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

Nurse hours

3.96 /day

Staff turnover

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Serious cites

0

Willowbrooke Court at Cokesbury Village is a small nonprofit home, just 10 certified beds in Hockessin. Staffing sits at 3.96 nurse hours per resident day, roughly 3% above the national average, though weekends run about 10% leaner than weekdays, so ask how that gap gets covered. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, but one is abuse-related, which is worth asking about directly. Its last inspection was in July 2025, so the picture is current. With 4s and 5s across inspection, quality, and staffing stars, the numbers are solid. The size cuts both ways: close attention, but few peers on site.

Nurse hours

4.06 /day

Staff turnover

25%

Serious cites

0

Willowbrooke Court At Azalea Trace is a small nonprofit home, 24 certified beds, and its inspection record is about as clean as it gets: zero deficiencies on the current record, none at the harm level, none abuse-related, with a survey completed in August 2025. Nurse staffing sits at 4.06 hours per resident day, a bit above the national average, and turnover of 25% is well below the 45.8% typical nationwide, which suggests people tend to stay. The trade-off shows up in the quality measures, where the home scores 2 out of 5, and weekend staffing dips roughly 15% below its own weekday levels.

Nurse hours

5.49 /day

Staff turnover

45%

Serious cites

0

Advanced Health Care of Coeur d'Alene runs a tight ship on the clinical side. The 34-bed home provides 5.49 nurse hours per resident day, roughly 42 percent more than the national average, and has a perfect five-star rating on both health inspections and quality measures, with no deficiencies at the harm or jeopardy level and nothing abuse-related on record. The tradeoffs are smaller. Weekend staffing drops about 18 percent below its own weekday level, which matters if your family visits mainly on Saturdays and Sundays, and staff turnover sits at 45.2 percent, essentially matching the national rate of 45.8 percent. Its most recent inspection was in May 2026, so the picture is current.

Nurse hours

3.91 /day

Staff turnover

42%

Serious cites

0

Miller's Merry Manor in Mooresville runs on a corporate for-profit model with 98 certified beds, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86. The bigger story is the weekend dip: hours drop roughly 20% below weekday levels, which matters if your family visits or needs care on Saturdays and Sundays. Turnover lands at 42%, a touch better than the national 45.8%, and the inspection record is genuinely strong, five stars, just four deficiencies, none at harm level, none abuse-related, with the most recent survey from February 2026. Quality and staffing each earn four stars. Solid on paper, but ask about weekend coverage before you decide.

Nurse hours

4.01 /day

Staff turnover

54%

Serious cites

0

Creekside runs on more nursing hours than the typical American home, 4.01 per resident day against a national average of 3.86, and that's the strongest part of its record. The catch is that weekends run about 17% below its own weekday staffing, so the coverage your family member gets on a Saturday may look thinner than what the posted average suggests. Annual turnover sits at 53.6% against a national rate of 45.8%, meaning the aides and nurses assigned to this building are cycling through faster than usual. Inspections are the weak spot: 25 deficiencies on the current record, one serious enough to involve harm or jeopardy, though none abuse-related. The last survey was February 2026.

Nurse hours

4.44 /day

Staff turnover

45%

Serious cites

0

The Milton Home runs on 4.44 nurse hours per resident day, roughly 15 percent more than the national average, and that staffing shows up in its ratings. Weekend coverage dips about 16 percent below weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. Turnover sits at 45.2 percent, essentially in line with the national figure, which means the aides and nurses around your relative are likely to change over the course of a year. Fifteen deficiencies appear on the current record, two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspectors last visited in early January 2026.

Nurse hours

4.63 /day

Staff turnover

32%

Serious cites

0

Lenox Care Center runs on an unusual split: five stars for staffing, two for health inspections. The 4.63 nurse hours per resident day beat the national average by about 20%, and turnover of 31.6% sits well under the 45.8% national figure, that kind of retention suggests people stay. Weekends thin out, though, running about 16% below the home's own weekday coverage. On the inspection side, 28 deficiencies sit on the record, two tied to abuse, none flagged at the harm or jeopardy level. The most recent inspection was March 2026, so the picture is current. For-profit partnership ownership, 36 beds. Strong hands on deck; the paperwork history is where questions remain.

Nurse hours

3.74 /day

Staff turnover

37%

Serious cites

0

Accura Healthcare of Sioux City runs 46 beds under corporate ownership, and its last inspection was recent, December 2025, with 21 deficiencies on record but none involving harm or abuse, which matters more than the raw count. Nurse staffing sits at 3.74 hours per resident day, a touch under the national 3.86, and weekends drop roughly 18% below weekday coverage, so ask how that gap gets filled. Staff turnover is 37%, better than the 45.8% national figure, which suggests people tend to stay. Federal ratings put quality and staffing at 4 stars each, inspection at 3.

Nurse hours

3.87 /day

Staff turnover

47%

Serious cites

0

Signature Healthcare of South Louisville runs 100 certified beds under corporate ownership, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That even number hides a dip on weekends, when coverage falls about 17 percent below what the home staffs during the week. Turnover is 46.8 percent, slightly worse than the 45.8 percent national figure, so the faces around residents change fairly often. On inspections, the record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in February 2026. Quality measures score well and staffing holds up, which is where the B comes from, solid, not spotless.

Nurse hours

4.39 /day

Staff turnover

36%

Serious cites

0

Greenbriar runs on 4.39 nurse hours per resident day, roughly 14% above the national average, and its staff turnover of 35.6% sits well below the 45.8% national figure, that combination tends to mean caregivers who stay long enough to know the residents. Weekend staffing drops about 17% from weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record shows 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. A 5/5 inspection rating with a clean harm record and a recent October 2025 survey is a solid position. Nonprofit ownership rounds it out.

Nurse hours

4.32 /day

Staff turnover

39%

Serious cites

0

Ridgecrest Community Care Center runs a 112-bed nonprofit operation in West Monroe, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average. Weekend coverage dips about 17% below its own weekday level, so families should ask how that gap gets handled. Staff turnover is 38.7%, better than the 45.8% national figure but still meaning nearly two in five caregivers left within a year. The current record shows 16 deficiencies, none at harm or jeopardy level, one abuse-related, and the last inspection was April 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 4 out of 5.

Nurse hours

3.57 /day

Staff turnover

45%

Serious cites

0

Medilodge of Traverse City runs 84 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, about 8% under the national average. Weekends dip roughly 16% below its own weekday coverage, so the hours your family member gets depend partly on which day of the week it is. The inspection record carries 26 deficiencies, including 2 at the harm level and 5 tied to abuse. The last inspection was May 2025, so that record is recent. Turnover at 45.1% lands right around the national figure, and the quality measure score is strong, but the survey history is the part worth asking about directly.

Nurse hours

3.90 /day

Staff turnover

38%

Serious cites

0

Medilodge Of Tawas City runs a tight ship on staffing, 3.90 nurse hours per resident day, a hair above the national average, and weekend coverage only dips about 17% from weekday levels. Turnover sits at 37.7%, better than the 45.8% national figure, which matters for whether your family sees the same faces month to month. The tradeoff shows up in inspections. Thirty-one deficiencies on the current record, including one at the harm or jeopardy level, and a 2/5 health inspection rating, though the last survey was recent, September 2025. No abuse citations. This is a for-profit corporate home where the care hours are there but the compliance record is the weak point. Ask to see the plan of correction for that harm-level deficiency before you decide.

Nurse hours

4.06 /day

Staff turnover

9%

Serious cites

0

Good Samaritan Society - Howard Lake runs a tight staffing ship for a 32-bed nonprofit home. Nurses deliver 4.06 hours of care per resident per day, slightly above the national average, and the 9.1% annual turnover is remarkably low, most American nursing homes lose nearly half their staff every year, so this one clearly retains people. The trade-offs: weekend coverage dips about 15% below weekday levels, and the record shows 11 deficiencies, including one tied to abuse; none reached harm or jeopardy level. A recent February 2026 inspection gives a current picture, though the middle-of-the-road marks on health inspections and quality measures suggest care is steady rather than spotless.

Nurse hours

3.81 /day

Staff turnover

28%

Serious cites

0

Good Samaritan Society - Bethany runs on a non-profit model with 79 certified beds in Brainerd, and its last health inspection came in December 2025. The 15 deficiencies on file include none at the harm level and none tied to abuse. Nurse staffing sits at 3.81 hours per resident day, roughly 1% under the national average, and weekend coverage drops about 16% below its own weekday levels, a gap worth asking about if your family visits primarily on Saturdays and Sundays. Staff turnover is the standout number: 27.8% against a national average of 45.8%, meaning aides and nurses here tend to stay considerably longer than elsewhere.

Nurse hours

5.36 /day

Staff turnover

40%

Serious cites

0

Ambassador Health of Lincoln runs 5.36 nurse staffing hours per resident day, roughly 39% above the national average of 3.86, that's the real story here. Weekend staffing dips about 15% below weekday levels, and turnover sits at 40.2%, a bit better than the national 45.8%. Inspections turned up 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related. That's a lot of paperwork-level findings without anyone getting hurt, and the state last visited in November 2024. For-profit corporate ownership, 122 beds, and quality and staffing marks that hold up better than the inspection record does.

Nurse hours

3.92 /day

Staff turnover

—

Serious cites

0

Saint Joseph Of The Pines runs 3.92 nurse hours per resident day, a hair above the national average and enough to earn three stars for staffing, decent, not generous. Weekend coverage drops roughly 9% below its own weekday level, so ask how that gap gets filled. The inspection history is the stronger signal: a 4-star health inspection rating, seven deficiencies on record with none at the harm level, and a recent survey from July 2025. One abuse-related deficiency is worth a direct question about what happened and what changed. As a nonprofit, there's no ownership chain pulling money out, which tends to show up in how a building is staffed and maintained over time.

Nurse hours

3.99 /day

Staff turnover

25%

Serious cites

0

College Pines runs a leaner, steadier ship than most corporate-owned homes in North Carolina. Nurse staffing sits at 3.99 hours per resident day, just above the national average, and the 24.5% turnover rate is barely half the national figure, that kind of retention usually means residents see the same faces week to week. The catch is weekends, when coverage drops roughly 17% below weekday levels. And while the inspection rating looks strong on paper, the current record carries six deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,801 in fines. Quality measures score well, but those two harm-level findings are what pull the overall picture down to middling.

Nurse hours

4.52 /day

Staff turnover

39%

Serious cites

0

Sanford Hillsboro runs a tight ship on staffing, with 4.52 nurse hours per resident day, roughly 17% above the national average, and a 38.6% turnover rate that beats the national figure of 45.8%. That consistency matters for a 34-bed home where residents see the same faces. But the inspection record tells a different story: 10 deficiencies on file, two serious enough to reach harm or jeopardy level, and $42,488 in fines across two penalties. The health inspection rating sits at 2 out of 5, even though quality measures score 4 and staffing scores 5. The most recent survey was June 26, 2025. The care may be well-staffed, but the state has found real problems worth asking about directly.

Nurse hours

5.43 /day

Staff turnover

49%

Serious cites

0

The Pines at Philadelphia runs on 5.43 nurse hours per resident day, well above the national figure of 3.86, that staffing cushion is the main reason its numbers hold up. It isn't uniform, though: weekends drop about 20% below the home's own weekday coverage, and turnover sits at 48.8%, slightly worse than the 45.8% national rate. Twenty deficiencies appear on the current record with none at the harm level, but two are abuse-related, which families should ask about directly. Inspectors were last on site in July 2025, and the for-profit corporate owner operates 49 beds. Quality and inspection scores both come in strong; the weaker spots are the ones that don't show up in a star rating.