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

Nurse hours

3.79 /day

Staff turnover

52%

Serious cites

0

Pecan Creek passed its most recent inspection in April 2025 with six deficiencies on record, none of them causing harm or involving abuse, that's a genuinely clean inspection sheet, and the health inspection rating reflects it. The staffing numbers tell a different story. At 3.79 nurse hours per resident day, it runs slightly under the national average, and weekends drop about 11% below its own weekday coverage. Annual turnover sits at 52.3%, well above the 45.8% national figure, which matters when aides are the people who notice a resident's change in condition first. Quality measures land at 2 out of 5. A for-profit corporation operates the 76-bed home.

Nurse hours

3.07 /day

Staff turnover

41%

Serious cites

0

Rockport Nursing and Rehabilitation Center runs 3.07 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 11% below its own weekday level. That thin coverage shows up in its CMS staffing rating and in a record of 18 deficiencies, three of them at the harm or jeopardy level and five tied to abuse. Turnover sits at 41%, actually a bit better than the 45.8% national figure, and the quality measure score is strong at 4 out of 5. The inspection was recent, April 2026. If you're weighing this one, ask how they cover weekends and what's changed since that survey.

Nurse hours

3.23 /day

Staff turnover

39%

Serious cites

0

Port Lavaca Nursing and Rehabilitation runs 148 certified beds as a nonprofit corporation, and its inspection record is genuinely clean, 20 deficiencies on file, none of them causing harm or involving abuse, with the most recent state visit in April 2025. The staffing numbers are where it gets thinner. At 3.23 nurse hours per resident day, this home sits about 16 percent below the national average of 3.86, and weekends drop roughly 12 percent below its own weekday coverage. Turnover, at least, runs better than most: 38.6 percent against a national 45.8 percent. So you're looking at a home that treats people safely and keeps its workers longer than average, but runs leaner on daily nursing hours than the typical facility.

Nurse hours

3.36 /day

Staff turnover

57%

Serious cites

0

Rocky Mountain Care - Logan runs 120 certified beds under for-profit LLC ownership, and its staffing tells the story: 3.36 nurse hours per resident day sits about 13 percent under the national average, and weekends drop another 13 percent below its own weekday levels. Annual turnover hits 56.8 percent against a 45.8 percent national figure, so the aides and nurses your family sees may keep changing. The current inspection record carries 24 deficiencies, including three at the harm or jeopardy level and two tied to abuse; the most recent inspection was February 2026, and CMS rated health inspections 2 out of 5. Quality measures scored 5 out of 5, but that's self-reported data, and staffing and safety are what you'll actually witness. Worth asking hard questions before admitting anyone.

Nurse hours

3.74 /day

Staff turnover

48%

Serious cites

0

Saint Albans Healthcare and Rehabilitation Center runs 115 certified beds under corporate ownership, and its staffing sits just under the national mark, 3.74 nurse hours per resident day against 3.86, with weekends about 11% leaner than weekdays. Turnover is 48.2%, a bit above the 45.8% national figure, which matters because familiar caregivers tend to notice changes sooner. The bigger concern is the inspection record: 14 deficiencies, two at harm or jeopardy level, one tied to abuse, and two fines totaling $148,714. That recent February 2026 inspection is why the health inspection rating sits at 2 out of 5, even though staffing scored 4. Ask about the abuse deficiency and what changed since.

Nurse hours

3.01 /day

Staff turnover

48%

Serious cites

0

Lakeside runs 194 beds in Richmond under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.01 nurse hours per resident day, it sits roughly 22 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level. Turnover is 48.3 percent against a 45.8 percent national average. The inspection record is heavy: 72 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in February 2024. CMS rates staffing and health inspections 1 out of 5, while quality measures score 5. The gap between those ratings is the real story here.

Nurse hours

3.22 /day

Staff turnover

37%

Serious cites

0

Carlin Springs runs lean on the floor: 3.22 nurse hours per resident day, roughly 17% under the national average, and weekends drop about another 10% below its own weekday pace. That thin coverage shows up in the inspection record, which carries 41 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was back in July 2022. Turnover at 37.3% is actually better than the 45.8% national figure, and the quality measures score well, so this isn't a home where care is falling apart. It's one where you'd want to visit on a Saturday and ask who's actually on the unit.

Nurse hours

3.29 /day

Staff turnover

55%

Serious cites

0

Hillsville Health & Rehab runs a tight ship on inspections, a five-star health inspection rating and only five deficiencies on the current record, just one of them serious enough to reach harm or jeopardy level. No abuse citations at all. The catch is the day-to-day staffing. At 3.29 nurse hours per resident, it sits about 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. That matters when turnover is 55.1 percent against a national 45.8, nearly six in ten caregivers leaving in a year means the people at the bedside keep changing. The care protocols look sound; whether there are enough consistent hands to carry them out is the real question.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Raleigh Court runs 3.48 nurse hours per resident day, about 10 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. Staff turnover sits at 53.4 percent against a national 45.8, so the people around your family member change often. The current record shows 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was August 2024. Quality measures look strong, but that reflects resident outcomes, not the staffing and compliance picture underneath them.

Nurse hours

3.52 /day

Staff turnover

47%

Serious cites

0

Oak Grove runs 3.52 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage is why CMS gives it only 2 of 5 stars on staffing, and the 46.8% turnover rate means the aides and nurses cycling through are close to the national norm but still turning over nearly half the workforce each year. The good news sits elsewhere: a 4/5 inspection rating with the most recent survey in February 2026, 30 total deficiencies and 3 at harm level, no abuse citations, and one fine of $7,443. Quality measures score 5/5. The company is a for-profit LLC, so staffing is a budget choice as much as anything.

Nurse hours

2.78 /day

Staff turnover

36%

Serious cites

0

Skyview Springs runs lean on nursing staff, 2.78 hours per resident day against a national average of 3.86, and weekends drop further from its own weekday level. That thin coverage is the main thing behind the numbers here. Turnover at 35.6% is actually better than the national 45.8%, so leadership isn't the problem; staffing volume is. The inspection record shows 51 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent visit in November 2023. Quality measures score well, but they don't offset what happens when there aren't enough hands on a Saturday.

Nurse hours

3.24 /day

Staff turnover

43%

Serious cites

0

Westmoreland Rehabilitation & Healthcare Center runs 66 certified beds in Colonial Beach, and the staffing numbers are the first thing to notice: 3.24 nurse hours per resident day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Turnover sits at 42.7%, slightly better than the national 45.8%, so the people who stay tend to stay. What pulls the record down is the inspection history, 53 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $27,885 fine, with the last inspection back in June 2023. The quality measure score looks strong, but it's built largely on self-reported data, while the staffing and inspection scores come from what surveyors actually found.

Nurse hours

3.31 /day

Staff turnover

54%

Serious cites

0

Atlantic View Post Acute runs 3.31 nursing hours per resident day, about 14 percent under the national average, and weekends drop roughly 11 percent below its own weekday numbers. Staff turnover sits at 53.7 percent against a national 45.8, so the people caring for residents keep changing. Its inspection record shows 27 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with the last full inspection dated December 2022. CMS gives it one star for staffing and two for health inspections, even as its quality measures score five. The corporation that owns it has real strengths and real problems sitting side by side.

Nurse hours

2.72 /day

Staff turnover

45%

Serious cites

0

Grayson Health and Rehabilitation runs a 120-bed for-profit operation in Independence, and the staffing numbers are the first thing to notice: 2.72 nurse hours per resident per day, roughly 30 percent under the national average. Weekend coverage drops another 13 percent below its own weekday level, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 45.2 percent, right in line with the national figure. The inspection record is genuinely strong, 31 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the last inspection was in December 2023. Quality measures score well too. The tension here is real: good care outcomes documented, thin staffing underneath them.

Nurse hours

3.47 /day

Staff turnover

39%

Serious cites

0

Lee Health and Rehab Center runs 110 certified beds in Pennington Gap under for-profit LLC ownership, and its inspection record is genuinely strong, a 5-out-of-5 federal rating with just seven deficiencies on file, none of them harm-level or abuse-related, and a survey completed in March 2025. Where it slips is daily care coverage: 3.47 nurse hours per resident, roughly 10% under the national average, with weekends running about 14% thinner than weekdays. Turnover is actually better than most, 39.3% against a national 45.8%, so the same faces tend to stick around. The question for your family is whether weekday coverage holds up when you visit, and who's on the floor on a Sunday.

Nurse hours

3.35 /day

Staff turnover

64%

Serious cites

0

Winchester Health & Rehabilitation runs 60 certified beds under corporate for-profit ownership, and the numbers show a split personality. Nurses provide 3.35 hours of care per resident per day, roughly 13% under the national average of 3.86, and weekend staffing drops another 13% below its own weekday levels, so care gets thinnest exactly when families tend to visit. Staff turnover sits at 64% against a national average of 45.8%, which means the people caring for your relative are likely to change often. The health inspection rating is 1 out of 5, with 71 deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy level. The last full inspection was April 2023. Quality measures score well at 4 out of 5, but that reflects charted clinical outcomes, not the staffing and oversight problems underneath.

Nurse hours

3.62 /day

Staff turnover

21%

Serious cites

0

Sunnyside Healthcare Center runs 80 certified beds under corporate for-profit ownership, and the numbers cut in a few directions at once. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage tightens exactly when families tend to visit. The inspection record is where the real weight sits: 37 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus three fines totaling $92,827. What keeps it from looking worse is staff turnover at 21.3%, less than half the national rate, which suggests people stay. The last inspection was in December 2025.

Nurse hours

3.75 /day

Staff turnover

57%

Serious cites

0

Three Creeks Post Acute is a 48-bed for-profit home in Pullman, and the inspection record is the first thing you'd want to look at. Forty-three deficiencies on the current record, including two at the harm level and four tied to abuse, with two fines totaling $50,850. A one-out-of-five inspection rating backs that up. The staffing side is mixed. Total nurse hours run slightly below the national average, weekends drop about 13% below the home's own weekday level, and turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing staff turns over in a year. Worth asking the administrator directly how they're addressing the inspection findings and what weekend coverage actually looks like.

Nurse hours

3.43 /day

Staff turnover

21%

Serious cites

0

Madison, The runs 62 beds in Morgantown under corporate for-profit ownership, and its inspection record is the main concern, 34 deficiencies on file, three of them serious enough to indicate actual harm or jeopardy, plus three fines totaling $57,113. The good news is turnover: 20.5% against a national average of 45.8%, meaning the aides and nurses here tend to stay. But staffing still lands at 3.43 hours per resident day, about 11% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families visit. That combination, thin weekend coverage against a long and sometimes serious deficiency history, is worth asking about directly.

Nurse hours

3.29 /day

Staff turnover

53%

Serious cites

0

River Oaks runs 3.29 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 10% below its own weekday coverage. Staff turnover sits at 52.9%, well above the 45.8% national figure, so the people providing that care are changing faster than usual. The health inspection record is the harder number to get past: 79 deficiencies, one abuse-related, and a 1-star inspection rating from CMS, though nothing on the current record rises to harm or jeopardy. The 5-star quality measure score reflects resident assessment data, not the staffing or inspection picture. The last inspection was December 2024. For-profit, limited liability ownership. Worth asking how they hold weekend coverage and what that abuse citation involved before deciding.