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

Nurse hours

3.19 /day

Staff turnover

61%

Serious cites

0

Good Samaritan, Indianola runs 105 certified beds as a nonprofit corporation, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.19 hours per resident day against a national average of 3.86, weekends run about 16% thinner than weekdays, and annual turnover hits 60.5% when the national figure is 45.8%, that combination makes consistent care hard to guarantee. The inspection record compounds it: 43 deficiencies, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $20,316. Its most recent inspection was May 2026, so the picture is current, not stale. Families should ask directly how the home covers weekend shifts and what it has changed since that last survey.

Nurse hours

3.14 /day

Staff turnover

52%

Serious cites

0

Barren County Nursing and Rehabilitation runs on thinner nurse coverage than most homes, 3.14 hours per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday levels. Staff turnover sits at 51.9%, well above the 45.8% national figure, so the people caring for residents change often. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. This is a for-profit limited liability company with 94 certified beds. Nothing here suggests danger, but the staffing numbers are the story worth weighing.

Nurse hours

3.21 /day

Staff turnover

46%

Serious cites

0

Mills Nursing & Rehabilitation runs thin on nursing hours, 3.21 per resident day against a national average of 3.86, and weekends are about 17% leaner than weekdays, which is when gaps tend to show up. The inspection record is the bigger concern: 15 deficiencies, four at harm or jeopardy level, three tied to abuse, and three fines totaling $26,132, with the last inspection in July 2025. Staff turnover sits at 46.4%, roughly in line with the national rate, so retention isn't the outlier here. Ownership is a for-profit limited liability company. Quality measures score well, but that's a self-reported area; the health inspection and staffing ratings both sit at two stars. Ask about weekend coverage and the abuse-related findings before you decide.

Nurse hours

3.33 /day

Staff turnover

—

Serious cites

0

Cornerstone At The Ranch runs 148 certified beds in Lafayette under corporate for-profit ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends are thinner still, about 12% below its own weekday level, so the coverage gap widens exactly when families tend to visit. The inspection record carries 56 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus two fines totaling $97,417. Its last inspection was July 30, 2025, so the record is recent. If you're weighing this home, ask directly how they staff weekends and what changed after that harm-level citation.

Nurse hours

3.34 /day

Staff turnover

49%

Serious cites

0

Resthaven Living Center runs 145 certified beds in Bogalusa under for-profit partnership ownership. Nurse staffing sits at 3.34 hours per resident day, about 14 percent under the national average, and weekends drop roughly 17 percent below the home's own weekday coverage, the stretch when families often visit and when problems tend to surface. Annual turnover of 48.9 percent runs a few points above the national figure. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related. A January 2026 inspection is recent, and mid-range marks on health inspections and quality measures sit alongside the weakest staffing score. Nothing here reads as dangerous; it reads as thin coverage you'd want to ask about directly.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Snow Hill Rehabilitation & Healthcare Center is a 69-bed for-profit home in Worcester County, owned by a limited liability company. The federal numbers are hard to dress up: one out of five stars for staffing, one for quality measures, and two for health inspections, with 46 deficiencies on the current record, five of them abuse-related. None of those deficiencies rose to the level of actual harm or jeopardy, which matters, but the abuse citations are a pattern a family should ask about directly. The last inspection was in February 2025, so the record is recent. Turnover and hours-per-resident figures aren't broken out here, but the staffing star alone tells you the home runs lean relative to the national average.

Nurse hours

3.31 /day

Staff turnover

—

Serious cites

0

The Orchards At Big Rapids runs a 100-bed for-profit building, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86, with weekend coverage about 13% below what it manages on weekdays. That thin margin shows up in a 2-out-of-5 staffing rating. The inspection record is heavier than the star ratings suggest: 33 deficiencies on file, five of them serious enough to involve harm or jeopardy, three tied to abuse, and one fine totaling $55,711. Its last inspection was March 13, 2025, so the picture is current. For-profit corporate ownership, mid-range quality and health inspection scores, and below-average staffing together explain the C.

Nurse hours

3.29 /day

Staff turnover

45%

Serious cites

0

Royalton Manor runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 16% below its own weekday staffing. Turnover sits at 44.6%, basically in line with the national figure, so the problem here isn't churn, it's raw coverage, especially on Saturdays and Sundays. The inspection record is the heavier issue: 56 deficiencies currently on file, three at harm or jeopardy level, four tied to abuse, and two fines totaling $173,966. A 1-out-of-5 health inspection rating against a 3-out-of-5 quality measure rating tells you the clinical metrics look steadier than the survey history does. The most recent inspection was April 2025, so that record is current, not stale.

Nurse hours

3.41 /day

Staff turnover

53%

Serious cites

0

Littlefork Care Center runs 42 beds as a nonprofit, and its staffing numbers are decent on paper, 3.41 nurse hours per resident day, though that's still about 12% under the national average of 3.86. Weekends drop roughly 17% below the home's own weekday level, and turnover sits at 52.8% against a national 45.8%, so the same faces aren't always there. The inspection record is where it gets harder to explain: 33 deficiencies on file, one at harm or jeopardy level, six tied to abuse, and a single $218,595 fine. The most recent inspection was December 10, 2025.

Nurse hours

2.77 /day

Staff turnover

56%

Serious cites

0

Spring Valley runs 194 beds in Springfield under individual for-profit ownership, and its nurse staffing sits about 28% under the national average, 2.77 hours per resident day against 3.86. Weekends dip roughly a fifth below its own weekday coverage, and 56.1% of staff turned over in a year, against 45.8% nationally. The inspection record is the harder problem: 68 deficiencies, two at harm or jeopardy level, and eight tied to abuse. State surveyors were last in on August 25, 2025. What the five-star quality measure score reflects is hard to know when that much turns over and that few nurses are on the floor.

Nurse hours

2.68 /day

Staff turnover

—

Serious cites

0

Aspire Senior Living Webb City runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 2.68 hours per resident day, roughly 31% under the national average of 3.86. That gap widens on weekends, when coverage drops about 9% below the home's own weekday level. The inspection record shows 36 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $25,454 and a health inspection rating of 2 out of 5. The most recent inspection was December 9, 2025. Quality measures score a middling 3, but staffing lands at 1 out of 5, the number that should weigh heaviest when you're deciding.

Nurse hours

3.27 /day

Staff turnover

50%

Serious cites

0

Riverways Manor runs 3.27 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 15% below its own weekday numbers. That thin coverage shows up in the staffing rating, and a 50% annual turnover rate means the aides and nurses working those shifts are often new. The last inspection was recent, and the home came through without any deficiencies at the harm or jeopardy level, which matters. But 22 total deficiencies sit on the record, including one abuse-related citation, and the quality measure rating is as low as it gets. Family-run for-profit ownership, sixty beds, and a pattern worth asking about directly: who's actually on the floor on a Saturday night.

Nurse hours

3.11 /day

Staff turnover

49%

Serious cites

0

Glenwood Healthcare runs 60 certified beds in Seymour under corporate for-profit ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection rating, last surveyed in April 2024, with 17 deficiencies on file but none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.11 hours per resident day, roughly 19% under the national average, and weekends dip about 15% below the home's own weekday coverage. Staff turnover hits 49%, a few points above the 45.8% national figure, and two of those deficiencies are abuse-related. Quality measures land mid-pack. The inspection side looks steady; the everyday staffing math is where families should focus their questions.

Nurse hours

2.87 /day

Staff turnover

—

Serious cites

0

Monarch Springs runs thin on nursing staff, 2.87 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the building already provides on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice. The inspection record adds weight: 34 deficiencies, two serious enough to involve harm or jeopardy, with the most recent state visit in July 2024. Corporate for-profit ownership and 119 certified beds round out the picture. Nothing here suggests abuse, and quality measures land mid-range, but the staffing numbers and the harm-level findings are the two things I'd ask about directly before choosing this one.

Nurse hours

3.16 /day

Staff turnover

25%

Serious cites

0

The Grand Rehabilitation and Nursing at River Valley runs on thinner nurse staffing than most homes, about 3.16 hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. Turnover sits at 24.6%, which is actually well below the national 45.8%, so the people who stay tend to stay. The current record carries 28 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last inspection was January 28, 2026. Quality measures score lowest of the three CMS categories. It's a 160-bed for-profit corporation, recently inspected, with a mixed record worth asking about directly.

Nurse hours

3.30 /day

Staff turnover

53%

Serious cites

0

Kannapolis Health And Rehabilitation runs 107 certified beds under corporate ownership, and the direct-care hours per resident come in at 3.30 per day, roughly 15% under the national average of 3.86. Weekends are thinner still, with staffing dropping about 18% below the home's own weekday levels, and annual turnover sits at 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 42 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $151,209 in fines across three penalties. The most recent inspection was in March 2026.

Nurse hours

3.21 /day

Staff turnover

51%

Serious cites

0

Gates Health and Rehabilitation Center runs a 70-bed for-profit home in Gatesville, and the numbers tell a mixed story. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average of 3.86, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 51 percent, above the 45.8 percent national figure, meaning aides and nurses cycle through often. Inspections look steadier: 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. Worth asking how they cover weekends and how long their current director of nursing has been in place.

Nurse hours

3.56 /day

Staff turnover

—

Serious cites

0

Carver Living Center is a 232-bed for-profit home in Durham, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.56 hours per resident day, roughly 8 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection history is heavier: 49 deficiencies on the current record, 8 of them at harm or jeopardy level, plus 4 tied to abuse, and $128,554 in fines across four penalties. Ownership is a limited liability company. The most recent inspection was February 2025, so the record is current, not stale. When you tour, ask how weekend coverage is actually staffed.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

The Cedars of Chapel Hill runs just 12 certified beds, so it operates more like a small residential care setting than a typical nursing home, worth knowing, because small homes can be hard to compare against facilities ten times their size. The inspection record looks solid: a 5-star health inspection rating, three deficiencies total, none at the harm level, none related to abuse, and the most recent survey was in April 2025. What pulls the overall picture down is the 1-star quality measure rating, which tracks things like resident outcomes and care processes rather than whether the building passed inspection. Nonprofit ownership under the "Other" category gives you some sense of mission, but it doesn't explain the gap between clean inspections and weak quality scores.

Nurse hours

3.55 /day

Staff turnover

—

Serious cites

0

Chardon Woods runs 161 certified beds in Geauga County under corporate ownership, and its staffing is the number that stands out for the wrong reason. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the coverage gap widens exactly when families tend to visit. The inspection record is cleaner than most: 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent survey came in January 2025. Quality measures land mid-range at 3 stars while staffing sits at 1. A family weighing this one should ask how weekend coverage actually gets filled.