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

Nurse hours

3.75 /day

Staff turnover

24%

Serious cites

0

Ledgewood runs on a corporate for-profit model with 123 beds, and its staffing sits just under the national mark, 3.75 nurse hours per resident day against 3.86. That's close enough that the bigger story is weekends, when coverage drops roughly 11% below the home's own weekday level. Turnover is the genuine bright spot: 24.1% against a national average of 45.8%, meaning the people who care for your family member tend to stay. Fourteen deficiencies are on record with none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The most recent inspection was August 2025, so the picture is current.

Nurse hours

3.86 /day

Staff turnover

25%

Serious cites

0

The Highlands sits at 168 certified beds in Fitchburg, run by a for-profit limited liability company, and its staffing comes in at 3.86 nurse hours per resident day, essentially identical to the national average, so there's no extra cushion of care here. Weekend coverage drops about 12% below its own weekday levels, a gap worth asking about if your family visits or needs help on Saturdays and Sundays. The stronger signals: staff turnover is 24.8%, well under the national 45.8%, and 17 deficiencies on record include none tied to harm, jeopardy, or abuse, with the state in as recently as November 2025.

Nurse hours

3.77 /day

Staff turnover

25%

Serious cites

0

The German Center for Extended Care is a 133-bed nonprofit in Boston, and its strongest number isn't the one you'd guess. Staff turnover runs 24.8%, well under the national 45.8%, that kind of retention usually means people stay, and staying tends to mean consistent care. Nurse staffing sits at 3.77 hours per resident day, just under the 3.86 national average, and weekends dip about 6% below its own weekday level, so coverage thins out a bit on Saturdays and Sundays. Twenty deficiencies are on record, but none at the harm level and none abuse-related, and the last inspection was recent, in September 2025.

Nurse hours

3.83 /day

Staff turnover

34%

Serious cites

0

Life Care Center Of West Bridgewater runs a tight operation on the clinical side. The health inspection record is clean at the 5-star level, with 11 deficiencies cited and none involving harm, jeopardy, or abuse, and the last survey was recent, from November 2025, so that picture is current. Nurse staffing sits at 3.83 hours per resident day, a hair under the national average, and weekends drop about 14% below weekday coverage, which is the kind of gap families feel on Sunday afternoons. Turnover at 34% is meaningfully better than the 45.8% national figure, so the people caring for your relative are more likely to stick around. Corporate ownership, 150 beds. The weak spot is consistency of coverage, not quality of care.

Nurse hours

4.00 /day

Staff turnover

32%

Serious cites

0

Life Care Center of Stoneham runs a 94-bed for-profit operation, and the staffing picture is its strongest card: 4.00 nurse hours per resident day, about 4% above the national average, with a 4-star staffing rating to match. Turnover sits at 32%, well under the 45.8% national figure, which matters for consistency of care. Now the harder part. The current record carries 31 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $39,559. Weekend staffing drops roughly 10% below its own weekday level, so coverage thins exactly when families tend to visit. The last inspection was September 2025. Ask about those harm-level findings and the abuse citations directly.

Nurse hours

3.13 /day

Staff turnover

30%

Serious cites

0

Fairview runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, with weekends about 12% thinner than weekdays. Turnover sits at 30.2%, well under the 45.8% national figure, so the staff who are there tend to stay. The inspection record is the caution flag: 23 deficiencies, five at harm or jeopardy level and three tied to abuse, plus a $55,738 fine. The most recent inspection was July 2025, so that record is current rather than stale. For-profit corporate ownership, 64 beds, and strong marks on quality measures and staffing ratings, the gap here is between day-to-day care metrics and the harm-level findings.

Nurse hours

3.71 /day

Staff turnover

43%

Serious cites

0

The numbers here are better than the staffing figure alone suggests. Nurse coverage sits about 4% under the national average, and weekends run roughly 11% thinner than weekdays, a gap worth asking about if your family visits on Saturdays or Sundays. Turnover, though, is 43.2%, slightly better than the 45.8% national rate, meaning the aides and nurses you meet are a bit more likely to still be there next year than elsewhere. The inspection record is the real story: 39 deficiencies, including one at the harm level and four tied to abuse. That's a meaningful count, and it's recent, the last inspection was January 2026. The four- and five-star inspection and quality ratings don't erase those findings. Ask specifically what changed since that inspection.

Nurse hours

4.04 /day

Staff turnover

43%

Serious cites

0

Hartford Nursing & Rehabilitation Center runs 188 certified beds on Detroit's west side, and the staffing picture is mixed. Nurses provide about 4.04 hours per resident day, roughly 5% above the national average, though weekends run about 12% thinner than weekdays, worth asking about if your family visits Saturday or Sunday. Annual turnover sits at 42.5%, a little better than the 45.8% national figure. The bigger concern is the inspection record: 30 deficiencies, one serious enough to involve harm or jeopardy, and a two-out-of-five health inspection rating. That's the number to press the administrator on. The quality measure rating of five suggests clinical outcomes look good on paper, but paper and daily care aren't always the same thing.

Nurse hours

3.35 /day

Staff turnover

26%

Serious cites

0

Seacrest Rehabilitation And Nursing Center runs 131 certified beds in Monroe under corporate for-profit ownership. Its staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average of 3.86, and weekends dip about 10% below its own weekday levels, worth knowing if your family visits or needs help mostly on Saturdays and Sundays. Turnover tells a different story: 26% against a national 45.8%, so the aides and nurses here tend to stay. Inspections back that up, with 15 deficiencies on record, none at the harm or jeopardy level and none abuse-related, and the most recent visit came in February 2026.

Nurse hours

3.15 /day

Staff turnover

23%

Serious cites

0

The Laurels of Coldwater runs 169 beds under corporate ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 11 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the genuine bright spot: 23.3 percent against a national 45.8 percent, meaning aides and nurses here tend to stay. That stability likely props up the four-star staffing and quality ratings. But the inspection record is weaker, 37 deficiencies, nine tied to abuse, with the most recent survey in July 2025. None rose to harm or jeopardy level, which matters. Ask about those nine abuse deficiencies directly before deciding.

Nurse hours

3.65 /day

Staff turnover

45%

Serious cites

0

St. Anthony Healthcare Center runs 142 beds in Warren under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating and a June 2025 survey, so the findings are recent rather than stale. The 18 deficiencies on file include two at the harm level and one abuse-related, which is worth asking the administrator about directly. Staffing is where it slips, 3.65 nurse hours per resident day, roughly 5% under the national average, with weekends about 12% thinner than weekdays. Turnover at 44.9% is basically average. Quality measures score five stars, but those depend on the same staff showing up.

Nurse hours

3.54 /day

Staff turnover

38%

Serious cites

0

Lakepointe runs 3.54 nurse hours per resident day, about 8% under the national average of 3.86, and weekend coverage drops roughly another 10% below its own weekday level. That thin margin matters more than the 5/5 inspection and quality ratings suggest, because care doesn't pause on Saturdays. Turnover is 37.6%, better than the 45.8% national figure, so the staff who are there tend to stay. The current record shows 18 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related, with the most recent inspection in August 2025. For-profit, LLC-owned, 134 beds. Strong survey results, but the daily staffing numbers are the part I'd ask about directly.

Nurse hours

5.79 /day

Staff turnover

46%

Serious cites

0

Fox Run Village sits in Novi with 44 certified beds under nonprofit ownership, and the staffing numbers are its strongest card: 5.79 nurse hours per resident day, roughly half again the national average of 3.86. Weekends dip about 14% below its own weekday coverage, worth knowing if your visits fall on Saturdays or Sundays. Turnover runs 45.5%, essentially matching the national 45.8%, and the current record shows 23 deficiencies, none at harm or jeopardy level, none abuse-related, with six fines totaling $13,748 and an inspection completed in March 2025.

Nurse hours

3.77 /day

Staff turnover

36%

Serious cites

0

West Wind Village runs about 3.77 nurse hours per resident day, a touch under the national average, and weekends dip roughly 12% below its own weekday coverage, worth asking about if your family tends to visit Saturday or Sunday. Staff turnover sits at 36.4%, well below the 45.8% national figure, which suggests people stick around. The tradeoff shows up in the record: eight deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. A 4-out-of-5 inspection rating and a recent survey date of May 2026 back that up, and as a nonprofit with 45 beds, it's small enough that you can get real answers from the people in charge.

Nurse hours

4.97 /day

Staff turnover

50%

Serious cites

0

Essentia Health Homestead runs a 32-bed nonprofit home in Deer River, and the staffing numbers are the strongest thing it has going. At 4.97 nurse hours per resident day, it beats the national average by roughly 29%, though weekends dip about 11% below its own weekday coverage, so ask how that plays out on a Saturday. The trouble sits elsewhere: 15 deficiencies on record, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $67,727. Staff turnover is 50%, above the 45.8% national figure. A recent inspection in April 2026 means the record is current. Strong caregiver ratios, real compliance problems.

Nurse hours

4.06 /day

Staff turnover

42%

Serious cites

0

Sylvan Court runs a solid, well-staffed operation in Canby. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, and its five-star health inspection rating reflects a clean survey record, six deficiencies total, none at the harm or jeopardy level, though two are abuse-related and worth asking about directly. Staff turnover comes in at 41.8%, slightly better than the national average of 45.8%. The tradeoffs: weekend staffing drops roughly 11% below weekday levels, and the three-star quality measure rating suggests outcomes data isn't as strong as the inspection and staffing numbers. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

4.31 /day

Staff turnover

36%

Serious cites

0

Augustana Chapel View runs on a nonprofit model with 100 certified beds, and its strongest number is staffing: 4.31 nurse hours per resident day, roughly 12 percent above the national average of 3.86. Weekend coverage dips about 9 percent below weekday levels there, and annual turnover sits at 35.5 percent against a national 45.8 percent, a relatively stable crew, which matters for residents who depend on familiar faces. The inspection record is where it gets murkier. Twenty-six deficiencies are logged, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One fine, $17,345, has been assessed, and the last inspection was recent, in December 2025. Strong staffing paired with a longer deficiency list is the tension worth asking about directly.

Nurse hours

3.93 /day

Staff turnover

43%

Serious cites

0

Laurels Peak runs 60 beds in Mankato under corporate for-profit ownership, and its staffing is the clear strength: 3.93 nurse hours per resident day sits slightly above the national average, enough for CMS to hand it a top staffing rating. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Sunday. Turnover at 43% is a touch better than the national 45.8%. The concern is the inspection record, 37 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from a visit in September 2025. No abuse citations appear. Solid hands-on care, weaker safety and compliance.

Nurse hours

4.03 /day

Staff turnover

53%

Serious cites

0

Lakeside Generations runs about 4.03 nurse staffing hours per resident day, a bit above the national average, and weekends drop roughly 15% below its own weekday level, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover sits at 53.1%, higher than the 45.8% national figure, so continuity of caregivers is a real question. The inspection record shows 8 deficiencies, one at the harm or jeopardy level, with the most recent inspection in January 2026. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 4 out of 5.

Nurse hours

4.67 /day

Staff turnover

34%

Serious cites

0

Bedford Care Center of Newton runs on more nursing hours than most homes in the country, 4.67 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 33.9% compared to 45.8% nationally. Weekend coverage dips roughly 10% below its own weekday levels, so ask how that plays out on a Sunday. The inspection record is clean where it matters most: nine deficiencies, but none at the harm or jeopardy level, and one abuse-related finding worth asking about directly. Quality measure scores sit at 2 out of 5, which is the number that doesn't match the rest of the picture.