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

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Good Samaritan Society Howard is a 45-bed nonprofit, and its inspection record is genuinely strong, a recent survey, only four deficiencies, none causing harm. Quality measures score well too. Where it slips is staffing: 3.39 nurse hours per resident day sits about 12% under the national average, and weekend coverage drops roughly 17% below its own weekday levels. Annual turnover of 53.7% is also higher than the 45.8% national figure, meaning caregivers cycle through faster than average. One abuse-related deficiency appears on the record. So the care itself looks careful, but the people delivering it have less time and less continuity than residents at better-staffed homes. Ask how weekends and evenings are covered.

Nurse hours

3.81 /day

Staff turnover

48%

Serious cites

0

Signature Healthcare of Primacy runs 120 beds under for-profit LLC ownership, and the staffing picture is the weak spot. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Annual turnover of 48.2% also edges past the national 45.8%, so the people caring for residents change often. What lifts it is the inspection record: a 4-star health inspection rating, seven deficiencies on file, none involving harm or jeopardy, and none abuse-related, with the most recent inspection dated March 2026. Quality measures come in strong at 5 stars. If staffing consistency matters most to you, ask how weekends are covered.

Nurse hours

3.43 /day

Staff turnover

35%

Serious cites

0

Mountain City Care & Rehabilitation Center runs 3.43 total nurse hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below its own weekday staffing. That's worth knowing before you visit on a Sunday. The tradeoff is stability: turnover sits at 35.4% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The current record shows six deficiencies, none at the harm level and none abuse-related, and its last inspection was April 2026, so the findings are recent rather than stale. A 120-bed for-profit LLC with a five-star inspection history and thinner daily coverage, ask about weekend coverage directly.

Nurse hours

3.65 /day

Staff turnover

41%

Serious cites

0

Hillview Health Center runs on federal ownership, which shapes how it operates. The 76-bed home in Elizabethton scores 4 out of 5 stars on all three CMS measures, health inspections, quality, and staffing, and its record shows 7 deficiencies with none at the harm or jeopardy level and nothing abuse-related. Staffing sits at 3.65 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 20% below its own weekday coverage. Turnover is 41.2%, better than the 45.8% national figure. Its last inspection was November 2023, so the record is reasonably current. The weak spot is thin weekend staffing, not safety or quality.

Nurse hours

3.79 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Blount County runs 120 certified beds under corporate ownership, and its staffing sits slightly under the national average, 3.79 nurse hours per resident day against 3.86. That gap is small, but weekends drop about 18% below the home's own weekday coverage, and staff turnover is 51.4%, noticeably above the 45.8% national figure. The inspection record is where the real concern shows: 19 deficiencies, one at harm or jeopardy level, two abuse-related, plus an $8,018 fine, with the most recent inspection in December 2024. Quality measures score well, but strong clinical numbers don't cancel out a thin weekend shift or a harm-level finding. Worth asking about directly before deciding.

Nurse hours

3.51 /day

Staff turnover

—

Serious cites

0

Monument Healthcare Cottonwood Creek runs 77 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86, with weekends about 11% lighter than its own weekdays. The inspection record is where the real concern shows: 28 deficiencies, three of them serious enough to involve harm or jeopardy, plus three abuse-related citations and a $17,940 fine, with the most recent inspection dated April 4, 2024. Quality measure scores look strong on paper, but that contrast with the inspection history and below-average staffing is worth asking about directly before you decide.

Nurse hours

3.46 /day

Staff turnover

54%

Serious cites

0

Copper Ridge runs a 120-bed for-profit operation in West Jordan with a clean recent inspection record, 16 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent state visit was September 2025. The care quality numbers back that up. Where it gets thinner is staffing: 3.46 nurse hours per resident day, roughly 10 percent under the national average, with weekends running about 18 percent below its own weekday coverage. Turnover sits at 53.9 percent against a 45.8 percent national mark, so you're looking at a home that's doing well on care measures but cycling through caregivers faster than average. Worth asking how they cover weekends and which staff actually stay.

Nurse hours

5.70 /day

Staff turnover

77%

Serious cites

0

Advanced Health Care Of Salem runs on unusually heavy staffing, 5.70 nurse hours per resident day against a national average of 3.86, and it backs that up with top marks on health inspections and quality measures. The catch is who's providing that care and for how long: annual turnover sits at 76.7%, well above the 45.8% national figure, and weekends run about 18% leaner than weekdays. Seven deficiencies appear on the current record, none at the harm level, though one is abuse-related. For a 16-bed for-profit home last inspected in April 2024, the picture is a well-staffed building with a retention problem worth asking about directly.

Nurse hours

3.08 /day

Staff turnover

43%

Serious cites

0

Riverside Lifelong Health in Mathews runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, roughly a fifth less hands-on time. Weekends dip about 16% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Turnover sits at 43.2%, a touch better than the 45.8% national figure, and inspections look solid on paper: four out of five stars, last full survey in August 2023. The record isn't spotless, though, twelve deficiencies, four serious enough to reach harm or jeopardy level, and four tied to abuse. A nonprofit corporation owns the 60-bed home. Strong survey scores and below-average staffing can both be true at once.

Nurse hours

4.55 /day

Staff turnover

28%

Serious cites

0

Arlington Health and Rehabilitation runs 4.55 nurse hours per resident day, about 18% above the national average, and its staff turnover of 27.6% is well below the 45.8% national figure, that kind of retention usually means consistent caregivers who know the residents. Weekends thin out by roughly 15%, so ask how coverage holds up on Saturdays and Sundays. The concerning part sits in the inspection record: 38 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $173,496 fine. Ownership is a for-profit limited liability company. The most recent inspection was January 26, 2026, so the record is current. Strong staffing and quality scores don't erase those findings.

Nurse hours

5.34 /day

Staff turnover

26%

Serious cites

0

Western Convalescent Hospital runs 5.34 nurse hours per resident day, well above the national average, and its 26.1% turnover is far below the typical 45.8%, staff tend to stay. But that staffing cushion drops on weekends, and the inspection record is what pulls the grade down: 80 deficiencies, four tied to abuse, with a health inspection star of 1 out of 5. Ownership is a for-profit LLC. The care hours and stable workforce are real strengths; the survey history is the thing to ask about directly before you decide.

Nurse hours

4.09 /day

Staff turnover

—

Serious cites

0

Desert Springs runs 4.09 nurse hours per resident per day, which is actually about 6% above the national average, but that staffing still earns only 2 out of 5 stars from CMS, and weekend coverage drops roughly 8% below what the home provides on weekdays. The bigger issue sits in the inspection history: 49 deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, plus three tied to abuse and a $66,151 fine. The most recent inspection was September 2025, so this isn't stale paperwork. A for-profit limited liability company operates the 68-bed home. Strong quality measures and above-average staffing hours don't offset that many serious findings.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Coastal Oaks passed its most recent inspection in June 2025 with nine deficiencies on record, none of them serious enough to cause harm or jeopardy, and no abuse citations at all. That's a clean paper trail by any standard. The two CMS ratings that matter most here, health inspections and quality measures, both sit at the top of the scale. What holds the grade back is the ownership structure: a for-profit limited liability company running 65 beds, which tends to mean tighter margins and less cushion for staffing than you'd see at a nonprofit or a county-run home. Ask what the direct-care hours per resident actually look like on weekends, because that's where for-profit facilities often trim.

Nurse hours

10.57 /day

Staff turnover

—

Serious cites

0

Healdsburg Hospital D/P SNF is a tiny 17-bed unit run by a nonprofit corporation, and its staffing numbers are unusual in both directions. Total nurse staffing sits at 10.57 hours per resident day, roughly 174% above the national average, but the federal staffing star comes in at just 1 out of 5, which tells you the hours on paper may not reflect what CMS considers stable, consistent coverage. Weekend staffing drops about 10% below the facility's own weekday level. The health inspection record is genuinely strong: a 5/5 rating, six deficiencies on file, none at harm or jeopardy level, and no abuse citations. Seven fines totaling $59,634 have accumulated, though, and the last inspection was August 2024.

Nurse hours

8.65 /day

Staff turnover

5%

Serious cites

0

Greater El Monte Community Hos runs a small operation, 13 certified beds, and staffs it heavily: 8.65 nursing hours per resident day, more than double the national average. That ratio holds up on weekends, dipping only about 10% from weekday levels rather than collapsing the way it does at many homes. Staff turnover sits at 5% against a national average near 46%, which means the people caring for residents here tend to stay. The inspection record shows 18 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a single fine of $5,698 and a survey completed in November 2025. Corporate for-profit ownership, but the numbers describe steady, well-attended care.

Nurse hours

3.87 /day

Staff turnover

—

Serious cites

0

Anaheim Point runs 154 beds in Orange County under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends dip about 9% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger concern is the inspection record. CMS gives it 1 out of 5 stars for health inspections, with 85 total deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 5 out of 5, and the most recent inspection was March 2025, so the record is current. Strong clinical numbers and a weak inspection history are pulling in opposite directions here.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Windsor Care Center of Sacramento holds 128 certified beds and is owned by a for-profit limited liability company. Its record shows a sharp split: the quality measure rating is strong at 5 out of 5, but staffing sits at the bottom, 1 out of 5, which matters because daily care depends on having enough hands on deck, not on how well a facility documents clinical metrics. The inspection history is heavier than that staffing score alone would suggest, 52 deficiencies on the current record, including eight tied to abuse and one at the harm or jeopardy level, with the most recent inspection dated December 20, 2024. Ask about direct-care staffing levels and how the abuse-related citations were resolved before you decide.

Nurse hours

5.21 /day

Staff turnover

—

Serious cites

0

Desert Mountain Care Center has 99 certified beds in Indio, run by a for-profit limited liability company. The raw staffing number looks strong, 5.21 nurse hours per resident day, about 35% above the national average, but the federal staffing star tells a different story at 1 out of 5, and weekend coverage runs about 8% below weekday levels, so the hours aren't distributed as evenly as the headline figure suggests. The inspection record carries 46 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related. The most recent inspection was June 26, 2025. Quality measures score 5 out of 5 against 3 out of 5 for health inspections. Families should ask how the abuse deficiencies were resolved and what weekend staffing actually looks like.

Nurse hours

3.82 /day

Staff turnover

46%

Serious cites

0

Bishop Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 16% below the home's own weekday level. Staff turnover is 45.7%, essentially matching the national rate. The current inspection record carries 43 deficiencies, none at the harm or jeopardy level, though seven are abuse-related, which is worth asking about directly. State inspectors last visited in May 2026, so the record is recent. Quality measures score well; the health inspection side is middling.

Nurse hours

3.89 /day

Staff turnover

45%

Serious cites

0

Bangs Nursing and Rehabilitation runs 48 beds in Brown County under for-profit LLC ownership, and its inspection record is the strong point, a five-star health inspection rating with a recent survey in August 2025 and six total deficiencies on file, none of them causing harm or jeopardy. Staffing sits at 3.89 nurse hours per resident day, just barely above the national average, though weekends drop roughly 19% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. Turnover at 44.8% is slightly better than the national rate, and one abuse-related deficiency appears on the record. Quality measures score 2 out of 5, the weakest number here.