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

Nurse hours

3.57 /day

Staff turnover

44%

Serious cites

0

Dover Care Center runs 88 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends are thinner still, about 17% below the home's own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 43.9% is a hair better than the 45.8% national figure, so aides and nurses here aren't leaving any faster than elsewhere. The current record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related, a category that deserves a direct question. The last inspection was July 2025, and all three CMS star ratings land at 3 out of 5.

Nurse hours

3.28 /day

Staff turnover

41%

Serious cites

0

Timberwood runs 3.28 nurse hours per resident per day, about 15% under the national average of 3.86, and weekends drop roughly 19% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which suggests some continuity in who's actually on the floor. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations and $8,021 in fines. The last inspection was January 14, 2026, so the record is current. Quality measures score well; staffing is the weak point.

Nurse hours

3.09 /day

Staff turnover

34%

Serious cites

0

Autumn Care of Portsmouth runs 108 certified beds under for-profit limited liability ownership, and its staffing is the number that jumps out: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends dropping about 18% below its own weekday level. Turnover, at 34.2%, is actually better than the 45.8% national figure, so the problem isn't churn, it's how few hands are on deck on any given shift. The health inspection record shows 43 deficiencies, including two at harm or jeopardy level and six tied to abuse, though the last inspection was recent, February 2026. Quality measures score well; staffing and that deficiency history are what pull the overall picture down.

Nurse hours

4.42 /day

Staff turnover

47%

Serious cites

0

Avalon Healthcare - Tacoma runs 81 certified beds under for-profit LLC ownership, and its nurse staffing of 4.42 hours per resident day sits about 15% above the national average of 3.86, a real strength, though weekend coverage drops roughly 17% below its own weekday level. Staff turnover lands at 47.1%, slightly above the national 45.8%. What pulls this home down is its inspection record: a 1-out-of-5 health inspection rating, 82 total deficiencies, including one at the harm or jeopardy level and two abuse-related, along with a single fine of $24,814. The most recent inspection was July 30, 2025. The numbers point to a home that staffs well on paper but has struggled to keep residents safe.

Nurse hours

3.87 /day

Staff turnover

51%

Serious cites

0

Life Care Center of Kirkland runs 190 beds under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average, so there's no cushion there. Weekends drop about 21% below weekday coverage, which matters when residents need help on a Saturday. Staff turnover is 50.5% against a 45.8% national rate, and the inspection record shows 61 deficiencies, including 3 at harm or jeopardy level and 11 tied to abuse. Two fines total $53,560. The last inspection was November 2025, so the record is current.

Nurse hours

3.24 /day

Staff turnover

32%

Serious cites

0

Hilltop Center runs lean on the floor: 3.24 nurse hours per resident day, about 16% under the national average, and weekends drop roughly 19% below its own weekday numbers. That thin coverage is what sits behind its two-out-of-five staffing rating, even though the home keeps staff longer than most, turnover of 31.9% beats the 45.8% national figure. The record shows 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus a $22,562 fine. Its quality measures score well and inspections came in average, but with 120 beds and a January 2026 inspection, the question worth asking is how that weekday-to-weekend staffing gap gets covered.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

0

St. Ann Health and Rehabilitation Center runs 50 certified beds in Milwaukee under corporate for-profit ownership. Its total nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average, but weekend coverage drops about 9% below its own weekday level, so the help you get may depend on which day you visit. The current record shows 21 deficiencies, none at the harm or jeopardy level but one tied to abuse, and a 4-out-of-5 health inspection rating from a March 2026 survey. The staffing star rating of 2 suggests the federal formula weighs turnover and mix, not just raw hours.

Nurse hours

5.34 /day

Staff turnover

45%

Serious cites

0

Bayshire Carlsbad runs 45 beds in San Diego County under for-profit LLC ownership, and its nurse staffing sits at 5.34 hours per resident day, roughly 38% above the national average of 3.86. That's a real margin, though weekends dip about 16% below the home's own weekday level, so coverage isn't perfectly even across the week. Turnover lands at 45.1%, essentially tracking the national figure of 45.8%. Inspections in February 2025 produced 24 deficiencies, none at the harm or jeopardy level, with one flagged as abuse-related. The health inspection and quality measure ratings each came in at 4 out of 5 stars, while staffing rated 3, a home that scores better on outcomes than on the consistency of its caregiver hours.

Nurse hours

5.33 /day

Staff turnover

55%

Serious cites

0

Ridgeview runs on a lean 45 beds in San Diego, and the staffing numbers are the real story here: 5.33 nurse hours per resident day, roughly 38% above the national average. That's a meaningful cushion, though weekends dip about 16% below the home's own weekday coverage, so ask how that gap gets filled. Turnover sits at 55.1%, nearly ten points above the national rate, which matters because consistent caregivers know residents. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with six fines totaling $33,238 and a recent June 2025 survey. For-profit individual ownership is worth asking about directly.

Nurse hours

3.24 /day

Staff turnover

32%

Serious cites

0

Palma Real runs lean on direct care: 3.24 nurse hours per resident day, roughly 16 percent under the national figure, with weekends dipping about 16 percent below its own weekday staffing. That thin coverage is the main reason its staffing rating sits low even though turnover, at 31.9 percent, beats the national 45.8 percent and suggests a relatively stable crew. The record shows 15 deficiencies with none at harm level, one tied to abuse, and a recent April 2025 inspection. Quality measures and inspections score well; staffing is where the numbers pull the overall picture down, so ask how afternoons and weekends are actually covered before deciding.

Nurse hours

3.19 /day

Staff turnover

21%

Serious cites

0

Paradigm At The Brazos runs lean on nurse staffing, 3.19 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. That's the number to weigh against the home's otherwise strong record: a five-star inspection rating and a five-star quality measure score, with six deficiencies on file and none at the harm or jeopardy level, though one is abuse-related. Staff turnover sits at 21.4%, well below the 45.8% national figure, which matters for consistency of care. The last inspection was recent, in August 2025. If your family member needs steady hands on weekends, ask how the floor is covered then.

Nurse hours

4.33 /day

Staff turnover

49%

Serious cites

0

Garden Terrace Healthcare Center of Houston runs 120 beds under corporate for-profit ownership, and its staffing is the one clear strength: 4.33 nurse hours per resident day, roughly 12% above the national average. But weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the real problem, a 1-out-of-5 health inspection rating, 22 deficiencies with 4 at harm or jeopardy level, and three fines totaling $138,543. Staff turnover sits at 48.9%, above the national 45.8%, meaning nearly half the nursing staff leaves each year. The 5/5 quality measure score reflects resident assessments, not the inspection findings that matter most.

Nurse hours

2.95 /day

Staff turnover

37%

Serious cites

0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

Nurse hours

4.62 /day

Staff turnover

65%

Serious cites

0

Brookdale Galleria runs 4.62 nurse staffing hours per resident day, roughly 20% above the national average, but weekends drop about 15% below its own weekday level. Staff turnover sits at 65.4% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The inspection record shows 27 deficiencies, 5 of them at harm or jeopardy level, plus four fines totaling $78,844; the last inspection was June 2025. Quality measures score well, but a two-star health inspection rating and that turnover number are what pull the overall picture down.

Nurse hours

4.50 /day

Staff turnover

56%

Serious cites

0

Talladega Healthcare Center runs 234 certified beds under corporate ownership, and the staffing numbers are its strongest card: 4.50 nurse hours per resident per day, roughly 17% above the national average of 3.86. That advantage narrows on weekends, when hours drop about 13% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 56.1% against a national 45.8%, so caregivers change over more often than average. The inspection record shows 9 deficiencies with none at the harm level and none abuse-related, but the last full inspection was March 2022, so the picture is more than three years old.

Nurse hours

4.20 /day

Staff turnover

51%

Serious cites

0

Self Skilled Nursing & Rehab runs 131 certified beds in Hueytown, and the staffing number is the genuine bright spot here, 4.20 nurse hours per resident day, roughly 9% above the national average, and it earns a 4-out-of-5 staffing rating from CMS. Look closer and the picture complicates. Weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 51.1% against a national average of 45.8%. What pulls the overall picture down is the inspection history: a 1-out-of-5 health inspection rating, 20 deficiencies on the current record, and a last inspection date of March 2021, meaning that record is now years old. None of those deficiencies were flagged at the harm or jeopardy level, and none were abuse-related.

Nurse hours

4.07 /day

Staff turnover

54%

Serious cites

0

Canterbury Health Care Facility runs 137 certified beds in Phenix City under corporate for-profit ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 6% above the national average of 3.86. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday levels, and staff turnover runs at 54.2% against a national average of 45.8%, so the people delivering that care are changing often. The current inspection record shows 13 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and the last full inspection was June 2, 2023. Federal ratings put health inspections and quality measures at 2 out of 5 stars each, staffing at 3.

Nurse hours

3.84 /day

Staff turnover

68%

Serious cites

0

Palm Gardens runs about 100 certified beds in Mobile under corporate for-profit ownership, and its last full health inspection was in July 2021, that's a long stretch without a fresh look, which matters because conditions change. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, and the inspection history earns a top federal rating. Staffing sits essentially at the national average for total nurse hours, though weekends run roughly 14 percent thinner than weekdays. The real pressure point is turnover: 68.4 percent annually against a national 45.8 percent, meaning most of the people caring for residents are relatively new to the building.

Nurse hours

— /day

Staff turnover

47%

Serious cites

0

Friendship Village of Tempe runs 128 certified beds as a nonprofit, and its inspection record looks solid on the surface, 4 out of 5 stars, 21 deficiencies, none of them serious enough to cause harm or jeopardy. But the staffing rating sits at just 1 out of 5, which means nurse coverage here runs thin compared to what CMS expects, and that's the number I'd press on when you visit. The abuse-related deficiencies are worth asking about directly, too, 8 on the current record is not nothing. Staff turnover is 46.6%, basically in line with the 45.8% national average, so retention isn't the standout problem. The last inspection was May 2026, so the record is recent.

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Apache Junction Health Center runs 190 certified beds under corporate ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage dips only about 1% below weekdays, so the shortfall isn't a weekend problem; it's the baseline. Annual turnover of 42.6% actually comes in slightly better than the national 45.8%, which matters given how much churn affects daily care. What stands out more is the inspection record: 16 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The most recent inspection was February 2025, so that record is current, not stale. Federal quality measures score well here, but the staffing and health inspection ratings tell a more mixed story.