248 of the 356 Medicare-certified nursing homes in Georgia (70%) are chain-owned, and all are listed below. 10 of the 248 graded homes earn an A and 22 earn a D or F. They average 3.45 nursing hours per resident per day, 0.11 hours below the 3.56 for every home in Georgia. Willowbrooke Court At Lanier Village Estates in Gainesville grades highest at A (94 out of 100).
How chain-owned homes in Georgia compare
This group set against every nursing home in Georgia, from the current CMS release.
Cambridge Post Acute Care Center runs on thinner nursing coverage than most homes nationally, about 3.52 nurse hours per resident per day against a 3.86 average, and weekends dip roughly 16% below what the building staffs on weekdays. Turnover is the relative bright spot at 31.1%, well under the 45.8% national figure, so the people who stay tend to stay. The inspection record is mixed: 27 deficiencies, five fines totaling $24,162, and no harm-level or abuse findings, with the last survey in April 2026. Licensed for 144 beds under limited-liability, for-profit ownership, it sits at mid-range marks across staffing, inspections, and quality measures alike.
Pruitthealth - Augusta runs 100 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.70 nurse hours per resident day, it sits below the national average, and weekends drop roughly 31% below its own weekday coverage, the exact stretch when families tend to visit and when problems surface.
The inspection record is heavier: 33 deficiencies, 2 at harm or jeopardy level, 3 tied to abuse, plus six fines totaling $180,483. The most recent inspection was June 26, 2025, so the picture is current. Annual turnover of 49.3% means nearly half the staff leaves within a year. Resident outcome measures score well, but a 1/5 on health inspections and staffing tells you where the risk concentrates.
Lagrange Trails runs 138 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day sits about 15% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday levels. Annual turnover of 53.2% means more than half the nursing staff leaves each year, well above the 45.8% national figure, that churn matters because unfamiliar caregivers miss things. Eighteen deficiencies appear on the current record, though none reached harm or jeopardy level and none involved abuse, and the last inspection was recent, in May 2025. The 2/5 staffing star against 3/5 marks for inspections and quality measures tells you where the pressure sits.
Chestnut Ridge runs 150 beds in Cumming under for-profit LLC ownership, and the staffing picture is the tightest part of the story. Nurses give residents 3.60 hours of care per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level, so coverage thins exactly when families tend to visit. Annual turnover of 73.8%, against 45.8% nationally, means the people caring for your relative are likely to change often. The current inspection record shows 27 deficiencies, none at the harm level but one abuse-related, with a 2/5 inspection rating. Ask about weekend coverage and how they retain aides.
Southland Health and Rehabilitation runs on thinner nursing coverage than most homes, 3.29 hours per resident day against a national average of 3.86, with weekends dipping roughly 15 percent below its own weekday levels. Staff turnover is where it separates itself, at 23 percent against a national 45.8, so the people who are there tend to stay. But its inspection record is the real story: 12 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent survey in August 2025. Quality measures score well; the hands-on care and the survey history are what pull the overall picture down.
Westbury Center of McDonough runs 210 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 38.7%, better than the 45.8% national figure, which is the one clear bright spot here. Inspections are the bigger concern: 12 deficiencies on the current record, 5 at harm or jeopardy level and 3 abuse-related, with the most recent survey in June 2025. The health inspection rating of 2 out of 5 reflects that, and quality measures land at 3. Ask about the abuse-related findings specifically before you decide.
Providence Healthcare runs 2.74 nurse hours per resident day against a national average of 3.86, roughly 29% lighter, with weekends another 9% below its own weekday level. Turnover is genuinely low at 32.6% versus 45.8% nationally, so the staff who are there tend to stay. But the current inspection record carries 20 deficiencies, three at harm or jeopardy level and five abuse-related, with the most recent survey dated July 2025. A 110-bed for-profit owned by an individual, it earns top marks on quality measures while scoring 1 out of 5 on both inspections and staffing. Ask to see the plan of correction before you visit.
Orchard Health And Rehabilitation runs 89 certified beds in Pulaski as a nonprofit, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86, with weekends running about 14% thinner than weekdays. Turnover is genuinely better than most: 30% against a national 45.8%. The problem isn't the workforce, it's the record. Seven deficiencies are on file, four of them at harm or jeopardy level and two tied to abuse, plus a $57,161 fine. The last inspection was April 2025. Staffing and quality measures both land mid-range at three stars, but that inspection history is what drags the overall picture down. Ask about those abuse-related findings specifically before you visit.
Avalon Health and Rehabilitation runs 90 certified beds in Newnan under nonprofit ownership, and its strongest signal is consistency on the clinical side, staff turnover sits at 36.1% against a national average of 45.8%, and six deficiencies on the current record with none at the harm or jeopardy level is a relatively clean inspection history, verified as recently as April 2025. The tradeoff is time at the bedside: 3.49 nurse hours per resident day lands about 10% under the national average of 3.86, and weekend coverage drops roughly 8% below the home's own weekday level. The abuse-related deficiency and $3,728 fine are worth asking about directly, but the quality measure rating is the number that stands out most, one out of five against a four-out-of-five inspection score suggests the day-to-day care metrics aren't keeping pace with how the building is run.
Social Circle Nsg & Rehab Ctr runs lean on nursing hours: 3.44 per resident day against a national average of 3.86, with weekend coverage dropping roughly another 10% below its own weekday levels. The 65-bed for-profit home, owned by a limited liability company, also sees about 51.9% of its nursing staff turn over each year, higher than the 45.8% national figure. Its 18 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in May 2025, so the enforcement history is more clean than alarming. What drags the picture down is the routine care side, the federal quality measure rating sits at 1 out of 5.
Cartersville Crossing runs about 12% below the national average on nurse staffing, at 3.39 hours per resident day, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 56.3%, well above the 45.8% national figure, which matters because replacements cost you familiarity with residents. The current record shows 18 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the single fine came to $6,784. That inspection was recent, in January 2026. It's a for-profit limited liability company operating 74 certified beds, and the pattern across these numbers is a home that isn't dangerous but isn't well-staffed either.
Westbury Center of Jackson runs 196 beds under corporate ownership, and its inspection record is actually the strong part, four stars, with the most recent visit in March 2026. The problem sits in the daily staffing. At 3.04 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Staff turnover of 53.2% means more than half the nursing team leaves each year, well above the 45.8% national figure. Eleven deficiencies are on record, one involving harm and one tied to abuse. A $8,512 fine is modest, but that staffing picture is what families should weigh.
Nurse staffing at Tattnall Healthcare Center runs about 2.83 hours per resident day, roughly 27 percent under the national average of 3.86, and weekends dip another 5 percent below the home's own weekday level. That thin coverage is the main reason the staffing star rating sits at 1 out of 5. Turnover, at 39.1 percent, is actually better than the national 45.8 percent, so the problem looks more like how many hands are scheduled than how often people quit. Inspections add to the concern: 24 deficiencies on the current record, including one abuse-related citation, with the last visit in August 2025. This LLC-owned home holds 92 certified beds.
Roselane Health Center By Harborview runs 137 certified beds in Marietta under for-profit LLC ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. That looks close enough on paper, but weekends run about 14% thinner than weekdays, so the coverage your relative gets depends heavily on which day it is. Inspectors have logged 25 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which helps explain the middling inspection score and the $6,682 fine on file. Turnover at 27.1% is genuinely better than the 45.8% national figure, though, staff here tend to stay longer than at the typical home.
Westminster Commons runs 3.65 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 16% below its own weekday staffing. That gap matters more than the weekly total, since weekends are when families often visit and when problems surface. Staff turnover sits at 61.4% against a national 45.8%, so many of the people caring for residents are new to the building. The inspection record shows 35 deficiencies, none at harm level but seven tied to abuse, plus two fines totaling $23,472; the last inspection was May 2025. For-profit, LLC-owned, 90 beds.
Archway runs on 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 10% below its own weekday coverage. Turnover matches the national rate almost exactly, so the problem isn't a churning workforce, it's thin staffing that gets thinner on Saturdays and Sundays. What stands out most is the inspection record: 11 deficiencies, two of them harm-level and three tied to abuse, with a 1-out-of-5 inspection rating. The last survey was August 2024, so that record is recent, not stale. Quality measures and staffing each score a middling 3, meaning the day-to-day numbers aren't the red flag. The safety and compliance history is.
Tower Road Post Acute runs 138 beds in Marietta under for-profit LLC ownership, and its staffing is the weak spot: 3.25 nurse hours per resident day, about 16% under the national average, with weekends roughly 15% thinner than weekdays. Turnover sits at 58.3% against a national 45.8%, so aides and nurses are cycling out faster than residents can get to know them. The health inspection record shows 32 deficiencies, none at harm level but one abuse-related, and the most recent inspection was January 2026. Quality measures score well, but staffing is what families feel day to day, and that's where the numbers fall short.
Bainbridge Landing runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 18% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Annual turnover is 43.4%, slightly better than the national 45.8%, which is one genuine bright spot. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection logged April 2026. Federal ratings put staffing and quality measures at 2 out of 5 stars each, health inspections at 3. Ask about weekend coverage and who actually supervises aides on those shifts.
Twin City Trails of Journey runs 110 certified beds in Emanuel County under for-profit LLC ownership, and the numbers tell two different stories. Inspections look solid, a recent December 2025 survey, ten deficiencies on record with none at the harm level and nothing abuse-related, plus strong marks on health inspection and quality measures. Staffing is where it slips. At 2.63 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends drop roughly 18% beneath its own weekday coverage. Annual turnover hits 60.6% against a national 45.8%, meaning well over half the nursing staff leaves each year. Fewer hands, frequent replacements.
Harborview Decatur runs 73 certified beds in Decatur under for-profit LLC ownership. Nurse staffing works out to 3.86 hours per resident day, essentially the national average, not a shortfall, but weekends dip about 3% below the home's own weekday coverage, so the quietest shifts get the thinnest help. The bigger number is turnover: 68.1% annually against a national average of 45.8%, meaning roughly two of every three caregivers left within the year. Fourteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with two fines totaling $6,292. The last inspection was May 2025, so the picture is recent. Stable clinical care, churning staff, worth asking how they keep consistent aides on weekends.
Frequently asked questions
How many chain-owned nursing homes are there in Georgia?
There are 248 chain-owned Medicare-certified nursing homes in Georgia, 70% of the 356 nursing homes there.
Are chain-owned nursing homes better staffed?
In Georgia they average 3.45 total nursing hours per resident per day, against 3.56 for all nursing homes in Georgia, a difference of -0.11 hours. Staff turnover averages 46.6% against 46%.
Which chain-owned nursing home grades best in Georgia?