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

Nurse hours

4.27 /day

Staff turnover

28%

Serious cites

0

St Gabriel's runs on a nurse staffing level of 4.27 hours per resident day, roughly 11% above the national average, and that shows up in its five-star staffing rating. Turnover sits at 27.9% against a national average near 46%, which matters more than most families realize, fewer unfamiliar faces means care that stays consistent. The trade-off is on the quality side: a two-star rating on CMS quality measures, and 13 deficiencies on record. None of those reached harm or jeopardy level, and none were abuse-related, so the inspection history is clean where it counts. Weekend staffing drops about 11% below its own weekday coverage, worth asking about if you're planning visits or admissions around Saturdays and Sundays.

Nurse hours

5.18 /day

Staff turnover

59%

Serious cites

0

Ohio Living Westminster-Thurber runs lean on paper in a way that mostly holds up, 5.18 nurse hours per resident day, roughly a third more than the national average, and that's the main reason it lands where it does. The trouble sits elsewhere. Staff turnover is 58.7%, well above the 45.8% national figure, and weekend coverage drops about 13% from weekday levels, so the hours aren't spread evenly. On inspections, 27 deficiencies include one at harm level and six tied to abuse, with a $14,680 fine on record. Quality measures score high; the inspection history is what pulls it down.

Nurse hours

3.96 /day

Staff turnover

44%

Serious cites

0

Cimarron Nursing Center runs 3.96 nurse hours per resident day, about 3% above the national average, and weekend staffing dips roughly 11% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 44.3%, slightly better than the 45.8% national figure, and that stability shows in the inspection record: six deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in February 2025. A 5/5 health inspection star rating and 4/5 on quality measures back that up. It's a for-profit corporate home with 92 certified beds, so ask who owns it and how long they've held the license.

Nurse hours

4.42 /day

Staff turnover

43%

Serious cites

0

Hensley runs a leaner ship than most. Nurse staffing sits at 4.42 hours per resident per day, roughly 15% above the national average, which is a real cushion when you're thinking about call lights and therapy time. Turnover is 43.2%, slightly better than the national 45.8%, though weekends drop about 14% below weekday coverage, worth asking about directly. The health inspection record is clean where it counts: six deficiencies total, none at harm or jeopardy level, and a 5-star inspection rating from a visit as recent as May 2025. Two abuse-related citations still show on the record, so ask how those were resolved.

Nurse hours

4.55 /day

Staff turnover

31%

Serious cites

0

Avamere Health Services of Rogue Valley runs a 91-bed for-profit home in Medford, and the staffing numbers are the strongest part of the picture: 4.55 nurse hours per resident day, roughly 18% above the national average. Turnover sits at 31.1%, well below the 45.8% national figure, which suggests a steadier workforce than many homes manage. The tradeoff shows up in inspections. The health inspection rating is 2 out of 5, with 51 deficiencies on the current record, including six tied to abuse. None reached the harm or jeopardy level, and the most recent inspection was August 2025, so the record is current rather than stale. Weekend staffing dips about 11% below weekday levels, worth asking about if your family visits then.

Nurse hours

5.00 /day

Staff turnover

40%

Serious cites

0

Marquis Newberg runs on 5.00 nurse hours per resident day, roughly 29% above the national average, and that shows up in its four-out-of-five staffing rating. Weekend coverage dips about 10% below weekday levels, so ask how that gap gets handled. Staff turnover sits at 39.7%, better than the 45.8% national figure, which matters for continuity of care. The inspection record is strong: a five-star health inspection rating, 12 deficiencies with none at harm or jeopardy level and none abuse-related, and a recent survey date of January 16, 2026. Quality measures land at three stars, the softer spot. Corporate, for-profit ownership, 54 beds.

Nurse hours

5.04 /day

Staff turnover

44%

Serious cites

0

Creswell Post Acute runs a for-profit limited liability operation with 76 certified beds, and the staffing is the clearest strength: 5.04 nurse hours per resident day against a national average of 3.86. That's roughly 31% more hands-on time than typical, though weekend coverage dips about 8% below its own weekday level, so care can thin out on Saturdays and Sundays. Turnover sits at 44%, essentially in line with the 45.8% national figure. The tension is in inspections, 50 deficiencies on record, two tied to abuse, with a 2-out-of-5 health inspection rating, even though none reached harm or jeopardy level. The most recent inspection was January 30, 2026.

Nurse hours

4.79 /day

Staff turnover

43%

Serious cites

0

Bend Transitional Care runs 60 certified beds under corporate ownership, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average of 3.86. That margin matters most on weekends, where hours dip about 13% below the home's own weekday pace, though the floor stays fairly high. Turnover lands at 43.4%, slightly better than the 45.8% national figure. Inspections in June 2025 found 11 deficiencies, none involving harm or jeopardy and none abuse-related, which paired with a 5/5 inspection rating suggests the problems were paperwork-level rather than resident-safety issues.

Nurse hours

4.10 /day

Staff turnover

35%

Serious cites

0

Pine Run Health Center runs on a nonprofit model with 90 certified beds in Doylestown, and the staffing numbers are its clearest strength, 4.10 nurse hours per resident day sits about 6% above the national average, with weekend coverage dipping roughly 9% below its own weekday levels. Turnover of 34.8% is well below the national 45.8%, which matters for continuity of care. On the inspection side, the record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in March 2026. A 3/5 inspection rating and 3/5 quality measures land mid-pack, so this is a home carried by consistent staffing rather than a spotless survey history.

Nurse hours

3.93 /day

Staff turnover

54%

Serious cites

0

Lecom At Elmwood Gardens runs a tight ship on the clinical side. Seven deficiencies on the current record, none of them causing harm or tied to abuse, and a five-star inspection rating from a visit just this February, that's a clean recent history, not a faded one. Nonprofit ownership tends to mean steadier decisions about care. The staffing picture is where you see the tradeoff. Nurses give about 3.93 hours per resident day, slightly above the national average, but it dips roughly 8% on weekends, and turnover sits at 54% against 45.8% nationally. That churn is worth asking about directly. People are leaving faster than at the typical home, and weekends are when coverage thins.

Nurse hours

4.57 /day

Staff turnover

40%

Serious cites

0

Lakeview Healthcare and Rehab runs 34 certified beds in Smethport under for-profit LLC ownership, and its nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average of 3.86. That's the strongest part of the picture, and CMS agrees, giving it 5 out of 5 staffing stars. Turnover is 40%, a bit better than the 45.8% national figure, which matters in a small building where you know the aides by name. But 17 deficiencies on the current record, one of them at harm or jeopardy level, plus a $6,631 fine, pull the inspection side down to 3 stars. Weekend staffing drops about 13% below its own weekday level, so ask what Saturdays and Sundays actually look like.

Nurse hours

5.09 /day

Staff turnover

32%

Serious cites

0

Nhc Healthcare - Charleston runs leaner on inspection problems than its one-star health inspection rating might suggest at first glance, nine deficiencies on record, only one serious enough to cause harm, and none tied to abuse. Where it stands out is staffing: 5.09 nurse hours per resident day, roughly a third more than the national average, with turnover at 32.4% against a national 45.8%. That's a workforce that stays put more than most. The catch is weekends, when coverage drops about 11% below the home's own weekday pace. A for-profit LLC with 88 beds, inspected most recently in April 2026.

Nurse hours

4.34 /day

Staff turnover

42%

Serious cites

0

The Health Center At Richland Place is a 107-bed nonprofit home in Nashville with staffing that beats the national average, 4.34 nurse hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Annual turnover sits at 42.1%, a bit better than the 45.8% national figure. The trouble shows up in inspections: 19 deficiencies on the current record, five at harm or jeopardy level and one abuse-related, with a $56,378 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not how well the building has been kept in compliance.

Nurse hours

4.62 /day

Staff turnover

39%

Serious cites

0

Covington Post Acute runs on more nursing attention than most homes get. At 4.62 nurse hours per resident day, it's about 20 percent above the national average of 3.86, and the weekend dip, roughly 13 percent below its own weekday level, is real but not steep enough to erase that cushion. Staff turnover sits at 38.7 percent, better than the 45.8 percent national figure, though still meaning more than a third of the workforce turns over each year. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the last survey in March 2026. Three four-star ratings, health inspections, quality measures, staffing, back up the numbers. Corporate ownership doesn't change what the data shows.

Nurse hours

4.15 /day

Staff turnover

46%

Serious cites

0

Nhc Healthcare, Farragut sits in Knoxville with 106 certified beds and a for-profit corporate owner. The inspection history is the strong part: a recent survey in February 2026, 14 deficiencies on record, and none of them tied to harm, jeopardy, or abuse. Quality measures also score well. Staffing is where this home separates from the pack in the wrong direction, a one-star staffing rating, meaning nurse hours per resident fall well below what CMS expects. Turnover runs 46.2%, just above the national average of 45.8%, so the people who do show up don't tend to stay long. A clean inspection record doesn't fix thin coverage on the floor, especially when aides and nurses are cycling through.

Nurse hours

4.08 /day

Staff turnover

55%

Serious cites

0

Nhc Place At The Trace runs 4.08 nurse hours per resident day, about 6% above the national average, though weekend coverage drops roughly 10% below its own weekday level. Staff turnover sits at 54.5%, nearly nine points above the national figure, which matters because new aides cycle through quickly. The current record shows 14 deficiencies, none rising to harm or jeopardy and none abuse-related, and the last inspection was February 2025. Quality measures score well, inspections land in the middle, and staffing holds up on paper. It's a for-profit limited liability company with 90 beds. The numbers describe a stable home with a churn problem worth asking about directly.

Nurse hours

3.74 /day

Staff turnover

47%

Serious cites

0

Monument Healthcare Millcreek runs about 3.74 nurse hours per resident each day, a bit under the national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and don't see the weekday crew. Annual turnover sits at 46.9%, just above the national 45.8%, so expect some churn in who's caring for your relative. Eighteen deficiencies appear on the current record, two tied to abuse, though none rose to the harm or jeopardy level, and the last inspection was November 20, 2025. The quality measure rating is strong; the inspection history is more mixed.

Nurse hours

5.73 /day

Staff turnover

45%

Serious cites

0

Advanced Health Care of St. George runs on a for-profit LLC model with 100 certified beds, and the staffing numbers are the real story here, 5.73 nurse hours per resident day, roughly 48% above the national average of 3.86. Weekend coverage dips about 12% below the home's own weekday level, so families should ask how that gap gets managed. Turnover sits at 45%, essentially matching the national average of 45.8%, and the home carries eight deficiencies on its current record with none at the harm or jeopardy level and none abuse-related. Its last inspection was May 2025, so the record is recent.

Nurse hours

4.83 /day

Staff turnover

38%

Serious cites

0

Lake Prince Woods runs a tight ship on the things that matter most. Nurse staffing sits at 4.83 hours per resident day, roughly a quarter above the national average, and the weekend dip is small enough that care doesn't fall off a cliff on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies, none causing harm or jeopardy, no abuse findings, and the most recent survey was just this past November. Staff turnover of 38.1% beats the national rate, though it still means more than a third of the workforce leaves each year. With only 40 beds under for-profit ownership, it's small enough that management's choices show up quickly in the numbers.

Nurse hours

4.28 /day

Staff turnover

44%

Serious cites

0

Buena Vista Healthcare in Colville runs 4.28 nursing hours per resident day, which is about 11% more than the national average, that's the strongest part of its case. Weekend coverage drops roughly 12% below weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The 43.5% annual turnover is slightly better than the national 45.8%, and its last inspection was in February 2025, so the record is current. Against that, 17 deficiencies sit on file, three of them serious enough to involve harm or jeopardy, though none are abuse-related. The single fine of $13,104 is modest by industry standards.