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

Nurse hours

3.73 /day

Staff turnover

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Serious cites

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The Oaks runs leaner than most: 3.73 nurse hours per resident day against a national average of 3.86, with weekends roughly 8% thinner than weekdays. That staffing pattern helped earn a 1-out-of-5 CMS staffing rating, even as the quality measure score sits at 4. The inspection record is the bigger concern, 52 deficiencies, four at harm or jeopardy level, three tied to abuse, and $80,492 in fines across three penalties. A 2-out-of-5 health inspection rating reflects that history, and the most recent survey came in July 2025. For-profit, limited liability ownership means the operator carries limited personal exposure for what happens here. Ask about weekend nurse coverage and the abuse-related findings before deciding.

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Staff turnover

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Scioto Rehabilitation & Care Center is a for-profit, limited-liability operation with 125 certified beds in Columbus, and its federal record is genuinely troubling. Inspectors have logged 89 deficiencies, including two at the harm or jeopardy level and two tied to abuse, and the home has been fined $100,257. Its staffing and health inspection ratings both sit at the lowest mark CMS gives, meaning nurse coverage and the care environment lag badly behind what most homes provide, while its quality measures look better on paper. The most recent inspection closed out December 31, 2024, so this is current, not a stale history. If you're considering it, ask directly about the abuse citations and how many nurses are actually on the floor per resident.

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Staff turnover

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Willow Creek Post Acute is a 20-bed for-profit home in Madras, and its record is more lopsided than the star ratings suggest. The inspection history looks clean on paper, a five-star health inspection rating, no abuse deficiencies, and a visit as recent as February 2026, but 17 total deficiencies sit on the current record, including one at the harm level. Where this home struggles is staffing and resident outcomes: both the staffing and quality measure ratings come in at one star out of five, well below what you'd want for a small facility where the same few aides cover every shift. The gap between that inspection score and everything else is worth asking about directly.

Nurse hours

3.42 /day

Staff turnover

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Serious cites

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Kadima Rehabilitation & Nursing At Pottstown is a 41-bed for-profit home, and the numbers that stand out most are the 34 deficiencies on its current record, four of those at the harm or jeopardy level, plus one abuse-related. That inspection history, not the quality measure score, is what drags its standing down. Nurse staffing sits at 3.42 hours per resident day, about 12 percent under the national average, and weekends run roughly 4 percent leaner than weekdays. Three fines totaling $128,618 round out the picture. A recent inspection date doesn't erase a record like that. If you're considering this home, ask directly how they've addressed the harm-level findings and what weekend coverage actually looks like on the floor.

Nurse hours

3.70 /day

Staff turnover

50%

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Dawn Hill runs 133 certified beds in Bristol under for-profit limited liability ownership, and the staffing numbers are the first thing worth noticing. At 3.70 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage, meaning the stretches with the least supervision are also the thinnest. Annual turnover hits 50%, above the 45.8% national figure, so the people providing that care keep changing. The inspection record carries 32 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,765. The most recent inspection was December 19, 2024, so the picture is current. Ask about weekend staffing and how abuse-related findings were resolved.

Nurse hours

4.05 /day

Staff turnover

59%

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Millennium Post Acute Rehabilitation runs 132 beds in West Columbia under for-profit LLC ownership, and the numbers pull in two directions. Nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, but the weekend schedule drops roughly 16% below its own weekday level, and annual turnover hits 59.4% against a national 45.8%, which is a lot of churn for a building this size. The health inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $4,271; the most recent inspection was March 2026. CMS rates the quality measures 5 out of 5 and staffing just 1, so ask how care actually holds up on Saturdays.

Nurse hours

4.83 /day

Staff turnover

67%

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The Tennessee Veterans Home in Murfreesboro puts more nursing hours per resident than most places, 4.83 a day against a national average of 3.86, so there's real bedside coverage here. The problem is who's providing it and how long they stay: turnover runs 67.1%, well above the 45.8% national figure, and weekend staffing drops about 19% from weekday levels. That instability shows up in the inspection record. Twenty-three deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and one $193,155 fine, with the most recent inspection in May 2026 earning the lowest possible health inspection rating. State-run and well-staffed on paper, but the care itself has repeatedly fallen short.

Nurse hours

4.03 /day

Staff turnover

63%

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Renaissance Park runs 4.03 nurse hours per resident day, a bit above the national figure of 3.86, but that average hides a gap: weekends drop about 17% below the home's own weekday staffing. The bigger concern is retention, 63.2% annual turnover against a national average of 45.8%, which means many of the people caring for residents are new to the building. On the record side, 31 deficiencies include 4 at the harm or jeopardy level and 2 tied to abuse, with $106,478 in fines across 4 penalties. The most recent inspection closed in April 2026.

Nurse hours

3.50 /day

Staff turnover

61%

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Parkdale runs on 3.50 nurse staffing hours per resident day, about 9% under the national average, and the gap widens on weekends when coverage drops roughly 16% below its own weekday level. Staff turnover sits at 60.6% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 30 deficiencies, including two at the harm level and two tied to abuse, with a $6,351 fine and a survey last dated May 2024. For-profit corporate ownership, a two-star inspection rating, and thin weekend staffing tell a consistent story: this home has real compliance problems it hasn't fixed.

Nurse hours

3.66 /day

Staff turnover

53%

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Keyser Healthcare Center runs 122 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 15% below the home's own weekday coverage, and annual turnover hits 53.1% against a national 45.8%, which means the people caring for your relative are likelier than average to be new or on their way out. The inspection record is the heavier concern: 49 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $35,045 fine. Federal ratings land at 2 out of 5 for both health inspections and quality measures.

Nurse hours

3.76 /day

Staff turnover

69%

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East Troy Manor runs about 3.76 nurse hours per resident day, a bit under the national average, and weekends drop roughly 18% below its own weekday staffing. That gap matters more than the raw number, because care doesn't pause on Saturdays. Annual turnover sits at 68.5% against a national 45.8%, so the people showing up are often new. The inspection record is the harder read: 29 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $129,433 in fines across four penalties. Its last inspection was January 2026. Quality measures score well, but quality scores are largely self-reported, and staffing and inspection results are not. Nonprofit ownership doesn't change the arithmetic here.

Nurse hours

4.16 /day

Staff turnover

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Norwalk Skilled Nursing & Wellness Centre runs 99 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That sounds fine until you look at weekends, when coverage drops about 9% below the home's own weekday level. The bigger problem is the inspection record: 81 deficiencies, including 6 at the harm or jeopardy level and 4 tied to abuse, with three fines totaling $72,794 and a health inspection rating of 1 out of 5. The most recent inspection was in July 2025. Staffing volume alone doesn't offset that pattern.

Nurse hours

4.22 /day

Staff turnover

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Mar Vista Country Villa reports 4.21 total nurse hours per resident day, which sounds solid next to the national average of 3.86, but weekend staffing drops about 9% from its own weekday level. The bigger issue is what inspectors have found: 64 deficiencies on the current record, including 4 at the harm or jeopardy level and 6 tied to abuse, with $96,569 in fines across four penalties. That inspection record explains the 2/5 health inspection rating despite a 4/5 on quality measures. This is a for-profit limited liability company with 68 certified beds, last inspected November 1, 2024. The staffing number alone doesn't tell the story here.

Nurse hours

2.96 /day

Staff turnover

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Diversicare Of Luling runs 60 certified beds under corporate ownership, and the staffing number is the one to watch: 2.96 nurse hours per resident per day against a national average of 3.86. That's roughly a quarter less hands-on nursing time than the typical home, and weekends dip about 9% below what the building manages on weekdays. The state inspection record is where it looks stronger, 13 deficiencies, none at the harm or jeopardy level, no abuse findings, and a survey as recent as May 2025. So the picture isn't dangerous care so much as thin coverage: 4 out of 5 on inspections, but 1 out of 5 on staffing, which is the number that shapes daily life.

Nurse hours

3.06 /day

Staff turnover

46%

Serious cites

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Focused Care At Odessa runs about 3.06 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop another 17% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 28 deficiencies on record include one at the harm level and two tied to abuse, with the most recent inspection dated January 2026. A 45.9% turnover rate sits essentially at the national figure, meaning the staff it has turns over about as fast as everywhere else. Ownership is corporate for-profit across 75 certified beds. The federal staffing rating of 1 out of 5 is the number that explains the rest.

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Staff turnover

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Cedar Lake passed its most recent inspection in September 2025 with no deficiencies at the harm level and none tied to abuse, which matters, that's the part families worry about most, and it's clean. Where the home struggles is everyday care capacity. Both its staffing and quality measure ratings sit at the bottom of CMS's five-point scale, meaning resident care hours and clinical outcomes lag what's typical nationally, even though the building holds 90 beds. Eight deficiencies and four fines totaling $27,270 point to recurring paperwork and process problems rather than dangerous conditions. A for-profit limited liability company runs it. The inspection record looks better than the day-to-day staffing numbers, so ask specifically about nurse and aide coverage on evenings and weekends.

Nurse hours

2.98 /day

Staff turnover

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Serious cites

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Care Nursing & Rehabilitation runs 97 certified beds in Brownwood under corporate for-profit ownership, and its inspection record is genuinely good, a 4-out-of-5 health inspection rating, last survey in March 2025, and 17 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, weekends run about 13 percent thinner than weekdays, and CMS gives it just 1 out of 5 stars for staffing. Quality measures land at 3. So: clean inspections, thin coverage. Ask about weekend and evening nurse presence before deciding.

Nurse hours

3.11 /day

Staff turnover

43%

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Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.

Nurse hours

2.73 /day

Staff turnover

96%

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Bertram Nursing and Rehabilitation runs on a thin nursing margin. At 2.73 hours per resident day, the home sits about 29 percent under the national staffing average, and weekends slip roughly 19 percent below its own weekday level, you can guess when problems tend to surface. The bigger signal is turnover: 95.6 percent of nursing staff leave within a year, against a national rate near half that, which means the people caring for residents are, more often than not, still learning the building. Inspections look strong on paper, including two abuse-related deficiencies and two at harm level, and one $10,135 fine. The pattern is a home that can score well on paper while the workforce underneath it keeps churning.

Nurse hours

3.13 /day

Staff turnover

47%

Serious cites

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Midland Medical Lodge runs about 3.13 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop another 17 percent below its own weekday numbers. Staff turnover sits at 46.9 percent, slightly above the national 45.8 percent, so the people around your family member may change often. The inspection record is the stronger side: 17 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. With 125 beds under for-profit partnership ownership, ask specifically how weekend coverage is handled on the unit your relative would live on.