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

Nurse hours

3.66 /day

Staff turnover

53%

Serious cites

0

Springdale Health and Rehabilitation Center runs 140 certified beds under for-profit LLC ownership, and its staffing numbers are the main thing to know. At 3.66 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekends drop roughly 12% below its own weekday coverage. Annual turnover is 52.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. Quality measures score well; staffing is the weaker signal.

Nurse hours

3.57 /day

Staff turnover

29%

Serious cites

0

Belle View Estates runs leaner on nursing hours than the typical American nursing home, about 3.57 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 13% below its own weekday staffing. The tradeoff is stability: turnover sits at 29.4%, well under the national 45.8%, which means the aides and nurses you meet are more likely to still be there next year. Inspection history is strong on recency and scope, with 17 deficiencies logged, only one serious enough to cause harm, and no abuse findings; the single fine on record totals $7,443. What keeps it out of the top tier is the staffing number itself, not the care record.

Nurse hours

3.91 /day

Staff turnover

30%

Serious cites

0

Oak Ridge Health and Rehabilitation sits in El Dorado with 180 certified beds and for-profit LLC ownership. Nurse staffing comes in at 3.91 hours per resident day, just barely over the national average of 3.86, and weekends drop about 10% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the real bright spot: 29.8% against a national average of 45.8%, meaning aides and nurses here tend to stick around. Against that, the current record carries 15 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $74,825. The last inspection was March 2026.

Nurse hours

4.15 /day

Staff turnover

47%

Serious cites

0

Dardanelle Nursing and Rehabilitation Center runs 110 certified beds under individual for-profit ownership, and its staffing sits at 4.15 nurse hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy level, with no abuse findings, and one fine totaling $9,113. Staff turnover of 47.1% runs slightly above the 45.8% national figure. CMS gives this home 4 out of 5 stars across health inspections, quality measures, and staffing, solid marks that the deficiency record and turnover numbers temper.

Nurse hours

4.63 /day

Staff turnover

47%

Serious cites

0

Horizon Health & Subacute Center runs 180 certified beds in Fresno under for-profit LLC ownership, and its staffing is genuinely above average, 4.63 nurse hours per resident day against a national figure of 3.86. Weekends dip about 12% below its own weekday coverage, though, and turnover sits at 47.1%, slightly worse than the 45.8% national rate. The bigger concern is the inspection record: 45 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $22,913 and a survey as recent as March 2025. Quality and staffing measures look reasonable on paper, but that citation history is what pulls the overall picture down.

Nurse hours

4.28 /day

Staff turnover

50%

Serious cites

0

Arroyo Vista is a small for-profit home in San Diego, 53 beds, run by a limited liability company, and the numbers pull in different directions. Its most recent inspection was in January 2026, and it carries 26 deficiencies on record, though none at the harm level and none tied to abuse, which matters more than the raw count. The bigger concern is staffing: CMS gives it 1 out of 5 stars there, and annual turnover runs 50 percent against a national average of about 46 percent. Quality measures and health inspections both look strong on paper. The gap between how well residents are doing and how thin the workforce is behind them is the thing to ask about directly.

Nurse hours

4.76 /day

Staff turnover

49%

Serious cites

0

Grossmont Post Acute Care runs 90 beds in La Mesa under corporate for-profit ownership, and its staffing sits well above what most homes manage: 4.76 nurse hours per resident day against a national average of 3.86. That cushion thins on weekends, though, down about 12% from its own weekday numbers. The inspection record is the part worth slowing down on. Thirty-four deficiencies is a lot to carry, including one at the harm level and two tied to abuse. A single fine of $11,466 and a June 2025 inspection suggest the state has been watching. Staff turnover at 48.7% edges past the national 45.8%, so the people delivering that above-average care keep changing.

Nurse hours

4.32 /day

Staff turnover

45%

Serious cites

0

Palo Alto Post-Acute runs on 4.32 total nurse hours per resident day, roughly 12% above the national average, though weekend coverage drops about 15% below what the home staffs on weekdays. Turnover sits at 45.2%, essentially matching the national rate, and the most recent inspection was in May 2025. What stands out is the record itself: 38 deficiencies, two of them abuse-related, none serious enough to trigger a harm or jeopardy citation. That combination, strong quality scores, solid weekday staffing, and a long citation history, is worth asking about directly before you tour.

Nurse hours

3.82 /day

Staff turnover

44%

Serious cites

0

Victorian Post Acute sits in San Francisco with 90 certified beds, run by a for-profit corporation. Staffing runs 3.82 hours per resident day, just under the national average, and weekends dip about 3% below the home's own weekday level, small gaps, but ones families often feel on Saturdays and Sundays. Turnover lands at 44.1%, slightly better than the national rate. Inspections are current, from February 2025, and the health inspection rating is strong, though the record carries 36 deficiencies, including two at harm or jeopardy level and one abuse-related. Quality measures score well; staffing sits in the middle.

Nurse hours

3.98 /day

Staff turnover

24%

Serious cites

0

Heritage Manor sits in Monterey Park with 99 certified beds and a for-profit LLC owner. The staffing numbers are actually decent: 3.98 nurse hours per resident day, a bit above the national average, and weekend coverage only dips about 7% below weekdays. Turnover at 23.7% is roughly half the national rate, which matters for consistency of care. What pulls the record down is inspections. A 1-out-of-5 health inspection rating, 65 deficiencies on the current record, two at harm or jeopardy level, one tied to abuse, and $17,940 in fines. The 5/5 quality measure rating reflects clinical metrics, but the inspection history and recent April 2026 survey date suggest oversight problems still unresolved.

Nurse hours

4.39 /day

Staff turnover

50%

Serious cites

0

Pacific Coast Manor sits above the national average for nurse staffing at 4.39 hours per resident day, and its most recent health inspection from February 2025 earned top marks. Those are real strengths. But the 27 deficiencies on its current record, including two tied to abuse, are worth asking about directly. Staff turnover runs at 49.6%, higher than the national average of 45.8%, and weekend coverage dips about 12% below its own weekday levels, so care may feel thinner on Saturdays and Sundays. It's a for-profit operation, which doesn't decide anything on its own but is worth knowing as you weigh the numbers.

Nurse hours

4.15 /day

Staff turnover

52%

Serious cites

0

Los Altos Post-Acute runs a for-profit LLC with 152 certified beds, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, though weekends drop about 10% below its own weekday levels. That weekday strength is real, but the margin thins out when families visit most. Annual turnover is 52.4%, nearly seven points above the national figure, which means the person caring for your relative may be new to the building. The current record shows 49 deficiencies, including two at harm or jeopardy level and two tied to abuse. The last inspection was February 2025, so the picture is recent, and its four-star inspection and quality ratings reflect that.

Nurse hours

4.04 /day

Staff turnover

42%

Serious cites

0

Northbrook Healthcare Center in Willits runs 4.04 nurse hours per resident per day, about 5% above the national average of 3.86, but that average hides a dip, since weekends run roughly 11% leaner than weekdays. Staff turnover sits at 42.4%, a bit better than the national 45.8%, which matters for continuity of care. The record shows 25 deficiencies, including one at the harm or jeopardy level and two flagged as abuse-related, plus a single fine of $9,295. State inspectors gave it 4 of 5 stars and quality measures came in at 5 of 5, though staffing landed at 2 of 5. The last inspection was January 30, 2026.

Nurse hours

4.12 /day

Staff turnover

16%

Serious cites

0

Mission Palms Healthcare Center runs 99 certified beds in Westminster under corporate for-profit ownership, and its nurse staffing sits at 4.12 hours per resident day, about 7% above the national average of 3.86. Weekend coverage dips roughly 7% below its own weekday level, so the weekday floor is stronger than Saturdays and Sundays. Staff turnover is the standout number: 16.3% against a national average of 45.8%, meaning workers here tend to stay. The tradeoff shows up in the record. Forty-eight deficiencies, one at harm or jeopardy level and two abuse-related, with a $13,923 fine and a two-star health inspection rating. Quality measures score five stars, but that inspection history and the April 2026 survey date are what pull the overall picture down.

Nurse hours

4.49 /day

Staff turnover

53%

Serious cites

0

Arbor Glen runs a for-profit, limited-liability operation with 98 beds in Glendora, and its nurse staffing sits at 4.49 hours per resident day, roughly 16% above the national average of 3.86. That sounds like good coverage until you notice weekends drop about 15% below the home's own weekday level, and annual turnover hits 53.4% against a national 45.8%. The inspection record is where things get more concerning: 88 total deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a 1-out-of-5 health inspection rating. A recent inspection date of March 27, 2026, means the record is current. Quality measures score well at 4 out of 5, which may reflect how care is documented more than how consistently it's delivered.

Nurse hours

3.95 /day

Staff turnover

55%

Serious cites

0

Gateway Post Acute runs 62 beds in Porterville under for-profit LLC ownership, and its staffing numbers are worth a close look. Total nurse coverage sits at 3.95 hours per resident day, just above the national average, but weekends fall about 5% below the home's own weekday level, and the CMS staffing rating lands at 1 out of 5. Annual turnover is 54.7%, nearly nine points above the national rate of 45.8%, which means the people showing up on any given shift change often. The health inspection side is thinner: a 2/5 rating, 51 deficiencies on record including one at the harm level, and an $8,018 fine. No abuse citations, though. Last inspected October 2024.

Nurse hours

4.21 /day

Staff turnover

45%

Serious cites

0

Flower Villa runs about 4.21 nurse hours per resident per day, roughly 9% above the national average, and weekend staffing holds close to weekday levels, a gap that's often much wider elsewhere. Turnover sits at 44.7%, right around the national figure. The caution signs are in the inspection record: 40 deficiencies, including one at the harm level and one abuse-related, plus a $17,745 fine. The last inspection was April 2026, so that record is current. With 41 beds and corporate for-profit ownership, this is a small home where the staffing numbers look better than the survey history. Ask to see the plan of correction for the harm-level deficiency before deciding.

Nurse hours

4.21 /day

Staff turnover

56%

Serious cites

0

Hayward Hills is run by a for-profit partnership and holds 74 certified beds in Alameda County. Nurse staffing sits at 4.21 hours per resident day, about 9% above the national average, though weekends run roughly 5% thinner than weekdays, worth knowing if you're planning visits or asking who's on duty Saturday. The bigger number is turnover: 56.1% of staff leave within a year, against 45.8% nationally, which matters for whether your mother sees the same aides more than once. The inspection record shows 25 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in August 2024. Quality and staffing each earned 4 of 5 stars; inspections earned 3.

Nurse hours

4.17 /day

Staff turnover

46%

Serious cites

0

Villa Manor Care Center runs about 4.17 nurse hours per resident day, roughly 8% above the national average, though weekends dip about 11% below its own weekday staffing. Staff turnover sits at 45.7%, essentially matching the national rate of 45.8%. The home carries 28 deficiencies on its current record, none at the harm or jeopardy level, but two are abuse-related, which families should ask about directly. Its last inspection was March 26, 2026, so the record is recent. CMS rates the quality measures 5 out of 5 and staffing 4 out of 5, while health inspections come in at 3 out of 5, the weaker spot. Corporate for-profit ownership rounds out the picture.

Nurse hours

2.90 /day

Staff turnover

47%

Serious cites

0

Silver Heights runs on 2.90 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 8% below what it manages on weekdays. Staff turnover sits at 46.5%, essentially matching the national figure of 45.8%, so this isn't a retention crisis, it's a staffing volume question. The current record shows 30 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is the number I'd ask about directly. The last inspection was April 2025, so the picture is recent. A limited liability company owns it for profit. Quality measures score well; the day-to-day nurse presence is where the gap lives.