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

Nurse hours

3.69 /day

Staff turnover

37%

Serious cites

0

Nhc Healthcare, Sparta runs about 3.69 nurse hours per resident each day, roughly 4% under the national average, and weekends pull about 10% below its own weekday numbers. Turnover sits at 36.7%, better than the 45.8% national rate, so the crew here is comparatively stable. On its current record: seven deficiencies, none at the harm level, one tied to abuse, with the last inspection in June 2025. The limited liability, for-profit structure is worth knowing about, that ownership type often runs leaner on staffing, and the below-average hours here fit that pattern.

Nurse hours

3.88 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Columbia sits right at the national average for nurse staffing, 3.88 hours per resident day against 3.86, close enough that the difference means nothing. What does stand out is the 51.3% annual turnover, well above the typical 45.8%, and weekend staffing that drops about 12% below the home's own weekday levels, so the people around your family member change often and thin out on Saturdays and Sundays. Seven deficiencies sit on the current record, three serious enough to involve harm or jeopardy. The last full inspection was December 2021, which is a long time ago.

Nurse hours

4.17 /day

Staff turnover

44%

Serious cites

0

Life Care Center Of Hixson runs 108 certified beds under corporate ownership, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. That's real coverage on paper, though weekends drop about 13% below the home's own weekday level, so the weekday numbers don't tell the whole story. Staff turnover lands at 44%, a hair under the 45.8% national figure, which is neither a red flag nor a bragging point. The bigger issue is the inspection record: a 1-out-of-5 health inspection rating, 8 deficiencies with 1 at the harm or jeopardy level, and no abuse citations. The most recent inspection was May 2026. Quality and staffing measures each rate 3 out of 5.

Nurse hours

4.13 /day

Staff turnover

37%

Serious cites

0

Hancock Manor runs on 4.13 nurse hours per resident per day, which puts it about 7 percent above the national average of 3.86. Staff turnover sits at 37 percent, better than the 45.8 percent national figure, though weekend coverage drops roughly 10 percent below what the home staffs on weekdays. The inspection record is clean where it counts: four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was August 2025. For a 50-bed for-profit corporation in Sneedville, that combination of steady staffing and a short, low-severity deficiency list is the main thing working in its favor.

Nurse hours

4.46 /day

Staff turnover

36%

Serious cites

0

Brookdale Westlake Hills runs 4.46 nursing hours per resident day, comfortably above the national average, and its 35.7% turnover beats the typical home, staffing isn't the problem here. The trouble sits in inspections: 32 deficiencies on the current record, seven serious enough to involve harm or jeopardy, three tied to abuse, and six fines totaling just over $300,000. A 2-out-of-5 inspection rating with a April 9, 2026 survey suggests recent problems rather than old ones. Weekend coverage also dips about 15% below weekday levels, so care may thin out when families visit. For-profit corporate ownership, and a record that outweighs the staffing numbers.

Nurse hours

3.40 /day

Staff turnover

36%

Serious cites

0

Paramount Health and Rehabilitation is a 99-bed for-profit home in Salt Lake City, and the numbers pull in different directions. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends run about 11 percent leaner than weekdays, so the hours get thinnest exactly when families tend to visit. Turnover at 36 percent is better than the 45.8 percent national figure, which matters for consistency of care. What weighs heaviest is the inspection record: a one-star health inspection rating, 31 deficiencies, four at harm or jeopardy level, four tied to abuse, and $119,012 in fines, with the last inspection in May 2024. The five-star quality measure score doesn't cancel that out.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

Stonehenge of Richfield runs lean on nursing hours, 3.07 per resident day against a national average of 3.86, and weekends dip roughly 13% below its own weekday staffing. That thin coverage matters most when something goes wrong on a Saturday. The inspection record is mixed: 21 deficiencies logged, including one at the harm level and one abuse-related citation, though the most recent survey was in May 2025, so the picture is fairly current. Staff turnover sits at 36%, better than the 45.8% national figure, which suggests some stability in who's actually at the bedside. With 30 beds under for-profit LLC ownership, this is a small home where daily staffing decisions show up quickly.

Nurse hours

3.34 /day

Staff turnover

52%

Serious cites

0

Cedars Healthcare Center runs 141 certified beds in Charlottesville under corporate for-profit ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, and annual turnover hits 51.8% against a national 45.8%. The inspection record shows 54 deficiencies, including four tied to abuse, though none rose to harm or jeopardy level; the last survey was November 22, 2024. Quality measures score well, but staffing and inspection results are where the weaker numbers live.

Nurse hours

3.22 /day

Staff turnover

39%

Serious cites

0

Autumn Care of Altavista runs lean on nursing hours, 3.22 per resident day against a national average of 3.86, and weekends are thinner still, roughly 13% below its own weekday coverage. That's the tradeoff behind its middle-of-the-road staffing rating. The inspection record is cleaner than the staffing number suggests: 19 deficiencies, none at the harm level and none tied to abuse, with the last full survey in May 2023. Turnover sits at 38.6%, better than the 45.8% national figure, which matters for whether aides and nurses actually stick around long enough to know your relative. It's a for-profit limited liability company with 111 beds. Solid survey results, lighter hands-on coverage.

Nurse hours

3.39 /day

Staff turnover

52%

Serious cites

0

The Woodlands runs about 3.39 nurse hours per resident each day, roughly 12% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 51.9%, well above the 45.8% national figure, so consistent caregivers are harder to keep. What balances that out: a clean inspection record, 12 deficiencies, none involving harm or abuse, and a strong 4/5 on health inspections with a 5/5 on quality measures, last surveyed in April 2023. For a 60-bed for-profit partnership home, the clinical care looks solid; the question is whether thin weekend staffing and steady turnover wear on day-to-day consistency.

Nurse hours

3.73 /day

Staff turnover

49%

Serious cites

0

Falls Run sits in Fredericksburg with 90 certified beds, run by a for-profit corporation. The numbers tell a mixed story. Nurse staffing runs 3.73 hours per resident day, a bit under the national average of 3.86, and weekends drop about 11% below what the home staffs on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 48.6%, slightly above the 45.8% national figure, so caregivers cycle through faster than average. On the positive side, its quality measure rating is strong at 5 out of 5, there are no abuse-related deficiencies, and the 28 deficiencies on record include none at the harm level. The last inspection was March 2023.

Nurse hours

4.02 /day

Staff turnover

43%

Serious cites

0

Avamere Rehabilitation at Ridgemont runs 4.02 nurse hours per resident day, about 4% above the national average, and its 43% turnover is slightly better than the typical 45.8%. Those are real positives. The catch is in the details: weekend staffing drops roughly 9% below weekday levels, and the current record carries 34 deficiencies, including one at the harm level and two tied to abuse. State inspectors last visited in September 2025 and rated the home 4 out of 5 on health inspections and quality measures, yet only 2 out of 5 on staffing. That gap, good survey results sitting alongside thin staffing marks and dozens of cited problems, is what keeps this for-profit, limited-liability home in middling territory. Worth a visit and specific questions.

Nurse hours

3.79 /day

Staff turnover

56%

Serious cites

0

Edmonds Post Acute runs 128 beds under for-profit LLC ownership, and its nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86. The bigger issue is consistency: weekends drop about 15% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%, so the staff you meet may not be there next year. The health inspection record carries 91 deficiencies with four tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was March 2026. Quality measures score well, but that inspection history is what pulls the overall picture down.

Nurse hours

4.21 /day

Staff turnover

41%

Serious cites

0

Frontier Rehabilitation and Extended Care runs 140 certified beds in Longview, and the staffing picture is genuinely better than most: 4.21 nurse hours per resident day against a national average of 3.86, with turnover at 41.2% versus 45.8% nationally. Weekends thin out about 12% from weekday coverage, so ask how that plays out on a Sunday. The inspection record is recent and clean at the serious end, 23 deficiencies, none causing harm or jeopardy, though two are abuse-related and worth asking about directly. What pulls the quality measure rating down to 2 out of 5 is the piece families feel day to day: falls, infections, weight loss, the outcomes that don't show up on a tour.

Nurse hours

3.68 /day

Staff turnover

43%

Serious cites

0

Willapa Harbor Care runs 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. Turnover sits at 42.9%, a touch better than the 45.8% national figure. The inspection record shows 31 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was August 8, 2025. This is a for-profit LLC with 60 certified beds, and its health and quality measure ratings both sit at 4 out of 5 stars while staffing lands at 3. The pattern here is a home that inspects well and scores well on quality measures, with a thinner staffing cushion than average, especially on weekends.

Nurse hours

4.27 /day

Staff turnover

38%

Serious cites

0

View Ridge Care Center runs 4.27 nurse hours per resident day, roughly 10% above the national average, and its 37.5% turnover is better than the 45.8% typical elsewhere. Weekends dip about 10% below weekday staffing, so coverage isn't perfectly level. The current record shows 30 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. State inspectors were last on site in November 2025, so the picture is recent. What holds the grade back is mostly the middle-of-the-road inspection and staffing ratings against those stronger quality measures.

Nurse hours

3.79 /day

Staff turnover

52%

Serious cites

0

Stafholt runs 57 beds in Blaine under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays, worth asking about if your family member needs care on Saturdays and Sundays. Annual turnover is 52.3%, noticeably above the 45.8% national figure. The 42 deficiencies on record include two at the harm level and six tied to abuse, with $47,182 in fines. Its last inspection was February 2026, so the record is recent. Quality measures score well; the inspection history is where the concern sits.

Nurse hours

3.89 /day

Staff turnover

41%

Serious cites

0

Colonial Vista runs 3.89 nurse hours per resident day, just above the national average of 3.86, so it isn't short-staffed on paper, though weekends dip roughly 7% below its own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, and the last inspection was recent, August 2025. What stands out is the deficiency record: 25 findings on the current record, including one abuse-related citation, but none at the harm or jeopardy level. That combination of a 4/5 inspection rating and a 4/5 quality measure rating against that many deficiencies is the tension worth asking about on a tour.

Nurse hours

4.21 /day

Staff turnover

35%

Serious cites

0

Nurse staffing at Madison Post Acute runs about 4.21 hours per resident day, roughly 9% above the national average, and the staff retention is genuinely better than most, 35.2% turnover against a national 45.8%. Weekends get thinner, though, about 7% below the home's own weekday coverage. The part worth slowing down on is the inspection record: 55 deficiencies, including one at the harm level and five tied to abuse, plus a $71,318 fine. The most recent inspection was July 2025. Ownership is a for-profit partnership. Solid staffing and quality marks sit alongside a deficiency history that a family should ask about directly before deciding.

Nurse hours

3.92 /day

Staff turnover

55%

Serious cites

0

Lacey Post Acute & Rehabilitation runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. Weekends dip about 10% below its own weekday coverage, and annual turnover hits 54.5% against a national 45.8%, so the same faces aren't always there. The inspection record shows 43 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $7,443. A recent June 2025 inspection and strong quality measure scores don't erase that deficiency history or the thin staffing margin.