535 of the 694 Medicare-certified nursing homes in Florida (77%) are chain-owned, and all are listed below. 125 of the 535 graded homes earn an A and 16 earn a D or F. They average 3.69 nursing hours per resident per day, 0.13 hours below the 3.82 for every home in Florida. Waters Edge Health And Rehabilitation in Palm City grades highest at A (99 out of 100).
How chain-owned homes in Florida compare
This group set against every nursing home in Florida, from the current CMS release.
South Heritage runs about 17% below the national average on nurse staffing, 3.19 hours per resident day against 3.86, and weekend coverage dips another 3% beneath its own weekday levels, so the thinnest shifts come when families tend to visit. Staff turnover sits at 52.4%, well above the national 45.8%, meaning nearly half the nursing team turns over in a year. On inspections, the record shows 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $145,109 in fines. The most recent inspection was February 2025.
Madison Pointe runs about 3.65 nurse hours per resident each day, roughly 5% under the national average, and weekends dip another 7% below its own weekday staffing. Turnover sits at 35.1%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The concerns show up elsewhere: 18 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $33,413 fine. The last inspection was April 2024. Quality measures score well, but the inspection history and thin weekend coverage are the things I'd ask about directly.
Sunrise Point runs a hundred beds in Rockledge, and the staffing numbers look fine on paper, 4.18 nurse hours per resident day, roughly 8% above the national average. But weekends drop about 8% below its own weekday level, and turnover sits at 57.3% against a national 45.8%, so the people delivering that care keep changing.
The inspection record is the real problem: 16 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $275,722 in fines across three events. The most recent inspection was August 2024, and CMS gave the health inspection side one star out of five.
St. Augustine Health and Rehabilitation Center sits in a for-profit LLC's hands with 120 certified beds, and its numbers pull in different directions. Nurse staffing runs 3.89 hours per resident day, slightly above the national average, and the 32.4% turnover is meaningfully better than the 45.8% national figure, but weekends drop about 11% below the home's own weekday levels. The real problem is the inspection record: 16 deficiencies, two at harm or jeopardy level, one abuse-related, with a one-star health inspection rating and the last review in September 2024. Strong staffing can't offset that kind of survey history, which is what drags the overall picture down to a middling grade.
Lake Haven runs on thin staffing. At 3.56 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 6 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 62.4 percent of nursing staff leave within a year, against a national average near 46 percent. That churn shows up in the inspection record, where 29 deficiencies include 6 at harm or jeopardy level and 5 tied to abuse, drawing $281,689 in fines. The last inspection was October 2024. Corporate ownership and a one-star health inspection rating round out a picture worth weighing carefully.
Vivo Healthcare University runs about 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends dip another 5% below its own weekday coverage. Turnover is the sharper number: 69.3% of staff leave each year against a national average of 45.8%, which means the people caring for your relative are often new to the building. The current record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with a 3/5 inspection rating. Ownership is for-profit corporate, and the last inspection was November 2024. Quality measures score 5/5, so the clinical outcomes look strong on paper even though staffing depth and retention lag.
Ambassador Healthcare at College Park runs 107 beds in Fort Myers under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing: 3.57 nurse hours per resident day, roughly 7% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 40.8%, a bit better than the national 45.8%, so the problem isn't retention so much as how few hours each resident actually gets. The inspection record is heavier, 40 deficiencies, five at harm or jeopardy level, five tied to abuse, and $96,105 in fines across two penalties. The most recent inspection is dated April 2026. Quality measures score well, but that sits on top of a staffing and compliance picture families should ask hard questions about.
Aviata At The Bay runs 150 certified beds in Tampa under for-profit LLC ownership, and the staffing numbers tell a familiar story: 3.30 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% leaner than weekdays. Annual turnover sits at 51.1%, above the 45.8% national figure. The inspection record is where things get serious, 36 deficiencies on file, including 6 at harm or jeopardy level and 3 tied to abuse, plus 11 fines totaling $169,790. Its last health inspection was June 28, 2024, and the 1-star inspection rating reflects that history. Quality measures score well, but a strong quality score doesn't offset harm-level findings and thin coverage.
Naples Health And Rehabilitation Center is a 120-bed for-profit home in Collier County, and the inspection record is where the trouble sits. Forty-five deficiencies on the current record, eight of them at the harm or jeopardy level and three tied to abuse, with $172,682 in fines across three events. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Nurse staffing runs 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 7% below its own weekday levels. Annual turnover of 43% is slightly better than the 45.8% national figure, and the quality measure star is 4 of 5, but that inspection history is the part that matters most.
Aviata At Englewood runs 120 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 6% below the home's own weekday levels. Staff turnover hits 48.8%, higher than the 45.8% national figure, which matters because residents see fewer familiar faces.
The inspection record is the bigger concern: 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse. That June 2025 inspection is recent, so the findings reflect current conditions rather than old problems. With 2 out of 5 stars on both health inspections and quality measures, families should ask pointed questions about the abuse-related citations and how the home has responded.
Solaris Healthcare Lely Palms runs a split record. Staffing sits at 4 stars and turnover is 17.3%, remarkably low next to the 45.8% national average, meaning the aides and nurses here tend to stay. But that same staffing number, 3.71 hours per resident day, lands below the national average of 3.86, and weekends run about 11% thinner than weekdays, so coverage dips when families visit most. The real concern is the inspection history: a 1-star health inspection rating, 17 deficiencies with 5 at harm or jeopardy level and 2 tied to abuse, plus $80,532 in fines across two penalties. The most recent inspection was February 2025. Ask about those abuse deficiencies directly before considering this one.
Darcy Hall of Life Care runs 220 certified beds in West Palm Beach under for-profit limited liability ownership, and its staffing numbers are genuinely strong: 3.93 nurse hours per resident day, slightly above the national average, with a 5/5 CMS staffing star and 27.2% turnover that's well below the 45.8% national figure. Weekends dip about 10% below weekday coverage, worth asking about. The trouble sits in inspections, where it holds a 1/5 star rating, 28 deficiencies on record, including 2 at harm or jeopardy level and 4 abuse-related, plus a $30,924 fine and a January 2025 inspection. Ask to see the plan of correction before you decide.
Manatee Springs runs a for-profit, LLC-owned 120-bed building in Bradenton, and the numbers split sharply depending on where you look. Nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average, and turnover at 40.6% is better than the 45.8% norm, but weekends dip about 11% below the home's own weekday coverage, so the care you get can depend on the day. The inspection record is the real concern: 20 deficiencies, three at harm or jeopardy level and one abuse-related, with the most recent inspection in June 2024. Strong quality scores can't offset that pattern. Worth asking about those findings directly before deciding.
The Springs at Boca Ciega Bay runs on 3.59 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 8% below its own weekday staffing. That thin coverage shows up in a one-out-of-five staffing rating and a matching one-out-of-five on health inspections, where the current record carries 24 deficiencies, four of them at harm or jeopardy level and one abuse-related. The five-star quality measure score reflects how residents are doing on paper, but it doesn't offset what surveyors found when they walked in last February. A for-profit limited liability company operates the 109-bed home. The pattern here is a building that can document outcomes while struggling to staff and pass inspection.
Aviata At West Palm Beach runs on thinner nurse coverage than most homes, 3.34 hours per resident day against a national average of 3.86, with weekends about 6% leaner than its own weekdays. That gap shows up in the inspection record: 32 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, plus $33,790 in fines across three penalties. The most recent inspection was September 2025, so this is current, not stale history. Staff turnover of 36.2% is actually better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. The 5/5 quality measure score stands out against a 1/5 inspection rating, worth asking what's behind that split.
Palm Garden of Largo runs 140 beds under for-profit LLC ownership in Pinellas County, and the inspection record is the part that stands out: 30 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $66,613. That's a 1-out-of-5 health inspection rating, last surveyed February 2024. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, weekends run 9% lighter than weekdays, and turnover hits 54.5% against a 45.8% national figure. The 5/5 quality measure score reflects resident assessments, not the inspection findings, worth keeping in mind when you weigh the two.
Riviera Palms runs on thin nurse staffing, 3.46 hours per resident day, roughly 10% under the national average, with weekends about 10% thinner than its own weekdays. Turnover sits at 37.1%, better than the 45.8% national figure, so the people who stay are likely steady hands. The trouble is the inspection record: 19 deficiencies, two at harm or jeopardy level, four tied to abuse, and a $181,100 fine, with the last survey dated June 2025. That one-star health inspection rating is doing most of the work pulling the overall picture down, even though resident quality measures score well. Ask pointed questions about those abuse findings and the weekend coverage plan before deciding.
Aviata At South Daytona runs 65 certified beds as a for-profit corporation, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 7% below its own weekday coverage, and annual turnover hits 51.7% against a national 45.8%, so the same faces aren't always there. The inspection record shows 22 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse, with 8 fines totaling $25,723. The most recent inspection was August 14, 2025, and CMS scored staffing and health inspections at 2 out of 5 stars each.
Palm Garden of Sun City runs 132 beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, just under the national average of 3.86, with weekends roughly 10% leaner than weekdays. Annual turnover of 43.3% actually lands slightly below the national rate, so the workforce isn't the main concern here. The inspection record is: 19 deficiencies, three at harm or jeopardy level, two tied to abuse, and four fines totaling $85,965, with the most recent inspection in September 2024. Quality measures score well, but a single-star health inspection rating and that deficiency history are what a family should weigh when deciding.
Port Orange Nursing and Rehab Center runs 120 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see. Total nurse coverage is 3.51 hours per resident day against a national average of 3.86, and weekends drop roughly 7% below the home's own weekday levels, that gap matters when families visit and care needs don't pause. Annual turnover of 47.6% edges past the national 45.8%, meaning the aides and nurses working with your relative are likely to change. The inspection record shows 5 deficiencies, 2 at harm or jeopardy level and 1 abuse-related, with the most recent inspection on April 1, 2026. Ask about weekend coverage and turnover directly.
Frequently asked questions
How many chain-owned nursing homes are there in Florida?
There are 535 chain-owned Medicare-certified nursing homes in Florida, 77% of the 694 nursing homes there.
Are chain-owned nursing homes better staffed?
In Florida they average 3.69 total nursing hours per resident per day, against 3.82 for all nursing homes in Florida, a difference of -0.13 hours. Staff turnover averages 42.1% against 41.4%.
Which chain-owned nursing home grades best in Florida?