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

Nurse hours

3.36 /day

Staff turnover

54%

Serious cites

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Pruitthealth-Blythewood sits at 120 certified beds under corporate for-profit ownership, and its recent inspection record is genuinely solid, a four-star health inspection rating with no deficiencies at the harm or jeopardy level, plus a fresh survey from September 2025. The catch is staffing. At 3.36 nurse hours per resident day, it runs about 13 percent under the national average, and weekend coverage drops roughly a fifth below its own weekday level, which matters for families who visit or call on Saturdays and Sundays. Annual turnover of 53.5 percent, well above the 45.8 percent national figure, means the aides and nurses caring for your relative are likely to change often. Two abuse-related deficiencies on the current record deserve a direct question when you tour.

Nurse hours

3.74 /day

Staff turnover

39%

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Donalson Care Center runs 168 certified beds as a nonprofit corporation, and its nurse staffing sits just under the national average at 3.74 hours per resident day. The bigger issue is consistency: weekend coverage drops roughly 15% below what the home staffs on weekdays, so a Saturday shift looks meaningfully thinner than a Tuesday. Turnover is 39.1%, which is actually better than the 45.8% national figure, that's a real strength here. Against that, the current record carries 24 deficiencies, five of them serious enough to involve harm or jeopardy, plus one abuse-related citation. The last inspection was March 2025, so the picture is fairly current.

Nurse hours

3.59 /day

Staff turnover

55%

Serious cites

0

Ahava Healthcare of Clarksville runs 122 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 16% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover hits 54.7% against a national 45.8%, which means caregivers are cycling through faster than average. The inspection record shows 11 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was in April 2026. Quality measures look decent; staffing is where the strain shows.

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Staff turnover

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Monument Healthcare Taylorsville runs 120 beds under for-profit LLC ownership, and the numbers pull in different directions. The quality measure rating sits at 5 out of 5, but staffing is 1 out of 5, well below what you'd want to see, and health inspections come in at 2. The current record shows 25 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $7,525 fine. That combination is worth asking about directly: strong clinical metrics on paper rarely mean much if there aren't enough hands on deck to deliver the care. The last inspection was February 3, 2026, so the picture is recent, not stale.

Nurse hours

3.58 /day

Staff turnover

38%

Serious cites

0

Heritage Hall-Rich Creek runs 120 certified beds in Giles County under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.4%, which is actually better than the 45.8% national figure. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2024. State inspectors rated it 4 out of 5; the federal staffing measure came in at 2.

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Staff turnover

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Puyallup Post Acute has 96 certified beds and a staffing rating of 1 out of 5, the weakest mark CMS gives, and the number that should worry you most if you're touring. Its inspection history shows 54 deficiencies on record, including one tied to abuse, though none rose to the level of actual harm or immediate jeopardy. The good news is the quality measure rating sits at 4 out of 5, which reflects how residents' conditions are tracked and managed, and the last inspection was recent, in September 2025. The split is real: clinical outcomes look decent here, but staffing and the sheer volume of past citations are the parts I'd ask hard questions about.

Nurse hours

2.78 /day

Staff turnover

37%

Serious cites

0

Autumn Lake Healthcare At Beloit runs on thin staffing: 2.78 nurse hours per resident day, roughly 28% under the national average, and weekends drop about 15% below what the home manages on weekdays. The inspection record shows 14 deficiencies, two of them serious enough to involve harm or jeopardy, though none tied to abuse. Turnover sits at 37.3%, which is actually better than the national 45.8%, so the problem isn't retention, it's how few hands are on deck per resident. The last inspection was February 2026. A for-profit limited liability company operates the 120-bed home, and its quality measure score is decent while staffing drags.

Nurse hours

4.32 /day

Staff turnover

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Serious cites

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Highland Park Skilled Nursing and Wellness Center runs 59 certified beds in Los Angeles, and it's a for-profit corporation. Here's the tension worth knowing about: total nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86, which sounds reassuring until you notice weekends drop about 11% below the home's own weekday level. CMS rates staffing just 1 out of 5 stars despite that raw total, and quality measures earn 4 out of 5. The current record carries 53 deficiencies, 2 of them abuse-related, none at harm or jeopardy level, with a health inspection rating of 3 out of 5 and a last visit dated March 2026.

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Staff turnover

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Community Hospital of San Bernardino's skilled nursing unit sits inside a nonprofit hospital, and the numbers show a split personality. Clinical quality measures look good at 4 out of 5 stars, but staffing is a different story, just 1 star, meaning nurse hours per resident fall well below what CMS expects. That gap matters more than the quality score, because staffing is what determines whether anyone answers when your mother presses the call button. The inspection record raises real questions too: 21 deficiencies on file, including two at the harm level and one tied to abuse, along with a $9,110 fine. The most recent inspection was in August 2025, so the picture is current. Ask hard questions about direct-care staffing before you consider this one.

Nurse hours

3.78 /day

Staff turnover

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Serious cites

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Santa Fe Post-Acute runs 187 beds in Vista under for-profit LLC ownership, and its inspection record is the part that stands out: 50 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus a single $64,269 fine. Nurse staffing sits at 3.78 hours per resident day against a national average of 3.86, and weekends run about 5% leaner than weekdays, so coverage thins out exactly when families tend to visit. Inspectors were last in on May 2, 2025, meaning the record is current rather than stale. No abuse findings appear in the data, which matters, but the volume and severity of the health citations are worth asking about directly.

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Staff turnover

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Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.

Nurse hours

3.19 /day

Staff turnover

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Serious cites

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Legend Healthcare and Rehabilitation in Paris runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 43 deficiencies, one serious enough to involve harm or jeopardy, and one fine of $16,149. CMS rated its staffing 2 out of 5 stars and its inspection history 3, though quality measures scored higher at 4. The last inspection was February 5, 2026, so the record is recent.

Nurse hours

4.43 /day

Staff turnover

46%

Serious cites

0

Garrison Nursing Home reports nurse staffing of 4.43 hours per resident day, roughly 15% above the national average, but the weekend tells a different story, running about 20% thinner than its own weekday coverage. That gap matters because weekends are when families often visit and when problems tend to surface. The inspection record shows 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with three fines totaling $52,951. Staff turnover sits at 45.7%, essentially matching the national rate, so continuity of caregivers isn't a strength here either. The most recent inspection was July 30, 2025, so the picture is current. The quality measure rating is solid, but the staffing rating and that deficiency history are what pull the overall picture down.

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

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Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.

Nurse hours

4.40 /day

Staff turnover

58%

Serious cites

0

Gadsden Health And Rehab Center runs 168 certified beds under individual for-profit ownership, and the raw staffing number looks decent: 4.40 total nurse hours per resident day, roughly 14% above the national average of 3.86. The catch is consistency. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 57.7% against a national average of 45.8%, meaning the people covering those weekend shifts are often new. On paper the record is clean: six deficiencies, none at harm or jeopardy level, none abuse-related, with a 4/5 inspection rating. But the last inspection was July 2021, so that rating describes a facility from several years ago.

Nurse hours

3.03 /day

Staff turnover

31%

Serious cites

0

Orchard Rehabilitation & Healthcare Center runs 72 certified beds in Hayneville under corporate for-profit ownership, and its staffing sits at 3.03 nurse hours per resident day, roughly 22 percent under the national average of 3.86, with weekends about 15 percent thinner than weekdays. Turnover is 31.3 percent, well below the national 45.8, so the aides who are there tend to stay. The trouble is the record: four deficiencies, two at harm or jeopardy level and one abuse-related, with the last inspection dated April 2021. A five-star inspection rating on paper is doing a lot of work against a one-star quality measure score and a thin weekend floor.

Nurse hours

3.45 /day

Staff turnover

52%

Serious cites

0

Desert Blossom runs on thinner staffing than most homes nationally, 3.45 nurse hours per resident day against a 3.86 average, and it gets worse on weekends, when coverage drops about 14% below its own weekday level. That gap matters, because 51.6% of staff turned over last year, higher than the 45.8% national rate, so the people who know these residents best keep leaving. The inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $8,278 fine. CMS rated the quality measures 5 out of 5 and staffing 2 out of 5, worth asking the administrator how they reconcile those two before you decide.

Nurse hours

4.06 /day

Staff turnover

48%

Serious cites

0

South Mountain Post Acute runs 124 beds in Phoenix under corporate for-profit ownership, and its last full health inspection came in August 2024, recent enough to trust the findings are current. Those findings are mixed: 16 deficiencies on record, though none rose to the level of harm or jeopardy, and none involved abuse. The staffing picture is where things get uneven. Total nurse hours sit at 4.06 per resident day, about 5% above the national average, but weekend coverage drops roughly 6% below its own weekday level, and turnover at 47.5% edges past the national rate. High quality measure scores and steady inspection results don't erase thin weekend staffing and near-half turnover, ask how they cover weekends.

Nurse hours

3.12 /day

Staff turnover

51%

Serious cites

0

The Blossoms at Oakdale runs 154 certified beds in Judsonia under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average. Weekends drop about 13 percent below the home's own weekday coverage, so the thin stretches get thinner when families tend to visit. Staff turnover is 51.1 percent against a national 45.8 percent, meaning more than half the nursing staff turns over in a year. Inspections in January 2025 turned up 27 deficiencies, none at harm or jeopardy level and none abuse-related, which matters. The federal star ratings land at 2 out of 5 across health inspections, quality measures, and staffing.

Nurse hours

4.37 /day

Staff turnover

42%

Serious cites

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Redlands Healthcare Center runs 78 certified beds under a for-profit limited liability company, and the staffing numbers tell a mixed story. Total nurse coverage sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86, but weekend staffing drops about 8% below its own weekday level, so the weekday numbers flatter the place. Turnover is 42%, a bit better than the 45.8% national figure, though still high enough to mean new faces often. Fourteen deficiencies appear on the current record with none at the harm or jeopardy level and none tied to abuse, and the most recent inspection dates to April 2026.