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

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

Signature Healthcare of Norfolk runs 169 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Turnover is 45.4%, basically level with the national rate, so that's not the differentiator here. What stands out is the inspection record: 47 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. The last inspection was July 2023, so that record has had time to age. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

Nurse hours

3.55 /day

Staff turnover

45%

Serious cites

0

Fairfax Rehabilitation and Nursing Center runs 200 certified beds under for-profit LLC ownership, and its staffing numbers are the weak spot. At 3.55 total nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so coverage thins exactly when families tend to visit. The health inspection record shows 60 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $22,957. Staff turnover of 44.8% is roughly in line with the national 45.8%, so retention isn't the outlier here; direct care hours are.

Nurse hours

3.44 /day

Staff turnover

47%

Serious cites

0

Portside Health & Rehab Center runs 132 certified beds in Portsmouth under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing: 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 14% thinner than its own weekdays. Turnover sits at 47.1%, a bit above the national 45.8%. The inspection record carries 46 deficiencies, two of them serious enough to reach harm or jeopardy level, and CMS rated health inspections 2 out of 5 stars. Fines total $8,018 across one penalty, and the most recent inspection was December 12, 2024. Quality measures scored 5 out of 5, which is genuinely strong, but that's the piece least tied to how many hands are actually available on a Saturday.

Nurse hours

3.33 /day

Staff turnover

23%

Serious cites

0

Fair Oaks runs on thin nurse coverage, 3.33 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekdays. That staffing number is worth watching since residents don't stop needing help on Saturdays. The stronger signal here is turnover: 22.6% versus 45.8% nationally, meaning the aides and nurses who are there tend to stay, which matters for consistency of care. But the inspection record is the weak spot, 65 deficiencies on file, a 1-out-of-5 health inspection rating, and the last survey was February 2025. None of those deficiencies rose to harm or jeopardy, and there's no abuse history. A for-profit LLC operates the 155-bed building.

Nurse hours

3.51 /day

Staff turnover

42%

Serious cites

0

Radford Health and Rehab runs 3.51 nurse hours per resident per day, about 9% under the national average, and weekends drop roughly another 10% below its own weekday coverage. That thin margin matters more than the overall numbers suggest, because the home carries 27 deficiencies on its current record, including one at the harm level and one tied to abuse. Turnover sits at 41.6%, which is actually better than the 45.8% national figure, and the quality measure score is strong. But a 2-out-of-5 staffing rating paired with a February 2025 inspection means the clinical outcomes are being achieved with less hands-on time than most homes. Ask about weekend coverage and the abuse deficiency specifically.

Nurse hours

3.59 /day

Staff turnover

39%

Serious cites

0

Chatham Health & Rehabilitation Center runs 85 certified beds under corporate ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on a Saturday. Turnover is 39.1%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse, and fines total $8,018. The last full inspection was March 2024, so the record is reasonably current.

Nurse hours

4.60 /day

Staff turnover

58%

Serious cites

0

August Healthcare At Richmond runs 32 beds under corporate ownership, and its nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, which is genuinely a point in its favor. The catch is consistency: weekend coverage drops about 14% below what the home staffs on weekdays, and annual turnover hits 58.1% against a national average of 45.8%, so the people caring for residents keep changing. Its inspection record shows 25 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus two fines totaling $35,055. The most recent inspection was February 2026. Strong hours on paper, but the record underneath them is what a family should weigh.

Nurse hours

3.88 /day

Staff turnover

53%

Serious cites

0

Port Washington Post Acute runs about 98 certified beds in Bremerton under for-profit LLC ownership, and its staffing sits almost exactly at the national average, 3.88 nurse hours per resident day against 3.86 nationally. That's the good news, and it's thin: weekend staffing drops roughly 9% below its own weekday level, and annual turnover hits 52.5% against a 45.8% national figure. The inspection record is where it gets serious. CMS rates health inspections 1 out of 5, with 118 total deficiencies on the current record, including four at harm or jeopardy level and five abuse-related. Three fines total $131,299, and the home sits in CMS's Special Focus Facility program, reserved for the country's most persistently troubled homes.

Nurse hours

4.01 /day

Staff turnover

64%

Serious cites

0

Bellevue Post Acute runs about 4.01 nurse hours per resident day, which is above the national average, but that number gets thinner on weekends, when staffing drops roughly 14% below its own weekday level. Annual turnover is 63.7%, well above the national 45.8%, so residents are being cared for by a workforce that changes over constantly. The current inspection record carries 72 deficiencies, eight of them abuse-related, though none at the harm or jeopardy level; the health inspection rating of 2 out of 5 reflects that. Quality measures score 5 of 5, staffing 2 of 5. It's a for-profit LLC with 69 beds, most recently inspected January 10, 2026.

Nurse hours

3.39 /day

Staff turnover

33%

Serious cites

0

Cameron Healthcare Center runs 60 certified beds under corporate ownership in Marshall County, and the numbers tell a mixed story. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 11% below the home's own weekday coverage, so the hours aren't just low on paper, they thin out further when families tend to visit. Turnover is the one bright spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stick around longer than average. But the current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $131,164 fine and a March 2026 inspection. The quality measure score looks strong; the staffing and inspection side is where the concern sits.

Nurse hours

2.91 /day

Staff turnover

36%

Serious cites

0

Pierpont Center runs about 2.91 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 9% below its own weekday levels. That thin staffing shows up in the 2-out-of-5 CMS staffing rating. Turnover sits at 35.7%, better than the national 45.8%, so there's some consistency in who's on the floor. What stands out is the record: 60 deficiencies, three tied to abuse, and a 2-out-of-5 inspection rating despite the January 2026 survey being recent. The 5-out-of-5 quality measure score reflects clinical metrics, not hands-on care. A corporation owns it, and one $14,645 fine is on file.

Nurse hours

3.64 /day

Staff turnover

26%

Serious cites

0

North Shore Healthcare At Marshfield runs 120 certified beds under corporate ownership, and its staffing sits at 3.64 nurse hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25.9% against a national 45.8%, meaning aides and nurses here tend to stay. The record isn't clean, though. Eighteen deficiencies are logged, including one at the harm level and one tied to abuse. A March 2025 inspection is recent enough to trust. Quality measures score low; inspections and staffing land mid-range.

Nurse hours

3.54 /day

Staff turnover

38%

Serious cites

0

Lake Mills Health Services is a 50-bed for-profit home in Jefferson County, and the numbers tell a mixed story. Nurse staffing sits at 3.54 hours per resident day, about 8% under the national average, and weekends run thinner still, roughly 6% below its own weekday levels, so care gets leanest exactly when families tend to visit. Turnover is the bright spot: 37.9% against a national 45.8%, which suggests some stability in who's actually on the floor. But the inspection record pulls the other way: 18 deficiencies, one serious enough to reach harm or jeopardy, and a $120,900 fine. The most recent inspection was March 2025, so the picture is current, not stale.

Nurse hours

3.95 /day

Staff turnover

44%

Serious cites

0

Dove Healthcare - Superior runs a for-profit operation with 118 certified beds, and its staffing sits slightly above the national average at 3.95 nurse hours per resident day. But weekends dip about 4% below weekday levels, and annual turnover of 44.2% means a lot of unfamiliar faces. The inspection record is the real concern: 58 deficiencies, including one at the harm level and seven tied to abuse. A March 2025 inspection is recent, and CMS gave just 2 out of 5 stars for both health inspections and staffing. Quality measures earned 3 stars. If you're considering this home, ask pointed questions about the abuse-related findings and how they've changed hands-on care since that last visit.

Nurse hours

2.69 /day

Staff turnover

20%

Serious cites

0

Mount Miguel Covenant Village runs lean on nursing hours, 2.69 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main reason its CMS staffing rating sits at the bottom of the scale, even though the home is church-affiliated and nonprofit. Where it looks steadier: staff turnover of 19.7% is well under half the national rate, inspections are recent and produced no deficiencies at the harm level, and its health inspection and quality measure ratings both land at 4 out of 5. Twenty-eight deficiencies total and one abuse-related finding are on the record, so ask about that directly before deciding.

Nurse hours

3.99 /day

Staff turnover

32%

Serious cites

0

Nurse staffing at El Centro Post-Acute Care sits at 3.99 hours per resident day, just above the national average of 3.86, but weekends drop roughly 8% below the home's own weekday level, so coverage thins when families tend to visit. Turnover of 31.7% is well below the national 45.8%, which suggests a relatively stable workforce. Against that, the record shows 51 deficiencies, including one at the harm level and one abuse-related citation, plus two fines totaling $10,254. The last inspection was September 2024. For-profit, limited liability ownership, 123 beds.

Nurse hours

4.10 /day

Staff turnover

47%

Serious cites

0

City Creek Post Acute runs a 99-bed for-profit operation in Sacramento, and the staffing picture is more mixed than the headline number suggests. Total nurse hours come in at 4.10 per resident day, about 6% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, so the care your family member gets on a Saturday may look thinner than what the tour showed. Staff turnover sits at 47.2%, slightly worse than the national rate, and the current record carries 39 deficiencies, including three tied to abuse and one at the harm level. Three fines total $26,497. The most recent inspection was October 2024.

Nurse hours

4.13 /day

Staff turnover

45%

Serious cites

0

Westgate Gardens runs 140 beds in Visalia, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 6% below its own weekday levels. Turnover lands at 45.3%, essentially matching the national figure of 45.8%, so retention here isn't unusually bad or unusually good. What stands out is the inspection record: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a $10,317 fine attached. The last inspection was February 2025, so the record is current. Strong quality-measure scores sit alongside that history, worth asking about directly when you visit.

Nurse hours

4.58 /day

Staff turnover

37%

Serious cites

0

Castle Manor runs about 4.58 nurse hours per resident day, roughly 19% above the national average, though weekends drop about 13% below its own weekday levels, worth asking about if your family visits then. Staff turnover sits at 37.4%, better than the 45.8% national figure, which matters for continuity of care. The home carries 25 deficiencies on its current record, one at the harm level, with a single fine of $10,188 and no abuse findings. Its last inspection was March 2025, and it's owned by a for-profit limited liability company.

Nurse hours

3.94 /day

Staff turnover

21%

Serious cites

0

Sunrise Post Acute has a staffing edge worth noting: 3.94 nurse hours per resident day, slightly above the national average, and turnover at 21.3%, less than half the national rate of 45.8%, which suggests a stable crew. Weekends dip about 8% below weekday coverage, so care can thin out when families visit most. The problem is everything that happened inside those hours. Fifty deficiencies on the current record, four of them at harm or jeopardy level, five tied to abuse, and two fines totaling $76,434. The last inspection was September 2025. Strong quality scores and good retention don't offset that inspection history, the people are there, but the system around them keeps failing.