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.
Clearwater Center is a 109-bed nonprofit home that federal regulators have placed in the Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Its current file shows 22 deficiencies, three of them at the harm or jeopardy level, plus a $76,496 fine, and its health inspection rating sits at 1 out of 5 stars. Staffing tells its own story: 3.10 nurse hours per resident day, roughly 20 percent under the national average, with weekends running about 6 percent thinner than weekdays. Turnover at 40.2 percent is actually a little better than the national 45.8 percent, so the problem isn't retention so much as how few hands are on deck each day.
Westside Oaks runs 3.27 nursing hours per resident per day against a national average of 3.86, and weekend coverage drops about 8% below its own weekday levels. That thin staffing sits alongside 24 deficiencies on the current record, eight of them at harm or jeopardy level and four abuse-related, plus a $96,892 fine and placement in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Staff turnover is 49.1%, higher than the 45.8% national figure. The five-star quality measure rating comes mostly from resident assessment data, not from the inspection record, and the two are telling different stories here.
Dade City Health and Rehabilitation Center runs 120 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection ones. Fifty-four deficiencies sit on the current record, seven of them at the harm or jeopardy level, with two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Five fines total $94,152, and the last inspection was April 25, 2024. Nurse staffing comes in at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 7% thinner than weekdays. Turnover, at 44.3%, is basically average.
Casa Mora runs 240 certified beds in Bradenton under nonprofit ownership, and the first thing you notice in its record is the split between how it's staffed and how it's inspected. Nurse staffing sits at 3.38 hours per resident day, about 12% under the national average, though turnover at 32.1% actually beats the national 45.8%, so aides tend to stay, there just aren't enough of them per resident. The inspection side is where it gets hard: 26 deficiencies on the current record, 7 of them at harm or jeopardy level, plus 3 abuse-related findings, a $73,220 fine, and CMS placing it in the Special Focus Facility program. That program is CMS's watchlist for homes with a persistent pattern of serious problems, it isn't assigned lightly.
Aviata At The Palms runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average, and weekend coverage slips about 6 percent below its own weekday level. Staff turnover sits at 53.8 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record is where the real concern lies: 38 deficiencies, four at harm or jeopardy level, one abuse-related, and a one-star health inspection rating from CMS. Quality measures score well at four stars, but that reflects resident outcomes on paper, not the staffing and safety problems inspectors found. State surveyors last visited in August 2024. This is a for-profit limited liability company, and the pattern here rewards a close look before you decide.
Aviata At Beneva runs about 3.6 nursing hours per resident per day, roughly 7% under the national average, and weekend coverage drops another 9% below its own weekday level. That thinner weekend staffing matters because the home carries 30 deficiencies on its current record, including six at the harm or jeopardy level and two tied to abuse, with $110,129 in fines across two events. CMS has placed it in the Special Focus Facility program, and the health inspection rating sits at 1 out of 5 despite a 4 out of 5 on quality measures. Staff turnover runs near 50%, above the national figure, so the people at the bedside keep changing even as the paperwork looks better than the building does.
Lake Mariam runs 4.18 nurse hours per resident day, roughly 8% above the national average, but weekends drop about 12% below its own weekday numbers, so the coverage that looks fine on paper thins out when families visit. The bigger problem is the inspection record: 65 deficiencies, seven at harm or jeopardy level, two involving abuse, and $353,123 in fines across four penalties. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Staff turnover sits at 46.7%, slightly above the 45.8% national average. The quality measure score is strong, but that's built from resident assessment data, not from what inspectors found on January 25, 2024.
Lehigh Acres Healthcare & Rehab Center has enough nurses on paper, about 4.08 hours per resident day, slightly above the national average, but the weekend gap is worth asking about, since staffing drops roughly 13% below its own weekday level. The real trouble is the inspection record: 29 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $132,889 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. A recent inspection in June 2025 won't fix years of problems on its own.
Aviata At Santa Barbara is a 120-bed for-profit home in Cape Coral, and the number that should stop you is this: 27 deficiencies on its current record, six of them serious enough to put residents in harm's way, two tied to abuse. That's why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories in the country. The 1-out-of-5 inspection rating reflects that, and the six fines totaling $111,543 tell the same story. Staffing sits at 3.38 hours per resident day, roughly 12% under the national average, with weekends running about 9% thinner than weekdays. Turnover, at 34.8%, is actually better than the 45.8% national figure, the one genuine bright spot.
Aviata At Big Bend runs 120 certified beds in Perry under corporate for-profit ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.68 hours per resident per day, under the national average, and weekends drop roughly 13% below the home's own weekday coverage, so the hours when families often visit are the thinnest. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Most concerning: 18 deficiencies on the current record, four at harm or jeopardy level, four tied to abuse, and $150,655 in fines. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Gulf Coast Village runs a nonprofit shop with 85 beds in Cape Coral, and the raw nursing hours look good, 4.93 per resident per day, about 28% above the national average. Weekend staffing dips roughly 7% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover sits at 53.6%, well past the 45.8% national figure, and that churn shows up in a record with 21 deficiencies, five at harm or jeopardy level and one tied to abuse. CMS has placed it in the Special Focus Facility program and fined it three times, totaling $37,092. Its most recent inspection was 2026-05-07, so the picture is current rather than stale.
Aventura At The Bay runs 274 certified beds in Saint Petersburg under for-profit LLC ownership, and the numbers behind its record are hard to get around. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 8% below what the home itself manages on weekdays. Staff turnover is 62.1% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection history is heavier still: 62 deficiencies on the current record, seven at harm or jeopardy level, four tied to abuse. CMS has fined this home three times for $466,424 total and placed it in the Special Focus Facility program, the agency's watchlist for the country's most persistently troubled homes.
Concordia Manor runs 39 beds in Saint Petersburg under for-profit ownership, and its staffing sits barely above the national average, about 1%, with weekends roughly 8% thinner than weekdays. That margin disappears fast when turnover hits 73.3% against a national 45.8%, meaning most of the people caring for your relative weren't there a year ago. The inspection record is the real problem: 17 deficiencies, four at harm or jeopardy level, four tied to abuse, one $97,747 fine, and a spot in CMS's Special Focus Facility program. That last designation isn't handed out lightly. The most recent inspection was May 2024, so the picture is current, not stale.
The numbers at Gardens Nursing and Rehab Center don't tell one story, they tell two. Staffing looks strong on paper: 3.79 nurse hours per resident day, close to the national average, with a 5-star staffing rating and turnover at 26.9% compared to 45.8% nationally. But resident care tells another story. CMS has flagged 61 deficiencies, including five at the harm level and three abuse-related, plus $264,517 in fines. The home sits in the Special Focus Facility program.
That gap between staffing scores and inspection results is the whole picture here. Federal regulators have flagged serious problems but the staffing numbers look stable. If you're considering this home, ask about those abuse-related findings directly.
Aviata At Bryan Dairy runs 158 certified beds under for-profit LLC ownership, and its 3.37 total nurse staffing hours per resident day falls about 13 percent under the national average of 3.86. Weekends dip roughly 6 percent below its own weekday levels, and annual turnover sits at 54.5 percent against a national 45.8 percent. The inspection record is where things get serious: 41 deficiencies logged, four of them at harm or jeopardy level and two tied to abuse, with five fines totaling $45,660. CMS rated the last health inspection one out of five stars, though its quality measure score came in at four. Worth asking the administrator directly how they're addressing the harm-level findings and weekend coverage gaps.
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?