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

Nurse hours

4.84 /day

Staff turnover

44%

Serious cites

0

Bayshire Torrey Pines runs a small 45-bed building in San Diego with notably high nurse staffing, 4.84 hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 6% below weekdays, which matters because shortfalls usually show up on Saturdays and Sundays. Turnover sits at 44.4%, essentially tracking the national rate, so the staffing isn't being propped up by a stable core so much as steady replacement. The record is where it gets more complicated: 50 deficiencies, one at the harm or jeopardy level and one abuse-related, with 20 fines totaling $103,033, even though the last inspection was recent and the health inspection rating came in at 4 out of 5.

Nurse hours

5.06 /day

Staff turnover

61%

Serious cites

0

The Gardens Healthcare Center runs 45 beds in Northridge under for-profit LLC ownership, and its nurse staffing sits at 5.06 hours per resident day, roughly a third above the national average of 3.86. That's a real cushion, though weekends dip about 12% below the home's own weekday coverage, and annual turnover of 61.1% outpaces the national 45.8% by a wide margin. The bigger concern is the inspection record: 78 deficiencies on file, one serious enough to reach harm or jeopardy level, with the most recent survey in May 2025. CMS gives it 2 out of 5 stars on health inspections but 5 out of 5 on quality measures, a split worth asking about directly.

Nurse hours

3.93 /day

Staff turnover

48%

Serious cites

0

The Ridge Post Acute sits in San Jose with 54 certified beds, run by a for-profit limited liability company, and its last inspection came through in January 2026. Staffing tells a mixed story: 3.93 nurse hours per resident day edges just past the national average of 3.86, but weekends run about 7% thinner than weekdays, and turnover hits 48.3% against a national 45.8%. That churn shows up in the federal staffing rating, which lands at just 2 out of 5. The inspection record carries 40 deficiencies, none at harm level but one tied to abuse, while quality measures score a full 5 and inspections earn 4. Strong clinical numbers, shakier consistency behind them.

Nurse hours

4.44 /day

Staff turnover

53%

Serious cites

0

Pine Creek Care Center sits in Roseville with 99 certified beds and corporate for-profit ownership. The raw staffing number looks good, 4.44 nurse hours per resident day, roughly 15% above the national average, but weekends run about 12% leaner than weekdays, and staff turnover hits 53.3% against a national 45.8%. That churn matters more than the headline hours, and it's likely why CMS gives staffing only 2 of 5 stars despite the strong average. The good news: 25 deficiencies on record with zero at harm or jeopardy level and none abuse-related, a 4/5 inspection rating, a recent April 2025 inspection, and 5/5 on quality measures. Solid care when someone's there; keeping people there is the question.

Nurse hours

4.25 /day

Staff turnover

40%

Serious cites

0

Rolling Hills Care Center is a 34-bed for-profit home in Selma, and the numbers point in different directions. Nurse staffing averages 4.25 hours per resident day, roughly 10% above the national figure, and its 40% turnover is lower than the 45.8% national rate, but weekend coverage dips about 7% below its own weekday level, and CMS gives staffing only 2 of 5 stars. The current record carries 35 deficiencies, one serious enough to reach harm or jeopardy level, alongside a 2-star inspection rating, while quality measures score 4 of 5. The last inspection was May 2026. Small size and limited-liability ownership mean a thin margin for error when problems do surface.

Nurse hours

4.78 /day

Staff turnover

57%

Serious cites

0

The Gardens of El Monte runs 53 certified beds as a for-profit corporation, and its nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average of 3.86. That looks strong until you notice weekends drop about 10% below its own weekday coverage, so the care you get depends on the day of the week. Staff turnover is 57.4% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current deficiency record shows 57 total, including one at the harm level and two abuse-related, with a two-star health inspection rating and the most recent inspection dated 2026-04-10.

Nurse hours

4.19 /day

Staff turnover

51%

Serious cites

0

Fowler Care Center runs 46 beds in Fresno County under for-profit LLC ownership, and its nurse staffing sits at 4.19 hours per resident day, roughly 9% above the national average of 3.86. That's the strongest thing in the file, though weekend coverage dips about 5% below its own weekday level, and annual turnover runs 50.8% against a national 45.8%, so the people providing that care change often. The inspection record shows 41 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in March 2025. Quality measures score well; the staffing and health inspection stars sit lower. Read together, this is a home with adequate hands on deck and a long paper trail of smaller problems.

Nurse hours

3.65 /day

Staff turnover

—

Serious cites

0

Meadows Of Corsicana runs 96 beds under for-profit LLC ownership, and its most recent inspection in October 2025 came back with a clean health inspection record, a 5/5 from CMS on that measure, which is hard to earn. The catch is staffing: 3.65 nurse hours per resident day, about 5% under the national average, with weekends running roughly 15% thinner than weekdays. Look at the deficiency file and you'll find 23 citations on the current record, none rising to actual harm or jeopardy, but one tied to abuse. Quality measures sit mid-range at 3/5. Nothing here suggests danger, but the weekend staffing dip and that abuse citation are worth asking about directly.

Nurse hours

3.90 /day

Staff turnover

52%

Serious cites

0

Advanced Rehabilitation & Healthcare Of Live Oak runs 123 certified beds as a for-profit corporation, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86. That thin margin matters because weekend staffing drops about 12% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 52.2%, well above the 45.8% national average, which means the people caring for your relative are likely still learning the building. The current record shows 42 deficiencies, including one at the harm level and three tied to abuse, plus $12,424 in fines. The most recent inspection was May 2025.

Nurse hours

3.87 /day

Staff turnover

31%

Serious cites

0

Prairie Meadows runs 120 certified beds in Floresville under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86. Weekend coverage drops about 8% below weekday levels, so care thins out when families tend to visit. Turnover runs 30.6%, notably better than the 45.8% national figure, which suggests some stability in the workforce. The bigger concern is the inspection record: 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $43,522. That last inspection was August 2025, so the record is current, not stale.

Nurse hours

2.97 /day

Staff turnover

40%

Serious cites

0

Avir At Itasca runs lean on nursing hours, 2.97 per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That's the main soft spot, and it's why staffing sits a notch under the other ratings. Turnover, though, is 40% versus 45.8% nationally, so the crew here is steadier than most. Fourteen deficiencies on the current record sounds like a lot until you see none reached harm or jeopardy, and none involved abuse. Inspections are recent, January 2026, with 4/5 on both health inspections and quality measures. A 51-bed for-profit LLC in Hill County, small enough to know your neighbor, thin enough on weekdays-to-weekends that you should ask who's on shift Saturday.

Nurse hours

3.55 /day

Staff turnover

43%

Serious cites

0

Windsor Rehabilitation and Healthcare runs 108 certified beds in Terrell under for-profit limited liability ownership, and the staffing numbers are the first thing to look at. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 42.9%, slightly better than the 45.8% national figure, which is a modest point in its favor. The inspection record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, but the health inspection rating sits at 2 out of 5.

Nurse hours

3.20 /day

Staff turnover

43%

Serious cites

0

Settlers Ridge runs on thinner nurse coverage than most homes, 3.20 hours per resident day against a national average of 3.86, and weekends dip another 10% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. The inspection record tells a steadier story: a 4 out of 5 health inspection rating, recency on its side with a February 2025 survey, and zero deficiencies at the harm or jeopardy level. One abuse-related citation out of 25 total is worth asking about directly. Staff turnover at 43.2% is slightly better than the national 45.8%, which matters for consistency of care. Nonprofit ownership under a corporation, 128 beds.

Nurse hours

3.13 /day

Staff turnover

44%

Serious cites

0

The Parks at Garland runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop another 10% below its own weekday coverage. Turnover sits right around the national rate at 44.3%, so the issue isn't retention so much as how many hands are scheduled. The inspection record is the heavier concern: 20 deficiencies, four of them serious enough to cause harm or jeopardy, plus two tied to abuse. Two fines total $40,050, and the most recent inspection was January 30, 2025. Quality measures score well, but that means little when the last survey found real problems and staffing stays under the national mark.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

Baybrooke Village runs about 11% leaner on nurse staffing than the national average, and weekends drop roughly 13% below what the home itself staffs on weekdays, so a Saturday fall or a Sunday infection gets less coverage than a Tuesday. Staff turnover sits at 50%, higher than the 45.8% national figure, meaning nearly half the people caring for residents are new to the building each year. The inspection record shows 38 deficiencies, including one tied to abuse and one at the harm level, plus a $15,642 fine, though the most recent inspection was April 2026. The quality star rating is strong; the staffing and inspection numbers are where the caution sits.

Nurse hours

3.25 /day

Staff turnover

45%

Serious cites

0

The Heights of Gonzales runs about 3.25 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip another 15% below its own weekday numbers. Turnover sits at 44.9%, basically in line with the national rate, so that's not the standout issue here, the thin staffing is. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was in March 2026. Corporate for-profit ownership at 132 certified beds, with quality and inspection scores that look better than the staffing score does.

Nurse hours

3.24 /day

Staff turnover

45%

Serious cites

0

Royse City Medical Lodge runs on leaner nursing hours than most homes, 3.24 per resident day against a national average of 3.86, roughly 16 percent below, and weekends dip another 13 percent under its own weekday pace. That gap is what pulls its CMS staffing rating down to 1 out of 5, even though inspections and quality measures both come in at 4 out of 5. Turnover sits at 44.9 percent, right in line with the national 45.8, so the issue here isn't churn so much as raw coverage. The current record shows 17 deficiencies, none involving harm or jeopardy and none abuse-related, with the last inspection dated February 12, 2026. Hospital district ownership is worth noting: public accountability instead of a chain.

Nurse hours

3.37 /day

Staff turnover

38%

Serious cites

0

Broadmoor Medical Lodge runs 140 certified beds in Rockwall under for-profit LLC ownership, and the staffing picture is the main thing to understand here. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well; staffing is the weaker spot.

Nurse hours

3.41 /day

Staff turnover

33%

Serious cites

0

Bonne Vie runs lean on the floor. At 3.41 nurse hours per resident each day, it sits about 12% under the national average, and weekends drop roughly 13% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 5/5 inspection rating looks strong next to 11 deficiencies on record, none at harm level but one abuse-related, and the most recent inspection was in March 2026. Staff turnover of 32.7% is well below the national 45.8%, which suggests people stay. Owned by a for-profit corporation, this 140-bed home in Port Arthur has consistent leadership but not enough daily hands.

Nurse hours

4.03 /day

Staff turnover

36%

Serious cites

0

Ignite Medical Resort Webster runs a 70-bed for-profit partnership in Harris County, and its inspection record is strong, a clean recent survey from June 2025 and top CMS marks for health inspections and quality measures. Nurse staffing comes in at 4.03 hours per resident day, slightly above the 3.86 national average, though weekends drop about 6% below the home's own weekday coverage. Turnover sits at 35.7%, better than the 45.8% national figure. What holds it back is the record itself: 12 deficiencies, two of them at harm or jeopardy level and two tied to abuse, plus a staffing star rating of just 2 out of 5 despite the decent hours.