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

Nurse hours

3.23 /day

Staff turnover

59%

Serious cites

0

Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

Nurse hours

3.15 /day

Staff turnover

31%

Serious cites

0

Hallettsville Nursing and Rehabilitation is run by a hospital district, which usually means steadier oversight than a for-profit chain. The staffing numbers are where it gets shaky: 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends running about 14% thinner than weekdays. That's a 1-out-of-5 staffing rating, and it's the main drag on the scores. Turnover is the bright spot at 31.1%, well below the 45.8% national figure, so the people who are there tend to stay. Inspections turned up 19 deficiencies, one serious enough to involve harm, plus a single $8,824 fine. The most recent visit was January 2026, so the record is current.

Nurse hours

3.03 /day

Staff turnover

25%

Serious cites

0

Cuero Nursing and Rehabilitation Center runs about 3.03 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekends dip another 14% below its own weekday staffing. The good news is turnover: at 24.5%, it's well below the national 45.8%, so the people who are there tend to stay. But 23 deficiencies sit on the current record, two of them at the harm or jeopardy level and one abuse-related, plus a $16,801 fine. The most recent inspection was January 23, 2026, so the picture is current. Low staffing combined with that citation history is what drives the weak grade here, despite solid quality scores.

Nurse hours

3.45 /day

Staff turnover

60%

Serious cites

0

Villa Haven runs on a hospital district's budget in Breckenridge, and the numbers split sharply depending on where you look. Inspections are a genuine strength, a clean record with zero deficiencies at the harm level, zero abuse findings, and a survey completed in March 2026. Quality measures score at the top of CMS's scale too. Staffing tells the other story. At 3.45 nurse hours per resident day, this home sits about 11% under the national average, and weekends drop roughly 13% below its own weekday coverage. Annual turnover is 60%, well above the 45.8% national figure, which means the people caring for your family member are cycling out faster than they can build familiarity with residents.

Nurse hours

2.72 /day

Staff turnover

40%

Serious cites

0

Greenville Gardens runs on 2.72 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the federal staffing rating of 1 out of 5, even as the quality measure rating sits at 5 out of 5. Turnover is 39.6%, better than the 45.8% national average, but the inspection record carries 46 deficiencies, including one at the harm level and four tied to abuse, with $16,206 in fines. The most recent inspection was August 13, 2025. Government hospital district ownership, 103 beds, and staffing that trails the national average by a wide margin, that's the tension here.

Nurse hours

2.96 /day

Staff turnover

27%

Serious cites

0

Golden Years runs a five-star health inspection record, with its most recent survey done in August 2025, and the twelve deficiencies on file include one that caused actual harm and one tied to abuse, isolated problems rather than a pattern of poor care. Staffing is where the tradeoff shows: 2.96 nurse hours per resident day sits about 23% under the national average, weekends run roughly 14% thinner than weekdays, and CMS rates staffing 2 out of 5. Turnover of 26.9% is well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. For-profit corporate ownership, one fine of $8,021.

Nurse hours

3.40 /day

Staff turnover

41%

Serious cites

0

Beacon Harbor runs 190 beds in Rockwall under corporate ownership, and its staffing numbers are the first thing to look at: 3.40 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That gap matters more than the headline number, since care needs don't take weekends off. The inspection record shows 25 deficiencies, three of them at the level where harm or jeopardy was possible, plus two fines totaling $21,817. The last inspection was August 2024. Turnover sits at 41%, slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled. Ask about weekend coverage specifically.

Nurse hours

4.07 /day

Staff turnover

59%

Serious cites

0

The Villages of Dallas runs 160 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86, though weekends drop about 13% below its own weekday level. The bigger concern is turnover: 58.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn shows up in the inspection record, 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $31,303 in fines across two penalties. CMS rated quality measures 5 stars and health inspections 3, but staffing only 2. The last inspection was April 16, 2026.

Nurse hours

3.65 /day

Staff turnover

64%

Serious cites

0

Lawrence Street Health Care Center runs 150 certified beds in Tomball under nonprofit ownership, and its inspection record looks solid on paper: a four-out-of-five health inspection rating, with the most recent survey completed in October 2025. The trouble sits in the workforce numbers. Nurse staffing comes in at 3.65 hours per resident per day, roughly 5% under the national average, and weekends run about 10% thinner than weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which means the aides and nurses your family member sees may keep changing. Twelve deficiencies are on record, one serious enough to involve harm, plus a single fine of $12,740.

Nurse hours

2.51 /day

Staff turnover

39%

Serious cites

0

Brentwood Place Two runs 120 certified beds in Dallas under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 2.51 nurse hours per resident day, it sits about 35% under the national average of 3.86, with weekends dropping roughly 15% below its own weekday level. That thin coverage shows up in the inspection record: 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus a $14,433 fine. The split ratings tell the story plainly, one star for staffing, two for health inspections, yet five for quality measures. Turnover at 39.4% is actually better than the 45.8% national figure, so the problem isn't retention. It's how few hands are scheduled per resident, especially on weekends. Ask about weekend coverage specifically.

Nurse hours

3.45 /day

Staff turnover

61%

Serious cites

0

Stonegate runs 3.45 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly another 12% below its own weekday levels. Staff turnover sits at 61.2% against a national 45.8%, so a lot of the people providing that care are new to the building. The inspection history is more settled, 23 deficiencies on the current record, including three at the harm level and three tied to abuse, plus one fine of $16,801, with the most recent inspection in February 2026. Quality measures look strong on paper, but the daily staffing reality is what families should weigh most.

Nurse hours

3.59 /day

Staff turnover

48%

Serious cites

0

The Clyde W Cosper Texas State Veterans Home in Bonham runs 160 certified beds under state government ownership, and its numbers pull in different directions. Staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays, a pattern families often feel before they see it on paper. Turnover is 48.3%, a few points above the national rate. What stands out more is the inspection record: 47 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $216,749. The last inspection was April 2026. Quality and staffing both score 4 out of 5, but a 1-out-of-5 health inspection rating with that deficiency history is the part worth asking about directly.

Nurse hours

3.31 /day

Staff turnover

41%

Serious cites

0

New Hope Manor runs lean on nursing hours, 3.31 per resident per day, roughly 14% under the national average, and weekends dip about 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. That staffing picture earned only 2 of 5 stars from CMS and sits behind the 21 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $21,648. Turnover is a relative bright spot at 41.3%, better than the 45.8% national figure. The 5/5 quality measure score and a March 2026 inspection show real clinical strengths, but the limited liability ownership and low nurse hours are what pull the result down.

Nurse hours

2.93 /day

Staff turnover

40%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Duval runs on thinner nursing hours than most places, about 2.93 per resident per day against a national average near 3.86, and weekends dip roughly 9% below its own weekday coverage. That staffing picture shows up in the federal stars too, where the home earns just 2 out of 5, even as its quality measures come in at a perfect 5. The inspection record is the harder read: 29 deficiencies, two serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $23,341, with the most recent inspection in April 2025. Turnover, at 40.2%, is actually better than the 45.8% national figure.

Nurse hours

3.08 /day

Staff turnover

39%

Serious cites

0

Focused Care At Westwood runs on thin nursing coverage: 3.08 hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home staffs on weekdays. That gap shows up in the federal staffing rating, which sits at the lowest tier, even as the quality measure score lands at the top. Turnover is 38.9%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each resident gets. Inspections in March 2025 turned up 26 deficiencies, one serious enough to cause harm, though none tied to abuse. The for-profit partnership has real strengths here, consistent staff and strong clinical measures, alongside a staffing level worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

24%

Serious cites

0

Rio Grande City Nursing and Rehabilitation is a 110-bed hospital-district home with a 4/5 inspection rating and a clean record on abuse, no abuse-related deficiencies, just one fine totaling $13,514. The trouble sits in staffing: 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 10% below the home's own weekday level. That thin coverage is why CMS gives staffing only 2/5. What offsets it is retention, 24.2% turnover against a 45.8% national average means the aides and nurses who are there tend to stay. Its last inspection was September 2025, with 17 deficiencies on record, one serious enough to involve harm or jeopardy.

Nurse hours

3.55 /day

Staff turnover

40%

Serious cites

0

Windsor Atrium runs 120 beds in Harlingen under for-profit LLC ownership, and its staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than weekdays. The inspection record is the heavier concern: 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with two fines totaling $23,154 and a 2/5 inspection rating. Staff turnover at 40.2% actually beats the national 45.8%, and the 5/5 quality measure score shows good clinical documentation, but a 1/5 staffing rating alongside those deficiency numbers is what families should weigh most.

Nurse hours

3.25 /day

Staff turnover

41%

Serious cites

0

Windsor Arbor View runs on thinner nursing hours than most homes, 3.25 per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday levels, which is when families tend to notice. The 19 deficiencies on record, including one at the harm level and one tied to abuse, sit alongside a 41.4% turnover rate that's actually a bit better than the 45.8% national figure. The hospital district ownership is worth noting, and the last inspection was recent, in December 2025, so the record reflects current conditions rather than old ones. Quality measures score well; staffing is where the home is weakest.

Nurse hours

3.12 /day

Staff turnover

38%

Serious cites

0

The Springs Healthcare and Rehabilitation runs 120 certified beds in Cedar Park, and the numbers show a home carried by good clinical outcomes but thin daily staffing. Nurses provide 3.12 hours per resident day, roughly 19% below the national average, and weekends dip about 9% below its own weekday coverage, the stretch when families often notice less attention. Its inspection record lists 23 deficiencies, one serious enough to reach harm or jeopardy level, with two fines totaling $21,258; the last inspection was in April 2026, so the picture is fairly current. What offsets this is a 5/5 quality measure rating and turnover at 38.4%, below the 45.8% national figure, suggesting a steadier workforce than many peers.

Nurse hours

3.32 /day

Staff turnover

45%

Serious cites

0

Mid Valley runs on a thinner nursing crew than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That staffing shows up in the numbers: 27 deficiencies on the current record, four of them serious enough to cite harm or jeopardy, and three tied to abuse. Turnover sits near the national mark at 45%, and the hospital district ownership doesn't change what families experience day to day. The quality measure score looks strong, but it's the staffing and inspection record that tells you whether help arrives when someone needs it.