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

Nurse hours

3.38 /day

Staff turnover

23%

Serious cites

0

Shady Knoll runs lean on nursing hours, 3.38 per resident day, roughly 12% under the national figure, and weekends dip about 8% below its own weekday coverage. That thin staffing shows up in its federal ratings: two stars each for staffing and health inspections. Inspectors logged 48 deficiencies on the current record, three tied to abuse, though none at the harm or jeopardy level, and the most recent visit was June 30, 2025. What's genuinely better here is retention: 23.4% turnover against a 45.8% national average means the aides and nurses who are there tend to stay. For a family weighing this one, the question is whether steady, familiar staff can offset fewer hands per shift.

Nurse hours

3.56 /day

Staff turnover

40%

Serious cites

0

Apple Rehab Laurel Woods runs 120 beds in East Haven under corporate for-profit ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8 percent under the national average, with weekends dipping about 6 percent below its own weekday levels. Staff turnover is 39.8 percent, which is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. What stands out is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 11 tied to abuse, plus two fines totaling $64,555. The most recent inspection was January 29, 2026, so the record is current. Quality measures score well; the health inspection side is where the problems concentrate.

Nurse hours

3.17 /day

Staff turnover

52%

Serious cites

0

Boca Ciega Center runs about 3.17 nurse hours per resident each day, roughly 18% under the national average of 3.86, and weekends dip another 6% below what the home staffs on weekdays. That thinner coverage matters more given 52.1% annual turnover, higher than the 45.8% national figure, because residents see a rotating cast of caregivers. The health inspection history is the weakest part of the picture: 31 deficiencies on record, one serious enough to reach harm or jeopardy level, though none involve abuse, and the last inspection was May 2024. Quality measures score well, but quality scores reflect resident outcomes, not whether the building is reliably staffed and inspected clean.

Nurse hours

3.21 /day

Staff turnover

49%

Serious cites

0

Aviata At Colonial Lakes runs 180 certified beds in Winter Garden, and nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average of 3.86, with weekends about 8 percent thinner than weekdays. Staff turnover is 49.3 percent, slightly above the 45.8 percent national figure, so the people caring for residents keep changing. Its inspection record shows 34 deficiencies, two serious enough to involve harm or jeopardy, plus three fines totaling $23,136; the last inspection was April 2, 2026, and the health inspection rating is 2 out of 5. Quality measures score well at 4 out of 5, but that reflects resident outcomes on paper, not the staffing that shapes daily life.

Nurse hours

3.55 /day

Staff turnover

57%

Serious cites

0

Ormond Rehabilitation and Nursing Center runs 60 beds under for-profit LLC ownership, and its staffing tells the clearest story here: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 12% below the home's own weekday staffing. That dip matters for families whose visits fall on Saturdays and Sundays. Annual turnover of 56.5% is well above the 45.8% national figure, meaning aides and nurses cycle through more often than at a typical home, which can affect how well staff know individual residents. The current record shows 22 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025.

Nurse hours

3.47 /day

Staff turnover

48%

Serious cites

0

Breezy Hills Rehab and Care Center runs 120 certified beds in Lakeland under for-profit LLC ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86, with weekend coverage dipping about 5% below its own weekday level. Annual turnover is 48.4%, a bit above the national 45.8%. The current record shows 34 deficiencies, none at the harm level but one abuse-related, plus a single fine of $6,351. CMS gives it 2 stars for health inspections and 2 for staffing, though 3 for quality measures, and its last inspection was May 8, 2025.

Nurse hours

3.68 /day

Staff turnover

54%

Serious cites

0

The staffing picture at Springs At Lake Pointe Woods is thin: 3.68 nurse hours per resident day against a national average of 3.86, with weekends running about 8% below the home's own weekday level. Turnover sits at 53.9%, well above the 45.8% national figure, that's more than half the nursing staff leaving in a year, which matters for a 101-bed building where residents need consistent caregivers. The inspection record carries 21 deficiencies, three at harm or jeopardy level and three abuse-related, plus six fines totaling $51,671. A five-star quality measure score can reflect good clinical numbers on paper, but it's hard to see how it offsets a one-star inspection rating.

Nurse hours

3.66 /day

Staff turnover

44%

Serious cites

0

Timberridge runs 180 certified beds in Ocala under corporate for-profit ownership, and its 24 deficiencies on the current record, three at harm or jeopardy level, one abuse-related, are the kind of numbers that explain the $119,636 federal fine. The health inspection rating sits at 2 out of 5, though the quality measure score is a perfect 5, a split that often says the charted outcomes look better than the day-to-day oversight does. Nurse staffing lands at 3.66 hours per resident day, about 5% under the national figure, and weekends drop roughly 10% below the home's own weekday coverage. Turnover at 44.2% is slightly better than average, which is worth something, but it doesn't offset the inspection history.

Nurse hours

3.24 /day

Staff turnover

47%

Serious cites

0

Aviata At Central Park runs 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends dip about 6% below its own weekday staffing. The 46.5% turnover rate sits close to the 45.8% national figure, so retention isn't the standout problem, raw coverage is. Inspectors cited 34 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $7,456; the last visit was January 2024. The 5/5 quality measure score contrasts with 2/5 marks for both staffing and health inspections, a split that usually means the home documents care processes well while running thin on direct nursing hours. For-profit corporate ownership. Worth a visit, with staffing questions ready.

Nurse hours

3.86 /day

Staff turnover

55%

Serious cites

0

Sunset Lake Healthcare and Rehabilitation Center, a 120-bed for-profit in Venice, sits at a staffing level that essentially matches the national average, 3.86 nurse hours per resident day, but weekends run about 10% thinner than weekdays, and turnover hits 54.5% against a national 45.8%. The bigger concern is the inspection record: 30 deficiencies, five of them at harm or jeopardy level, three abuse-related, and a single fine of $319,770. That combination earned a 1-out-of-5 inspection rating even though its quality measure score is perfect and staffing is middling. The last inspection was in April 2025, so the record is current. Families weighing this home should ask directly about the abuse findings and how weekend coverage is handled.

Nurse hours

3.21 /day

Staff turnover

47%

Serious cites

0

Oaks At Avon is a 104-bed for-profit home in Avon Park, and its numbers tell a mixed story. Nurse staffing sits at 3.21 hours per resident day, about 17 percent under the national average, and weekends run roughly 6 percent thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 46.8 percent edges just above the national figure, meaning the faces around your relative may keep changing. The good news: eleven deficiencies on record, none at the harm level and none abuse-related, with the last inspection in June 2024, plus strong marks on quality measures. Ask about weekday-to-weekend staffing before deciding.

Nurse hours

3.30 /day

Staff turnover

52%

Serious cites

0

Aviata At Spring Hill runs 120 certified beds in Brooksville under for-profit LLC ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day, about 15% under the national average, with weekends roughly 8% thinner than weekdays. Annual turnover sits at 52.1% against a 45.8% national figure, and CMS gives staffing just 2 of 5 stars. The inspection record shows 26 deficiencies, including three at harm or jeopardy level and one tied to abuse, though a 3-star inspection rating and a recent April 2025 survey suggest some improvement. Quality measures score 5 of 5, so clinical outcomes look strong on paper even as direct care hours lag. Ask about weekend coverage and how they retain nurses.

Nurse hours

3.47 /day

Staff turnover

52%

Serious cites

0

Aviata At Palma Sola Bay runs 105 certified beds under for-profit LLC ownership, and the numbers show where the strain sits. Nurse staffing is 3.47 hours per resident day against a national average of 3.86, with weekend coverage dipping another 4% below its own weekday levels, so the thinnest shifts come exactly when families tend to visit. Staff turnover is 52.2%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The record backs this up: 20 deficiencies, five at harm or jeopardy level, two tied to abuse, and $191,561 in fines across four penalties. A July 2024 inspection and a 1-star health inspection rating round out the picture, the quality measure score looks better, but that reflects reported care metrics, not the day-to-day staffing and safety record.

Nurse hours

3.67 /day

Staff turnover

57%

Serious cites

0

Riverchase passed its most recent inspection cleanly on the harm front, four deficiencies on record, none rising to actual harm or jeopardy, and a five-star health inspection rating is genuinely hard to earn. The softer numbers sit on the staffing side. At 3.67 nurse hours per resident day, it runs about 5% under the national average, weekends dip roughly 6% below its own weekday coverage, and turnover hits 57.4% against a national 45.8%. One abuse-related deficiency is also on the books. Quincy families weighing this one should ask how the weekend schedule is actually filled and how long the current director of nursing has been in place, since that turnover rate says aides are cycling through faster than most.

Nurse hours

3.48 /day

Staff turnover

67%

Serious cites

0

Victoria Crossing runs 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends dip about 8% below its own weekday numbers. That thin coverage shows up in the staffing rating, which sits at 2 out of 5, and in turnover: 67.4% of staff left over the year against a national rate near 46%. The clinical picture is stronger, a 5/5 on quality measures and no deficiencies involving harm, jeopardy, or abuse among the 15 on record. But the corporate owner's last inspection was January 2026, so that clean record is recent and untested over time. The gap between good outcomes and shaky staffing is the whole story here.

Nurse hours

2.98 /day

Staff turnover

36%

Serious cites

0

High Shoals Health and Rehabilitation runs on thinner nurse coverage than most homes, 2.98 hours per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday levels, so your visit timing matters. Turnover sits at 36.2%, better than the 45.8% national figure, which suggests a relatively stable crew despite the lean hours. The inspection record is recent (March 2025) and shows 10 deficiencies with nothing at the harm level, though two are abuse-related and worth asking about directly. As a nonprofit with 4-star inspection and quality ratings, the care fundamentals look solid; the staffing number is the main thing to press on.

Nurse hours

3.57 /day

Staff turnover

69%

Serious cites

0

Harrington Park runs 3.57 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 15% below its own weekday staffing. That gap shows up in the staffing star rating, which sits at 2 out of 5, and in a turnover rate of 68.8% against a national 45.8%, most of the people caring for residents here are new or on their way out. The inspection record is cleaner: 8 deficiencies, none at the harm level, none abuse-related, with a recent survey in March 2026. Quality measures score well. As a nonprofit, it isn't answering to shareholders, but consistent hands matter more than tax status at this size.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Monte Vista Hills runs 113 certified beds in Pocatello under corporate ownership, and its inspection record is genuinely clean, 17 deficiencies on file, none involving harm or jeopardy, none abuse-related, with a survey as recent as December 2025. Where it slips is staffing: 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends run about 14% thinner than its own weekdays. Turnover sits at 45.7%, essentially identical to the national rate, so retention isn't the outlier here, raw hours are. The 5/5 quality measure rating and 4/5 inspection rating give you something real to lean on, but a 2/5 staffing rating tells you to ask pointed questions about who's actually on the floor on a Saturday night.

Nurse hours

3.53 /day

Staff turnover

38%

Serious cites

0

Skyline Transitional Care Center runs 111 certified beds in Boise under corporate for-profit ownership. Its 2-out-of-5 staffing rating reflects 3.53 nursing hours per resident day, roughly 9% under the national average, and weekends dip about 15% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 37.9%, better than the 45.8% national figure, which matters for continuity. On inspections, the home holds a 3/5 rating with 32 deficiencies, four at harm or jeopardy level and three abuse-related. A March 2025 inspection is recent, but those harm-level findings and the staffing picture are the real story here.

Nurse hours

3.73 /day

Staff turnover

53%

Serious cites

0

Creekside runs 139 beds in Meridian under corporate for-profit ownership, and its staffing sits a little under the national average, about 3.73 nurse hours per resident day versus 3.86 nationally. Weekends dip roughly another 12% below its own weekday coverage, and turnover is 53.1% against a national 45.8%, so the people at the bedside change often. The 31 deficiencies on record include one at the harm level, with a single fine of $8,278; the last inspection was June 13, 2025. Resident outcome measures look strong, but low staffing hours and high turnover are what's holding the overall picture down.