deficiencies, two at harm or jeopardy level, and one $46,261 fine. The 5/5 inspection star and recent March 2026 visit suggest the last survey went well; the 2/5 staffing star tells the other side of the story.

Nurse hours

3.73 /day

Staff turnover

52%

Serious cites

0

Jefferson Manor runs 122 certified beds in Baton Rouge, and the staffing numbers alone tell a story. At 3.73 nurse hours per resident day, it sits just under the national average, and weekends drop about 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 52.1%, meaning more than half the staff leaves each year, well above the 45.8% national figure. The inspection record is where things get more serious: 36 deficiencies, four at the harm or jeopardy level, and six abuse-related. Three CMS fines total $121,628. Medicare's own ratings put health inspections and quality measures at one star each.

Nurse hours

— /day

Staff turnover

61%

Serious cites

0

Westwood Manor runs about 3.44 nurse staffing hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip another 11 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.3 percent against a national 45.8 percent, which means more than half the nursing staff leaves within a year. The current record shows 27 deficiencies, though none reached harm or jeopardy and none were abuse-related, and the most recent inspection was in July 2025, so the picture is fairly current. For-profit LLC ownership rounds out the profile. The numbers don't suggest danger, but they do show a building running leaner and with less continuity than average.

Nurse hours

3.54 /day

Staff turnover

56%

Serious cites

0

Orono Commons runs 80 certified beds under corporate ownership, and its nurse staffing sits at 3.54 hours per resident day, about 8% under the national figure of 3.86. Weekends dip roughly another 6% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is the bigger tell: 56.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $10,358. The last inspection was May 7, 2025.