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

Nurse hours

2.33 /day

Staff turnover

26%

Serious cites

0

Regent Park Care Center runs on 2.33 nurse staffing hours per resident day, about 40% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the home's inspection and quality scores come in at 4 and 5. Turnover is the bright spot: 25.9% against a national 45.8%, so the aides and nurses who are there tend to stay. The record isn't clean, though, five deficiencies, including one involving harm or jeopardy and two tied to abuse, plus two fines totaling $14,837. Its last inspection was November 2024.

Nurse hours

3.57 /day

Staff turnover

32%

Serious cites

0

Douglas Manor runs on a for-profit LLC model with 90 certified beds, and its inspection record is the loudest thing here: 57 deficiencies on file, including eight tied to abuse and one that rose to actual harm or jeopardy. That's a lot of citations for a home this size, and the one-star health inspection rating reflects it. Staffing is the counterweight, 3.57 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 8% below weekdays, but turnover at 31.7% beats the 45.8% national figure, meaning the crew tends to stay. Most recent inspection was April 2025.

Nurse hours

3.01 /day

Staff turnover

34%

Serious cites

0

Autumn Lake Healthcare at Cromwell runs lean on nursing hours: 3.01 per resident per day, roughly 22% under the national average, with weekends about 7% thinner than weekdays. That gap shows up in the staffing star rating, which sits at 2 out of 5. Turnover, though, is a genuine bright spot at 34.2% against a national 45.8%, a more stable crew than most. The inspection record holds 26 deficiencies, two tied to abuse, but none at harm or jeopardy level, and one fine of $16,350. The last full inspection was July 2024, so the picture is reasonably current. Quality measures score well; staffing is where the shortfall lives.

Nurse hours

3.26 /day

Staff turnover

30%

Serious cites

0

Autumn Lake Healthcare at Norwalk is a 150-bed for-profit home owned by an individual, and the staffing numbers are the first thing to look at. At 3.26 nurse hours per resident per day, it runs about 16% under the national average of 3.86, and weekend coverage drops roughly 6% below its own weekday level, that's when families tend to notice. Turnover tells a better story: 29.9% versus a national 45.8%, meaning aides and nurses are staying longer than at most homes. Inspections are the weak spot: 41 deficiencies on the current record, a 2/5 health inspection rating, one $12,834 fine, and a survey as recent as March 2026. None of those deficiencies rose to harm or jeopardy, and there are no abuse findings, so the problems look more like process and documentation than immediate danger.

Nurse hours

3.44 /day

Staff turnover

41%

Serious cites

0

Bel-Air Manor runs on thinner nurse coverage than most homes, 3.44 hours per resident day against a national average of 3.86, and weekends get leaner still, about 8% below what the building staffs on weekdays. Turnover sits at 40.6%, which is actually a bit better than the 45.8% national figure, so the same faces are more likely to stick around. The trouble is the inspection record: 40 deficiencies, including two at the harm level and three tied to abuse, plus a $13,627 fine. A May 2025 inspection means the paperwork is current, but the count itself tells you what surveyors keep finding.

Nurse hours

3.23 /day

Staff turnover

46%

Serious cites

0

Lake Eustis Healthcare and Rehabilitation Center runs about 3.2 nursing hours per resident per day, roughly 16% under the national average, and weekend staffing barely changes from weekdays, so the thin coverage is consistent, not just a weekday problem. Staff turnover sits at 46%, essentially the national rate. What stands out is the gap between ratings: the five-star quality measure score looks strong, but the one-star health inspection rating and 19 deficiencies, two of them serious enough to put residents at harm or jeopardy, tell a different story. Two fines totaling $17,345 are on record, and the last inspection was recent. For-profit, individually owned, 90 beds.

Nurse hours

3.45 /day

Staff turnover

44%

Serious cites

0

Lexington Healthcare and Rehabilitation Center runs 159 beds in Saint Petersburg under for-profit LLC ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $17,345 fine; the last survey was July 2025. Turnover at 43.8% is slightly better than the 45.8% national figure, and the 5/5 quality measure score stands out against a 2/5 on inspections and 2/5 on staffing.

Nurse hours

3.22 /day

Staff turnover

37%

Serious cites

0

Winter Haven Health And Rehabilitation Center runs about 3.22 nurse hours per resident day, roughly 17% under the national average of 3.86, and weekend coverage dips slightly below its own weekday level. That thin margin matters more than the star ratings suggest: 25 deficiencies sit on the current record, though none reached harm or jeopardy and none involved abuse, and a single fine of $4,190 has been assessed. Staff turnover lands at 37.3%, better than the 45.8% national figure, which is a real point in its favor. The last inspection was January 2024. Nonprofit ownership with a clean harm record and steady retention are genuine strengths, the staffing number is where families should focus their questions.

Nurse hours

3.16 /day

Staff turnover

23%

Serious cites

0

Tarpon Bayou Center runs lean on nurse staffing, 3.16 hours per resident day against a national average of 3.86, and weekends dip slightly below its own weekday numbers, which matters if your family visits on Saturdays. What stands out in a good way is the 23.1% turnover rate, roughly half the national figure, so the aides and nurses you meet are more likely to still be there next year. The 24 deficiencies on record include none involving harm or abuse, and the single fine of $10,170 is modest for a 114-bed home. The one-star inspection rating reflects a rough survey history, last visited in April 2024, even as the quality and staffing marks land at three stars each.

Nurse hours

3.42 /day

Staff turnover

34%

Serious cites

0

Vivo Healthcare Wauchula runs about 11% leaner on nursing hours than the typical American nursing home, 3.42 hours per resident day against a national average of 3.86, and weekends dip roughly 5% below what the home itself staffs on weekdays. The turnover picture runs the other way: 34.4% annual staff turnover sits well under the 45.8% national figure, so the people who are there tend to stay. Inspectors logged 23 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last visit in June 2024. Its health inspection and staffing ratings both land at 2 out of 5; quality measures come in at 3.

Nurse hours

3.50 /day

Staff turnover

38%

Serious cites

0

Avante At Lake Worth runs 138 certified beds under corporate for-profit ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.1%, actually better than the 45.8% national figure, and the staffing star rating reflects that relative stability. What pulls the record down is the inspection side: 59 deficiencies on the current record, including one at harm or jeopardy level and two abuse-related, plus three fines totaling $28,275. The most recent inspection was May 30, 2025.

Nurse hours

4.26 /day

Staff turnover

56%

Serious cites

0

Longwood Health and Rehabilitation Center runs 120 certified beds under corporate ownership, and its staffing is genuinely better than most, 4.26 nurse hours per resident day, roughly 10% above the national average, though weekends dip about 8% below its own weekday levels. The trouble is what that staffing is working around. The current inspection record carries 31 deficiencies, two of them at the harm or jeopardy level and one tied to abuse, with $16,801 in fines. Staff turnover sits at 56.2%, well above the 45.8% national average, which means the people delivering that above-average care are cycling out fast. The last inspection was October 2025.

Nurse hours

3.42 /day

Staff turnover

57%

Serious cites

0

Siesta Key Health and Rehabilitation Center runs 120 certified beds in Sarasota under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, and weekends dip about 3% below the home's own weekday levels, so coverage is thinnest when families tend to visit. Annual turnover of 57% is well above the 45.8% national figure, meaning a lot of unfamiliar faces. The inspection record carries 26 deficiencies, 8 of them serious enough to involve harm or jeopardy, plus one abuse-related finding and a single fine of $317,977. Quality and staffing each earned 4 stars from CMS, but the last inspection was August 2024.

Nurse hours

3.32 /day

Staff turnover

54%

Serious cites

0

Highlands Lake Center runs 179 beds in Lakeland under corporate for-profit ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average, with weekends dipping about 7 percent below its own weekday levels. That thinner coverage shows up against a 53.5 percent annual turnover rate, well above the 45.8 percent national figure, meaning the people providing care are changing often. The current record carries 32 deficiencies from a March 2024 inspection, though none reached harm or jeopardy and none involved abuse, which matters. The quality measure rating of 4 out of 5 suggests outcomes look better than the staffing and inspection numbers alone would predict, but consistent hands-on coverage is the thing to ask about directly.

Nurse hours

4.00 /day

Staff turnover

40%

Serious cites

0

Sabal Palms runs 244 beds in Largo under for-profit LLC ownership, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 7% below its own weekday levels. Turnover lands at 39.8%, better than the 45.8% national figure, which matters for continuity of care. The concern is the inspection record: 20 deficiencies, including one at the harm level and two tied to abuse, with a 2/5 health inspection rating and the most recent survey from July 2024. Quality and staffing measures both come in at 3/5. Families should ask directly how those abuse-related citations were resolved and what weekend coverage looks like in practice.

Nurse hours

3.72 /day

Staff turnover

46%

Serious cites

0

The inspection record is the first thing you'd want to know about: 28 deficiencies on file, four of them serious enough to cause harm or jeopardy, and two tied to abuse. CMS gives the health inspection side of this home one star out of five. Staffing is also thin, 3.72 nurse hours per resident day against a national average of 3.86, with weekends running about 9% below weekdays, so your Saturday coverage looks lighter than the weekday schedule suggests. Annual turnover sits at 45.7%, essentially matching the national rate. It's a 45-bed for-profit, last inspected in July 2024. The quality measures come in mid-range at three stars, but that's the part of the record least supported by the rest.

Nurse hours

3.37 /day

Staff turnover

34%

Serious cites

0

Gulf Shore Care Center runs 120 certified beds in Pinellas Park under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 4% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the brighter spot: 33.9% against a national 45.8%, which suggests less churn than most homes manage. Inspections in March 2026 turned up 20 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. The staffing and inspection ratings land mid-range at 3 stars each, while quality measures reach 4.

Nurse hours

3.31 /day

Staff turnover

43%

Serious cites

0

Aspire At Evans runs about 14% below the national average on nurse staffing, at 3.31 hours per resident day, and weekends dip further below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 42.9%, slightly better than the 45.8% national figure, which is one of the few numbers here that isn't working against it. The inspection record is the real weight: a 1-out-of-5 health inspection rating, 38 deficiencies including 3 at harm or jeopardy level and 2 tied to abuse, plus $50,028 in fines across three penalties. If you're weighing this one, ask directly how those harm-level citations were resolved.

Nurse hours

3.37 /day

Staff turnover

55%

Serious cites

0

Aviata At Shoal Creek runs 120 beds in Crestview under for-profit LLC ownership, and the staffing numbers are the part I'd want you to sit with. Total nurse coverage sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below what the home itself staffs on weekdays. Turnover is 54.5%, nearly nine points above the national figure, so the aides and nurses in the building keep changing. The inspection record is more settled: 14 deficiencies on file, including four at harm or jeopardy level and one tied to abuse, though the most recent look was January 2026. Quality measures score well. Ask about weekend coverage and who's actually on the floor.

Nurse hours

3.69 /day

Staff turnover

70%

Serious cites

0

The 96-bed for-profit home on the Pinellas County side of St. Petersburg carries a 1-out-of-5 health inspection rating, with 40 deficiencies on its current record, four of them abuse-related, none at the harm or jeopardy level. That's a heavy paper trail, and the most recent inspection came in July 2025. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% lighter than weekdays, so coverage thins exactly when families visit. The number that stands out most is turnover: 70% annually against a national 45.8%. Nearly three-quarters of the nursing staff leaving in a year is a lot of churn around residents who need consistency.