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

Nurse hours

3.40 /day

Staff turnover

60%

Serious cites

0

Autumn Lake Healthcare at Ruxton runs 179 beds in Towson under for-profit LLC ownership, and the numbers explain the grade better than the letter does. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip another 10 percent below what the home itself manages on weekdays, so the thinnest coverage lands when families tend to visit. Turnover tells its own story: 59.9 percent of staff leaving annually against a 45.8 percent national figure, meaning the people caring for your relative are, more often than not, new to the building. The inspection record shows 70 deficiencies, four tied to abuse, with the most recent survey in February 2026.

Nurse hours

3.33 /day

Staff turnover

44%

Serious cites

0

Caroline Nursing and Rehab runs below the national average on nurse staffing, 3.33 hours per resident day against 3.86 nationally, about 14% less. Weekends are thinner still, roughly 8% below the home's own weekday level, which matters because that's when families often visit and when problems tend to surface. The inspection record shows 42 deficiencies, none at the harm or jeopardy level but four tied to abuse, and the last full inspection was in November 2024. Staff turnover sits at 44.4%, essentially in line with the national figure, so retention isn't the outlier here, the thin staffing and the inspection history are. For-profit, limited liability ownership.

Nurse hours

3.30 /day

Staff turnover

65%

Serious cites

0

Fox Chase Healthcare runs on 3.30 nurse hours per resident day, about 14% under the national average, and weekend coverage dips roughly 7% below what it manages on weekdays. Staff turnover sits at 64.5% against a national average of 45.8%, meaning close to two-thirds of the nursing staff left within a year. The inspection record shows 65 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection was March 2025. State inspectors rated the home one star for health inspections. A for-profit limited liability company owns its 87 certified beds.

Nurse hours

3.18 /day

Staff turnover

70%

Serious cites

0

Autumn Lake Healthcare At Alice Manor runs about 105 beds in Baltimore under for-profit limited liability ownership, and the numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.18 hours per resident day, roughly 18 percent under the national average, with weekends running about 9 percent thinner than weekdays, and annual turnover near 70 percent against a national 46. Then there's the record: 55 deficiencies, including four tied to abuse and one serious enough to raise harm or jeopardy concerns. Staffing that thin, turning over that fast, is what tends to sit behind a citation record like that. The last inspection was in May 2025, so the picture is current. Worth asking hard questions about who's actually on the floor, especially on weekends.

Nurse hours

3.33 /day

Staff turnover

56%

Serious cites

0

Autumn Lake Healthcare At Summit Park runs 143 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86, with weekends dipping about 7 percent below its own weekday level. Turnover tells a similar story: 55.9 percent annually against a national 45.8 percent. The inspection record is heavy, 80 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $49,221 fine, though the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results are where the concerns live.

Nurse hours

3.92 /day

Staff turnover

56%

Serious cites

0

Complete Care At Hagerstown runs 60 beds under for-profit LLC ownership, and the numbers split in two directions. Nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, though weekends drop about 4% below the home's own weekday levels, and 56% annual turnover means most of the people providing that care are new to the building. The bigger concern is the inspection record: 81 deficiencies, three at harm or jeopardy level, nine tied to abuse, and $43,352 in fines, with the most recent inspection in May 2025. Quality measures score well; the health inspection side does not.

Nurse hours

3.58 /day

Staff turnover

40%

Serious cites

0

Kimwell runs on leaner nurse staffing than most homes, 3.58 hours per resident day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That gap matters, because 24 deficiencies sit on its current record, including one at the harm level and one tied to abuse, with a $8,278 fine. The two-star inspection and one-star quality ratings line up with that history. Turnover at 40% is actually better than the 45.8% national figure, so leadership isn't the core problem here. The last inspection was March 2026, so the record is recent, not stale. If you're weighing this one, ask directly how weekends are covered and what changed after the harm-level finding.

Nurse hours

3.51 /day

Staff turnover

42%

Serious cites

0

Fitchburg Healthcare runs 160 beds under for-profit LLC ownership, and its staffing sits at 3.51 nurse hours per resident day, about 9% under the national average of 3.86. Weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 39 deficiencies, including one at the harm-or-jeopardy level and one abuse-related, plus a $33,180 fine. Staff turnover at 42% is slightly better than the 45.8% national figure, but that's a small consolation against a 1-out-of-5 inspection rating and a February 2026 inspection that's now behind it. Ask about the abuse deficiency directly before you decide anything.

Nurse hours

3.13 /day

Staff turnover

31%

Serious cites

0

Fitchburg Rehabilitation and Nursing Center runs on 3.13 nursing hours per resident day, about 19% under the national average, and weekend coverage drops roughly 8% below what it manages on weekdays. The inspection record is the bigger concern: 41 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with two fines totaling $43,719. Staff turnover is 30.8%, which is actually better than the 45.8% national average, that's a real point in its favor. But a 1/5 staffing rating and a 1/5 health inspection rating, owned by a for-profit LLC, mean the thin coverage and the deficiency history are the things to weigh before you decide.

Nurse hours

3.22 /day

Staff turnover

36%

Serious cites

0

Southbridge Rehabilitation runs 144 beds under a for-profit LLC, and the number that stands out is nurse staffing: 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 36.3%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours are short. The current record shows 31 deficiencies, none at harm or jeopardy level, one abuse-related, with an inspection dated April 2026. Quality measures score low, and low staffing usually explains why.

Nurse hours

3.06 /day

Staff turnover

25%

Serious cites

0

Lanessa runs lean on nursing hours, about 3.06 per resident per day against a national average of 3.86, and weekends drop another 7% below its own weekday coverage. The inspection record is the bigger concern: 71 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with a single $119,962 fine and a survey completed in February 2025. Ownership is for-profit partnership, and CMS gives one star for health inspections and two for quality measures, even though staffing earns three. Turnover at 25% actually beats the 45.8% national figure, so this isn't a retention problem, it's what the building does with the staff it keeps.

Nurse hours

3.00 /day

Staff turnover

63%

Serious cites

0

Majestic Care of Battle Creek runs on 3.00 nurse hours per resident day, roughly a fifth below the national average, and the weekend gap makes that thinner still, about 6% less coverage than weekdays. That low staffing number is the real story behind its C grade, and it's the same number driving a 2-out-of-5 staffing star. Turnover sits at 62.5%, well above the 45.8% national figure, so the people providing that care keep changing. The current record shows 38 deficiencies, one abuse-related, though none reached harm or jeopardy level. It's corporate-owned and was last inspected in January 2026, so that record is recent.

Nurse hours

2.94 /day

Staff turnover

—

Serious cites

0

Meadow Manor runs on thin staffing. At 2.94 nurse hours per resident day, it sits about 24 percent under the national average, and weekends drop roughly another 23 percent below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Twenty deficiencies are on the current record, including one at the harm level and two tied to abuse, which is a lot for a 26-bed home where problems are hard to hide. The four-star inspection rating and February 2026 visit suggest regulators found real issues but nothing rising to widespread failure. Corporate ownership and that one-star staffing rating explain where the overall grade lands.

Nurse hours

3.83 /day

Staff turnover

52%

Serious cites

0

The Bluffs runs a 107-bed for-profit operation in Vicksburg, and its staffing sits just under the national average at 3.83 nurse hours per resident day, thin, but the bigger problem is what happens on weekends, when coverage drops roughly 14% below its own weekday level. Annual turnover of 52.2% means more than half the nursing staff leaves each year, well above the 45.8% national figure, so the people caring for residents are constantly changing. Its inspection record backs that up: 27 deficiencies on file, five at harm or jeopardy level and two tied to abuse, with a 1-out-of-5 health inspection rating and $8,000 in fines. One recent inspection in January 2025 doesn't undo that pattern.

Nurse hours

3.48 /day

Staff turnover

54%

Serious cites

0

Laurelwood Community Living Center runs 60 certified beds in Jones County under individual for-profit ownership, and its current inspection record includes 22 deficiencies, four at the harm or jeopardy level and one tied to abuse. The health inspection and quality measure star ratings both sit at 1 out of 5, and the last survey was in April 2025. Nurse staffing averages 3.48 hours per resident day, roughly 10% under the national figure of 3.86, with weekends running about 12% thinner than weekdays. Annual turnover is 54.1% against a national 45.8%, which means more than half the nursing staff leaves each year. One fine totaling $13,520 is on record.

Nurse hours

3.56 /day

Staff turnover

43%

Serious cites

0

Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.

Nurse hours

3.72 /day

Staff turnover

64%

Serious cites

0

Aspire Senior Living Poplar Bluff runs 83 certified beds under for-profit, limited-liability ownership, and its strongest card is inspection history: a four-star health inspection rating with the most recent survey in January 2025. The clinical picture is shakier. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and drops about 11% further on weekends. Turnover is the number that stands out, 63.6% of staff leaving annually against a national rate near 46%. Its record shows 37 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. Quality measures score one star despite that clean inspection. Those two things together tell you care planning and daily consistency are where the gaps likely live.

Nurse hours

3.08 /day

Staff turnover

38%

Serious cites

0

Mt Vernon Nursing runs on 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 10% below its own weekday staffing. The 37.5% annual turnover is better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on October 10, 2024, and found 12 deficiencies on the current record, one serious enough to involve harm or jeopardy, none related to abuse. The four-star health inspection rating reflects that recent visit, while the two-star quality measure rating suggests the clinical numbers families watch most closely aren't where they should be.

Nurse hours

2.40 /day

Staff turnover

45%

Serious cites

0

Pleasant View runs about 24% below the national average for total nurse staffing, 2.40 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday levels, so coverage thins exactly when families tend to visit. That shortfall anchors its one-star staffing rating, even though turnover at 45% is essentially in line with the national figure. The health inspection side looks stronger: 24 deficiencies on record with none at the harm or jeopardy level, one tied to abuse, and a survey as recent as May 2025. Quality measures sit at two stars. With 60 certified beds under corporate for-profit ownership, the gap between decent inspections and thin daily staffing is what pulls the overall picture down to average.

Nurse hours

2.36 /day

Staff turnover

36%

Serious cites

0

Falls City Care Center runs on 2.36 nurse hours per resident per day, roughly 39 percent under the national average of 3.86, and weekends drop about 6 percent below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5. Turnover is the one bright spot: 36.4 percent, better than the 45.8 percent national figure. The 12 deficiencies on record carry no harm or abuse findings, and the most recent inspection was June 2025, so oversight is current. Ownership is a for-profit corporation. The practical question for a family is whether that staffing level matches the care your relative needs day to day.