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

Nurse hours

3.90 /day

Staff turnover

37%

Serious cites

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Green Acres runs 3.90 nurse hours per resident day, just barely over the national average of 3.86, and staff turnover sits at 36.7%, noticeably better than the 45.8% national figure. Weekend coverage, though, drops about 11% below what the home staffs on weekdays, so the care your family member gets on a Saturday may look different from a Tuesday. The inspection picture is mixed: the most recent visit was March 2026, and while none of the 54 deficiencies on record rose to harm or jeopardy, two involved abuse, and one fine totaling $57,016 has been levied. Corporate-owned and mid-sized at 85 beds, this is a home with real strengths in retention and a clean harm record, but the abuse findings and weekend dip are worth asking about directly.

Nurse hours

4.35 /day

Staff turnover

42%

Serious cites

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Bayshire Rancho Mirage runs 45 certified beds and reports 4.35 total nurse staffing hours per resident day, roughly 13 percent above the national average of 3.86, though weekend coverage dips about 5 percent below its own weekday levels. Staff turnover sits at 42.3 percent, slightly better than the national 45.8 percent. The current record shows 36 deficiencies, none at the harm or jeopardy level, one abuse-related, and three fines totaling $12,350. Inspections are recent, with the last one in April 2025. Ownership is for-profit and individual. The staffing star rating lands at just 2 out of 5 despite the favorable hours figure, a gap worth asking about directly.

Nurse hours

4.68 /day

Staff turnover

62%

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Somerset Post Acute Care runs 4.68 nurse hours per resident day, about 21% above the national average of 3.86, that's a real staffing advantage, and it shows up in a 3/5 staffing star. But look at how that coverage holds up on weekends: it drops roughly 14% below the weekday level, so the hands on deck shrink exactly when families tend to visit. Turnover sits at 61.9% against a national average of 45.8%, meaning most of the people providing that care are relatively new. The inspection record carries 43 deficiencies, one at the harm level and one abuse-related, with a $26,728 fine and a March 2025 inspection.

Nurse hours

4.10 /day

Staff turnover

—

Serious cites

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Channel Islands Post Acute runs 4.10 nurse hours per resident day, about 6% above the national average, and CMS gives it four stars for staffing and four for health inspections. Inspectors were last in on May 9, 2025, and found 23 deficiencies, none at the harm or jeopardy level and none abuse-related. The caution sits in the quality measures, where CMS scores it 1 out of 5, the resident outcome data lags well behind the staffing picture. Weekend coverage also drops roughly 21% below its own weekday level, so care thins out when families tend to visit. This is a for-profit corporate home with real nursing hours and a clean harm record, but softer clinical outcomes than the staffing numbers suggest.

Nurse hours

8.06 /day

Staff turnover

46%

Serious cites

0

All Saint's Maubert runs on 8.06 nurse hours per resident day, more than double the national figure of 3.86, a real plus at a 14-bed home where staff know residents by name. But that strength is offset by a rough inspection record: 27 deficiencies, including one at the harm level and one tied to abuse, plus a $131,856 fine. Staff turnover sits at 46.4%, right around the national average, and weekend coverage dips about 8% below weekday levels. The most recent inspection was August 2025, so the record is current. For-profit, limited liability ownership. Weigh the heavy staffing against the inspection history before deciding.

Nurse hours

4.93 /day

Staff turnover

38%

Serious cites

0

The Ellison John Transitional Care Center runs 170 certified beds in Lancaster under individual for-profit ownership, and its nurse staffing sits at 4.93 hours per resident day, roughly 28% above the 3.86 national average. Weekend coverage dips about 9% below its own weekday levels, but annual turnover of 38.1% is lower than the 45.8% national figure, so the floor is not churning as badly as many places do. Where this home draws real concern is its inspection record: a 1-out-of-5 health inspection rating, 115 deficiencies logged, five of them at harm or jeopardy level and six tied to abuse. Three fines total $205,171, with the most recent inspection on February 28, 2025.

Nurse hours

4.31 /day

Staff turnover

45%

Serious cites

0

Shadelands Post Acute runs 59 beds in Walnut Creek under for-profit LLC ownership, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average. That average hides a pattern worth knowing: weekends run about 12% leaner than weekdays, so the weekday coverage you might observe isn't what your family member gets on a Saturday. Staff turnover of 45.2% is essentially the national rate, meaning nearly half the workforce turns over in a year. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026.

Nurse hours

2.97 /day

Staff turnover

44%

Serious cites

0

Crowell Nursing Center runs on thin staffing: 2.97 nurse hours per resident per day, roughly a quarter below the national average, with weekends about 12 percent lighter than weekdays. That gap is worth asking about directly, since it's the kind of thing families notice on a Sunday afternoon. The inspection record is cleaner than that number might suggest, a recent April 2026 survey and no deficiencies at the harm or jeopardy level, though three of the 15 total deficiencies are abuse-related, which deserves a pointed question about what happened and what changed. Turnover sits at 43.9 percent, essentially at the national average. Corporate-owned, 67 beds, and quality measures score well even as staffing drags.

Nurse hours

3.55 /day

Staff turnover

—

Serious cites

0

Great Plains Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and just seven deficiencies on record, none of them causing harm and none tied to abuse. That's a clean paper trail, and the most recent survey was in May 2025, so it's current. Where the home gives ground is staffing: 3.55 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday coverage. The quality measure rating sits at three stars, middling. For a 120-bed for-profit LLC, the pattern is clear enough, good care when inspectors look, thinner coverage when they don't, especially on Saturdays and Sundays. Ask how they staff weekends before you decide.

Nurse hours

3.49 /day

Staff turnover

44%

Serious cites

0

Woodville Health and Rehabilitation Center runs 89 certified beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends running about 12 percent leaner than weekdays, a pattern families often notice when they visit on Saturdays and Sundays. Turnover lands at 44.4 percent, essentially in line with the national figure. The inspection record is the strongest part: a clean four-star health inspection score, 22 deficiencies but none at the harm or jeopardy level. That one abuse-related citation is worth asking about directly.

Nurse hours

3.18 /day

Staff turnover

45%

Serious cites

0

Heritage House at Keller runs on 3.18 total nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5 even as quality measures score 5 out of 5, a gap worth asking about, since strong outcomes can reflect careful documentation as much as daily care. Turnover is 45.3 percent, essentially level with the national 45.8 percent. The inspection record is more concerning: 20 deficiencies, including 2 at the harm level and 2 abuse-related, plus $22,608 in fines. It's hospital-district owned and last inspected in December 2025.

Nurse hours

3.05 /day

Staff turnover

47%

Serious cites

0

Pampa Nursing Center runs 88 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.05 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 46.9%, close to the 45.8% national figure, so retention isn't the problem here, raw hours are. The inspection record is genuinely decent: 21 deficiencies, none at harm or jeopardy level, one abuse-related, and a single fine of $4,085, with the most recent inspection in July 2025. Ask about weekday versus weekend nurse coverage before you decide.

Nurse hours

2.99 /day

Staff turnover

51%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Edinburg runs on noticeably thin staffing, 2.99 nurse hours per resident day against a national average of 3.86, roughly a quarter below it, and weekends dip about 13% under its own weekday levels. The 51% annual turnover means more than half the nursing staff leaves within a year, which matters when the people providing daily care keep changing. What pulls the record up is that state inspectors, most recently in August 2025, gave it 4 out of 5 stars, and its quality measures score 5 out of 5, with 16 deficiencies on file but none involving harm, jeopardy, or abuse. So the care processes look sound on paper while the day-to-day workforce that delivers them is stretched and unstable.

Nurse hours

3.37 /day

Staff turnover

25%

Serious cites

0

West Oaks runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends dip about 15% below what the home staffs on weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. What works in its favor is stability: turnover sits at 24.7%, well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Its inspection record is current as of January 2025, with 11 deficiencies and none tied to harm, jeopardy, or abuse. Corporate-owned and 136 beds; a decent record, but ask about weekend coverage.

Nurse hours

3.28 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Raymondville runs on thinner nursing hours than most: 3.28 per resident day against a national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That staffing number earned a 1 out of 5 from CMS, and the health inspection record sits at 2 out of 5, with 33 deficiencies on file, seven tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in February 2026. Turnover is 41.3 percent, slightly better than the 45.8 percent national figure, and the hospital district ownership is worth noting. Quality measures scored 4 out of 5, but that's where the strengths end.

Nurse hours

2.61 /day

Staff turnover

41%

Serious cites

0

Focused Care At Fort Stockton runs on thin nursing coverage: 2.61 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends dip about 10% below its own weekday level. That gap is the main story here, and it's why the staffing rating sits at 1 out of 5 even though the quality measure score is 4 out of 5. The inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, with one fine of $7,105. Turnover at 40.5% is slightly better than the 45.8% national figure. Owned by a hospital district, it was last inspected in March 2026.

Nurse hours

3.65 /day

Staff turnover

34%

Serious cites

0

The Phoenix Post-Acute runs 134 certified beds in Texas City under corporate ownership, and its staffing sits about 5% under the national average at 3.65 nurse hours per resident day. Weekends dip roughly 7% below its own weekday coverage, so the quietest shifts are the thinnest. Turnover is the brighter spot at 34.4%, well under the 45.8% national figure, which suggests some continuity in who's actually at the bedside. The concern is the record itself: 9 deficiencies, 4 of them serious enough to involve harm or jeopardy, and two fines totaling $90,049. Its last inspection was May 2026. Families should ask specifically about those harm-level findings and how weekend coverage gets filled.

Nurse hours

3.36 /day

Staff turnover

63%

Serious cites

0

Avir At Lancaster runs on thinner nursing hours than most homes, 3.36 per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday coverage. Staff turnover sits at 63.2%, well above the 45.8% national figure, so familiar faces are not the norm here. The federal inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $49,281 in fines across three penalties. A recent inspection in January 2026 and a federal government owner round out the picture. The quality measure score looks strong on paper, but the staffing and inspection numbers are the ones to weigh.

Nurse hours

3.43 /day

Staff turnover

43%

Serious cites

0

Advanced Rehabilitation and Healthcare of Wichita runs 180 certified beds as a for-profit corporation, and its inspection record is its strongest suit, a 4/5 health inspection rating with 20 deficiencies on file, none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Where the numbers get thinner is staffing: 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 13% below its own weekday level. Annual turnover sits at 42.6%, a bit better than the 45.8% national figure. Last inspection was December 6, 2024.

Nurse hours

3.28 /day

Staff turnover

54%

Serious cites

0

Victoria Gardens of Allen runs a 120-bed for-profit operation in Collin County, and the numbers tell a mixed story. The health inspection side looks solid, a recent February 2026 survey, 23 deficiencies on record but none at the harm or jeopardy level, and nothing abuse-related. That's a clean record where it counts most. Where it slips is staffing: 3.28 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday schedule. Turnover sits at 54.1 percent against a national 45.8 percent, which means a lot of faces cycling through. Quality measures score well and inspections hold up, but thin coverage and heavy turnover are worth asking about directly.