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

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

Pecan Bayou runs about 3.34 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. That thinner weekend staffing matters most for a 90-bed corporate-owned home, even though turnover at 43.9% is slightly better than the 45.8% national figure. The health inspection record is strong, with a 4/5 star rating and its most recent survey done in August 2025. But nine deficiencies are on file, two of them at harm or jeopardy level, and one fine totaling $48,415. Quality measures score 5/5, yet none of that erases the staffing shortfall or those two serious findings.

Nurse hours

3.55 /day

Staff turnover

41%

Serious cites

0

Georgetown Nursing and Transitional Care is a nonprofit home with 142 beds, and its staffing is the weak spot. At 3.55 nurse hours per resident day, it runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 41.3 percent, a bit better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The inspection record is mixed: 16 deficiencies, including one at the harm level and three related to abuse, with a single $8,281 fine. The most recent inspection was April 30, 2025, so the picture is current. Quality measures score well; staffing is where the concern lies.

Nurse hours

6.31 /day

Staff turnover

34%

Serious cites

0

Nurse staffing at this Tyler home runs 6.31 hours per resident day, about 64% above the national average, and 33.6% of staff left last year against a national 45.8%, that's a real edge in keeping people. Weekends drop roughly 13% below weekday coverage, so ask how weekends are actually covered. The inspection record is where it gets harder: 17 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $214,759. Quality measures score 2 of 5. The last inspection was June 2025, so the record is current, not stale. Strong floor staff, thinner weekends, and a serious citation history worth asking about directly before you sign anything.

Nurse hours

3.72 /day

Staff turnover

50%

Serious cites

0

Wetumpka Health and Rehabilitation runs 121 certified beds under corporate for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends drop about 17% below the home's own weekday staffing, and annual turnover hits 50% against a national 45.8%, so the same faces aren't always there. The inspection record shows 18 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the health inspection star rating is 1 out of 5. The last inspection was December 7, 2023, so that record has had time to age. Quality and staffing measures both rate 3 out of 5.

Nurse hours

3.12 /day

Staff turnover

47%

Serious cites

0

Diversicare Of Big Springs runs 145 certified beds in Huntsville under corporate for-profit ownership, and its inspection record is genuinely clean, nine deficiencies on file, none rising to harm or jeopardy, none tied to abuse. That matters more than most families realize, since a quarter of homes nationally carry at least one serious citation. The staffing picture is more mixed. At 3.12 nurse hours per resident day, direct care sits roughly 19% under the national average, and weekends drop another 18% below the home's own weekday levels. Turnover at 47.1% edges past the national rate, meaning CNAs and nurses cycle through. One caveat: the last full inspection was January 2022, so that clean record is nearly three years old now.

Nurse hours

3.63 /day

Staff turnover

64%

Serious cites

0

Timberland Health And Wellness Center runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 21% below its own weekday staffing. Those gaps land against a 64.2% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside are often new to the building, which matters most on weekends when coverage thins. The inspection history is genuinely strong: a 5/5 star rating on health inspections, five deficiencies on record, none at the harm level. But that last inspection was March 2021. State surveyors haven't walked this building in over four years, so the clean record is old.

Nurse hours

3.95 /day

Staff turnover

50%

Serious cites

0

South Haven runs on a for-profit, individually owned model with 101 certified beds, and its nurse staffing sits at 3.95 hours per resident day, just slightly above the national average of 3.86. That edge narrows on weekends, when coverage drops about 22% below weekday levels, so the weekday-to-weekend gap is worth asking about directly. Staff turnover lands at 50% against a national average of 45.8%, meaning roughly half the nursing team turns over in a year. The current record shows 12 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Three stars on health inspection and two on quality measures point to room for improvement, while the last inspection dates to July 2022.

Nurse hours

3.89 /day

Staff turnover

58%

Serious cites

0

Park Manor runs about 152 certified beds in Northport under for-profit limited liability ownership, and its nurse staffing sits just barely above the national average, roughly one percent. That margin is thin, and weekends tell a bigger story: staffing drops about 19% below the home's own weekday levels, which is when families tend to visit and notice. Annual turnover of 57.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. The health inspection record shows 11 deficiencies, none at harm level and none abuse-related, but the last inspection was August 2021, a long stretch without a fresh look.

Nurse hours

3.60 /day

Staff turnover

42%

Serious cites

0

Bridgeway runs a corporate-owned, 86-bed building in Phenix City, and the numbers are middling across the board, three stars each for inspections, quality measures, and staffing. Total nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends run about 23% thinner than weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover at 41.9% is slightly better than the national 45.8%, so leadership isn't churning worse than most. Six deficiencies on record with none tied to harm or abuse is a relatively clean sheet, though the last inspection was January 2020, over four years ago, so that record is aging.

Nurse hours

3.97 /day

Staff turnover

44%

Serious cites

0

Oaks On Parkwood has enough nurses. At 3.97 hours per resident day, staffing sits slightly above the national average, and CMS gives it top marks there, a rare bright spot. But that same federal data flags real problems: 20 deficiencies on the current record, including one at the harm level and three tied to abuse. The last full health inspection was in May 2021, so that record is years old now. Weekend coverage drops about 16% below weekday levels, and turnover runs near the national rate. As a nonprofit, it answers to a board rather than shareholders, but the inspection history is what a family should weigh here.

Nurse hours

4.18 /day

Staff turnover

53%

Serious cites

0

The numbers here tell a mixed story. Staffing sits at 4.18 nurse hours per resident day, roughly 8% above the national average, which is genuinely good, but weekends run about 24% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Annual turnover of 53.2% means more than half the nursing staff leaves each year, against a national average near 46%, and that churn matters more than raw hours when it comes to knowing your mother's habits and preferences. Eighteen deficiencies sit on the record, though none rose to harm or jeopardy, and none involved abuse. The last inspection was February 2022, over three years ago, so that record is aging.

Nurse hours

4.28 /day

Staff turnover

70%

Serious cites

0

Lakewood Health and Rehab runs 85 beds in North Little Rock under for-profit LLC ownership, and its inspection record is the strongest thing going for it: 26 deficiencies on file, none of them at the harm or jeopardy level and none abuse-related, with a fresh survey from September 2025. Direct-care hours land at 4.28 per resident day, about 11% above the national average, though weekend coverage drops roughly 16% below the home's own weekday level, a gap worth asking about. The number that gives me pause is turnover: nearly 70% of nursing staff leaving annually against a national average near 46%, which is how a building can pass inspections and still feel short-staffed to families.

Nurse hours

3.91 /day

Staff turnover

—

Serious cites

0

Lake Forest Senior Living runs 70 beds in Mountain Home under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, just barely above the national average of 3.86. That thin margin doesn't hold up on weekends, when coverage drops roughly 10% below the home's own weekday levels. The current record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 3-out-of-5 on health inspections and the same on quality measures puts it mid-pack, and the staffing star tells a similar story. The last inspection was August 2025, so the picture is recent. Families should ask directly how weekend coverage is handled.

Nurse hours

4.10 /day

Staff turnover

—

Serious cites

0

Tulare Healthcare & Wellness Center runs 97 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average. That headline number looks reassuring until you notice weekends run roughly 8% leaner than weekdays, which is when families tend to visit and when problems often surface. The inspection record is the bigger concern: 72 deficiencies on file, including 4 tied to abuse, though none rose to the harm or jeopardy level. Federal inspectors last visited in March 2026, and CMS rated the health inspection and staffing stars at 2 out of 5 each. Weigh the staffing figure against that deficiency count before deciding.

Nurse hours

4.06 /day

Staff turnover

—

Serious cites

0

Hayward Healthcare & Wellness Center runs 99 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average of 3.86. That's the strongest part of the picture, though weekend coverage drops about 9% below what the home staffs on weekdays. The inspection record is where the numbers get harder to shrug off: 24 deficiencies on the current record, including one at the harm or jeopardy level and one flagged as abuse-related. The last full inspection was July 2023, so that record has had time to age without a fresh look. Worth asking the administrator directly what changed after that harm-level finding.

Nurse hours

3.91 /day

Staff turnover

49%

Serious cites

0

La Jolla Post-Acute runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a percentage point above the national average of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 7% below the home's own weekday levels. Staff turnover is the bigger concern: 49.3% annually against a national average of 45.8%, meaning nearly half the nursing workforce turns over each year. The inspection record shows 43 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2025. Four stars on health inspections but three on staffing tells you the clinical care is holding up better than the workforce stability behind it.

Nurse hours

4.07 /day

Staff turnover

39%

Serious cites

0

Napa Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.07 nurse hours per resident day against a national average of 3.86, with turnover at 38.6% versus 45.8% nationally. That's real, and it shows up in the four-out-of-five staffing star. The problem is what inspections keep finding. Forty-nine deficiencies on the current record, four of them at harm or jeopardy level and one tied to abuse, plus two fines totaling $173,323. Weekends run about 16% lighter than weekdays, so the coverage that looks solid on paper thins out when families visit. Good aides, recurring serious findings, that combination is worth asking about directly before you sign anything.

Nurse hours

4.64 /day

Staff turnover

55%

Serious cites

0

Kit Carson runs a for-profit, 199-bed operation where the nurse staffing numbers look strong on paper, 4.64 hours per resident day, roughly 20% above the national average, but that average hides a weekend dip of about 17%. Staff turnover sits at 54.6%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. The current inspection record is the harder problem: 72 deficiencies, five at harm or jeopardy level, three tied to abuse, and three fines totaling $28,327. The most recent inspection was August 2025, so the findings are fresh.

Nurse hours

4.45 /day

Staff turnover

—

Serious cites

0

River Valley runs 4.45 nurse hours per resident day against a national average of 3.86, which is a real margin in a county where a lot of homes sit under four. That staffing holds up reasonably well on weekends, dipping only about 6% from weekday levels. The tradeoff shows up in the inspection record: 45 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. A recent inspection date of May 2026 means the record reflects current conditions rather than old findings. Know that the state inspected it recently, that nurse coverage is genuinely above average, and that the deficiency count and abuse citations are the things worth asking about directly on a tour.

Nurse hours

4.16 /day

Staff turnover

—

Serious cites

0

San Pablo Healthcare & Wellness Center runs 108 certified beds under corporate ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average. Weekend coverage dips about 8% below its own weekday levels, so the weekday numbers look better than a Saturday actually does. The inspection record is where the picture sours. Forty-three deficiencies are on file, including nine tied to abuse and one serious enough to involve harm or jeopardy. A single fine totaling $10,036 has been levied, and the most recent inspection was June 26, 2025. All three CMS star ratings land at 3 out of 5. Solid staffing, but that abuse count and harm-level finding are what a family should ask about directly.