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

Nurse hours

4.20 /day

Staff turnover

31%

Serious cites

0

Sunnyvale Post-Acute Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers cut both ways. Total nurse coverage sits at 4.20 hours per resident day, roughly 9% above the national average, and turnover at 30.9% is well below the 45.8% norm, but weekends dip about 10% below weekday levels, and CMS gives staffing just 2 of 5 stars. The bigger concern is the inspection record: 67 deficiencies, six tied to abuse, and a 1-star health inspection rating, with the most recent survey in October 2024. No deficiencies rose to harm or jeopardy level, and quality measures scored 4 of 5, which keeps this from being a clear avoid, but ask pointed questions about that abuse history and weekend coverage before deciding.

Nurse hours

4.29 /day

Staff turnover

58%

Serious cites

0

Elmwood Care Center sits in Berkeley with 74 certified beds and an individual for-profit owner. The nursing hours look solid on paper, 4.29 per resident day, about 11% above the national average, and that's why staffing earns 4 stars. But weekends run roughly 7% thinner than weekdays, and annual turnover hits 58.3% against a national 45.8%, so the faces around your relative may change often. The inspection record is where things get harder to ignore: 40 deficiencies on file, including one at the harm level and two tied to abuse, with the last inspection in July 2024. Quality and health inspection each sit at 3 stars.

Nurse hours

4.53 /day

Staff turnover

25%

Serious cites

0

Trellis Chino runs on a for-profit LLC structure with 59 beds, and the numbers tell two different stories at once. Nurse staffing sits at 4.53 hours per resident day, about 17% above the national average, and annual turnover of 25.4% is strikingly low against the 45.8% norm, which suggests people actually stay. Inspections came back clean at the harm level: 15 deficiencies on record, none causing injury or jeopardy, with one abuse-related citation filed. The catch is staffing consistency. Weekend coverage drops roughly 8% below the home's own weekday level, and CMS pegs staffing at just 2 of 5 stars despite the healthy daily average, worth asking how thin weekends actually get.

Nurse hours

3.40 /day

Staff turnover

40%

Serious cites

0

Pine Grove Nursing Center runs 3.40 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend staffing drops another 12% below its own weekday levels, so coverage thins out right when families tend to visit. The 120-bed nonprofit in Center carries 22 deficiencies on its current record, including one at the harm level and one abuse-related, plus a single fine of $8,278. Its quality measure score is perfect, but staffing sits mid-range and health inspections come in at 3 of 5. Staff turnover of 40.4% is better than the 45.8% national figure, which matters for continuity. Last inspection was July 2024, so the record is reasonably current.

Nurse hours

4.80 /day

Staff turnover

63%

Serious cites

0

Baywind Village runs a strong inspection record, a 5-star health inspection rating with the most recent survey in May 2025, and its 4.80 nurse hours per resident day sit about 24 percent above the national average, which matters when you're comparing rehab options. But two things pull against that: staff turnover at 63.3 percent is well above the 45.8 percent national figure, and weekend coverage drops roughly 15 percent below weekday levels, so the caregiver on Saturday may be newer than the one on Tuesday. Fifteen deficiencies sit on the current record, including one at the harm level and one abuse-related. For-profit individual ownership rounds out the picture.

Nurse hours

3.69 /day

Staff turnover

33%

Serious cites

0

Whispering Springs runs a tight ship on inspections, a five-star health inspection rating with just four deficiencies on record, none of them causing harm or tied to abuse, and a survey as recent as July 2025. Staffing is where the picture gets uneven: 3.69 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 13% below weekdays, and the two-star staffing rating reflects it. What works in the home's favor is retention, 32.5% turnover is well below the 45.8% national figure, meaning the caregivers who are there tend to stay. For-profit corporate ownership, 100 beds, and quality measures landing at four stars round out a home that inspects cleanly but runs lean.

Nurse hours

3.62 /day

Staff turnover

35%

Serious cites

0

Gulf Shores Rehabilitation & Healthcare Center runs 96 certified beds in Falfurrias under corporate for-profit ownership, and its nursing hours come in at 3.62 per resident day, roughly 6% under the national average of 3.86. Weekends dip about 9% below the home's own weekday staffing, so coverage thins out right when families tend to visit. What stands out favorably is turnover: 34.9% against a national average of 45.8%, meaning aides and nurses here tend to stay longer than elsewhere. Inspections from February 2026 turned up 22 deficiencies, none at harm or jeopardy level, though two were abuse-related, worth asking about directly.

Nurse hours

3.32 /day

Staff turnover

31%

Serious cites

0

Ebony Lake runs on 3.32 nurse hours per resident day, about 14% under the national average, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 31.4%, well under the national 45.8%, which suggests the people who do show up tend to stay. The health inspection record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score 5 out of 5 even as staffing scores 2. That gap is the whole story here: good care outcomes, thin coverage, stable workforce.

Nurse hours

2.71 /day

Staff turnover

31%

Serious cites

0

Avir At Mansfield runs lean on nursing hours, 2.71 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 10% below its own weekday coverage. That staffing level earned just two of five stars from CMS, and the inspection record shows 36 deficiencies, two of them serious enough to reach harm or jeopardy. What keeps the picture from being bleaker is stability: turnover sits at 30.9%, well under the 45.8% national figure, and the quality measures score a full five stars. A recent June 2025 inspection means the record is current. Corporate-owned, 127 beds. The tradeoff here is clear, consistent caregivers, thin daily coverage.

Nurse hours

3.53 /day

Staff turnover

31%

Serious cites

0

Avir At Richland Hills runs a government hospital-district home with 114 certified beds, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, with weekends about 8% thinner than weekdays. Turnover is the bright spot: 30.9% against a national 45.8%, meaning the aides and nurses you'd see most days tend to stick around. The inspection record is the concern. Twenty-five deficiencies, two of them at harm or jeopardy level, plus two fines totaling $14,506, and the last full inspection was September 2024. Quality measures score well, but staffing and inspection results both land at two stars. Consistent caregivers help; the safety record is what a family should ask about directly.

Nurse hours

3.30 /day

Staff turnover

24%

Serious cites

0

Weslaco Nursing and Rehabilitation runs lean on direct care: 3.30 nurse hours per resident day, about 14 percent under the national average, and weekends dip roughly 11 percent below its own weekday staffing. That thin coverage is the main reason the federal staffing rating sits at 1 out of 5, even though the same data shows turnover at 23.8 percent, well below the national 45.8 percent, meaning the aides and nurses who are there tend to stay. Inspections tell a steadier story: 26 deficiencies on record, none at the harm level, though two are abuse-related, and the most recent visit was May 2025. Ask about weekend coverage and how those abuse citations were resolved.

Nurse hours

3.15 /day

Staff turnover

26%

Serious cites

0

Grapevine Medical Lodge runs on leaner nursing hours than most homes, about 3.15 per resident day against a national average of 3.86, and weekends dip another 13% below its own weekday coverage. The good news is that this isn't a churn problem: turnover sits at 26.3%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. The home's inspection record backs that up, with a 4-star health inspection rating, eight total deficiencies and none at the harm or jeopardy level, most recently surveyed in April 2025. Where it gives ground is daily staffing depth, even as its quality measures score at the top of the scale.

Nurse hours

3.40 /day

Staff turnover

42%

Serious cites

0

The Belmont At Twin Creeks runs a 112-bed for-profit building in Allen where nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about another 10% below the home's own weekday coverage. Turnover of 42.4% is slightly better than the 45.8% national figure, so the problem isn't retention so much as how thin the floor gets on Saturdays and Sundays. The current record shows 27 deficiencies, including one at the harm level and four tied to abuse. That combination, solid quality scores (5/5) against 27 deficiencies and a staffing rating of 3/5, tracks with staffing that meets the bar on paper but leaves less margin when something goes wrong.

Nurse hours

2.89 /day

Staff turnover

31%

Serious cites

0

Pflugerville Nursing and Rehabilitation Center runs 120 certified beds as a nonprofit corporation, and its strongest numbers come from resident outcomes, the federal quality measure rating sits at 5 out of 5. The staffing side tells a different story: 2.89 nurse hours per resident day, about a quarter below the national average of 3.86, with weekends roughly 14% thinner than weekdays already are. Turnover at 31.3% is better than the national 45.8%, so the workers who stay seem to stay, but there aren't enough of them on the floor. The inspection record carries 30 deficiencies, including one at harm or jeopardy level and three tied to abuse, with the most recent inspection in April 2025.

Nurse hours

3.64 /day

Staff turnover

21%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation, West S runs 124 certified beds under corporate ownership in San Antonio, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 12% below the home's own weekday level, worth knowing if your family visits or calls on Saturdays and Sundays. Turnover sits at 20.7%, well below the 45.8% national average, so the aides and nurses you meet are more likely to still be there next year. Against that, the current inspection record carries 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus an $8,632 fine. The most recent inspection was January 29, 2026.

Nurse hours

3.49 /day

Staff turnover

34%

Serious cites

0

The Reserve At Richardson runs on leaner nurse staffing than most homes, 3.49 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. Turnover sits at 34.4%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 35 deficiencies, including one at the harm level and three tied to abuse, plus a $14,069 fine, with the most recent inspection dated May 2026. A 4/5 on quality measures and 3/5 on inspections don't cancel that out. Government hospital district ownership doesn't change the arithmetic on the floor.

Nurse hours

2.86 /day

Staff turnover

42%

Serious cites

0

Magnolia Haven runs on 2.86 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage is the main thing pulling its grade down, even though turnover at 42.1% is slightly better than the 45.8% national figure. The inspection record shows nine deficiencies, none involving harm or abuse, and the last full inspection was July 2023, so that snapshot is getting stale. Quality measures score well, but staffing is where the risk sits: ask how many nurses are actually on the floor on a Saturday.

Nurse hours

3.87 /day

Staff turnover

44%

Serious cites

0

Greenbriar At The Altamont runs 95 certified beds as a nonprofit corporation, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86 nationwide. That's not a cushion, it's a tie, and weekends dip about 19% below the home's own weekday coverage, so care looks thinner on Saturdays and Sundays. Turnover at 43.7% edges just under the 45.8% national figure, a modest positive. Six deficiencies are on record with none at harm or jeopardy level, though one is abuse-related. The last inspection was April 2021, meaning the public picture is roughly five years stale.

Nurse hours

3.30 /day

Staff turnover

48%

Serious cites

0

Shea Post Acute Rehabilitation Center in Scottsdale runs on 3.30 nurse hours per resident day, about 14% under the national average of 3.86, and weekends are staffed roughly 17% lighter than weekdays. Annual turnover sits at 47.5%, slightly above the national 45.8%, meaning the people caring for your family member may be newer than you'd expect. The good news: the last state inspection was December 2024, the record shows 11 deficiencies with none at the harm level, and both the inspection and quality measure ratings come back at the top score. One abuse-related deficiency is worth asking about directly. Strong clinical outcomes, thinner staffing, that's the real tradeoff here.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Tempe Post Acute looks strong on paper where inspections and quality measures are concerned, top marks in both, and a recent survey from March 2026 with six deficiencies on record, only one of which rose to the level of actual harm. Nothing abuse-related. The problem is staffing, which sits at the very bottom of the federal scale. That's the number families should sit with, because it's the one that shapes daily life: how long you wait after pressing a call light, whether there's time for a real conversation at meals. A clean inspection record tells you the building is run lawfully. It doesn't tell you there are enough hands on the floor.