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

Nurse hours

4.15 /day

Staff turnover

70%

Serious cites

0

West Park runs 4.15 nurse hours per resident day, which is genuinely above the national average. But that average hides a lot: weekend coverage drops about 13% below its own weekday level, and nearly 70% of staff turned over in the past year against a national rate under 46%. High turnover plus thin weekends is how a place with decent raw hours ends up with a 1-out-of-5 staffing rating. The inspection record is heavier still, 34 deficiencies, three serious enough to risk harm, one tied to abuse, and the most recent survey was in December 2025, so this isn't old history. Ownership is for-profit, through a limited liability company.

Nurse hours

3.52 /day

Staff turnover

67%

Serious cites

0

King Of Prussia Skilled Nursing And Rehabilitation runs 170 certified beds under corporate ownership, and its staffing numbers are the first thing to notice: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 8% below its own weekday coverage. Turnover sits at 67.1%, well above the 45.8% national figure, so the people caring for residents change often and thin out further on Saturdays and Sundays. The inspection record shows 68 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with the most recent inspection in July 2025. Quality measures score well, but that gap between reported care and the staffing and inspection record is worth asking about directly.

Nurse hours

3.23 /day

Staff turnover

65%

Serious cites

0

Greenwood Center runs about 3.23 nurse hours per resident per day, roughly 16 percent under the national average, and weekends dip another 7 percent below its own weekday level. Staff turnover sits at 64.9 percent against a national 45.8 percent, so the people caring for residents are changing constantly. The inspection record backs that up: 53 deficiencies, including one at the harm or jeopardy level and two tied to abuse. CMS gives the home 2 out of 5 stars for both staffing and health inspections, though its quality measure score is a 3. The last inspection was in January 2026, so the record is recent. A for-profit limited liability company operates its 150 certified beds.

Nurse hours

3.65 /day

Staff turnover

63%

Serious cites

0

Kittanning Health & Rehab Center runs 97 deficiencies on its current record, 13 of them abuse-related and three serious enough to put residents in harm's way. Staffing sits at 3.65 nurse hours per resident day, roughly 6% under the national average of 3.86, and weekend coverage drops about 12% below what the home itself staffs on weekdays. Turnover is the figure that stands out: 62.6% of nursing staff leaving annually against a national average of 45.8%, so nearly two-thirds of the people providing daily care are new each year. The one bright spot is the 5/5 quality measure rating, but that reflects charted clinical outcomes, not the inspection record or the hands available at the bedside.

Nurse hours

3.23 /day

Staff turnover

63%

Serious cites

0

Linley Park Post Acute runs thin on nursing hours: 3.23 per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekdays. Annual turnover sits at 63.4 percent against a national 45.8, meaning most of the people caring for residents weren't there a year ago. The for-profit, limited-liability owner has kept a clean inspection record lately, 12 deficiencies, none at harm or jeopardy level, no abuse findings, and a survey from December 2025, and quality measures score well. What a family should weigh is whether adequate clinical outcomes can hold up when the staffing line is the weakest part of the file.

Nurse hours

3.09 /day

Staff turnover

61%

Serious cites

0

Edisto Post Acute runs on thin staffing. At 3.09 nurse hours per resident day, it sits about 20% under the national average of 3.86, and weekends drop roughly 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. The CMS staffing rating reflects that at 1 out of 5. Turnover is the bigger tell: 60.9% of nursing staff leaving annually against a national 45.8% means caregivers rarely stay long enough to learn your mother's routines. Sixteen deficiencies sit on the current record, one abuse-related, though none reached harm or jeopardy level. The last inspection was recent, September 2025. Quality measures score well, but that reflects charted outcomes, not the hands available to deliver them.

Nurse hours

3.13 /day

Staff turnover

64%

Serious cites

0

Oakbrook runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends get thinner still, with about 13% less coverage than weekdays. Staff turnover sits at 63.9% against a national rate near 46%, meaning nearly two out of three caregivers are leaving each year, which usually shows up as unfamiliar faces and unfinished routines. The inspection record backs that up: 13 deficiencies, three serious enough to involve harm or jeopardy, and $22,564 in fines across three separate penalties, with a 1-out-of-5 inspection rating. Its most recent survey was in May 2026, so the findings are current, not stale.

Nurse hours

3.51 /day

Staff turnover

60%

Serious cites

0

Carlyle Senior Care of Florence runs 88 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. That gap matters when you're thinking about who's answering a call light on a Sunday. Annual turnover is 59.8% against a national 45.8%, so the faces change often. The current inspection record shows 17 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Its last inspection was March 26, 2026, so the picture is recent.

Nurse hours

3.42 /day

Staff turnover

68%

Serious cites

0

Anchor Post Acute runs 3.42 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekdays, that's the staffing picture behind its one-star CMS staffing rating. Annual turnover sits at 67.8% when the national figure is 45.8%, meaning roughly two of every three caregivers left last year. The inspection record shows 20 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last survey was September 2025. A for-profit LLC operates the 120-bed home, with one fine of $9,428 on record. Its four-star quality measure score stands out against everything else here.

Nurse hours

3.61 /day

Staff turnover

73%

Serious cites

0

Prairie View runs leaner than most. At 3.61 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The bigger red flag is turnover: 73.1% of staff leaving annually against a national 45.8% means aides and nurses are constantly new, and familiarity is hard to build. Inspections turned up 11 deficiencies, including one at the harm level and one abuse-related, plus an $8,512 fine; the last survey was July 2025. For-profit LLC ownership, 42 beds, staffing and quality star ratings that don't match each other. Worth a visit on a weekend.

Nurse hours

3.46 /day

Staff turnover

63%

Serious cites

0

Laughlin Health Care Center runs on thinner staffing than most homes its size. At 3.46 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 63.3% is well above the 45.8% national figure, meaning most of the aides and nurses working with residents are relatively new. Its inspection record is the harder problem: 16 deficiencies, two at harm or jeopardy level, one abuse-related, and a one-star health inspection rating, with the last survey dating to October 2023. Two fines totaling $9,770.

Nurse hours

3.21 /day

Staff turnover

66%

Serious cites

0

Whites Creek Wellness runs 127 beds under corporate for-profit ownership, and its staffing is the number that stands out, 3.21 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That shortfall shows up in the federal staffing rating of 1 out of 5, and annual turnover of 66.1% means well over half the nursing staff leaves every year, compared with 45.8% nationally. The inspection record carries 18 deficiencies, four tied to abuse, though none at the harm or jeopardy level; the last survey was March 2026. Quality measures score 5 out of 5, so ask how that squares with so few hands on deck.

Nurse hours

3.09 /day

Staff turnover

56%

Serious cites

0

Red Boiling Springs Tn Opco runs 119 certified beds as a for-profit corporation, and its 3.09 nurse staffing hours per resident day sit roughly 20% under the national average of 3.86. Weekends dip about 14% below its own weekday levels, and annual turnover hits 55.6% against a 45.8% national figure, meaning the aides and nurses your family would see most are cycling through faster than average at a home already running lean. Inspections look steadier: a 4-out-of-5 health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Quality measures also rate 4 out of 5. The gap is staffing, and it's the number that shapes daily life.

Nurse hours

3.42 /day

Staff turnover

59%

Serious cites

0

Oakwood Community Living Center sits in Dyersburg with 50 certified beds and a for-profit LLC owner, and the numbers pull in different directions. State inspectors gave it four stars and found 13 deficiencies with none at the harm level, which sounds steady until you notice one abuse-related citation and a quality measure score of just one star. Staffing works out to about 3.42 nurse hours per resident day, roughly 11 percent under the national average, with weekends running 12 percent thinner than weekdays. Annual turnover hits 59.1 percent against a 45.8 percent national norm, meaning most of the people caring for your family member will be new to the job.

Nurse hours

4.44 /day

Staff turnover

66%

Serious cites

0

Alta Heights Post Acute has 90 certified beds and a for-profit LLC owner. Its total nurse staffing of 4.44 hours per resident day sits about 15% above the national average of 3.86, and weekend staffing holds slightly above its own weekday level, that part looks steady. The problem is staff turnover, which runs at 66.3% against a national average of 45.8%; that many caregivers leaving each year makes it hard to keep care consistent. The current record shows 18 deficiencies, two of them at the harm or jeopardy level and one abuse-related, with a health inspection star rating of 2 out of 5.

Nurse hours

3.80 /day

Staff turnover

53%

Serious cites

0

Patriot Health and Rehabilitation Center runs 127 certified beds in Paris, and the numbers tell a mixed story. Nurse staffing sits at 3.80 hours per resident day, slightly under the national average, and it thins out on weekends, dropping about 14% below the home's own weekday coverage, which is when families tend to visit and notice. Staff turnover is 52.7%, well above the 45.8% national figure, so the people caring for residents change often. The current record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus a $30,150 fine. The last full inspection was in May 2022, so that record is getting old.

Nurse hours

3.26 /day

Staff turnover

67%

Serious cites

0

Avir At Temple West runs on thin staffing, and the numbers show it: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays. That shortfall sits alongside a 66.7% annual turnover rate, far above the 45.8% national figure, so the aides and nurses caring for your relative are likely to keep changing. The 19 deficiencies on record include 2 at the harm or jeopardy level and 4 tied to abuse; one fine totaling $7,257 has been levied. The quality measures look strong and the last inspection was recent, but a for-profit LLC arrangement with those staffing and turnover figures deserves hard questions before you decide.

Nurse hours

— /day

Staff turnover

100%

Serious cites

0

McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

0

Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.

Nurse hours

3.13 /day

Staff turnover

62%

Serious cites

0

Wurzbach runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and it gets thinner on weekends, dropping about 15% below its own weekday level. That matters more when you consider 62.3% of staff turned over last year, well above the 45.8% national average, meaning the people providing that care are often new. The inspection record is heavy: 56 deficiencies, four serious enough to put residents in harm's way and nine tied to abuse, with three fines totaling $34,945 and a June 2025 inspection. Quality measures score well, but strong numbers on paper don't offset thin weekend staffing and that turnover.