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

Nurse hours

3.82 /day

Staff turnover

50%

Serious cites

0

Royal Park runs 164 beds in Spokane under for-profit LLC ownership, and the staffing numbers sit right at the edge: 3.82 nurse hours per resident day, just under the national average, with weekends about 14% thinner than weekdays and half the staff turning over each year. The bigger issue is the inspection record, 56 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and four fines adding up to $111,830. A recent inspection date of May 2026 means the record is current, not stale. The quality measure scores look strong, but those come from resident assessments, while the harm-level findings and abuse citations come from what surveyors actually saw on site.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

0

Three Rivers Care is a for-profit LLC home in Centralia with 83 beds, and the numbers tell a mostly steady story. Nurse staffing runs 4.27 hours per resident day, about 11% above the national average, but weekends drop roughly 18% below the home's own weekday level, so coverage isn't evenly spread across the week. The inspection record shows 9 deficiencies with none at the harm or jeopardy level, though 2 are abuse-related; the last inspection was November 2025, so the picture is current. A 5/5 inspection rating and 4/5 quality measures sit against a middling 3/5 on staffing, which is worth asking about directly.

Nurse hours

3.67 /day

Staff turnover

35%

Serious cites

0

Crestview Manor runs 72 beds in Jane Lew under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 8% below its own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor. The better news: turnover is 35.4%, well below the 45.8% national figure, and a 4-star inspection rating with the most recent survey in February 2026 suggests the place is being watched closely. The record isn't spotless, 21 deficiencies, one at harm level, and a $42,266 fine, but nothing abuse-related.

Nurse hours

3.98 /day

Staff turnover

58%

Serious cites

0

Pine Crest is county-owned, and that shows up in the numbers in ways both good and mixed. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, though weekends run roughly 14% thinner than weekdays, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The bigger red flag is turnover: 58.3% of staff leave each year, well above the national 45.8%. On paper, the inspection record is solid, a 4-star rating and 16 deficiencies with none at the harm level, but one is abuse-related, which deserves a direct question.

Nurse hours

3.52 /day

Staff turnover

40%

Serious cites

0

Tomahawk Health Services runs 50 certified beds under corporate for-profit ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 13% lighter than weekdays. Turnover comes in at 40%, a bit better than the 45.8% national figure. The part that would give me pause is the inspection record: 25 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated April 1, 2026. Quality measures land mid-range and staffing scores relatively well, but that deficiency count is what stands out.

Nurse hours

3.54 /day

Staff turnover

36%

Serious cites

0

Shawano Health Services runs 100 certified beds under for-profit LLC ownership, and its 3.54 nurse staffing hours per resident day sit about 8% under the national average of 3.86. Weekends drop roughly another 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 35.7% against a national 45.8%, meaning caregivers here tend to stay longer than at the typical home. Inspections produced 12 deficiencies, none at harm or jeopardy level, though one was abuse-related, and the most recent survey came in February 2026. Quality measures rate middle-of-the-road, and staffing earns a similar mark.

Nurse hours

3.44 /day

Staff turnover

38%

Serious cites

0

Wisconsin Dells Health Services runs 90 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86, with weekends dipping about 7% below its own weekday levels. The tradeoff shows up in turnover: 37.5% annually against a national 45.8%, meaning this home loses staff less often than most, even if the hours per resident are thinner. Its 21 deficiencies include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 30, 2026. Quality and staffing each earned 4 of 5 stars; health inspections earned 3.

Nurse hours

5.20 /day

Staff turnover

62%

Serious cites

0

Complete Care At Nazareth runs on a for-profit corporate model with 99 certified beds, and its staffing numbers are the strongest thing going for it: 5.20 nurse hours per resident day, roughly 35% above the national average of 3.86. That's real coverage, though weekend hours dip about 7% below weekday levels, and the staff keeping those hours churn at 61.6% a year against a national average of 45.8%, meaning a lot of the people providing that above-average care are new to the building. The tradeoff shows up in its record: 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $32,443 in fines. Inspectors were last in on April 2, 2026, and the health inspection rating sits at 2 out of 5.

Nurse hours

4.15 /day

Staff turnover

76%

Serious cites

0

Muskego Health and Rehabilitation Center runs 49 beds in Waukesha County under individual for-profit ownership, and its nurse staffing sits about 7% above the national average at 4.15 hours per resident day. That's a real strength, though weekends dip roughly 8% below the home's own weekday levels, and staff turnover hits 75.6% against a national 45.8%, meaning the people caring for your family member are cycling through fast. The inspection record is the bigger concern: 56 deficiencies, one at harm or jeopardy level, and eight tied to abuse, with the most recent inspection in January 2025. A four-star quality measure score doesn't offset that. Visit unannounced, ask about turnover, and read the last inspection report yourself.

Nurse hours

3.51 /day

Staff turnover

44%

Serious cites

0

Granite Rehabilitation and Wellness runs 146 certified beds in Cheyenne under corporate for-profit ownership that changed hands within the past year. Nurse staffing sits at 3.51 hours per resident day, roughly 9 percent under the national average, and weekends drop about 6 percent below the home's own weekday levels. Staff turnover, at 44.3 percent, is close to the national figure, so retention here isn't the outlier. What stands out is the inspection record: 25 deficiencies, three of them serious enough to signal harm or jeopardy, plus one fine of $15,548. A recent inspection date of March 2026 means the picture is current. The staffing star rating of 4 doesn't square neatly with those hours, which land below average, so weigh the inspection findings heavily.

Nurse hours

4.17 /day

Staff turnover

35%

Serious cites

0

Valley Pointe runs 50 beds in Castro Valley under for-profit LLC ownership, and its staffing numbers land above the national average, 4.17 nurse hours per resident day against 3.86 nationally. Weekend coverage dips about 9% below its own weekday level, which is a pattern worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 35.2%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than average. The current record shows 29 deficiencies, one at harm or jeopardy level and none abuse-related, plus a single fine of $10,033. Its last inspection was May 1, 2026.

Nurse hours

4.87 /day

Staff turnover

32%

Serious cites

0

The Rehabilitation Center Of Los Angeles runs 180 certified beds as a for-profit partnership, and its nurse staffing comes in well above average, 4.87 hours per resident day against a national figure of 3.86. Weekend coverage dips only slightly, and turnover of 31.8% is meaningfully lower than the 45.8% national rate. The trouble sits in the inspection record: 68 deficiencies, four at harm or jeopardy level and three tied to abuse, with two fines totaling $61,435. A recent March 2025 inspection and a 4/5 quality measure score don't offset that history. Strong hands-on care, a rough paper trail.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

Nurse hours

3.20 /day

Staff turnover

23%

Serious cites

0

Collinwood runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip even further below its own weekday coverage. That thin floor shows up in the inspection record: 24 deficiencies, three at harm or jeopardy level and five tied to abuse, with a $51,113 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, which matters for continuity of care, and the 4/5 quality measure rating suggests clinical outcomes aren't the weak spot. The church-affiliated nonprofit ownership is a plus. But the last inspection was August 2025, and the staffing math combined with that deficiency count is what drives the low grade.

Nurse hours

3.48 /day

Staff turnover

33%

Serious cites

0

Harlingen Nursing and Rehabilitation Center is a 120-bed hospital-district home where the clinical quality measures look strong, but the inspection record tells a more mixed story. Nineteen deficiencies, including two at the level that caused actual harm or put residents in jeopardy, and a one-time fine of just over $6,000. Nurse staffing sits about 10% under the national average, and weekends run roughly 11% thinner than weekdays, that's when families tend to notice. Turnover is the bright spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces. The last inspection was February 2026, so the record is current.

Nurse hours

3.61 /day

Staff turnover

27%

Serious cites

0

Fort Worth Southwest Nursing Center is a 198-bed hospital-district home where the staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Retention is the bright spot: 27.2% turnover beats the 45.8% national rate by a wide margin, meaning the people who are there tend to stay. Against that, the current inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, plus one fine of $23,923. With a February 2025 inspection, the record is recent enough to take seriously. Strong quality scores, but the care environment carries real risk.

Nurse hours

3.59 /day

Staff turnover

35%

Serious cites

0

Southeast Nursing & Rehabilitation Center is run by a hospital district, which usually signals a public safety-net mission rather than a profit motive. But the inspection record is the story here: 53 deficiencies, five of them serious enough to cause harm, and three tied to abuse, with $204,738 in fines and a one-star health inspection rating. Staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover at 35.4% is actually better than the 45.8% national figure, meaning workers tend to stay, the problem isn't retention, it's how many hands are on deck and how the place performs when regulators show up.

Nurse hours

3.62 /day

Staff turnover

47%

Serious cites

0

San Remo runs 112 certified beds in Richardson under corporate for-profit ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends run about 6% leaner than weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure, so coverage thins out exactly when families tend to visit. The health inspection side is the weak spot: a 2/5 star rating and 34 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. That record was last reviewed in February 2026. Quality measures score well at 4/5, which pulls the overall picture up, but the inspection history is what a family should weigh hardest.

Nurse hours

3.00 /day

Staff turnover

31%

Serious cites

0

Windsor Calallen runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so the gap families notice most may show up on Saturdays and Sundays. The trade-off is stability: turnover sits at 30.8%, well under the 45.8% national figure, which matters when you're counting on familiar faces. Its inspection record shows 29 deficiencies, one tied to abuse and none at the harm level, with a single $4,823 fine. Quality measures score well; staffing does not. This is a government hospital-district home that was inspected in May 2025.

Nurse hours

2.97 /day

Staff turnover

41%

Serious cites

0

Diversicare Of Arab runs on 2.97 nurse hours per resident per day, well under the 3.86 national average, and weekends are thinner still, about 16% below what the home staffs on weekdays. That gap matters most when families visit and when care needs don't pause for the calendar. Turnover sits at 41.2%, a bit better than the 45.8% national figure, so the team is comparatively stable even if it's small. Ten deficiencies appear on the current record, none involving harm or abuse, but the last full inspection was April 2021, more than three years ago. The quality measure score is strong; the inspection history is the part worth asking about directly.