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

Nurse hours

5.05 /day

Staff turnover

41%

Serious cites

0

Surprise Health and Rehabilitation Center runs 5.05 nurse hours per resident day, roughly a third more than the national average, and its quality measure rating is as high as CMS gives. That's the good news. The staffing star tells a different story, it's a 2 out of 5, in part because weekend coverage drops about 16% below the home's own weekday level, so the average hides a thinner weekend shift. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home's eight deficiencies include nothing tied to harm, jeopardy, or abuse. The last inspection was March 2026, so the record is current.

Nurse hours

3.56 /day

Staff turnover

48%

Serious cites

0

Southridge Village runs 122 beds in Heber Springs under corporate ownership, and its inspection record is the strongest part of the picture: a four-out-of-five health inspection score, nine deficiencies on file, and none of them at the harm or jeopardy level. Nobody was hurt, and there's nothing abuse-related. The softer spot is staffing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 21% below its own weekday levels, so if you're visiting on a Saturday, expect a thinner floor. Turnover at 48% is slightly worse than the 45.8% national figure. Ask how they cover weekend gaps.

Nurse hours

3.80 /day

Staff turnover

65%

Serious cites

0

Care Manor runs about 3.80 nurse hours per resident day, just under the national average, and weekends dip roughly 19% below its own weekday coverage, worth asking about if your family tends to visit Saturday or Sunday. Staff turnover sits at 65.1% against a national 45.8%, so the people caring for your relative may change often. The good news is in the inspection record: 15 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a survey as recent as August 2025. Corporate-owned and Medicare-certified for 104 beds, this is a home that looks solid on safety and weaker on consistency of care.

Nurse hours

3.64 /day

Staff turnover

49%

Serious cites

0

Encore Healthcare and Rehab of Malvern runs on thinner nurse staffing than most homes nationally, 3.64 hours per resident day against the 3.86 average, and weekends dip about 17% below what the building staffs on weekdays. That matters, because the 19 deficiencies on its current record include two tied to abuse, even though none rose to the level of actual harm or jeopardy. Staff turnover sits at 49%, above the national 45.8%, which typically means less continuity for residents. The tradeoff is that state inspectors were last in the building on May 21, 2026, so the picture is fairly current, and the home's quality measure scores hold up better than its staffing scores do.

Nurse hours

4.20 /day

Staff turnover

49%

Serious cites

0

Lake Hamilton Health And Rehab runs 84 certified beds in Hot Springs under for-profit limited liability ownership. Nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average, which is a real strength, but weekends run about 23% leaner than weekdays, so coverage isn't steady across the week. Annual turnover of 48.5% edges past the national 45.8%, meaning the faces around your family member may change often. The current record shows 22 deficiencies, none at harm or jeopardy level, one abuse-related. The last inspection was May 2025, so the picture is reasonably current. Quality measures score well; inspections and staffing land mid-range.

Nurse hours

4.25 /day

Staff turnover

58%

Serious cites

0

Hickory Heights runs a 110-bed for-profit operation in Little Rock, and the raw staffing number looks decent, 4.25 nurse hours per resident day, roughly 10% above the national average. The catch is weekends, when coverage drops about 18% below what the home staffs on weekdays. That pattern shows up in the turnover figure too: 58.1% of staff leave each year against a national average near 46%, which means a lot of the people showing up on a Saturday may still be learning the building. The current inspection record carries 22 deficiencies with none tied to harm, abuse, or jeopardy, and the most recent survey was in August 2025.

Nurse hours

4.29 /day

Staff turnover

—

Serious cites

0

Orange Healthcare & Wellness Centre runs 112 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.29 hours per resident day, roughly 11% above the national average of 3.86. That's a real margin, though weekend coverage dips about 7% below what the home staffs on weekdays. The current record shows 79 deficiencies, none flagged at harm or jeopardy level, but five tied to abuse. Inspectors were last on site January 9, 2026, and the health inspection rating sits at 3 out of 5. What stands out is the split: quality measures rate 4 out of 5 while CMS staffing rates just 2. The hours look generous on paper, but the deficiency history and that low staffing score suggest the day-to-day experience may not match the headline number.

Nurse hours

3.98 /day

Staff turnover

—

Serious cites

0

Cupertino Healthcare & Wellness Center runs 170 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly ahead of the national average, though weekends drop about 6% below its own weekday level. The inspection record is where you'll want to slow down: 71 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse. State inspectors last visited in December 2025. Quality measures score well, and the health inspection rating lands mid-range, but that volume of cited problems, especially the serious ones, is the number that should shape your questions before a tour.

Nurse hours

3.95 /day

Staff turnover

—

Serious cites

0

Ivy Creek runs 3.95 nurse hours per resident day, a hair above the 3.86 national average, but weekends drop about 8% below its own weekday staffing. That gap matters because residents don't stop needing help on Saturdays. On inspections, the record shows 44 deficiencies with none at the harm or jeopardy level, though one is abuse-related, and the most recent survey was in May 2026, recent enough to trust. The 4/5 health inspection and quality measure ratings sit above the 3/5 staffing rating, which tells you the care processes look better than the coverage numbers. This is a for-profit LLC, and the staffing picture is adequate rather than generous.

Nurse hours

4.36 /day

Staff turnover

—

Serious cites

0

West Hollywood Healthcare & Wellness Centre runs 81 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average. That headline number comes with a catch: weekend staffing drops about 13% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is where the concern sits. Fifty-four deficiencies are on file, three of them abuse-related, though none reached the harm or jeopardy level. The most recent inspection was June 13, 2025, so the picture is current. CMS gave it 3 out of 5 stars for health inspections, 2 for staffing, and 5 for quality measures, a split that's worth asking about directly.

Nurse hours

5.40 /day

Staff turnover

47%

Serious cites

0

Brentwood Health Care Center sits in Santa Monica with 59 certified beds under for-profit LLC ownership. The nurse staffing number is genuinely high, 5.40 hours per resident day, roughly 40% above the national average, though weekends dip about 16% below what the home staffs during the week, so coverage isn't perfectly even. Turnover lands at 46.5%, essentially the national rate, meaning this isn't a stable long-tenured crew. The bigger concern is the inspection record: 49 deficiencies, including one tied to abuse, with a 3/5 health inspection rating despite a recent December 2025 survey. Strong daily staffing is doing real work here, but the deficiency history is what pulls the overall picture down.

Nurse hours

4.53 /day

Staff turnover

59%

Serious cites

0

Royal Gardens Healthcare runs 43 certified beds in Alhambra under individual for-profit ownership, and the staffing numbers are genuinely better than most: 4.53 nurse hours per resident day, roughly 17 percent above the national average. That strength comes with an asterisk, weekends run about 16 percent below the home's own weekday level, and annual turnover sits at 58.5 percent against a national 45.8 percent, so the people providing that care keep changing. The inspection record is where the picture darkens: a 1-out-of-5 health inspection rating, 72 deficiencies on the current record, seven tied to abuse. None were cited at the harm or jeopardy level, and the most recent inspection was in January 2026, so the record is current rather than stale.

Nurse hours

4.20 /day

Staff turnover

—

Serious cites

0

Alamitos West runs 150 beds in Orange County under individual for-profit ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86. That's the good news. The catch is that weekends drop about 9% below the home's own weekday level, so coverage thins out when families tend to visit most. The inspection record shows 78 deficiencies, including two tied to abuse, though none at the harm or jeopardy level. A November 2025 inspection is recent, which helps. The staffing star sits at 2 out of 5 despite the decent average, suggesting inconsistency rather than outright shortfall.

Nurse hours

3.99 /day

Staff turnover

—

Serious cites

0

Oxnard Manor runs 82 certified beds in Ventura County under individual for-profit ownership, and its nurse staffing sits at 3.99 hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 7% below what the home provides Monday through Friday. The inspection record shows 43 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in December 2025. Quality measures score at the top of CMS's scale, though the staffing star lands lower. For a family weighing a smaller home, the numbers point to decent clinical care with a weekend staffing dip worth asking about directly.

Nurse hours

5.46 /day

Staff turnover

34%

Serious cites

0

Lighthouse Healthcare Center runs a 149-bed for-profit home in Los Angeles, and the staffing numbers are genuinely strong, 5.46 nurse hours per resident day, well above the national average, with weekend coverage only about 9% thinner than weekdays. Turnover at 34.1% also beats the national rate, which matters for consistency of care. The concern is the inspection record: 73 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, plus roughly $100,000 in fines. That combination, good staffing paired with a troubled inspection history, is what pulls the overall picture down, and it's worth asking pointed questions before you decide.

Nurse hours

3.56 /day

Staff turnover

—

Serious cites

0

Littleton Care And Rehabilitation Center sits at 35 certified beds, run by a for-profit limited liability company. The inspection history is genuinely strong on paper, a five-star health inspection rating and a five-star quality measure rating, with the most recent survey completed in February 2026. But that record carries 10 deficiencies, including one at the harm level and two tied to abuse, plus a $7,781 fine. Staffing tells its own story: 3.56 nurse hours per resident day lands about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage. Fewer aides on Saturday and Sunday matters most when residents need help then.

Nurse hours

3.60 /day

Staff turnover

—

Serious cites

0

Coastal Health And Rehabilitation Center runs 120 certified beds in Daytona Beach under for-profit limited liability ownership. The nursing staff works 3.60 hours per resident day, roughly 7% under the national average of 3.86, and weekend coverage drops another 9% below the home's own weekday numbers, a gap families often feel on Saturdays and Sundays. Inspectors were last on site in April 2025 and turned up 15 deficiencies, none rising to harm or jeopardy, though one is abuse-related, so ask how that was resolved. The four-star inspection and quality ratings suggest care is generally sound when surveyors look, but the two-star staffing picture is what drives the grade down.

Nurse hours

3.54 /day

Staff turnover

—

Serious cites

0

Grand Boulevard Health and Rehabilitation Center runs 97 certified beds in Miramar Beach under for-profit LLC ownership, and the numbers split down the middle. Inspections look solid, six deficiencies on record, none rising to harm or jeopardy level, no abuse citations, and a survey date of May 28, 2026, so the record is recent. Quality measures hold up too. Staffing is where it thins out: 3.54 nurse hours per resident day against a national average of 3.86, roughly 8% below, with weekends running about 10% under its own weekday pace. That shortfall is what drags the staffing rating to 2 out of 5. If your family member needs steady hands on weekends especially, ask how the floor is covered then.

Nurse hours

3.63 /day

Staff turnover

—

Serious cites

0

Graceville Health Center sits at 147 certified beds under for-profit individual ownership, and its inspection record is genuinely clean, three deficiencies on file, none reaching harm or jeopardy level, no abuse citations, and a survey as recent as February 2026. The quality measure rating lands at 4 out of 5. Staffing is where the picture softens: 3.63 nurse hours per resident day trails the national average of 3.86, and weekends run roughly 13% thinner than weekdays, a gap families should ask about directly. A 2-out-of-5 staffing star with solid inspections usually means the basics are handled but coverage isn't generous, so visit on a Saturday and watch how quickly call lights get answered.

Nurse hours

3.42 /day

Staff turnover

—

Serious cites

0

Fouraker Hills runs about 3.42 nurse hours per resident day, roughly 11% under the national average, and weekends drop another 10% below its own weekday coverage. That thinner weekend crew matters most when families visit and when residents need help at meals and transfers. The record shows 20 deficiencies, two of them at the harm or jeopardy level and one abuse-related, which is a lot to carry even with a 3/5 inspection rating and a January 2025 survey. The quality measure score of 4/5 looks strong on paper, but quality measures reflect a narrow set of clinical targets, not daily hands-on care. For-profit LLC ownership with a 2/5 staffing rating means the numbers here come down to whether you can visit on weekends and see the floor for yourself.