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

Nurse hours

3.21 /day

Staff turnover

31%

Serious cites

0

Heritage Hall King George runs on 3.21 nurse hours per resident day, roughly 17 percent under the national average of 3.86, and weekend coverage drops about 18 percent below its own weekday levels, so the thinnest shifts land when families tend to visit. The inspection record is where the real concern sits: 53 deficiencies, three of them at harm or jeopardy level and one abuse-related, with four fines totaling $63,359 and no health inspection since September 2022. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention. A 4/5 on quality measures means the care processes look good on paper, but a for-profit LLC with that deficiency history and a two-year inspection gap is worth asking hard questions about.

Nurse hours

4.16 /day

Staff turnover

44%

Serious cites

0

Renton Health & Rehabilitation runs 99 certified beds under a for-profit LLC, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, though weekends drop about 16% below its own weekday level. Staff turnover lands at 43.9%, slightly better than the 45.8% national figure. The problems show up elsewhere: 65 deficiencies on the current record, including 2 at harm or jeopardy level and 1 abuse-related, with two fines totaling $256,725. A 2/5 inspection rating against a 4/5 staffing rating tells the story, good daily coverage undermined by uneven weekends and a serious regulatory track record. The last inspection was January 13, 2026.

Nurse hours

3.65 /day

Staff turnover

46%

Serious cites

0

Lewisburg Healthcare Center runs 3.65 total nurse staffing hours per resident day, about 6% under the national average, and weekend coverage drops roughly 17% below its own weekday level, that's the pattern families notice when a Friday admission turns into a quiet Sunday. Turnover sits at 45.7%, essentially matching the national rate, so staffing instability here looks like the industry norm rather than an outlier. The bigger concern is the record: 49 deficiencies, including one at the harm level and two tied to abuse, plus a $16,149 fine. The quality measure score is strong, but that reflects charted care, not the inspection findings. A January 2026 inspection means the picture is current.

Nurse hours

4.85 /day

Staff turnover

35%

Serious cites

0

Apple Valley Care Center runs 99 certified beds under for-profit LLC ownership, and the staffing picture is genuinely strong on paper: 4.85 total nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 17% below weekday levels, so ask how that plays out on a Sunday. Turnover sits at 35.1%, noticeably better than the 45.8% national figure, which matters for continuity. The inspection record is where things get mixed, a 5-star health inspection rating and zero harm-level or abuse-related deficiencies, but 23 deficiencies total and one fine of $8,021. The most recent inspection was December 2025, so the record is current.

Nurse hours

4.36 /day

Staff turnover

—

Serious cites

0

Kings Healthcare & Wellness Center in Hanford runs 4.36 nurse hours per resident day, about 13% above the national average of 3.86, yet CMS still scores its staffing at the lowest level, largely because weekend coverage drops roughly 9% below what the home provides on weekdays. The inspection record is heavier than the star ratings suggest: 23 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, plus one fine of $8,824, with the most recent inspection on January 16, 2025. Ownership is for-profit, individual. Strong marks on health inspections and quality measures sit alongside a thin staffing picture and a deficiency count that a family should ask about directly.

Nurse hours

2.77 /day

Staff turnover

41%

Serious cites

0

Focused Care At Hamilton runs on a thin nursing staff: 2.77 hours per resident per day, roughly 28 percent below the national average, and weekends drop about 20 percent below what the home itself staffs on weekdays. That's the number that matters most, and it's why the federal staffing rating comes in at 1 out of 5. What keeps the place from looking worse is its record elsewhere, a 5/5 inspection rating with the most recent survey in September 2025, only 8 deficiencies on file and none involving harm, jeopardy, or abuse. Annual turnover of 41.4 percent actually sits below the national rate, so the problem isn't churn so much as how few hours each resident gets.

Nurse hours

3.13 /day

Staff turnover

39%

Serious cites

0

Gulf Pointe Plaza in Rockport runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends drop about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover of 38.7% actually beats the national 45.8%, meaning the aides who are there tend to stay. The clinical side looks steadier: a 5/5 quality measure rating and a 4/5 inspection rating, with 12 deficiencies on record, none involving harm or abuse, and the last inspection was March 2026. For-profit corporate ownership, 120 beds. The tradeoff is clear, good outcomes and recent, clean inspections, but fewer hands per resident than most homes.

Nurse hours

3.24 /day

Staff turnover

—

Serious cites

0

Legacy Rehabilitation And Living runs 150 certified beds in Amarillo under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record shows 23 deficiencies, including one at the harm level and two tied to abuse, with a single $13,070 fine. Its quality measure stars are strong, but that score reflects resident data, not the hands available to help.

Nurse hours

3.29 /day

Staff turnover

39%

Serious cites

0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

Nurse hours

3.30 /day

Staff turnover

36%

Serious cites

0

Stallings Court runs lean on nurse staffing, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and notice things. The good news: turnover sits at 36%, better than the 45.8% national average, and the inspection record is clean where it counts, 25 deficiencies total, but none at harm or jeopardy level and none abuse-related. A February 2026 inspection is recent enough to trust. For-profit LLC ownership with 120 beds. Families should ask who's on the floor on weekend evenings.

Nurse hours

3.88 /day

Staff turnover

57%

Serious cites

0

Citrus Heights Respiratory And Rehabilitation runs 204 beds under corporate ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 3.88 hours per resident day, essentially matching the national average of 3.86, but weekends drop about 12% below the home's own weekday levels, so care thins out exactly when families tend to visit. Staff turnover hits 57%, well above the 45.8% national figure, which means familiar faces are hard to keep. The current inspection record shows 27 deficiencies, including one at the harm level and eight tied to abuse. A recent March 2026 inspection and strong quality measure scores offset some of that, but the thin weekend coverage and inspection history are what families should weigh.

Nurse hours

3.43 /day

Staff turnover

58%

Serious cites

0

Sun City Post Acute runs on thinner staffing than most homes its size, 3.43 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below what it manages during the week. Turnover sits at 58.1%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. The current inspection record carries 33 deficiencies, including one at the harm level and two tied to abuse. CMS rates its quality measures 5 out of 5, but that score reflects resident health outcomes, not the eyes-on-care problems a March 2024 inspection found.

Nurse hours

3.23 /day

Staff turnover

56%

Serious cites

0

The Springs of Avalon runs 85 beds as a for-profit LLC, and its nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends dip about 11 percent below its own weekday coverage, and annual turnover is 56.3 percent against a national 45.8 percent, so the aides and nurses your family sees may change often. The inspection record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $8,416; the last inspection was February 27, 2025. Quality measures score well, though the staffing and inspection stars land in the middle.

Nurse hours

3.91 /day

Staff turnover

61%

Serious cites

0

Conway Healthcare and Rehabilitation Center sits just above the national average for nurse staffing, at 3.91 hours per resident day, but that margin is thin and weekend coverage drops about 13% below its own weekday level. Staff turnover is the bigger issue: 60.7% annually, well above the 45.8% national average, meaning the people caring for residents are cycling through fast. The 23 deficiencies on record include one at the harm or jeopardy level and one abuse-related, with a $25,483 fine attached. A 5/5 quality measure rating and a recent August 2025 inspection are real positives, but the inspection history and turnover numbers are what families should weigh most heavily here.

Nurse hours

3.69 /day

Staff turnover

—

Serious cites

0

The Springs of Pine Bluff runs 103 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, with weekends running roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The health inspection record shows 19 deficiencies, none flagged at harm or jeopardy level and none abuse-related, though the two-out-of-five inspection and staffing stars suggest the day-to-day operation has recurring gaps. The last inspection was June 20, 2025, so the picture is recent. Quality measures rate slightly better at three stars. If you're considering this home, ask specifically how weekend nurse coverage is handled.

Nurse hours

3.94 /day

Staff turnover

68%

Serious cites

0

Robinson Nursing and Rehabilitation Center runs 110 beds in North Little Rock under for-profit LLC ownership, and its nurse staffing sits just above the national average at 3.94 hours per resident day. That margin is thin, though, and weekends drop about 6% below the home's own weekday levels, so coverage gets leaner right when families tend to visit. The bigger number to sit with is turnover: 67.6% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. State inspectors last visited in January 2025 and logged 27 deficiencies, none involving harm or abuse.

Nurse hours

3.67 /day

Staff turnover

71%

Serious cites

0

A recent inspection at Rector Nursing and Rehab came back clean enough for top marks on health inspections and quality measures, which tells you the clinical care itself has been holding up. The staffing picture underneath is thinner: 3.67 nurse hours per resident day, under the national average, with weekends running about 14 percent leaner than weekdays. Annual turnover of 70.6%, well above the 45.8% national figure, means the people caring for residents are frequently new. Six deficiencies are on record, one serious enough to involve harm, plus a $14,069 fine. Strong inspection scores and a churning workforce can both be true at once; the question is whether consistency holds when staff keep changing.

Nurse hours

4.01 /day

Staff turnover

51%

Serious cites

0

Belvedere runs 4.01 nurse hours per resident day, a bit above the national average, and its quality measure score is genuinely strong. The problems sit elsewhere. Seventeen deficiencies on the current record, three of them serious enough to involve harm or jeopardy, have drawn two fines totaling just over $206,000, real money, and a signal that inspectors found repeated issues rather than one bad day. Staff turnover is 50.7% against a national 45.8%, and weekend coverage drops roughly 15% below weekday levels, so the hours in the staffing figure aren't spread evenly across the week. A for-profit LLC with a two-star inspection history is worth asking hard questions about before you decide.

Nurse hours

3.64 /day

Staff turnover

56%

Serious cites

0

Amberwood Health and Rehabilitation runs 101 certified beds in Benton, and it's a for-profit corporation operation. The inspection record is genuinely strong, nine deficiencies on file, none of them at the harm or jeopardy level, none abuse-related, and a survey as recent as January 2026. Quality measures hold up too. Where the picture changes is staffing: 3.64 nurse hours per resident day sits about 6% under the national average of 3.86, weekend coverage drops roughly 14% below its own weekday level, and annual turnover runs 56% against a national average of 45.8%. That gap between how the place scores on care outcomes and how thin the daily coverage can get is the thing worth asking about directly.

Nurse hours

4.12 /day

Staff turnover

56%

Serious cites

0

River View Post Acute runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That looks decent on paper until you notice weekends run about 7% leaner than weekdays, and annual turnover hits 55.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the bigger concern: 74 deficiencies, including one at harm or jeopardy level and five tied to abuse. CMS scored health inspections 2 out of 5 stars, and the last survey was December 19, 2025. Quality measures rate 4 stars, but that's the softer side of the picture.