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

Nurse hours

3.34 /day

Staff turnover

74%

Serious cites

0

Altera Health And Rehabilitation Center runs 83 certified beds in Fairhope under for-profit LLC ownership. Its nurse staffing sits at 3.34 hours per resident day, roughly 13% under the national average, and weekends dip about 11% below its own weekday levels. That thin coverage shows up in turnover: 74.3% annually, well above the 45.8% national figure, meaning most of the people caring for your family member are new to the building. The inspection record shows 7 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last full inspection was in March 2023. Quality measures score well; direct care hours and staff retention are where this home is weakest.

Nurse hours

3.51 /day

Staff turnover

53%

Serious cites

0

Columbiana Health and Rehabilitation runs 63 beds under corporate ownership, and its inspection record is genuinely solid, four deficiencies on the current record, only one at the harm level, and no abuse findings. Where the numbers get thinner is staffing: 3.51 nurse hours per resident day sits about 9% under the national average, weekends drop roughly 13% below the home's own weekday levels, and annual turnover hits 52.8% against a national 45.8%. That combination means the people around your family member change often, and there are fewer of them on Saturdays and Sundays. The last inspection was in August 2022, so the record you're reading is not fresh. One fine totaling $8,018 is on file.

Nurse hours

5.94 /day

Staff turnover

43%

Serious cites

0

North Mountain Medical runs 5.94 nurse hours per resident day, roughly 54 percent above the national average, but CMS still gives it only 2 of 5 stars for staffing. That gap is worth sitting with: weekend coverage drops about 11 percent below its own weekday level, and turnover sits at 43 percent, slightly better than the 45.8 percent national figure, though still meaning most of the people caring for your relative are relatively new. Inspections look strong on paper, with 5-star ratings for health inspections and quality measures and just 4 deficiencies on record, none at harm or jeopardy level. One is abuse-related, which you should ask about directly.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

0

Lake Pleasant Post Acute runs 3.32 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. That thin margin shows up in the staffing rating, 2 out of 5, and in a 50% annual turnover rate, which runs above the 45.8% national figure. The inspection record carries 20 deficiencies, none at harm or jeopardy level, though 2 are abuse-related, with the most recent inspection on February 26, 2026. Quality measures score 5 out of 5, so the clinical numbers look better than the day-to-day coverage does. For-profit, limited liability ownership, 128 beds.

Nurse hours

3.48 /day

Staff turnover

49%

Serious cites

0

Rio Vista Post Acute runs 150 beds in Peoria under corporate for-profit ownership, and its inspection record is genuinely strong, a 4 out of 5 on health inspections, a recent April 2025 visit, and no abuse deficiencies among the 12 on file. That one harm-level deficiency is worth asking about directly. The staffing picture is where it thins out. At 3.48 nurse hours per resident day, it sits roughly 10% under the national average, weekend coverage drops about 12% below its own weekday levels, and turnover at 48.9% runs above the national figure. So you have a home that inspects well but runs leaner than average on the floor, especially Saturdays and Sundays. Ask how they staff weekends.

Nurse hours

3.78 /day

Staff turnover

50%

Serious cites

0

Springdale Village Post Acute runs slightly lean on nurse staffing, 3.78 hours per resident day against a national average of 3.86, and weekends get thinner still, about 15% below its own weekday coverage. That gap matters because families visit on weekends and that's often when problems surface. Annual turnover sits at 50%, above the 45.8% national figure, so the people caring for your relative may not be the people who were there last year. The inspection record is the bigger concern: 29 deficiencies, one abuse-related, and a 2-out-of-5 health inspection rating from CMS, even though its quality measures score well and its last full inspection was in April 2024. For-profit, limited liability ownership. Worth asking about that abuse citation and weekend coverage specifically.

Nurse hours

3.65 /day

Staff turnover

53%

Serious cites

0

River Park Post Acute runs 66 beds in Chandler under for-profit LLC ownership, and its inspection history is mostly solid, a 4 out of 5 on health inspections, last surveyed in April 2025, with 11 deficiencies on record. The concern is the one at harm or jeopardy level, plus two abuse-related citations. Staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. Annual turnover is 53.1% against a national 45.8%. Quality measures score a perfect 5, but that's family surveys and clinical metrics, it doesn't offset thin weekend coverage or the abuse findings. Ask specifically what those two citations involved.

Nurse hours

4.52 /day

Staff turnover

59%

Serious cites

0

The Peaks runs a solid nursing floor on paper: 4.52 nurse hours per resident day, roughly 17% above the national average, which earns its staffing marks. The catch is consistency and oversight. Weekend coverage drops about 11% below its own weekday level, turnover sits at 58.6% against a national 45.8%, and its last inspection in November 2024 left 28 deficiencies on record, including four tied to abuse and one at the harm or jeopardy level. A nonprofit with 58 beds and a recent two-star health inspection history means families should ask directly how weekends are covered and what changed after that harm finding.

Nurse hours

3.83 /day

Staff turnover

47%

Serious cites

0

The Springs of Park Ave runs 23 deficiencies on its current record, including one abuse-related citation, though none reached the harm or jeopardy level. Staffing sits at 3.83 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops roughly 9% below what the home provides on weekdays, a gap that matters when families visit and needs don't pause for the calendar. Annual turnover is 47%, slightly above the national 45.8%. The for-profit LLC ownership and a 3-out-of-5 inspection rating round out a picture of a home that isn't failing but isn't standing out either. Its quality measure score is stronger than its inspection history suggests, so ask about the abuse citation and weekend staffing directly.

Nurse hours

3.89 /day

Staff turnover

38%

Serious cites

0

The Springs Broadway runs 119 certified beds in West Memphis under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86. Turnover is the genuine bright spot: 37.5% against a national 45.8% means fewer unfamiliar faces on the floor. Weekends dip about 9% below weekday coverage, so plan visits accordingly. The current record shows 21 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the last inspection came in March 2025. Three stars each on health inspections, quality measures, and staffing describe a home that's steady but not standout.

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Legacy Health and Rehabilitation Center runs 115 certified beds in Fort Smith under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover lands at 43%, slightly better than the national 45.8%, which matters because consistent caregivers know residents' routines. The current record shows 34 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was January 31, 2025, so the picture is reasonably current. CMS gives 2 of 5 stars for both health inspections and quality measures, with 3 of 5 for staffing.

Nurse hours

3.69 /day

Staff turnover

44%

Serious cites

0

Southern Trace runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends dip roughly 9% below its own weekday level, a pattern families often notice when visiting on a Saturday. The 43.7% annual turnover is slightly better than the 45.8% national figure, but 19 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, plus a $46,053 fine, are the kind of findings that matter more than star ratings. The last inspection was recent, in August 2025, and this for-profit LLC home holds 116 certified beds.

Nurse hours

4.01 /day

Staff turnover

44%

Serious cites

0

Dierks Health and Rehab runs a 70-bed for-profit operation, and its inspection record is genuinely clean, six deficiencies on file, none of them causing harm or involving abuse, with the most recent state visit in June 2025. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, though weekends drop roughly 12% below what the home staffs during the week, so ask how that gap gets covered. Turnover at 44.3% is essentially the national rate; you're not looking at a retention crisis, but you're not looking at stability either. The quality measure score is where this home is weakest, so press on specifics like falls, infections, and weight loss before you decide.

Nurse hours

3.59 /day

Staff turnover

40%

Serious cites

0

Nightingale At Arkadelphia runs a tight ship on inspections, a clean five-star health inspection record with just nine deficiencies, none of them causing harm or jeopardy, though one is abuse-related. Staffing is where the picture gets more mixed: 3.59 nurse hours per resident day sits about 7% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover at 39.5% is actually better than the 45.8% national figure, which suggests workers stick around longer than at the typical for-profit partnership. Quality measures land at three stars, so clinical outcomes are decent but not standout. The inspection record is the strongest signal here.

Nurse hours

4.13 /day

Staff turnover

64%

Serious cites

0

Promenade Health and Rehabilitation runs 114 beds in Rogers under for-profit LLC ownership, and its inspection record is decent, nine deficiencies on file, none rising to harm or jeopardy level, though two are abuse-related, and the last survey came in December 2025. Nurse staffing sits at 4.13 hours per resident day, about 7 percent above the national average, which helps explain the solid marks on inspections and quality measures. The catch is retention: turnover hits 63.8 percent against a national 45.8 percent, and weekend coverage drops roughly 14 percent below the home's own weekday level. High churn plus thinner weekend shifts means the people at the bedside change often, so it's worth asking how they keep consistent caregivers on weekends before you decide.

Nurse hours

3.43 /day

Staff turnover

49%

Serious cites

0

The Blossoms at North Little Rock runs 140 beds under for-profit LLC ownership, and its staffing sits around 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends dipping about 13% below its own weekday coverage. Turnover lands at 49%, a bit above the 45.8% national figure, so the faces around the halls change more often than average. Inspectors were last in on April 24, 2025, and the current record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related. The CMS quality measure score of 4/5 stands out against the staffing pattern.

Nurse hours

4.06 /day

Staff turnover

75%

Serious cites

0

The Springs of Barrow runs 4.06 nurse hours per resident day, a bit above the national average, and its quality measure score is strong. But look at turnover: 74.8% of staff left last year, against a national average near 46%. Weekend staffing also drops about 14% below weekday levels, which matters when families visit and needs don't pause for the calendar. Eighteen deficiencies sit on the current record, though none rose to harm or jeopardy and none involved abuse. The last inspection was in March 2026. For-profit corporate ownership. Steady weekday coverage, a churning workforce, and a recent clean-enough inspection, that's the real picture.

Nurse hours

4.15 /day

Staff turnover

37%

Serious cites

0

Palms Care Center runs 4.15 nurse hours per resident day, about 7% above the national average, so there's more direct care here than at a typical home. Turnover sits at 37.3%, which is better than the 45.8% national figure, though weekend staffing drops roughly 11% below weekday levels. The tradeoff shows up in the inspection record: 39 deficiencies, including two at the harm or jeopardy level and one abuse-related citation, even though the most recent inspection was April 2025 and CMS rated that side 4 out of 5. It's a for-profit limited liability company with 65 beds, and the pattern is decent daily staffing against a sizable citation history.

Nurse hours

4.48 /day

Staff turnover

45%

Serious cites

0

Sunset Manor runs 4.48 nurse hours per resident day, about 16 percent above the national average of 3.86, and its weekend staffing holds within roughly 10 percent of weekday levels, not perfect, but most homes thin out more than that. Staff turnover sits at 45.2 percent, essentially matching the national rate. The concern is the inspection record: 54 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection dated May 2026. For-profit ownership under an LLC. The staffing numbers here are the strong point; the deficiency history is what a family should ask about directly.

Nurse hours

4.01 /day

Staff turnover

47%

Serious cites

0

Socal Post-Acute Care runs 59 beds in Whittier under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average. That cushion shrinks on weekends, when coverage drops about 10% below the home's own weekday level, so the weekday numbers aren't quite what a family sees on a Saturday. Turnover is 47.1%, slightly worse than the 45.8% national figure, which means CNAs and nurses cycle through fairly often. The current record carries 43 deficiencies, none flagged at harm or jeopardy level but one abuse-related. State inspectors were last in on March 5, 2026, so the picture is recent.