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

Nurse hours

4.77 /day

Staff turnover

54%

Serious cites

0

Kendal At Ithaca runs about 4.77 nurse hours per resident day, roughly a quarter above the national average, and it shows in the staffing numbers. Weekends dip about 12% below the home's own weekday level, so coverage thins out on Saturdays and Sundays even though the overall floor stays high. Turnover is the catch: 54% of staff leaving annually against a national 45.8% means a lot of new faces rotating through, which matters for residents who rely on consistency. The record shows 9 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2024. Quality measures score low, inspections middling, staffing high, a home carried by its hours per resident more than its clinical outcomes.

Nurse hours

4.44 /day

Staff turnover

27%

Serious cites

0

Maria Regina runs on more nursing hours than most homes in the country, 4.44 per resident day against a national average of 3.86, and its aides and nurses stick around far longer than the typical turnover rate suggests, 26.6% leaving annually versus 45.8% nationally. That stability matters, though weekends drop about 10% below the home's own weekday coverage, so ask how weekend shifts are actually staffed. The trade-off shows up in oversight: 18 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a single $8,512 fine. Its last inspection was January 2025, so the record is recent. For-profit partnership ownership, 188 beds.

Nurse hours

4.16 /day

Staff turnover

45%

Serious cites

0

Trinity Glen runs 117 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That's a real cushion, though weekends dip about 14% below the home's own weekday level, so coverage isn't perfectly even across the week. Turnover lands at 45.1%, essentially matching the national 45.8%, which means this home isn't losing staff any faster than the typical facility. Its inspection record is clean where it counts: two deficiencies total, none at harm or jeopardy level, none abuse-related, with a recent April 2026 inspection. The 4/5 ratings across health inspections, quality measures, and staffing line up with what the numbers show, steady, above-average care without red flags.

Nurse hours

4.57 /day

Staff turnover

40%

Serious cites

0

Trinity Ridge runs a nonprofit shop with 120 beds in Hickory, and the staffing is the headline: 4.57 nurse hours per resident day against a national average of 3.86, a real cushion of about 18 percent. Weekends dip roughly 11 percent below its own weekday coverage, which is worth asking about if your family visits then. Turnover sits at 40.1 percent, better than the 45.8 percent national figure but still meaning four in ten caregivers cycled through in a year. Five deficiencies on record, none involving harm or abuse, and a June 2026 inspection means the paperwork is current. Quality measures score low, so read the clinical details rather than trusting the staffing number alone.

Nurse hours

3.61 /day

Staff turnover

33%

Serious cites

0

Chowan River runs a tight ship on the clinical side, a four-star health inspection record with no deficiencies at the harm level and nothing abuse-related among its ten citations, and the most recent state visit came in April 2025. Staffing is where the picture gets more ordinary: 3.61 nurse hours per resident day sits about 6% under the national average, weekends dip roughly 6% below weekdays, and the staffing star comes in at three. Turnover, though, is the number worth noticing, 33.3% against a national average near 46%, meaning this for-profit LLC has held onto its nurses better than most homes in the country.

Nurse hours

3.93 /day

Staff turnover

61%

Serious cites

0

Smoky Mountain Health and Rehabilitation Center runs 50 certified beds in Waynesville under corporate for-profit ownership. Nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 7% below the home's own weekday coverage. The bigger concern is turnover: 60.8% annually against a national average of 45.8%, meaning most of the people caring for your relative are likely new to the building. Ten deficiencies appear on the current record, none at harm or jeopardy level, but one is abuse-related. The last inspection was March 19, 2026, and quality and staffing measures both earned 4 stars against a 3-star health inspection.

Nurse hours

5.36 /day

Staff turnover

36%

Serious cites

0

St Catherine South runs on a nonprofit model in Fargo with 98 certified beds, and the staffing numbers stand out: 5.36 nurse hours per resident day, roughly 39% above the national average, with a 5-star staffing rating to match. Weekend coverage dips about 11% below weekday levels, which is common but worth knowing if you're visiting on a Saturday. Turnover sits at 35.5%, better than the 45.8% national figure. Inspections look clean, 10 deficiencies on record, none at harm or jeopardy level, none abuse-related, and the most recent visit was June 2025. The tension is in quality measures, which come in at 1 star, meaning clinical outcomes tracked by CMS don't match the strong staffing picture.

Nurse hours

3.72 /day

Staff turnover

35%

Serious cites

0

Bowling Green Manor runs 99 certified beds under corporate for-profit ownership, and its staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover tells a different story: 35% annual staff turnover is well below the 45.8% national figure, which suggests people stay. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2025. Quality measures score 5/5, though health inspection and staffing each land at 3/5.

Nurse hours

4.09 /day

Staff turnover

48%

Serious cites

0

Mother Angeline McCrory Manor runs on better-than-average nurse staffing, 4.09 hours per resident day, about 6% above the national figure, and its quality and staffing ratings both come in at 4 out of 5. But weekend coverage drops roughly 8% below weekday levels, and annual turnover sits at 48.2%, slightly worse than the 45.8% national average. The bigger concern is the inspection record: 51 deficiencies, three tied to abuse, and a 1-out-of-5 health inspection rating, with the most recent survey completed in July 2025. Nonprofit church ownership doesn't erase that pattern. Strong daily care hours and weak oversight can coexist, and here they do.

Nurse hours

3.55 /day

Staff turnover

30%

Serious cites

0

Pebble Creek runs about 3.55 nurse hours per resident per day, roughly 8% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage, so the quiet shifts are where you'd want to ask questions. Turnover sits at 30.4%, well under the 45.8% national figure, which matters because consistent caregivers tend to notice changes sooner. The inspection record shows 7 deficiencies, none at harm or jeopardy level, though one is abuse-related; the last full inspection was February 2026, so the picture is current. A 150-bed for-profit corporate home with top marks on inspections and quality measures but thin weekday-to-weekend staffing is the tradeoff in front of you.

Nurse hours

3.36 /day

Staff turnover

28%

Serious cites

0

Greenbriar Center runs 120 beds in Boardman under corporate for-profit ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage. Turnover is the bright spot: 27.7% against a national 45.8%, which means the aides and nurses here tend to stay. The trouble is the inspection record. Forty-four deficiencies, four of them at harm or jeopardy level and three tied to abuse, with one fine of $14,680 and a two-out-of-five health inspection rating. The most recent survey was March 2025, so that record is current, not stale. Strong quality scores and steady staff don't erase what surveyors found.

Nurse hours

3.65 /day

Staff turnover

33%

Serious cites

0

Autumn Aegis runs a 99-bed for-profit home in Lorain, and the staffing picture is mixed. Nurses give residents 3.65 hours of care per day, about 5% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. That said, staff turnover sits at 32.9%, well below the 45.8% national average, which suggests people stay. The 21 deficiencies on record include nothing at the harm or jeopardy level and no abuse findings, and the most recent inspection was in May 2024. Quality measures score 5/5 while health inspections score 3/5. Steady hands, slightly light coverage, worth asking about weekend shifts specifically.

Nurse hours

3.70 /day

Staff turnover

35%

Serious cites

0

Orchard Villa runs 136 certified beds in Lucas County under for-profit limited liability ownership. Its 3.70 nurse staffing hours per resident day sit about 4% under the national average, and weekends drop roughly 13% below the home's own weekday level, a pattern families should ask about directly. Turnover, at 34.8%, actually beats the national 45.8%, which suggests some stability in the ranks. The current record shows 34 deficiencies, though none at harm or jeopardy level and none abuse-related, and the last inspection came in March 2025. State inspectors gave three of five stars for health inspections; the quality measures scored five.

Nurse hours

3.26 /day

Staff turnover

31%

Serious cites

0

Country Pointe runs a tight ship on inspections, a five-star health inspection rating and only four deficiencies on the current record, none at the harm level, with a recent March 2025 survey. Staffing is where the picture gets more mixed. At 3.26 nurse hours per resident day, this 42-bed for-profit home sits about 16% under the national average, and weekends run roughly 7% leaner than weekdays. That gap matters in a small building where there's less margin to absorb a callout. One genuine bright spot: turnover at 31% is well below the 45.8% national figure, so the people who are there tend to stay. Ask how weekend coverage is actually staffed.

Nurse hours

4.59 /day

Staff turnover

59%

Serious cites

0

St. Mary of the Woods runs a tighter ship than most on the clinical side. Its 4.59 nursing hours per resident day sits about 19% above the national average, and a 5/5 inspection rating with zero harm-level or abuse-related deficiencies backs that up, the last state visit was recent, in August 2025. The catch is retention: 58.5% annual turnover is well above the 45.8% national figure, and weekends run roughly 13% leaner than weekdays. So the care numbers look strong, but the same faces may not always be there, and a family should ask how weekend coverage actually works in practice.

Nurse hours

4.56 /day

Staff turnover

41%

Serious cites

0

Staffing is where Otterbein New Albany falls short. The federal staffing rating sits at 1 out of 5, and that shows up against a national average turnover of 45.8%, this home's 41% is slightly better, but not by enough to offset thin direct-care coverage. The inspection record is heavier: 58 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with the most recent survey completed February 26, 2026. Quality measures land mid-range at 3 out of 5, so clinical outcomes are steadier than the staffing picture. As a nonprofit, it answers to a board rather than shareholders, which can mean more patience for fixes, but the numbers here still need watching.

Nurse hours

3.81 /day

Staff turnover

32%

Serious cites

0

Vancrest Of Payne runs a tight ship on the clinical side. The 40-bed home in Paulding County earned 5 out of 5 stars on both its health inspection and its quality measures, and its last inspection was recent, December 2025, with eight deficiencies on record and none rising to harm or jeopardy. One abuse-related citation is worth asking about directly. Staffing is where it slips: 3.81 nurse hours per resident day lands just under the national average, weekends run about 8% leaner than weekdays, and the staffing star sits at 3. Turnover, though, tells a better story, 32.1% against a national 45.8% means this building keeps its people longer than most.

Nurse hours

4.22 /day

Staff turnover

50%

Serious cites

0

Mid-Del runs a for-profit partnership in Del City with 61 certified beds, and its staffing sits at 4.22 nurse hours per resident day, roughly 9% above the national average of 3.86. That margin has limits: weekend coverage drops about 12% below the home's own weekday levels, and annual turnover is 50% against a national 45.8%, so the extra hours don't necessarily come from a stable crew. Inspections look solid on paper: a 4/5 health inspection rating, 11 total deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent visit was March 20, 2025. Federal ratings put staffing and quality measures at 4/5 each.

Nurse hours

3.39 /day

Staff turnover

52%

Serious cites

0

Western Skilled Nursing And Therapy runs on 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend coverage dips about 3% below what it manages on weekdays. Staff turnover sits at 52.4%, well above the 45.8% national rate, so the people around your family member change more often than at the typical home. The good news is real: inspections in November 2024 produced five deficiencies, none at the harm level and just one tied to abuse, and both the health inspection and quality measure ratings come back at the top of the scale. It's a for-profit partnership, which tends to mean tighter staffing budgets, worth asking about directly.

Nurse hours

3.69 /day

Staff turnover

33%

Serious cites

0

Green Country Care Center runs 114 beds in Tulsa under corporate ownership, and its last inspection in November 2024 turned up 27 deficiencies, one of them serious enough to reach the harm or jeopardy level. Nothing on record involves abuse, but that volume of findings is a lot to carry, and the health inspection rating sits at 2 out of 5. Staffing is the weaker signal still, 1 out of 5 stars, meaning the hours worked per resident fall well below what CMS expects. One thing in the home's favor: annual staff turnover of 33.3% beats the national average of 45.8%, so the people who are there tend to stay.