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

Nurse hours

3.33 /day

Staff turnover

46%

Serious cites

0

Brady West Rehab & Nursing runs 106 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, no abuse-related deficiencies, and one harm-level finding among 23 total citations. The last survey was recent, in September 2025. Where it slips is staffing. At 3.33 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover lands at 45.7%, essentially matching the national rate. Nothing here suggests danger, but the margin for error on a bad weekend is thinner than the quality scores alone would tell you.

Nurse hours

3.30 /day

Staff turnover

39%

Serious cites

0

Harbor Lakes runs on a paradox: excellent inspections and quality scores, but thin staffing. At 3.30 nurse hours per resident day, it sits about 15% below the national average, and weekends drop roughly 13% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 38.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A recent September 2025 inspection and five stars each for health inspections and quality measures explain the solid grade despite the staffing score.

Nurse hours

5.08 /day

Staff turnover

53%

Serious cites

0

Continuing Care at Eagles Trace is a small nonprofit home in west Houston with 44 beds, and its staffing is genuinely above average, 5.08 nurse hours per resident day against a national figure of 3.86. Weekends run about 14 percent thinner than weekdays, though, and turnover sits at 53.3 percent, higher than the 45.8 percent national rate, so that strong average masks real churn. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, with $22,486 in fines across two penalties. Inspections are recent, from August 2024, and there's nothing abuse-related. The staffing and inspection stars look good; the harm-level findings and turnover are what pull the overall picture down.

Nurse hours

3.38 /day

Staff turnover

43%

Serious cites

0

Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 2025.

Nurse hours

3.48 /day

Staff turnover

27%

Serious cites

0

Cedar Pointe runs lean on the floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5, though the staff who are there tend to stay, 27.2% turnover versus 45.8% nationally, which is a real point in its favor. Inspections look solid: 4 out of 5 stars, nine deficiencies on record, one at the harm level and none abuse-related, with the last visit in January 2026. Quality measures also land at 4. Hospital district ownership adds a layer of public accountability.

Nurse hours

4.05 /day

Staff turnover

45%

Serious cites

0

Ignite Medical Resort San Antonio runs 105 certified beds as a for-profit corporation, and its staffing sits at 4.05 nurse hours per resident day, about 5% above the national average. That headline number looks fine until you see weekends drop roughly 13% below weekday coverage, and the staffing star rating land at 2 out of 5. Turnover is 44.7%, essentially matching the national rate. The health inspection side is the real weak spot: 36 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related. The most recent inspection was December 8, 2025. Quality measures score 5 out of 5, which is a genuine bright spot, but strong outcome data doesn't erase thin weekend coverage or a long deficiency list.

Nurse hours

3.93 /day

Staff turnover

44%

Serious cites

0

Hunter Creek runs a bit more nurse staffing than the typical American nursing home, roughly 3.93 hours per resident day against a national average near 3.86, but that margin shrinks on weekends, when coverage drops about 16% below its own weekday levels. Staff turnover sits at 44.3%, slightly better than the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record shows nine deficiencies, none involving actual harm or abuse, though the last full inspection was in April 2022, so that picture is getting dated. It's a for-profit LLC with 78 beds, and its federal ratings land in the middle on health inspections and quality measures, higher on staffing.

Nurse hours

3.62 /day

Staff turnover

55%

Serious cites

0

Allen Health And Rehabilitation runs 119 certified beds as a nonprofit, and its nurse staffing sits at 3.62 hours per resident day, about 6% under the national average of 3.86. Weekends drop roughly 23% below its own weekday coverage, and annual turnover is 54.7% against a national 45.8%, so the people who remain are stretched thinner on Saturdays and Sundays. The inspection record shows 9 deficiencies with none at harm or jeopardy level and none abuse-related, though the last inspection was February 2020, so that record is old. Quality and staffing star ratings both come in at 4 of 5; health inspection sits at 3.

Nurse hours

4.81 /day

Staff turnover

46%

Serious cites

0

Atmore Nursing Center runs on staffing, 4.81 nurse hours per resident day, roughly a quarter above the national average, and that's where its five-star staffing rating comes from. Turnover sits at 45.7%, essentially identical to the national figure, so retention isn't an outlier either way, though weekends run about 15% leaner than weekdays. The inspection record is clean: three deficiencies total, none at harm or jeopardy level, and none abuse-related. One thing to weigh is timing, the last inspection was May 2021, so that five-star health inspection rating reflects a snapshot that's now several years old. The quality measure score of two stars is the softer spot, and it's what keeps this from grading higher.

Nurse hours

3.59 /day

Staff turnover

56%

Serious cites

0

Tallassee Health and Rehabilitation runs 111 beds under for-profit LLC ownership, and its staffing math is a mixed bag. Nurses provide 3.59 hours per resident per day, roughly 7% under the national average of 3.86, and weekends drop about 19% below the home's own weekday coverage, which matters if your family visits Saturday or Sunday. Staff turnover sits at 56.1% against a national 45.8%, so expect some unfamiliar faces. The inspection history is thinner: eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last full inspection in November 2022. Quality and staffing measures both rate well; the health inspection side is where the record is weakest.

Nurse hours

3.96 /day

Staff turnover

30%

Serious cites

0

Crowne Health Care of Fort Payne runs 123 certified beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 3.96 nurse hours per resident day against a national average of 3.86, with turnover at 30.3% versus 45.8% nationally. That retention matters, fewer unfamiliar faces. The catch is timing. Weekends drop roughly 20% below weekday coverage, and the last health inspection was November 2019, so the four deficiencies on record, none at harm or jeopardy level, describe a facility that hasn't been federally re-examined in years. Quality measures score low even as staffing scores high, which is worth asking about directly before you visit.

Nurse hours

4.02 /day

Staff turnover

36%

Serious cites

0

Cloverdale runs 4.02 nursing hours per resident day, a bit above the national average, and it holds a four-star staffing rating. Turnover sits at 36.4 percent, better than the 45.8 percent national figure, though weekend coverage drops roughly 15 percent below weekday levels. The catch is inspections: the last one was March 2022, so the record is stale, and five deficiencies include two at the harm or jeopardy level. Quality measures score two stars. Corporate-owned, 141 beds. Strong staffing and low turnover are real, but an old inspection and a thin quality score mean you should ask what's happened since.

Nurse hours

3.64 /day

Staff turnover

37%

Serious cites

0

Kensington Health and Rehabilitation runs 120 beds in Mobile under for-profit partnership ownership, and its inspection record is genuinely strong, a five-star CMS health inspection rating with nine deficiencies on file, none at the harm or jeopardy level and none abuse-related. Staffing is where the picture gets more mixed: 3.64 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 16% below the home's own weekday level, so coverage thins out when families tend to visit. Turnover of 36.9% is better than the 45.8% national figure, which matters for consistency of care. One fine totaling $4,558 and a July 2023 inspection round out the record.

Nurse hours

4.64 /day

Staff turnover

45%

Serious cites

0

Robertsdale Rehabilitation & Healthcare Center runs 152 certified beds under corporate ownership, and its nurse staffing sits at 4.64 hours per resident day, roughly 20% above the national average of 3.86. That's a real margin, though weekends dip about 17% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover at 44.8% lands right at the national figure, meaning the staff you meet may not be there in a year. The harder reading is the inspection record: 14 deficiencies, four at harm or jeopardy level, two tied to abuse, from an August 2024 survey.

Nurse hours

3.75 /day

Staff turnover

34%

Serious cites

0

Willowbend runs 140 beds in Marion under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 3.75 hours per resident day, a bit under the national 3.86, and weekends drop roughly 19% below the home's own weekday coverage, worth asking about if your family member needs care on Saturdays and Sundays. Turnover is 34.3%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The current inspection record shows 22 deficiencies, two serious enough to involve harm or jeopardy, plus $30,771 in fines. The last inspection was February 2025. Strong marks on quality measures and staffing don't erase that inspection history.

Nurse hours

4.52 /day

Staff turnover

—

Serious cites

0

San Jose Healthcare & Wellness Center runs 4.52 nurse hours per resident day, roughly 17% above the national average, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is weekends, when coverage drops about 11% below the home's own weekday level. Inspections tell a more mixed story: 42 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related citation, with the most recent visit in March 2025. This is a for-profit limited liability company with 58 certified beds, so there's less margin to absorb a bad stretch of staffing than you'd find at a larger operator.

Nurse hours

5.26 /day

Staff turnover

55%

Serious cites

0

The Californian Pasadena runs 82 beds as a for-profit LLC, and its nurses put in 5.26 hours per resident day, roughly a third more than the national average. That looks good until you notice weekends dip about 20% below its own weekday coverage, so the hours aren't spread evenly across the week. Staff turnover sits at 54.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. On inspections, 56 deficiencies appear on the current record, including one at harm level and two tied to abuse, though the most recent inspection was February 2026, so the picture is fairly current.

Nurse hours

3.95 /day

Staff turnover

36%

Serious cites

0

West Haven Center runs 98 beds under for-profit LLC ownership, and its staffing sits at 3.95 nurse hours per resident day, a hair above the national average of 3.86, but weekends drop about 16% below its own weekday levels, so coverage isn't even across the week. Turnover is 35.9%, noticeably better than the 45.8% national figure, which matters for continuity of care. The inspection record is the weak spot: 59 deficiencies, four tied to abuse, though none reached harm or jeopardy level. The most recent inspection was June 2025, so the record is current. Quality and staffing each earned three stars from CMS; health inspections earned two.

Nurse hours

3.76 /day

Staff turnover

—

Serious cites

0

Arcadia Health and Rehabilitation Center runs 170 beds in Pensacola under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, with seven deficiencies on the current record and none of them tied to harm, jeopardy, or abuse. The catch is staffing: 3.76 nurse hours per resident day sits just below the national average of 3.86, and weekends run about 13 percent thinner than weekdays. So the care that regulators observed was solid, but the hands available on a Saturday afternoon won't match a Tuesday morning. If your family member needs consistent daily attention, ask how weekend coverage is actually scheduled.

Nurse hours

3.60 /day

Staff turnover

—

Serious cites

0

Marianna Health and Rehabilitation is a 180-bed for-profit home in Jackson County with a clean inspection record, five deficiencies total, none at the harm level, and no abuse citations. That's backed by a 5-star health inspection rating and a recent survey from June 2026. The catch is staffing: 3.60 nurse hours per resident day sits about 7% under the national average of 3.86, and weekends run roughly 13% lighter than weekdays, so coverage thins out exactly when families tend to visit. Quality measures land at 4 stars. Bottom line: a well-inspected home where the main question is whether the daily staffing floor holds up on Saturdays and Sundays.