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

Nurse hours

3.53 /day

Staff turnover

62%

Serious cites

0

Suwannee Valley Nursing Center runs 60 beds in Jasper under for-profit LLC ownership, and its inspection record is the strongest card it holds: a four-star health inspection score, last surveyed in March 2025, with 12 deficiencies on file and none rising to harm or jeopardy, none tied to abuse. Where it slips is staffing. At 3.53 nurse hours per resident day, it sits roughly 9 percent under the national average, weekends drop about 9 percent below its own weekday levels, and annual turnover hits 62.1 percent against a national 45.8. That churn matters more than the star rating suggests, caregivers cycling out that fast can undercut consistency even when inspections look clean.

Nurse hours

3.28 /day

Staff turnover

56%

Serious cites

0

Pine Trail runs on 3.28 nursing hours per resident per day, about 15% under the national average of 3.86, and weekend staffing doesn't drop off from its weekday level. The bigger concern is who's providing that care: 56.4% annual turnover, well above the 45.8% national figure. The health inspection record is the weakest part of the picture, 27 deficiencies, including one at the harm or jeopardy level and one abuse-related, with $16,800 in fines across two penalties. The last inspection was December 20, 2024. Quality measures score well, but that's the piece families can't verify themselves. The for-profit LLC ownership structure adds no context beyond what the numbers already show.

Nurse hours

3.28 /day

Staff turnover

19%

Serious cites

0

Winkler Court runs a lean ship on the floor: 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 6% below its own weekday level. That thin coverage sits behind a one-star health inspection record with 43 deficiencies logged, four of them serious enough to put residents in harm's way and three tied to abuse, plus a single fine just shy of $179,000. What complicates the picture is that the same building scores five stars on quality measures and holds staff unusually well, 18.6% turnover against a national average near 46%. Read those together and it looks like a place where the clinical tracking is strong and the people stay, but the inspection history keeps saying the daily care isn't always safe.

Nurse hours

3.40 /day

Staff turnover

50%

Serious cites

0

Excel Care Center runs 120 beds in Tampa under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 6% below its own weekday levels, and annual turnover is 50.4%, higher than the 45.8% national figure. Even so, the home's quality measure rating is 5 out of 5, and its 22 deficiencies on record include none at the harm level and none related to abuse. The last inspection was January 25, 2024, so the picture is fairly current. What you're weighing here is thin daily coverage against strong clinical measures and a clean harm record.

Nurse hours

3.72 /day

Staff turnover

47%

Serious cites

0

Life Care Center of Orange Park runs 180 certified beds under corporate ownership, and its staffing sits a bit under the national average, 3.72 nurse hours per resident day against 3.86, with weekends about 7% leaner than weekdays. Annual turnover of 46.8% edges just past the national 45.8%, so the people caring for your family member cycle through faster than average. The inspection record is the encouraging part: 8 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. Quality measures score well, but the low staffing rating is what pulls the overall picture down to a solid-if-unspectacular B.

Nurse hours

3.40 /day

Staff turnover

49%

Serious cites

0

Sun Harbor Healthcare runs 120 beds in Port Charlotte, and the staffing numbers are the first thing you'd notice: 3.40 nurse hours per resident per day, about 12% below the national average. Weekends drop roughly 7% below the home's own weekday level, and turnover sits at 49.1%, a bit above the national rate. The clinical quality scores come back strong, but that staffing rating doesn't match them. Eleven deficiencies are on the current record, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2024. Ownership is for-profit, individual. The quality measures look good on paper; the question is whether the day-to-day floor coverage holds up when families aren't watching.

Nurse hours

4.00 /day

Staff turnover

—

Serious cites

0

Avante At Orlando runs 118 certified beds under corporate ownership, and its nurse staffing sits at 4.00 hours per resident day, about 4% above the national average of 3.86. That's a real edge, though weekends dip roughly 13% below the home's own weekday coverage, so the weekday numbers tell a better story than Saturday and Sunday do. The current inspection record carries nine deficiencies, one of them serious enough to reach harm or jeopardy level, with no abuse citations. The last full inspection was February 2026, so the picture is recent. Nothing here suggests a home in crisis, but that one harm-level finding is the item worth asking about directly before you decide.

Nurse hours

3.41 /day

Staff turnover

47%

Serious cites

0

Aviata At Lake Mary runs about 3.41 nurse hours per resident per day, roughly 12% under the national average, and weekends dip another 10% below its own weekdays. That thinner coverage shows up in its staffing rating. The quality measures look strong, but the inspection record carries 15 deficiencies, none rising to harm or jeopardy, and none abuse-related, with the most recent survey in July 2024. Turnover sits at 47%, a touch above the national figure. It's a for-profit LLC with 120 beds. The clinical numbers are better than the hands available to deliver them; ask how they cover weekends before you decide.

Nurse hours

3.43 /day

Staff turnover

47%

Serious cites

0

Avante At Ocala runs 133 certified beds under corporate for-profit ownership, and its nursing hours come in at 3.43 per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday staffing, and turnover sits at 47%, just slightly above the national 45.8%. Those numbers line up with a 2/5 CMS staffing star, while the health inspection record shows a 1/5 star with 31 deficiencies on file, none at the harm level and none abuse-related. The 4/5 quality measure star is the strongest number here, and the most recent inspection was March 2026. If staffing coverage is your priority, ask about weekend shifts specifically.

Nurse hours

3.51 /day

Staff turnover

25%

Serious cites

0

North Dade runs 245 beds and sits below the national staffing average, about 3.51 nurse hours per resident day against 3.86, with weekends thinner still, roughly a tenth under its own weekday coverage. Turnover at 24.7% is genuinely low next to the 45.8% national figure, so the same caregivers tend to stay. The inspection record is the harder part: 50 deficiencies, seven at harm or jeopardy level, two tied to abuse, and $128,281 in fines across three penalties. The most recent inspection was January 28, 2026, so the findings are current, not stale. Strong quality scores and stable staff don't cancel out a citation history that serious.

Nurse hours

3.54 /day

Staff turnover

55%

Serious cites

0

The Club At Lake Gibson runs 3.54 nurse hours per resident day, about 8% under the national average, and weekend coverage dips roughly 10% below its own weekday numbers. That thin margin shows up in staffing turnover too: 54.7% annually against a national 45.8%, meaning nearly one in two caregivers left last year. Its health inspection record carries 21 deficiencies, three serious enough to put residents at risk of harm, though the last survey was January 2025. The quality star sits at 5 out of 5, but staffing and inspection stars both land at 2, and the gap between those ratings is worth asking about directly.

Nurse hours

3.27 /day

Staff turnover

40%

Serious cites

0

Decatur Center for Nursing and Healing runs 140 beds under limited liability ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends run about 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. The two-star staffing rating reflects that gap, and the two-star inspection rating follows from 27 deficiencies on the current record, though none rose to harm or jeopardy level and none involved abuse. What keeps the overall picture from sliding further is quality: five stars on CMS measures, and turnover at 40% actually beats the 45.8% national figure. The last inspection was April 1, 2026.

Nurse hours

3.39 /day

Staff turnover

41%

Serious cites

0

Riverside Health and Rehabilitation runs 73 certified beds in Thomaston under nonprofit ownership, and its staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86, with weekend coverage dipping about 10% below its own weekday levels. Turnover lands at 41.3%, a bit better than the 45.8% national figure, but the inspection record is where you'll want to focus: 15 deficiencies on file, including one at the harm level and two tied to abuse, with the most recent inspection dated February 15, 2026. The quality measure rating (4/5) looks stronger than the health inspection rating (3/5), so ask directly how the abuse-related findings were resolved and what weekend coverage actually looks like.

Nurse hours

3.28 /day

Staff turnover

33%

Serious cites

0

Pruitthealth - Spring Valley runs a tight ship on inspections, a five-star health inspection rating and a recent survey, from August 2025, with ten deficiencies on record and none at the harm level. That matters. What drags on the picture is daily staffing: 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends come in about 11% lighter than weekdays. Turnover, though, is genuinely better than most, 33.3% against a national 45.8%, so the people who stay tend to stay. The one abuse-related deficiency is worth asking about directly. Sixty beds, individually owned, for profit.

Nurse hours

3.80 /day

Staff turnover

50%

Serious cites

0

Pruitthealth - Limestone runs 104 certified beds in Gainesville under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.80 hours per resident day, just under the 3.86 national average, but the weekends are where it thins out, dropping roughly 7% below the home's own weekday coverage. Staff turnover is 49.5%, which is higher than the 45.8% national figure. The inspection record shows 16 deficiencies with none at the harm level and nothing abuse-related, and the most recent survey was June 12, 2025. Quality measures score well; staffing is the weak spot. If your family member needs steady weekend attention, that's the gap worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

29%

Serious cites

0

Oakview runs a leaner nursing floor than most: 3.39 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. That matters if your family member needs help on a Saturday. What offsets it is consistency, 28.5% turnover is well under the 45.8% national figure, so the people caring for residents tend to stick around and know them. Three deficiencies on the current record, none involving harm or abuse, and a September 2024 inspection keep the regulatory side clean. Nonprofit ownership rounds it out. The tradeoff here is thinner daily coverage in exchange for a steadier, more familiar staff.

Nurse hours

3.14 /day

Staff turnover

33%

Serious cites

0

Taylor County Health And Rehabilitation runs on leaner nursing hours than most homes, about 3.14 per resident day against a national average of 3.86, with weekends dipping roughly 5% below its own weekday coverage. That thinner staffing is offset somewhat by stability: turnover sits at 33.3%, well under the national 45.8%, so the aides and nurses you'd see are more likely to still be there next year. The inspection record shows 13 deficiencies, two of them serious enough to put residents at risk of harm, and $8,512 in fines. The last full inspection was in January 2026, so the picture is reasonably current. Nonprofit ownership, decent quality scores, but watch the low staffing and those two harm-level findings.

Nurse hours

3.58 /day

Staff turnover

56%

Serious cites

0

Payette Healthcare of Cascadia runs about 3.58 nurse hours per resident per day, roughly 7% under the national average, and weekends dip another 14% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when residents still need the same care with fewer hands on deck. Staff turnover sits at 55.8%, well above the 45.8% national figure, that kind of churn means less continuity, more unfamiliar faces. On paper, the inspection record looks strong: 25 deficiencies, none at harm level, and a September 2025 inspection is recent. One abuse-related citation is worth asking about directly. The state surveyors have mostly found process problems, not danger. The staffing pattern is where the real risk lives.

Nurse hours

3.63 /day

Staff turnover

51%

Serious cites

0

Aspen Park Of Cascadia runs 70 certified beds in Moscow under for-profit LLC ownership, and its last health inspection came in May 2025 with 11 deficiencies on record, none at the harm or jeopardy level, none abuse-related. That's a reasonably clean inspection picture, and the 4/5 health inspection and 5/5 quality measure ratings back it up. Staffing is where it gets softer. Total nurse staffing sits at 3.63 hours per resident day, about 6% below the national average, and weekends run roughly 14% lighter than weekdays. Annual turnover of 50.9% is also above the 45.8% national average, meaning familiar faces cycle out faster than average. The clinical record looks solid; the people covering the shifts are the question worth asking.

Nurse hours

3.70 /day

Staff turnover

45%

Serious cites

0

Twin Falls Transitional Care of Cascadia runs 116 beds under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a 4/5 health inspection rating with the most recent survey in June 2025. The quality measures look good too, at 5/5. Where it slips is staffing, 3.70 nurse hours per resident day, about 4% under the national average, with weekends running roughly 9% thinner than weekdays. That 2/5 staffing rating reflects it. Turnover sits at 44.9%, essentially level with the national 45.8%. The record does carry 33 deficiencies, including five at harm or jeopardy level and three tied to abuse.