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

Nurse hours

3.43 /day

Staff turnover

49%

Serious cites

0

Heritage Hall-Blackstone runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the part I'd pay closest attention to. At 3.43 nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends drop about 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.3% tops the national 45.8%, meaning the people caring for your relative are likely to change. Its current record shows 33 deficiencies, none at harm or jeopardy level but two tied to abuse. The last inspection was May 2023, so that picture is getting old.

Nurse hours

3.47 /day

Staff turnover

23%

Serious cites

0

Clarkston Health and Rehab of Cascadia runs 90 certified beds under for-profit LLC ownership, and the staffing picture is mixed. At 3.47 nurse hours per resident day it sits about 10% under the national average of 3.86, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. What stands out more is retention: 22.5% annual turnover against a national average of 45.8% means this building keeps its nurses far better than most. The trouble is the inspection record, 53 deficiencies, 2 at harm or jeopardy level, 7 abuse-related, and a $32,711 fine, with the most recent look in August 2025. Strong quality scores and weak inspection history rarely tell the same story.

Nurse hours

3.93 /day

Staff turnover

33%

Serious cites

0

Americana Health and Rehabilitation runs 74 certified beds in Longview, and its nurse staffing sits just above the national average, 3.93 hours per resident day against 3.86. That margin is thin, and weekends dip roughly 15% below the home's own weekday coverage, so the question of when you visit matters. Staff turnover is 33.3%, well below the 45.8% national figure, which suggests people tend to stay. The trade-offs show up elsewhere: 20 deficiencies on record, one at harm or jeopardy level and two tied to abuse, plus a 2/5 quality measure rating against 4/5 for inspections and staffing. Ownership is for-profit corporate, and the most recent inspection was November 2025.

Nurse hours

3.37 /day

Staff turnover

40%

Serious cites

0

Seneca Trail runs 3.37 nursing hours per resident day, roughly 13 percent under the national average, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage shows up in the inspection record: 38 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,949 fine. Turnover at 40.3 percent is actually a little better than the 45.8 percent national figure, so the problem looks less like retention and more like how many hands are scheduled at once. The 5/5 quality measure score stands out against a 2/5 on both staffing and health inspections, which is worth asking about directly.

Nurse hours

3.90 /day

Staff turnover

60%

Serious cites

0

Wood Aven's 3.90 nurse hours per resident day barely clears the national average of 3.86, roughly one percent, so its four-star staffing rating rests on thin ground. The bigger concern is turnover at 60.2%, well above the 45.8% national figure, and weekend staffing that drops about 16% below weekday levels, which matters most when families visit and residents need consistency. The inspection record shows 17 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey dated April 1, 2026. Quality measures score well, but a for-profit limited liability company with that turnover and those abuse-related findings is worth asking hard questions about before deciding.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Good Shepherd Health Care Center of Santa Monica is a 48-bed for-profit home where the clinical outcomes look strong but the hands-on care doesn't match. Its quality measure rating sits at the top of the scale, yet staffing lands at the very bottom, meaning the numbers families care about most, like how often residents are bathed or helped to the bathroom, depend on a thin crew. The inspection record backs that up: 48 deficiencies, including one causing actual harm and two tied to abuse, with a $8,424 fine and a February 2026 inspection that's recent enough to still reflect current conditions. A corporation owns it, so decisions about staffing levels get made somewhere other than Santa Monica.

Nurse hours

3.19 /day

Staff turnover

38%

Serious cites

0

Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.

Nurse hours

2.95 /day

Staff turnover

—

Serious cites

0

La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.

Nurse hours

3.59 /day

Staff turnover

38%

Serious cites

0

Treasure Hills runs leaner on nursing hours than the typical American nursing home, about 3.59 hours per resident per day against a national average near 3.86. Weekends are where that gap widens most: staffing drops roughly 16% below the home's own weekday level, so Saturday and Sunday coverage looks noticeably thinner than midweek. Turnover sits at 37.7%, which is actually better than the 45.8% national figure, meaning the crew it does have sticks around longer than most. The inspection record is mixed, a recent December 2025 survey, no deficiencies flagged at harm or jeopardy level, but 24 total findings and five tied to abuse. Corporate-owned, 120 beds.

Nurse hours

2.80 /day

Staff turnover

40%

Serious cites

0

Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.

Nurse hours

3.18 /day

Staff turnover

36%

Serious cites

0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

Nurse hours

3.93 /day

Staff turnover

44%

Serious cites

0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

Nurse hours

3.40 /day

Staff turnover

46%

Serious cites

0

Heritage House runs about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekend coverage drops another 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 46 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, sit alongside a 2-out-of-5 inspection rating, though the quality measure score of 4 suggests the clinical numbers they report look better than the inspection history does. Turnover at 46.3% is essentially the national rate, meaning staffing churn isn't unusually bad here, just the raw hours that fall short.

Nurse hours

4.19 /day

Staff turnover

54%

Serious cites

0

The Center At Grande has a clean recent inspection record, 9 deficiencies, none at the harm level, with the most recent survey in March 2025. Its 5-star inspection and quality ratings back that up. But look at staffing: the 1-star rating reflects 54.2% annual turnover, well above the 45.8% national average, and weekend coverage drops about 20% below weekday levels even though overall nurse hours (4.19 per resident day) sit above the national figure. One abuse-related deficiency is on the record too. For-profit, LLC-owned. The care may be decent on paper, but consistent staffing is the question worth asking when you visit.

Nurse hours

4.82 /day

Staff turnover

62%

Serious cites

0

Shelby Ridge runs nurse staffing at 4.82 hours per resident day, roughly a quarter above the national average, and that's the main reason it holds up. The catch is weekends, when coverage drops about 12% below its own weekday level, and turnover at 62.4% sits well above the 45.8% national figure, so the people providing that above-average care are cycling out fast. Seven deficiencies on record with none reaching harm or jeopardy, and no abuse findings, but the last full inspection was June 2022. With quality measures scoring low, the staffing edge looks like the strongest thing here, and it comes with a retention problem worth asking about.

Nurse hours

2.85 /day

Staff turnover

39%

Serious cites

0

Haven Of Saguaro Valley runs lean on nursing hours, 2.85 per resident day against a national average of 3.86, roughly a quarter below it, with weekends dipping about 13% under its own weekday levels. That thin coverage is the main thing pulling its staffing picture down, even though turnover at 38.8% actually beats the 45.8% national figure, meaning the nurses who are there tend to stay. The inspection record is solid: 18 deficiencies on file, none at the harm or jeopardy level, and its last survey was recent, in May 2025. Three abuse-related citations stand out as worth asking about directly.

Nurse hours

3.61 /day

Staff turnover

44%

Serious cites

0

Yuma Nursing Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.61 hours per resident per day, roughly 7% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so afternoon and Saturday shifts are where you'd feel the squeeze. Turnover lands at 44.4%, a hair under the national 45.8%, which is unremarkable rather than reassuring. The current inspection record shows 22 deficiencies with none at harm or jeopardy level, though 9 are abuse-related, a category worth asking about directly. The last full inspection was June 2023. Quality measure scores are weak even as the health inspection rating holds at 4 of 5.

Nurse hours

3.13 /day

Staff turnover

41%

Serious cites

0

Park Avenue runs 200 beds in Tucson under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 23 deficiencies, including one at the harm level and three tied to abuse, plus a $25,116 fine. Turnover at 41.4% is slightly better than the 45.8% national figure, and the most recent inspection was August 2025. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

Nurse hours

2.63 /day

Staff turnover

42%

Serious cites

0

Mountain View Care Center runs 120 certified beds in Tucson under for-profit LLC ownership, and its staffing is the number that stands out: 2.63 nurse hours per resident day, roughly a third below the national average of 3.86. Weekends drop another 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 42.3%, slightly better than the 45.8% national figure, and the home's quality measure rating is strong. But 23 deficiencies on the current record, 5 tied to abuse, with a June 2025 inspection mean you should read the actual reports and ask how weekend coverage is handled before deciding.

Nurse hours

4.31 /day

Staff turnover

41%

Serious cites

0

Haven Health Sky Harbor runs 120 certified beds under for-profit LLC ownership in Phoenix, and its staffing numbers cut two ways. Total nurse coverage sits at 4.31 hours per resident day, roughly 12 percent above the national average, but weekends dip about 7 percent below the home's own weekday levels. Turnover lands at 41.1 percent, better than the 45.8 percent national figure. The trouble is the inspection record: 36 deficiencies, including five tied to abuse, with the most recent visit on November 13, 2025. Federal inspectors rated health inspections and staffing each 1 out of 5, while quality measures scored 5 out of 5. That gap between how the place reports care and how it's actually surveyed is the whole story.