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

Nurse hours

6.18 /day

Staff turnover

16%

Serious cites

0

Nurse staffing here runs about 6.18 hours per resident day, roughly 60% above the national average, and the aide and nurse turnover rate of 16% is well under the national figure of about 46%. Weekend coverage dips about 9% below weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The home is church-affiliated and nonprofit, holds a five-star CMS inspection rating, and its last inspection in April 2026 left 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related. Quality measures score four stars. That combination of high staffing, low turnover, and no harm-level findings is what's behind the grade.

Nurse hours

6.88 /day

Staff turnover

13%

Serious cites

0

San Francisco Towers is a small nonprofit home, 27 certified beds, and its staffing numbers are the story. At 6.88 nurse hours per resident day, it runs about 78% above the national average, and weekend coverage dips only modestly, roughly 12% below its own weekday level. Staff turnover sits at 13%, well under the national 45.8%, which matters for continuity of care. On its current record: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as December 2025. The mix, nonprofit ownership, high staffing, low turnover, no serious deficiencies, is what's actually behind the score.

Nurse hours

6.51 /day

Staff turnover

18%

Serious cites

0

Glendale Adventist runs about 6.51 nurse hours per resident per day, roughly 69% above the national average of 3.86, and weekend staffing dips only around 12% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 18.3% against a national average of 45.8%, which matters because unstable staffing often shows up in care quality before it shows up on paper. The current record lists 14 deficiencies, none at the harm level and none abuse-related, with the last inspection in August 2025. It's a for-profit partnership with 40 certified beds, so it's small, and small homes can be uneven, but the numbers here are steady rather than strained.

Nurse hours

5.35 /day

Staff turnover

33%

Serious cites

0

Orchards Skilled Nursing runs about 5.35 nurse hours per resident day, roughly 39% above the national average, and the weekend dips only about 11% below its own weekday staffing, a modest drop compared to many homes. Staff turnover sits at 33.3%, below the national 45.8%, so the people caring for residents are more likely to stick around. The tradeoff is paper: 39 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, which suggests recordkeeping and process issues rather than unsafe care. It's a for-profit LLC with 49 beds and a clean inspection in April 2025.

Nurse hours

5.47 /day

Staff turnover

32%

Serious cites

0

Town & Country runs on real staffing depth: 5.47 nurse hours per resident day against a national average of 3.86, and its staff turnover of 31.5% sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in the inspection record, 53 deficiencies on file, four of them abuse-related, though none rose to the level of harm or jeopardy, and the most recent inspection came in November 2025. That split, strong quality and staffing scores, a thinner three-star inspection history, nonprofit ownership, is what's actually behind the 86. Weekend coverage dips about 16% below weekday levels, worth asking about directly.

Nurse hours

5.06 /day

Staff turnover

19%

Serious cites

0

Bedford Court runs on unusually steady staffing for a for-profit home: 5.06 nurse hours per resident day, roughly a third more than the national average, and turnover sits at 19.1 percent against a national 45.8, that retention matters more than any single inspection score, since consistent caregivers know the residents. Weekends dip about 9 percent below weekday coverage, worth asking about if your family visits then. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was March 2026. Quality measures score 5/5 and inspections 4/5, which lines up with what the staffing numbers suggest.

Nurse hours

3.62 /day

Staff turnover

25%

Serious cites

0

Care One At Holyoke runs 164 beds under for-profit LLC ownership, and its last health inspection came through in September 2025 with ten deficiencies on record, none at the harm or jeopardy level, none tied to abuse. Nurse staffing sits at 3.62 hours per resident day, about 6 percent under the national average of 3.86, and weekends dip roughly 13 percent below the home's own weekday coverage. What stands out is retention: annual turnover of 25.4 percent is well below the 45.8 percent national figure, meaning the aides and nurses here tend to stay. Inspections, quality measures, and staffing each earned top CMS marks, so the thin margins on hours per resident are the main thing worth watching, not the care record itself.

Nurse hours

5.30 /day

Staff turnover

35%

Serious cites

0

Mirabella Portland runs 44 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 5.30 nurse hours per resident day, roughly 37% above the national average of 3.86. Weekend staffing holds level with weekdays, which is not typical, and annual turnover sits at 35.1% against a national 45.8%. Inspections tell a similar story, a 5/5 health inspection rating, most recently surveyed in March 2026, with 8 total deficiencies and none at the harm or jeopardy level. Two of those eight are abuse-related, which is worth asking about directly.

Nurse hours

4.03 /day

Staff turnover

35%

Serious cites

0

Siena runs on better-than-average nurse coverage, 4.03 hours per resident day against a national 3.86, and its 34.8% turnover sits well under the 45.8% national figure, meaning the people around your relative tend to stick around. The catch is weekends, when staffing drops about 11% below the home's own weekday level, so afternoons and evenings Saturday and Sunday can feel thinner. Inspections in August 2025 turned up 18 deficiencies, none causing harm and one tied to abuse, with a single $4,194 fine on record. For-profit LLC ownership is worth knowing, though the inspection history is recent and light on serious findings.

Nurse hours

5.35 /day

Staff turnover

25%

Serious cites

0

The Center at Eden Hill runs 80 certified beds in Dover under individual for-profit ownership, and the staffing numbers are the first thing worth noticing: 5.35 nurse hours per resident day, roughly 39% above the national average of 3.86. Weekend coverage drops about 16% from its own weekday level, so ask how that gap gets covered. Annual turnover sits at 25%, well under the national 45.8%, which suggests a staff that mostly stays put. The inspection record shows 24 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Its last inspection was June 2024, and CMS rates it 4 of 5 on health inspections and 5 of 5 on both quality measures and staffing.

Nurse hours

4.66 /day

Staff turnover

26%

Serious cites

0

Medilodge Of Sterling runs 4.66 total nurse hours per resident day, roughly 21% above the national average of 3.86, and its staff turnover sits at 25.6% against a national figure near 46%, meaning the people caring for residents here tend to stay. The tradeoff shows up on weekends, when staffing drops about a fifth below its own weekday levels, so coverage is thinner on Saturdays and Sundays. Inspectors have logged 19 deficiencies, none of them causing harm or involving abuse, and the last visit was in September 2025. A for-profit corporate owner, 39 beds, and a recent clean inspection history with stable staffing behind it.

Nurse hours

5.00 /day

Staff turnover

34%

Serious cites

0

Corewell Health Rehabilitation & Nursing Center runs about five hours of nursing care per resident each day, roughly 29% more than the national average of 3.86, a real edge, though weekends dip about 16% below its own weekday pace. Staff turnover sits at 33.7%, better than the 45.8% national rate, so the people caring for residents tend to stick around. The inspection record is thin: one deficiency total, none involving harm or abuse, and the last state visit was July 2025, so the findings are recent. As a nonprofit with 80 beds, it's small enough that leadership likely knows the floor.

Nurse hours

5.11 /day

Staff turnover

28%

Serious cites

0

Pelican Valley Health Center runs on hospital-district ownership in Otter Tail County, which tends to mean steadier budgets than the for-profit chains. The numbers back that up: 5.11 nurse hours per resident day against a national average of 3.86, with weekend staffing dipping about 19% below weekdays, worth asking about if your family visits on Saturdays. Staff turnover sits at 27.5%, well under the 45.8% national figure, so the people caring for residents are more likely to still be there next year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2026. For 28 beds, that's a clean record.

Nurse hours

4.35 /day

Staff turnover

22%

Serious cites

0

New Gouverneur Hospital S N F runs on a level of nurse staffing most homes don't come close to, about 4.35 hours per resident day, roughly 13% above the national average, and its staff turnover sits at 22.2% against a national figure near 46%. The trade-off is weekends, when hours drop about 16% below the home's own weekday pace. The 295-bed city-run home holds a clean recent inspection record (December 2024) with 12 deficiencies, none at the harm level, though one is abuse-related. Three CMS star ratings of four or five say the same thing the numbers do: this is a well-staffed, stable operation with a weekend gap worth asking about.

Nurse hours

4.72 /day

Staff turnover

20%

Serious cites

0

Dr Susan Smith Mckinney Nursing And Rehabilitation runs on 4.72 nurse hours per resident day, which is roughly 22% above the national average of 3.86, that's real coverage, not a rounding difference. Weekend staffing dips about 16% below its own weekday level, so ask how weekends actually feel. Staff turnover sits at 19.5% against a national average of 45.8%, meaning the people caring for residents tend to stick around. The current record shows just 2 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in October 2024. This is a city-run home in Brooklyn with 320 beds, and the numbers suggest steady, well-staffed care.

Nurse hours

4.89 /day

Staff turnover

23%

Serious cites

0

Ohio Living Cape May runs a small house in Wilmington, 23 certified beds, nonprofit-owned, and the staffing numbers are the first thing that stands out. At 4.89 nurse hours per resident day, it sits roughly 27% above the national average of 3.86, and its annual turnover of 22.7% is about half the national rate. Weekend coverage does dip about 17% below its own weekday level, which is worth asking about directly. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, one abuse-related; the most recent inspection was June 2023, so the record is getting stale. A 4/5 on health inspections with 5/5 on quality and staffing measures is a solid profile for a home this size.

Nurse hours

5.45 /day

Staff turnover

31%

Serious cites

0

Garden Terrace runs about 5.45 nurse hours per resident per day, roughly 41% above the national average, and its staff turnover sits well below the norm, 31.3% against 45.8% nationally. That combination usually points to a home that can hold onto caregivers and keep enough of them on the floor. Weekends thin out somewhat, running about 16% below weekday levels, and the record carries 46 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The last inspection was June 2025, so the picture is recent. A for-profit limited liability company operates its 70 certified beds.

Nurse hours

6.06 /day

Staff turnover

30%

Serious cites

0

Advanced Health Care Of Sacramento runs on unusually thin turnover for a for-profit LLC, 30.2% against a 45.8% national average, which suggests people stay. Nurse staffing sits at 6.06 hours per resident day, roughly 57% above the 3.86 national figure, though weekends drop about 21% below the home's own weekday level, so coverage isn't perfectly even across the week. The inspection record shows 26 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent survey came in July 2025, so the picture is current. At 40 beds, it's small enough that staffing swings matter more than they would in a larger building.

Nurse hours

5.31 /day

Staff turnover

39%

Serious cites

0

Mission View Health Center runs on 5.31 nurse hours per resident per day, roughly a third more than the national average, and that staffing holds up fairly well on weekends, about 6% thinner than weekdays, but not the drop-off you see at a lot of places. Staff turnover sits at 38.8%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is clean where it counts: 8 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2025. It's a for-profit corporate home with 162 beds, and the numbers here are consistent rather than exceptional in any one spot.

Nurse hours

4.70 /day

Staff turnover

25%

Serious cites

0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.