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

Nurse hours

4.74 /day

Staff turnover

52%

Serious cites

0

Hillside Heights runs on more nursing hours than most places, 4.74 per resident day, roughly a quarter above the national average, which is the main reason its staffing rating holds at 4 out of 5. That cushion thins on weekends, when coverage drops about 13% below the home's own weekday level, and turnover sits at 51.8%, higher than the 45.8% national figure. The inspection record shows 43 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the last survey was January 30, 2026, so the picture is current. Quality measures land mid-range at 3 out of 5. Ownership is a for-profit limited liability company.

Nurse hours

4.58 /day

Staff turnover

43%

Serious cites

0

Umpqua Valley runs about 4.58 nurse hours per resident day, roughly 19% above the national average, and weekends dip only modestly below weekdays. Staff turnover sits at 42.7%, slightly better than the national 45.8%, a meaningful signal in a field where retention is hard. The tradeoff is inspection history: 44 deficiencies on the current record, three tied to abuse, though none rose to harm or jeopardy level, and the single fine totaled $8,824. The most recent inspection was August 2025, so the picture is current. Strong staffing and quality scores, softer on compliance, worth asking about those abuse-related tags specifically.

Nurse hours

6.29 /day

Staff turnover

69%

Serious cites

0

The Village at Hillside runs on unusually heavy staffing for its size, 6.29 nurse hours per resident day, well above the national average, and its inspection record is strong, with 21 deficiencies on file and only one at the harm level, none tied to abuse. The catch is turnover: 68.8% annually, roughly 50% higher than the national figure, which means the people delivering that good care keep changing. Weekend coverage also dips about 9% below weekday levels. Inspections were last conducted in late 2025, so the record is current. For a 20-bed for-profit home, the numbers point to a place that's well-run on paper but may feel less consistent in practice.

Nurse hours

5.64 /day

Staff turnover

60%

Serious cites

0

The Pearl At Kruse Way runs a for-profit operation in Lake Oswego with 74 certified beds, and its nurse staffing sits at 5.64 hours per resident day, roughly 46% above the national average of 3.86. That's a real cushion, though weekends dip about 15% below its own weekday levels, and annual turnover hits 60.3% against a national 45.8%, meaning the people delivering that care churn faster than most. Inspections tell a steady story: 22 deficiencies on the current record but none at the harm level and none abuse-related, with the last visit in November 2025. If you want high staffing numbers and no serious inspection flags, this one fits, just ask how they hold that coverage together on Saturdays.

Nurse hours

3.94 /day

Staff turnover

32%

Serious cites

0

Alpine Valley runs on church-affiliated nonprofit ownership out in Lebanon County, and the numbers show a stable operation. Nurse staffing sits at 3.94 hours per resident day, a bit above the national average, though weekends dip about 8% below weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover of 32.1% is well under the national 45.8%, which suggests people stay, and eight deficiencies on record with none at the harm level and none abuse-related is a clean sheet. The last inspection was September 2024, so the picture is current. The main soft spot is staffing depth relative to what the top-rated homes carry.

Nurse hours

3.69 /day

Staff turnover

29%

Serious cites

0

Harmon House runs about 109 beds in Mount Pleasant under for-profit LLC ownership, and its current inspection record carries 43 deficiencies, four of them serious enough to involve actual harm or jeopardy, plus three abuse-related citations and $32,394 in fines across four penalties. The last inspection was May 2026, so the record is recent. Staffing sits at 3.69 nurse hours per resident per day, roughly 5% under the national average, and weekends drop about 7% below the home's own weekday coverage. What stands out in the other direction is turnover: 28.6% against a national average near 46%, which suggests people tend to stay. The state inspection rating lands well below the quality measure score, and that gap is worth asking about directly.

Nurse hours

3.50 /day

Staff turnover

31%

Serious cites

0

Quality Life Services - Henry Clay runs a tight ship on inspections: four deficiencies on record, none causing harm or involving abuse, and a five-star health inspection rating from CMS with a visit as recent as July 2025. Staffing is where it slips, 3.50 nurse hours per resident day sits about 9% under the national average, and weekends run roughly 5% thinner than weekdays, though a 31.3% turnover rate is well below the 45.8% national figure, meaning the people who are there tend to stay. For 74 beds in a for-profit setting, the care appears consistent; the question is whether there are enough hands on weekend shifts.

Nurse hours

3.35 /day

Staff turnover

26%

Serious cites

0

Adviniacare Newport runs 114 certified beds under corporate for-profit ownership, and its staffing sits at 3.35 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 8 percent below its own weekday staffing, so coverage thins out right when families tend to visit. The tradeoff is retention: 26 percent annual turnover beats the 45.8 percent national figure, meaning the aides you meet are more likely to still be there next year. What pulls the record down is the inspection side, 41 deficiencies on file, including two at harm or jeopardy level and one tied to abuse, plus a $16,801 fine. The most recent inspection was December 19, 2025, so that picture is current. Quality measures score well; the compliance history is the concern.

Nurse hours

3.79 /day

Staff turnover

36%

Serious cites

0

White Oak Manor-York runs a tight ship on inspections, earning the top federal rating there, with its most recent survey completed in May 2025 and six total deficiencies on record, two of which rose to the harm level, though none involved abuse. Nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national figure, and weekends dip about 8% below the home's own weekday coverage, a gap worth asking about directly. Staff turnover of 35.9% actually beats the national 45.8%, which matters for consistency of care. For-profit corporate ownership and a mid-range quality measure score round out a home that looks solid on paper but leans on fewer hands than average.

Nurse hours

3.54 /day

Staff turnover

43%

Serious cites

0

Life Care Center Of Charleston runs 148 certified beds in North Charleston, and the staffing numbers are the first thing to notice: 3.54 nurse hours per resident day, roughly 8 percent under the national average, with weekends dipping about 12 percent below its own weekdays. Turnover sits at 42.7 percent, a touch better than the 45.8 percent national figure, so the concern isn't retention so much as how thin the floor gets on Saturdays and Sundays. The current inspection record shows 13 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus $24,247 in fines across two penalties. Clinical quality measures score well, but the January 2026 inspection history and below-average daily staffing carry more weight than that.

Nurse hours

3.89 /day

Staff turnover

29%

Serious cites

0

Nhc Healthcare, Johnson City runs 167 certified beds under for-profit LLC ownership, and its inspection record is the standout: a single deficiency on file, none involving harm or jeopardy, none tied to abuse, and a survey completed in January 2026. Staff turnover sits at 28.9% against a national average of 45.8%, which suggests people tend to stay. Nurse staffing is 3.89 hours per resident day, barely above the 3.86 national figure, and weekends run about 12% thinner than weekdays, so coverage isn't uniform across the week. The weaker staffing rating reflects that thin margin more than any serious problem.

Nurse hours

3.67 /day

Staff turnover

34%

Serious cites

0

Nhc Healthcare, Mcminnville runs on tighter staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below what the building staffs during the week. That combination matters if your family visits on Saturdays and Sundays. Turnover sits at 33.9%, which is actually better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2023. Quality measures score well; staffing is where the weakness concentrates.

Nurse hours

3.52 /day

Staff turnover

29%

Serious cites

0

Life Care Center of Centerville runs 132 certified beds under corporate ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the bright spot: 29.2% against a national average of 45.8%, which suggests less churn than most homes manage. The current record shows 17 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. Its last inspection was September 2024, and quality measures score well even where staffing does not.

Nurse hours

4.36 /day

Staff turnover

50%

Serious cites

0

Ocoee Transitional Care Center runs on better-than-average staffing, 4.36 nurse hours per resident day, roughly 13% above the national figure, and the federal staffing and quality ratings reflect that. The catch is consistency: weekends run about 15% thinner than weekdays, and half the staff turns over each year, a bit worse than the 45.8% national rate. The inspection record is the softer spot, a 2 out of 5 with 17 deficiencies, though none rose to harm or jeopardy and none involved abuse. The last survey was August 2023, so that picture is getting dated. Nonprofit ownership, solid care numbers, and turnover are the real story here.

Nurse hours

3.52 /day

Staff turnover

27%

Serious cites

0

Life Care Center of Rhea County runs on leaner nurse staffing than most homes, about 3.52 hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday levels. Staff turnover sits at 27.3%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. Inspectors logged 16 deficiencies, including 2 abuse-related, though none reached harm or jeopardy, and the most recent inspection was April 2026. The for-profit, limited-liability ownership is typical for Tennessee. Clinical quality measures score strongly; the staffing and inspection numbers are where the tradeoffs show.

Nurse hours

3.34 /day

Staff turnover

21%

Serious cites

0

Life Care Center Of New Market runs leaner on nursing hours than most homes, 3.34 per resident day against a national average of 3.86, and weekends get thinner still, about 14% below its own weekday coverage. The tradeoff shows up in consistency: staff turnover sits at 20.6%, less than half the national rate, so the people caring for residents tend to stay. State inspectors last visited in July 2023 and logged 33 deficiencies, five tied to abuse, though none rose to actual harm or jeopardy. The quality measure score is perfect and the inspection record is strong; staffing is the softer spot. For a family weighing this one, the real question is whether the weekday crew you meet is the one working Saturday.

Nurse hours

4.14 /day

Staff turnover

17%

Serious cites

0

Dulles Health & Rehab runs 166 certified beds in Herndon under limited-liability, for-profit ownership, and the staffing picture is genuinely better than most: 4.14 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping roughly 10% below its own weekday levels. Turnover is the standout number, 17.1% annually, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection side is more mixed. The current record carries 42 deficiencies, none at the harm or jeopardy level, though 4 are abuse-related, and the last inspection was March 26, 2026, so the findings are recent. A 3/5 health inspection rating alongside a 5/5 quality measure rating suggests the clinical measures look strong while the survey history carries real room for improvement.

Nurse hours

3.78 /day

Staff turnover

40%

Serious cites

0

Edenbrook of Platteville runs 80 certified beds in Grant County under individual for-profit ownership, and the basics hold up better than most. Nurse staffing sits at 3.78 hours per resident day, close to the national average, though weekends drop about 11% below its own weekday level, worth asking how coverage looks on a Saturday. Staff turnover is 40%, better than the 45.8% national figure, which suggests people stay. The home's inspection record shows 12 deficiencies with none at harm or jeopardy level and no abuse citations, and the most recent inspection was in April 2025, so the picture is current. Quality measures score mid-range; inspections and staffing score higher.

Nurse hours

4.27 /day

Staff turnover

29%

Serious cites

0

Care & Rehab - Ladysmith 1 runs a 32-bed for-profit operation in Rusk County, and the staffing numbers are the one clear bright spot: 4.27 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 11% below its own weekday level. Turnover sits at 29%, well under the national 45.8%. The inspection record is where it gets harder to read, 20 deficiencies on file, 8 of them abuse-related, though none rose to harm or jeopardy, and the most recent inspection came in February 2026. Quality measures score 1 out of 5 even as staffing scores 5.

Nurse hours

4.04 /day

Staff turnover

18%

Serious cites

0

The Grove Post Acute runs on a unusually steady crew for a for-profit nursing home, 17.6% annual turnover against a national average near 46% means aides and nurses largely stick around, which matters for residents who need consistent faces. Nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national figure, though weekends run about 7% thinner than weekdays, so ask how coverage looks on a Sunday. The inspection record shows 43 deficiencies with none at the harm level, two tied to abuse, and a survey completed in June 2025. Quality measures score well; the cited problems are mostly paperwork and process rather than injuries.