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

Nurse hours

3.83 /day

Staff turnover

43%

Serious cites

0

Covenant Living At Inverness runs a tight ship on paper. The Tulsa nonprofit, 44 beds, holds top CMS marks for health inspections and quality measures, and its six deficiencies carry no harm or jeopardy findings and nothing abuse-related. Last inspection was September 2024. Nurse staffing sits at 3.83 hours per resident day, just under the 3.86 national average, and weekends dip about 8% below weekdays, worth asking about if your family visits Saturdays. Annual turnover of 42.6% edges out the national 45.8%, which is modestly good news for a workforce that usually churns. The weak spot is consistency, not care quality.

Nurse hours

5.39 /day

Staff turnover

34%

Serious cites

0

Marquis Forest Grove runs a corporate-owned, for-profit home with 63 beds, and the staffing numbers are the strongest thing it has going. At 5.39 nurse hours per resident day, it's about 40% above the national average, and its staff turnover of 34.3% sits well below the 45.8% national figure, that kind of retention usually shows up in how consistently residents see familiar faces. Weekends thin out roughly 10% from weekday coverage. The tradeoff is on the quality side: six deficiencies on record, two serious enough to involve harm or jeopardy, and the last inspection was April 2026.

Nurse hours

4.68 /day

Staff turnover

50%

Serious cites

0

Portland Health And Rehabilitation runs a for-profit corporate operation with 105 certified beds, and its nurse staffing sits at 4.68 hours per resident day, roughly 21% above the national average of 3.86. Weekend staffing drops about 13% below its own weekday level, and annual turnover hits 50%, against a national figure of 45.8%. The inspection record is where things get serious: 57 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with one fine of $24,827 and a 1-out-of-5 health inspection rating. Quality measures score 4 out of 5 and staffing 4 out of 5, but those inspection numbers, last reviewed February 2026, are what a family should weigh hardest.

Nurse hours

4.97 /day

Staff turnover

33%

Serious cites

0

Avamere Rehabilitation of Hillsboro runs on a for-profit corporate model with 87 certified beds, and its staffing is the strongest card it holds: 4.97 nurse hours per resident day, roughly 29% above the national average of 3.86, with staff turnover at 33.3% versus the national 45.8%. That consistency matters, though weekend coverage dips about 13% below the home's own weekday level. The trouble sits elsewhere, a 2/5 health inspection rating and 40 deficiencies on the current record, four of them serious enough to reach harm or jeopardy level, plus three fines totaling $58,800. The most recent inspection was May 2026. Strong hands on deck, but a documented pattern of regulatory problems worth asking about directly.

Nurse hours

3.42 /day

Staff turnover

29%

Serious cites

0

Nurse staffing here runs about 3.42 hours per resident day, roughly 12 percent under the national average, and weekends dip about 6 percent below the home's own weekday level, so the thinnest coverage tends to land when families are most likely to visit. That said, turnover is 28.8 percent against a national average near 46 percent, meaning the aides and nurses you meet are more likely to still be there next year than at the typical home. The current record shows 34 deficiencies, none at the harm level, though two are abuse-related and worth asking about directly. The last inspection was February 2026, so the picture is recent. It's a for-profit limited liability company with 74 beds.

Nurse hours

4.43 /day

Staff turnover

48%

Serious cites

0

Scottdale Healthcare runs high on nurse hours, 4.43 per resident day against a national average around 3.86, and that's a real strength at a 35-bed home. The catch is consistency: weekends fall roughly 15% below weekday coverage, so the staffing you see on paper isn't always the staffing present on a Sunday. Turnover sits slightly above the national rate, and the inspection record is crowded: 48 deficiencies, three tied to abuse, with the most recent inspection in December 2025. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume and the abuse citations are what hold this home's grade down despite strong staffing numbers.

Nurse hours

4.07 /day

Staff turnover

37%

Serious cites

0

Cherry Hill Manor in Johnston runs on 4.07 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 12% below its own weekday coverage. Staff turnover sits at 37.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is clean where it counts: 13 deficiencies, none at harm or jeopardy level, no abuse citations, and one fine of $6,201. Its last inspection was January 2026, so the picture is current, and CMS rates it 5 stars for both health inspections and quality measures. Corporate for-profit ownership is the one thing to keep an eye on.

Nurse hours

3.92 /day

Staff turnover

25%

Serious cites

0

Evergreen House runs 160 certified beds in East Providence under corporate ownership, and its nurse staffing sits at 3.92 hours per resident day, slightly above the national figure of 3.86. Weekend coverage drops roughly 13% below what the home staffs on weekdays, so families should ask how that gap gets managed. Annual turnover is 24.5%, well under the national 45.8%, which suggests less churn than most places. Inspectors were last on site in July 2025 and logged 21 deficiencies, none causing harm or jeopardy; two were abuse-related. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 4 out of 5.

Nurse hours

3.23 /day

Staff turnover

33%

Serious cites

0

Avantara Lake Norden runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends get thinner still, about a tenth below its own weekday coverage. What keeps it from being a bigger concern is consistency: turnover sits at 32.6%, well under the 45.8% national figure, so the aides and nurses you'd meet have mostly stayed put, and a 2025 inspection found no abuse issues. Six deficiencies are on record, two serious enough to involve harm. For-profit ownership under an LLC. The staffing number is really the thing to ask about when you tour, whether it reflects how the place actually runs on a Saturday night.

Nurse hours

3.73 /day

Staff turnover

43%

Serious cites

0

Nhc Healthcare, Columbia runs 106 certified beds under corporate for-profit ownership, and the numbers tell a mixed but mostly steady story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends drop roughly 13% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.2%, slightly better than the national 45.8%, and the six deficiencies on record include none tied to harm, jeopardy, or abuse. One caution: the last inspection was November 2021, so that clean record is getting stale.

Nurse hours

3.16 /day

Staff turnover

30%

Serious cites

0

Wayland Nursing and Rehabilitation Center runs 90 certified beds in Keysville under corporate for-profit ownership, and its staffing sits at 3.16 nurse hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover is where it stands out: 29.7% against a national 45.8%, meaning far fewer aides and nurses cycling out than is typical. Inspections in April 2025 produced 38 deficiencies, including one at harm or jeopardy level and one abuse-related; the health inspection rating is 3 of 5 while quality measures score 5 of 5. Steady staff, lighter coverage, a mixed inspection record.

Nurse hours

3.37 /day

Staff turnover

30%

Serious cites

0

Heritage Hall-Leesburg runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, about 13 percent below its own weekday coverage. What offsets that is consistency in who shows up: turnover of 29.9 percent is well under the national 45.8 percent, meaning families see familiar faces even if there are fewer of them per shift. The inspection record is clean where it counts, with 11 deficiencies on file and none involving harm, jeopardy, or abuse, and a January 2025 survey keeps that picture current. Quality measures score at the top of CMS's scale, though the staffing rating sits mid-range, which is the tension running through this 164-bed for-profit home.

Nurse hours

5.23 /day

Staff turnover

33%

Serious cites

0

Greenspring Village sits in Springfield with 62 certified beds under for-profit LLC ownership, and its staffing numbers are genuinely strong, 5.23 nurse hours per resident day, roughly a third above the national average, with weekend coverage holding within about 3% of weekdays. Turnover runs 32.9%, well under the national 45.8%, which means the people caring for residents tend to stay. What pulls against that is the inspection record: 35 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus an $81,178 fine. The most recent inspection was March 2025. Strong staffing and weak inspection findings can coexist, and here they plainly do. Ask what the abuse deficiencies involved before deciding.

Nurse hours

3.65 /day

Staff turnover

34%

Serious cites

0

Abingdon Health & Rehab runs 120 certified beds, and its inspection record is the strongest thing about it, a 5-star health inspection rating, ten deficiencies on file with none at the harm level and nothing abuse-related, and a last inspection in August 2024. Staffing is where it thins out: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends run roughly 12% below the home's own weekday levels, so your visit on a Saturday may look different from a Thursday. Turnover of 34% is better than the 45.8% national figure, which matters for whether your parent sees the same faces.

Nurse hours

4.63 /day

Staff turnover

54%

Serious cites

0

Lacamas Creek runs a solid operation on the clinical side. The 83-bed home logged a 5-star health inspection in July 2025 with 36 deficiencies on record and none at the harm or jeopardy level, though there is one abuse-related citation worth asking about directly. Nurse staffing sits at 4.63 hours per resident day, roughly 20% above the national average, and the quality measure rating holds at 4 stars. The soft spot is retention. Annual turnover of 53.8% runs well above the 45.8% national average, and weekend coverage drops about 12% below its own weekday level. That combination, strong inspection results, thinner weekends, steady churn, is what you'd want to watch, especially if your family member needs care on Saturdays and Sundays.

Nurse hours

4.63 /day

Staff turnover

37%

Serious cites

0

Avamere Olympic Rehabilitation of Sequim runs a for-profit operation at 90 certified beds, and its staffing numbers are the standout: 4.63 nurse hours per resident day, roughly 20 percent above the national average, with weekend coverage dipping about 14 percent below weekdays. Staff turnover sits at 37.2 percent, better than the 45.8 percent national figure, and the quality measure rating reflects that strength. The inspection record tells a different story. Sixty-two deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, with one fine totaling $48,828 and a health inspection rating of just one star. The most recent inspection was December 9, 2025, so the record is current. Strong staffing, weak oversight history.

Nurse hours

5.13 /day

Staff turnover

53%

Serious cites

0

Eastcastle Pl Bradford Ter runs 5.13 nurse hours per resident day, roughly a third more staffing than the national average, and that shows up in its five-star staffing and quality ratings. The tradeoff is consistency: weekend coverage drops about 13% below its own weekday level, and annual turnover of 53.2% sits above the national 45.8%. The inspection record is the weaker side, 16 deficiencies, including one at harm level and two tied to abuse, with $99,452 in fines. The most recent inspection was February 2026, so the record is current. Strong day-to-day care numbers, but staffing stability and a serious citation history are the things to ask about directly.

Nurse hours

3.17 /day

Staff turnover

27%

Serious cites

0

Plum City Care Center runs 50 beds under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86, and weekends dip about 7% below its own weekday coverage, so families should ask how that plays out on Saturdays and Sundays. What stands out is the 26.7% annual turnover, well below the national 45.8%, which suggests a more stable crew than most. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as January 2025.

Nurse hours

— /day

Staff turnover

33%

Serious cites

0

Timber Ridge is county-owned, and that shows in the numbers: 4.96 nurse hours per resident day against a national average of 3.86, with turnover at 33.3% versus 45.8% nationally. Weekend staffing dips about 12% below its own weekday level, which is worth asking about. The tradeoff is inspection history, 16 deficiencies on record, six of them abuse-related, though none rose to harm or jeopardy. The most recent state visit was February 2025. Strong staffing and quality scores coexist here with a longer-than-ideal deficiency list, so read the inspection reports yourself before deciding.

Nurse hours

3.31 /day

Staff turnover

33%

Serious cites

0

Cornell Health Services runs about 3.31 nurse hours per resident day, which is roughly 14% under the national average of 3.86, and weekend coverage drops another 11% below its own weekday level. That thinner weekend schedule matters if your family tends to visit on Saturdays and Sundays. Turnover sits at 33.3%, better than the 45.8% national figure, so the aides and nurses you meet are more likely to still be there in six months. On inspections, the record is clean where it counts: four deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in May 2025. A for-profit LLC owns the 50-bed building.