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

Nurse hours

3.60 /day

Staff turnover

58%

Serious cites

0

Lanier Rehabilitation Center is a for-profit LLC home with 120 beds in Jacksonville, and its staffing numbers are the first thing worth noticing. Nurses provide 3.60 hours per resident day, about 7% under the national average, and weekends dip another 7% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 57.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. The good news: 11 deficiencies on record, none at harm or jeopardy level, none abuse-related, and a recent February 2025 inspection. Quality measures score well; the trade-off is consistency of care.

Nurse hours

3.33 /day

Staff turnover

54%

Serious cites

0

Vivo Healthcare Orange Park runs 120 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends drop about 4 percent below the home's own weekday levels. Staff turnover is 53.5 percent against a national 45.8, meaning more than half the nursing workforce turns over in a year. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Inspections were last completed in November 2024. Quality measures score well and inspections are decent, but the staffing picture is the one worth weighing hardest if your family member needs consistent daily hands-on care.

Nurse hours

4.03 /day

Staff turnover

51%

Serious cites

0

Lake Port Square runs 4.03 nurse hours per resident day, a bit above the national average, so daily coverage in Leesburg looks adequate on paper. The catch is consistency: weekends dip about 9% below the home's own weekday numbers, and staff turnover sits at 51.2%, noticeably higher than the 45.8% national figure. The 28 deficiencies on record include nothing flagged at harm or jeopardy level and no abuse citations, that matters, but a state inspection in June 2026 means findings are recent, not dated. For-profit LLC ownership and three-out-of-five stars across health inspections, quality measures, and staffing round out a home that's neither failing nor standing out.

Nurse hours

3.25 /day

Staff turnover

46%

Serious cites

0

Davenport Nursing and Rehab Center runs 60 certified beds under a for-profit limited liability company, and its nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 4% below the home's own weekday coverage, and staff turnover is 46.3%, a hair above the national 45.8%, so continuity of caregivers is about typical rather than a strength. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related, plus a single fine of $8,172. Its last inspection was January 29, 2026, and its quality measure score is strong even as staffing and inspection results land mid-range.

Nurse hours

3.63 /day

Staff turnover

35%

Serious cites

0

Madison Health and Rehabilitation Center runs 60 beds under for-profit LLC ownership, and its inspection record is genuinely clean, two deficiencies on the current record, none at the harm level, none tied to abuse, and a survey completed in July 2025. Staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends dip about 10% below the home's own weekday numbers, which is worth asking about if your family visits on Saturdays or Sundays. Turnover at 34.5% actually beats the national 45.8%. The weaker spot is the quality measure score, which sits near the bottom. Clean inspections, average-ish staffing, mixed clinical outcomes.

Nurse hours

3.35 /day

Staff turnover

55%

Serious cites

0

The Pavilion At Jacksonville runs 60 beds under for-profit LLC ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage dips about 5% below its own weekday levels, and staff turnover is 55.4% against a national average of 45.8%, so continuity of caregivers is a real question here. The good news: 11 deficiencies on record with none at the harm or jeopardy level and nothing abuse-related, and a recent inspection from March 2026. Quality measures score well, though inspectors' health findings land mid-range. Ask about weekend shift coverage and how often residents see the same nurses.

Nurse hours

3.39 /day

Staff turnover

24%

Serious cites

0

Nursing & Rehabilitation Center Of Melbourne runs 167 beds under for-profit LLC ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 8% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the bright spot at 24.2%, well under the 45.8% national figure, which suggests a steadier crew than most. Inspections are a different story: 41 deficiencies on the current record, four fines totaling $19,186, and a two-star health inspection rating despite strong marks on quality measures and staffing. The most recent inspection was November 2025.

Nurse hours

3.51 /day

Staff turnover

24%

Serious cites

0

Lake Bennet runs lean on nursing hours, 3.51 per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. The inspection record is the bigger concern: sixteen deficiencies, two serious enough to put residents in harm's way, two tied to abuse, and a $74,744 fine. That combination explains the 2-out-of-5 inspection rating despite a 5-out-of-5 on quality measures, which come from resident assessments rather than surveyor findings. Turnover at 24.2% is genuinely low by national standards, and the most recent inspection was August 2025. It's a for-profit LLC with 120 beds, and the pattern suggests asking direct questions about weekend coverage and how those abuse citations were resolved.

Nurse hours

4.24 /day

Staff turnover

46%

Serious cites

0

Freedom Square runs 4.24 nurse hours per resident day, roughly 10% above the national average, and that shows up in its four-star staffing rating. The catch is weekends, when coverage drops about 10% below its own weekday levels, worth asking about if your family visits Saturday or Sunday. Its 18 deficiencies include one at the harm level, though none are abuse-related, and the most recent inspection was February 2024. Turnover sits at 45.7%, essentially identical to the national average, so this is a corporate-owned home with real staffing depth but a middling inspection record.

Nurse hours

3.67 /day

Staff turnover

47%

Serious cites

0

Middleburg Rehabilitation and Nursing Center runs about 3.67 nurse hours per resident each day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday level. That thin weekend margin matters more than the headline number, since care doesn't pause on Saturdays. Turnover sits at 46.7%, just above the national 45.8%, so the staff you meet may not be there in a year. On the positive side, the home's last inspection was January 15, 2026, and its eight deficiencies include none at the harm or jeopardy level and none related to abuse. A for-profit corporation owns it. The inspection record is clean for a 120-bed home. The staffing pattern is where families should ask questions.

Nurse hours

3.01 /day

Staff turnover

35%

Serious cites

0

Pruitthealth - Toomsboro runs a 62-bed for-profit operation, and the inspection side of its record is clean: a single deficiency on file, none at the harm level, none tied to abuse, and a survey completed in April 2025. Quality measures also score at the top of CMS's scale. Where the picture changes is staffing. At 3.01 nurse hours per resident day, this home sits about 22 percent under the national average of 3.86, and weekend coverage drops roughly another 12 percent below its own weekday level. Turnover at 35 percent is better than the 45.8 percent national figure, so the people who stay tend to stay. The tension is real: strong inspections and outcomes, but thin day-to-day hands.

Nurse hours

4.03 /day

Staff turnover

46%

Serious cites

0

Kauai Care Center sits in Waimea with 53 certified beds and for-profit individual ownership. Its 4.03 nurse hours per resident day run about 4% above the national average, though weekends dip roughly 13% below its own weekday staffing, so coverage isn't perfectly even across the week. Annual turnover of 45.5% lands almost exactly at the national figure of 45.8%. The current record shows 23 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last inspection was in April 2024. CMS gives it 3 stars for health inspections, 3 for quality measures, and 4 for staffing. The staffing is the strongest piece here; the inspection history is the part worth asking about directly.

Nurse hours

2.45 /day

Staff turnover

8%

Serious cites

0

Lakefront runs lean on direct care: 2.45 nurse hours per resident per day, roughly a third below the national average, and weekends dip a bit lower still. What stands out is the workforce stability, 7.7% turnover against a national average near 46% means the people showing up are largely the same ones staying, which matters more than the raw hours when you're thinking about who actually knows your mother's routine. The tradeoff shows up in the record: 30 deficiencies, including 3 at harm level and 4 tied to abuse, though the last inspection was recent and the health and quality ratings both land at 4 of 5.

Nurse hours

2.82 /day

Staff turnover

28%

Serious cites

0

Alden Poplar Creek runs 217 beds in Hoffman Estates under corporate for-profit ownership, and its strongest numbers are on the clinical side, a five-star quality measure rating and four stars on health inspections, with the most recent visit in December 2025. Where it gives ground is staffing: 2.82 nurse hours per resident day sits about 27% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays. Turnover at 27.5% is well below the national 45.8%, so the people who are there tend to stay. The record isn't clean, though, 29 deficiencies, one at harm or jeopardy level and five tied to abuse, plus $8,281 in fines.

Nurse hours

3.09 /day

Staff turnover

38%

Serious cites

0

Astoria Place runs about 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip slightly below its own weekday coverage. Staff turnover sits at 38.4%, better than the 45.8% national figure, so the people who are there tend to stay. The tradeoff shows up in the inspection record: 32 deficiencies, including two at the harm level and two tied to abuse, though the state has fined the home only once for $4,784 and last inspected in November 2024. Quality measure scores are strong across the board, while staffing and health inspection ratings are middling. For a 164-bed for-profit home, the pattern is decent care metrics riding on thin coverage.

Nurse hours

3.53 /day

Staff turnover

37%

Serious cites

0

Avantara Lake Zurich runs 203 beds under corporate ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 3% thinner than weekdays. Turnover is where it looks better than most: 36.5% against a national 45.8%, meaning fewer aides and nurses walking out the door than typical. The trade-off shows up in its record: 30 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $14,901, though the most recent inspection came in January 2025 and the health inspection rating landed at 4 out of 5. Staffing is the weakest of its three federal ratings.

Nurse hours

4.80 /day

Staff turnover

39%

Serious cites

0

Celebrate Senior Living Niles runs 4.80 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its 38.6% turnover sits below the national 45.8%, staff tend to stay longer here than at the typical home. Weekend coverage dips about 9% under weekday levels, which is worth asking about if your family visits Saturdays or Sundays. The record isn't spotless: six deficiencies, two serious enough to involve harm or jeopardy, and two fines totaling $29,754, though none tied to abuse. A 4/5 inspection rating from the most recent survey in October 2024 suggests the problems were addressed rather than ongoing.

Nurse hours

3.55 /day

Staff turnover

37%

Serious cites

0

Beech Grove Meadows runs lean on nursing hours, 3.55 per resident day against a national average of 3.86, and weekends get thinner still, about 13% below what the home staffs on weekdays. That gap matters, because falls and infections don't check the calendar. Turnover is 37.4%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay, which helps continuity even when the raw hours run short. The inspection record shows 13 deficiencies, one serious enough to put a resident at risk of harm, though none involved abuse. The most recent state visit was February 2026. Quality measures score well; staffing is where this home gives ground.

Nurse hours

3.42 /day

Staff turnover

28%

Serious cites

0

Monticello Healthcare runs 102 certified beds as a nonprofit corporation, and its strongest number is retention: 27.5% annual turnover against a national average of 45.8%. That's a staff that mostly stays. The tradeoff shows up in hours, 3.42 nurse staffing hours per resident day, roughly 11% under the national average of 3.86, with weekends running another 11% below its own weekdays. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, which is a meaningful distinction. The last inspection was May 2025, so the record is recent. Quality measures score well; the staffing measure doesn't, and that's the tension to weigh.

Nurse hours

3.40 /day

Staff turnover

37%

Serious cites

0

Brickyard Healthcare - Petersburg Care Center runs 63 certified beds under corporate for-profit ownership, and its staffing sits at 3.40 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is a genuine bright spot at 36.8% against a national 45.8%, meaning caregivers here stick around longer than at the typical home. The inspection record shows 17 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the most recent state visit came in November 2025. Quality measures score well; staffing is where the numbers lag.