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

Nurse hours

3.66 /day

Staff turnover

20%

Serious cites

0

Signature Healthcare of Rockwood runs a tight ship on inspections and outcomes, top marks on both health inspection and quality measures, with just eight deficiencies on record and none rising to actual harm. The catch is staffing. At 3.66 nurse hours per resident day, it sits under the national average, and weekends drop about 16% below its own weekday coverage. That gap matters most when something goes wrong on a Saturday. On the plus side, turnover is 20%, well under half the national rate, so the aides and nurses you meet are more likely to still be there next year. The remaining concern is one abuse-related deficiency and the fact that the last full inspection was May 2023.

Nurse hours

4.79 /day

Staff turnover

52%

Serious cites

0

Princeton Transitional Care in Johnson City runs on a corporate for-profit model, and its staffing numbers tell a mixed story. At 4.79 nurse hours per resident day, it sits about 24% above the national average, which is a real margin in a field where most homes struggle to hit the baseline. But weekends drop roughly 23% below its own weekday coverage, so the care you see Monday isn't what you get Saturday. Annual turnover hits 52.2%, well past the 45.8% national figure, meaning the staff who know your parent may not stay long. The inspection record is clean: three deficiencies, none at harm level, none abuse-related, with a recent survey in May 2026 and top marks from CMS on health inspections.

Nurse hours

4.25 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Ooltewah runs on 4.25 nurse hours per resident day, roughly 10% above the national average, and its inspection record shows six deficiencies with none at the harm or jeopardy level and nothing abuse-related. That staffing edge comes with a catch: weekend coverage drops about 19% below what the home provides on weekdays, and annual turnover sits at 51.1%, higher than the national 45.8%, meaning the people caring for your family member are more likely than average to be new. The last state inspection was December 2022, so the record you're reading is over two years old. Corporate-owned, 120 beds, decent marks on both quality measures and inspections. Worth a visit on a Saturday.

Nurse hours

5.34 /day

Staff turnover

—

Serious cites

0

Brigadier General Wendell H Gilbert Tn State Veter runs on state government money, and the nurse staffing shows it: 5.34 hours per resident day, roughly 38% above the national average. That's real coverage, though weekends dip about 13% below the home's own weekday level, so the weekday numbers aren't the whole story. The inspection record is where things get more mixed, eight deficiencies on file, two serious enough to involve harm or jeopardy, and one tied to abuse. The last full inspection was in April 2022, so that record is getting stale. Three stars each for inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

Nurse hours

5.79 /day

Staff turnover

50%

Serious cites

0

Monument Healthcare American Fork runs high on nurse hours, 5.79 per resident day, roughly half again the national average, and that staffing shows up in a four-star CMS staffing rating and a five-star quality measure score. The problems sit elsewhere. Inspectors have logged 59 deficiencies, six of them involving actual harm or jeopardy and five tied to abuse, with a $35,437 fine on the books and a two-star health inspection rating. Weekend coverage drops about 19% below weekday levels, and turnover sits at 50%, above the 45.8% national figure, meaning the people filling those generous hours keep changing. The most recent inspection was September 2025, so this record is current, not stale.

Nurse hours

3.98 /day

Staff turnover

51%

Serious cites

0

Lindside Healthcare Center runs a 60-bed for-profit operation, and its nurse staffing sits at 3.98 hours per resident day, slightly above the national average but not by much. The bigger issue is consistency: weekend coverage drops roughly 20% below weekday levels, and annual turnover hits 50.7% against a national 45.8%, meaning nearly half the staff leaves each year. The inspection record shows 40 deficiencies, three tied to abuse, though none rose to actual harm or jeopardy. That combination, decent quality scores, above-average staffing, but real gaps in retention and weekend coverage, is what keeps this home in the middle rather than at the top.

Nurse hours

6.69 /day

Staff turnover

57%

Serious cites

0

Capitol Lakes Health Center runs on unusually heavy staffing, 6.69 nurse hours per resident day, roughly 73% above the national average, and that shows up in a five-star staffing rating. The catch is consistency: weekend coverage drops about 17% below the home's own weekday level, and annual turnover sits at 57.3%, well above the 45.8% national figure. Inspections tell a mixed story too. Thirteen deficiencies are on the current record, one serious enough to reach harm or jeopardy level, though none involve abuse. The most recent inspection was in March 2026. For a 49-bed nonprofit in Madison, the bedside hours are there; keeping them steady is the harder question.

Nurse hours

4.31 /day

Staff turnover

31%

Serious cites

0

Beachside Nursing Center runs 59 certified beds in Huntington Beach under for-profit LLC ownership. Its 4.31 nurse hours per resident day sits about 12% above the national average of 3.86, though weekends run roughly 16% lighter than weekdays, worth asking about if your family visits Saturdays or Sundays. Staff turnover of 30.9% is meaningfully lower than the 45.8% national figure, which suggests aides and nurses tend to stick around. The current record carries 53 deficiencies, none at harm or jeopardy level and none abuse-related, with a February 2026 inspection that's recent enough to trust. Quality measures score well, staffing and inspections land in the middle.

Nurse hours

3.45 /day

Staff turnover

30%

Serious cites

0

Holland Lake Rehabilitation and Wellness Center runs 120 certified beds in Weatherford under for-profit, limited-liability ownership, and its record is genuinely mixed. Nurse staffing sits at 3.45 hours per resident per day, roughly 11% under the national average of 3.86, and weekends drop about 18% below the home's own weekday coverage, so the hours get thinner exactly when a skeleton crew can hurt most. What offsets that is the inspection side: 17 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in October 2024. Turnover is 29.9%, well below the 45.8% national figure, which suggests less churn among the people doing the daily work.

Nurse hours

4.28 /day

Staff turnover

49%

Serious cites

0

The Village At Gleannloch Farms runs a tight ship on inspections, its most recent being September 2025, with eight deficiencies on record and none rising to harm or jeopardy, and none tied to abuse. That's a clean paper trail for a 35-bed for-profit home in Spring. Nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national figure, though weekends drop about 19% below its own weekday pace, so coverage thins when families tend to visit. Staff turnover lands at 48.9%, a few points above the national average, worth asking about, since consistent caregivers matter more in a small building.

Nurse hours

3.38 /day

Staff turnover

27%

Serious cites

0

Coronado At Stone Oak runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is where it stands out: 27% annually against a national 45.8%, meaning the people caring for residents are more likely to still be there next year than at the typical home. Its inspection record shows 24 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was May 2025, so the picture is current. The quality measure score is strong, and ownership is a for-profit LLC.

Nurse hours

3.62 /day

Staff turnover

34%

Serious cites

0

Sun Valley runs on a hospital district's license in Harlingen, and its inspection record is unusually clean for a 124-bed home: five deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the most recent survey done in July 2025. The staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover, though, is genuinely low at 33.7% against a national 45.8%, which suggests the aides and nurses who are there tend to stay.

Nurse hours

3.56 /day

Staff turnover

44%

Serious cites

0

Forest Manor runs a 182-bed for-profit operation in Northport, and the staffing story is mixed. Nurses provide 3.56 hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday levels, so care thins out exactly when families tend to visit. Turnover sits at 44.4%, essentially matching the national rate, which means the workforce here is no more stable than average. Nine deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, though the last full inspection was back in May 2021, so that record is getting stale. Three stars each on health inspections and quality measures round out the picture.

Nurse hours

3.82 /day

Staff turnover

41%

Serious cites

0

Lafayette Extended Care runs 69 certified beds under corporate ownership, and its staffing picture is the weak spot: 3.82 nurse hours per resident day sits just under the national average of 3.86, weekend coverage drops about 7% below its own weekday level, and CMS gives it 1 out of 5 stars for staffing. Turnover at 41.2% is actually better than the 45.8% national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level, though two are abuse-related, with one fine totaling $4,558. That last inspection was January 22, 2020, over five years ago, which matters when you're weighing how current any of this is.

Nurse hours

3.28 /day

Staff turnover

48%

Serious cites

0

Hartford Health Care runs 86 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: five deficiencies on file, none rising to harm or jeopardy, none tied to abuse, with the last state visit in December 2023. Staffing is where it thins out. At 3.28 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop about 14% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover lands at 47.9%, a touch above the 45.8% national figure. Clean inspections, thinner hands on deck.

Nurse hours

4.42 /day

Staff turnover

71%

Serious cites

0

Valley View runs 4.42 nurse hours per resident per day, about 14 percent above the national average of 3.86, and weekends stay reasonably close to weekdays. The staffing picture isn't the problem. The bigger concern is turnover at 70.8 percent, well above the national 45.8 percent, which means the people providing that care are constantly changing. The record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, though the last full inspection was in April 2022, so that snapshot is more than three years old. For-profit corporate ownership is worth knowing too. Solid day-to-day coverage, but at that churn rate, consistent caregivers are harder to count on than the hours suggest.

Nurse hours

4.08 /day

Staff turnover

50%

Serious cites

0

Folsom Rehabilitation and Healthcare Center runs 102 certified beds under corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. The catch is weekends, when coverage drops about 14% below what the home staffs on weekdays. Annual turnover is 50.4%, higher than the 45.8% national figure, so even with decent daily hours, familiar faces may be hard to count on. Twelve deficiencies are on the current record, none involving harm, jeopardy, or abuse. One thing worth asking about directly: the last inspection was September 2019, so the record you're seeing is several years old.

Nurse hours

4.36 /day

Staff turnover

70%

Serious cites

0

Staffing at Galleria Woods runs about 4.36 nurse hours per resident each day, roughly 13 percent above the national figure, and that shows up in its staffing rating. The catch is turnover: close to 70 percent of staff left over the past year, well above the 45.8 percent national average, so the people providing that care are often new. On inspections, the record shows 10 deficiencies with none at the harm level and no abuse findings, but the last full look was December 2021, a long gap. A for-profit corporation operates this 30-bed home, and weekend coverage dips slightly below its own weekday level.

Nurse hours

3.96 /day

Staff turnover

54%

Serious cites

0

Payson Care Center runs 163 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86, though weekends run roughly 10% thinner than weekdays. Staff turnover is the bigger concern: 53.5% annually against a national 45.8%. The current record shows 30 deficiencies, none at harm or jeopardy level but 7 tied to abuse; the last inspection was March 2025, and the health inspection rating is 2 out of 5. Strong quality measures (4/5) coexist with that weaker inspection history, so weigh recent survey findings as heavily as the quality scores suggest.

Nurse hours

4.07 /day

Staff turnover

49%

Serious cites

0

Wellsprings of Gilbert is a small for-profit home, 32 beds, that runs on solid fundamentals. Nurse staffing sits at 4.07 hours per resident per day, about 5% above the national average, and the health inspection and quality measure ratings both come back at the top of the scale, with only four deficiencies on record and none involving harm, jeopardy, or abuse. The last inspection was in October 2024, so the picture is current. What holds it back from the top tier is staffing consistency: weekend coverage drops roughly 13% below its own weekday levels, and annual turnover of 48.6% runs a few points above the national average. Those aren't red flags; they're the difference between a good home and a great one.