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

Nurse hours

3.90 /day

Staff turnover

61%

Serious cites

0

Carolina Rehab Center Of Burke runs 90 beds in Connelly Spring under for-profit LLC ownership, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86, barely a rounding difference. The problem is who's delivering those hours and whether they stay: turnover runs 60.6%, well above the 45.8% national figure, and weekend coverage drops roughly 9% below weekday levels. On paper the quality measure score looks strong at 4 stars, but 20 deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, with $26,014 in fines across three penalties. The last inspection was August 2025.

Nurse hours

— /day

Staff turnover

35%

Serious cites

0

Peak Resources-Wilmington runs 110 beds as a for-profit corporation, and staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average of 3.86, with weekends running about 6% thinner than weekdays. Turnover at 34.5% is genuinely better than the 45.8% national figure, which matters for continuity of care. What stands out more is the inspection record: 33 deficiencies, three at harm or jeopardy level, three abuse-related, and two fines totaling $56,124. The most recent inspection was May 2026. A single star on health inspections paired with two on quality measures tells you where the problems concentrate, not in staff retention, but in what inspectors keep finding.

Nurse hours

3.70 /day

Staff turnover

59%

Serious cites

0

Park Center runs 99 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.70 nurse hours per resident day sits below the national average, weekend coverage drops about 12% below its own weekday level, and annual turnover hits 58.7% against a national 45.8%. Inspections back that up, a 1-out-of-5 health inspection rating, 60 deficiencies on the current record including one at the harm or jeopardy level and three tied to abuse, plus a $39,108 fine. The 5-out-of-5 quality measure rating stands out against all of this, but it's built on data the home largely reports itself, so weigh it against the survey findings and the thin staffing rather than in place of them.

Nurse hours

3.20 /day

Staff turnover

58%

Serious cites

0

Xenia Health and Rehab runs about 3.20 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 58.1% against a national 45.8%, which means more than half the nursing staff leaves within a year. The current record carries 33 deficiencies, one serious enough to involve harm or jeopardy, though none are abuse-related, and the last inspection was in mid-2025. Ownership is a for-profit limited liability company. The quality measure score looks strong, but it's built on documentation; the staffing numbers describe what actually happens on the floor.

Nurse hours

3.48 /day

Staff turnover

70%

Serious cites

0

Blue Ash runs on thin staffing. At 3.48 nurse hours per resident day, it sits about ten percent under the national average, and weekends drop roughly thirteen percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The federal staffing rating reflects that. What stands out even more is turnover: 70.4% of nursing staff leaving annually, against a national average near 46%. That rate makes it hard to keep consistent caregivers who know the residents. The record shows 30 deficiencies, including one at the harm level and two tied to abuse, and the last inspection was July 2025. Quality measures score well, but strong numbers on paper and steady hands on the floor are different things.

Nurse hours

3.17 /day

Staff turnover

72%

Serious cites

0

Edgewood Manor Of Greenfield runs on thin nursing coverage, 3.17 hours per resident day, roughly 18% under the national average, and weekends get even leaner, dropping about 11% below what the home staffs on weekdays. Turnover sits at 72.2% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The 35 deficiencies on record include none flagged for harm or abuse, and the last inspection was in January 2025. Quality scores look strong, but that's measured against a floor of staffing that CMS itself rates poorly.

Nurse hours

3.30 /day

Staff turnover

59%

Serious cites

0

Gardens of Belden Village runs about 3.30 nurse hours per resident day, roughly 15% under the national average, and weekends dip another 12% below its own weekday staffing. That thin coverage shows up in the numbers: a one-star CMS staffing rating and 59.1% annual turnover, well above the 45.8% national figure. The current record carries 39 deficiencies, including one at the harm level and four tied to abuse. A four-star quality measure score doesn't cancel that out, those measures track resident outcomes, not how many hands are on deck. Ownership is a for-profit LLC, and the last inspection was April 2026.

Nurse hours

2.97 /day

Staff turnover

40%

Serious cites

0

Diplomat Healthcare runs 130 beds in North Royalton, and the staffing numbers are the first thing I'd want you to see. At 2.97 nurse hours per resident per day, it sits roughly 23% under the national average of 3.86, and weekends drop about 9% below its own weekday level. That thin coverage shows up in the inspection record too: 41 deficiencies, four of them at harm or jeopardy level, four tied to abuse, and a one-out-of-five health inspection rating. Staff turnover of 40.4% is actually a bit better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. The five-star quality measure score reflects reported clinical data, not the care environment itself.

Nurse hours

3.17 /day

Staff turnover

55%

Serious cites

0

Westmoreland Place runs about 3.17 nursing hours per resident per day, roughly 18% under the national average of 3.86, and weekends dip another 9% below what the home itself staffs on weekdays. That thin coverage shows up in the federal staffing rating, a 1 out of 5, alongside a 55.2% annual turnover rate, higher than the 45.8% national figure, so the aides and nurses caring for 139 residents are both fewer and frequently new. The 4/5 quality measure score looks better on paper, but it sits next to a 1/5 health inspection rating and 56 deficiencies on the current record, the most recent inspection dated January 30, 2025. None of those deficiencies reached harm or jeopardy level, and none involved abuse.

Nurse hours

3.47 /day

Staff turnover

68%

Serious cites

0

The Laurels of Huber Heights runs on thinner nursing coverage than most homes, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12 percent below its own weekday pace, when families tend to visit and problems tend to surface. Turnover is the bigger signal: 67.9 percent of nursing staff leaving annually, well above the 45.8 percent national figure, which means the people caring for residents are often new to the building. Its 32 deficiencies include six tied to abuse, though none rose to harm or jeopardy level, and the last full inspection was in August 2023. Resident care measures look strong; the staffing side is what pulls this for-profit home down.

Nurse hours

3.16 /day

Staff turnover

36%

Serious cites

0

Embassy Of Winchester runs 176 certified beds under corporate ownership, and its inspection record is the first thing that stands out: 81 deficiencies logged, six of them serious enough to cause harm or jeopardy, plus two tied to abuse. Federal fines total $198,607 across two penalties. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends run about 7% thinner than weekdays already are. Turnover is the one bright spot at 36.3%, better than the 45.8% national figure. Quality measure scores look strong on paper, but that contrast against the inspection history is worth asking about directly.

Nurse hours

3.44 /day

Staff turnover

58%

Serious cites

0

Northwood runs on thinner nursing coverage than most homes, 3.44 hours per resident day against a national average of 3.86, and weekends drop about another 10% below what it manages during the week. That's the pattern behind its one-star staffing rating, and with 58.1% annual turnover, roughly six in ten caregivers were replaced in a year. Inspectors have cited 39 deficiencies, including two at the harm level and two tied to abuse, with $34,976 in fines. The quality measures look strong, but those come largely from resident assessments the home reports, while the inspection and staffing scores rest on independent federal data.

Nurse hours

3.98 /day

Staff turnover

46%

Serious cites

0

The Convalarium of Dublin carries 60 deficiencies on its current record, including two at the harm or jeopardy level and four tied to abuse. That's the number that should worry you most, and it lines up with a one-star health inspection rating from CMS, meaning regulators have found serious, repeated problems here. Staffing sits at 3.98 nurse hours per resident day, slightly above the national average, but weekends run about 11% thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover is 46.4%, essentially matching the national rate, which means aides cycle through at a steady clip. The quality measure score looks strong, but inspections and abuse findings matter more.

Nurse hours

3.45 /day

Staff turnover

60%

Serious cites

0

Northwestern Healthcare Center runs 100 certified beds in Berea, and the staffing numbers are where the trouble starts: 3.45 nurse hours per resident day, about 11% under the national average, with weekends dipping roughly 8% below its own weekday level. That thin coverage shows up in the inspection record, too, 33 deficiencies on file, including four at the harm or jeopardy level and one tied to abuse, plus three fines totaling $152,195. Annual turnover sits at 60% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The quality measure stars look strong, and the most recent inspection was in August 2025, but a for-profit operator with this citation history and this much churn is worth a hard look before you decide.

Nurse hours

3.33 /day

Staff turnover

56%

Serious cites

0

Amherst Manor runs on thinner staffing than most homes its size. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 8% below its own weekday numbers, so the coverage gap widens exactly when families tend to visit. Annual turnover of 55.8% is ten points above the national rate, meaning the aides and nurses caring for residents are frequently new. The inspection record is current, with a March 2025 survey and 19 deficiencies, none rising to harm or abuse. Quality measures score well, but that one-star staffing rating is the number worth weighing against the 114 beds.

Nurse hours

3.01 /day

Staff turnover

59%

Serious cites

0

Centerville Post Acute runs about 3.01 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 9% below its own weekday coverage. That shortfall shows up in the staffing star rating, which sits at 1 out of 5 even though inspections and quality measures both come in at 4. Annual turnover is 59.4% against a national 45.8%, so nearly six in ten caregivers left last year, a rate that makes consistent care harder to hold onto. The current record carries 21 deficiencies, none at the harm level, one tied to abuse, with the most recent inspection in March 2025.

Nurse hours

3.19 /day

Staff turnover

49%

Serious cites

0

Majestic Care of Cedar Village runs 162 beds in Mason under for-profit, limited-liability ownership, and the numbers tell a mixed story. Nurses provide 3.19 hours per resident day, roughly 17% below the national average of 3.86, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Inspections paint a tougher picture: a 2/5 health inspection rating, 27 deficiencies on the current record including one at the harm level and two tied to abuse, plus a $62,205 fine. Staff turnover sits at 48.9%, above the 45.8% national average. Quality measures score 5/5, but that reflects resident outcomes, not the hands available to deliver care.

Nurse hours

3.33 /day

Staff turnover

37%

Serious cites

0

Continuing Healthcare at Beckett House runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record shows 46 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $44,060; the last inspection was June 12, 2025. Staff turnover of 36.6% is actually better than the 45.8% national figure, which matters for continuity, but it doesn't offset short staffing on the floor. The corporation that owns this 85-bed home is for-profit, and the quality measure score of 4/5 sits well above the staffing score of 2/5.

Nurse hours

3.90 /day

Staff turnover

59%

Serious cites

0

Seven Hills Health & Rehab Center runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, and thin enough that weekends run about 11% below the home's own weekday coverage. Staff turnover is the bigger worry: 58.9% annually against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 38 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $57,194 fine. A recent July 2025 inspection keeps the record current, but its two-out-of-five stars for health inspections and staffing tell you where the problems concentrate.

Nurse hours

3.57 /day

Staff turnover

75%

Serious cites

0

Concord Village runs a nursing staff of 3.57 hours per resident day, about 7 percent under the national figure, and weekend coverage dips roughly 5 percent below its own weekday levels. The bigger number is turnover: 75.3% of staff leave each year against a national average of 45.8%, which is the kind of churn that shows up as unfamiliar faces on a Tuesday night shift. Inspections look strong, a 5/5 health rating, most recent visit in June 2025, and 12 deficiencies with none at harm or jeopardy level and none abuse-related. So the care environment passes scrutiny; the question is whether the staffing can hold up between visits.