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

Nurse hours

2.82 /day

Staff turnover

41%

Serious cites

0

Avir At Pilot Point runs on leaner nurse staffing than most homes, 2.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home is government-owned by a hospital district. Its inspection record shows 14 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was June 5, 2025. Quality measures and health inspections both rate well; staffing is where the gap shows. If your relative needs frequent hands-on help, ask how afternoons and weekends are actually covered.

Nurse hours

2.99 /day

Staff turnover

53%

Serious cites

0

La Dora runs a split personality: its inspection and quality scores sit at the top of the federal scale, with ten deficiencies on record and none at the harm or jeopardy level. That's a clean paper trail. Staffing is where it frays. At 2.99 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop about 10% below its own weekday level. Annual turnover of 53.4% runs above the 45.8% national figure, which means aides and nurses cycle through faster than average. A non-profit owner and an April 2026 inspection keep the record current. The question for your family is whether the care holds up when the hallway is short-staffed.

Nurse hours

3.26 /day

Staff turnover

45%

Serious cites

0

Avir At Belton runs about 114 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86, with weekends dipping about 8 percent below its own weekday coverage. Turnover lands at 44.9 percent, essentially matching the national 45.8 percent, so the problem here isn't retention so much as raw hours on the floor. The inspection record is where the real weight sits: 33 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $87,661, with the most recent inspection dated January 8, 2026.

Nurse hours

3.71 /day

Staff turnover

28%

Serious cites

0

Green Valley runs 124 beds under corporate ownership, and its inspection history is the hard part: 33 deficiencies on the current record, six of them serious enough to reach harm or jeopardy, plus three fines totaling just under $97,000. The last inspection was in April 2025, so that record is recent, not stale. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, which is when gaps tend to show. One genuine bright spot: turnover is 27.8%, well below the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

3.38 /day

Staff turnover

51%

Serious cites

0

The Waterton is a hospital-district home in Tyler, and its inspection record is its strongest feature, a four-star health inspection rating, with the most recent visit in May 2026. But ten deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and CMS has fined the home twice for a combined $23,389. The bigger issue is the floor. At 3.38 nurse hours per resident day, staffing falls about 13 percent under the national average, weekend coverage drops roughly 11 percent below the home's own weekday level, and turnover runs near 51 percent against a national 45.8. A hospital district can bring stability that for-profit chains often can't, but the numbers here still point to a thin, churning direct-care staff.

Nurse hours

3.09 /day

Staff turnover

43%

Serious cites

0

The Heights on Huebner runs on thinner staffing than most homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building staffs on weekdays. The two abuse-related deficiencies on record are worth asking about directly, even though none of the 18 total deficiencies rose to harm or jeopardy level, and the most recent inspection in January 2026 is recent enough to reflect current conditions. Turnover at 42.7% is slightly better than the 45.8% national figure, and inspection and quality measure ratings both came in at 4 out of 5. This for-profit corporate home's weak spot is clearly the day-to-day staffing number, not its survey history.

Nurse hours

3.55 /day

Staff turnover

33%

Serious cites

0

Wylie Oaks runs about 8% below the national average on nurse staffing, at 3.55 hours per resident day, and weekends dip roughly 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than average at 32.8%, meaning the aides and nurses you meet are more likely to still be there next year. The inspection record is the harder read: 28 deficiencies logged, two at harm or jeopardy level and two tied to abuse, with $58,390 in fines and a two-star health inspection rating. The most recent inspection was June 2025, so that picture is current, not stale.

Nurse hours

3.41 /day

Staff turnover

48%

Serious cites

0

The Harrison At Heritage runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 12% below its own weekday staffing. That thin coverage sits behind a record of 31 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $65,529. Staff turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was December 2025. Quality measure scores look strong, but the inspection rating and the actual staffing numbers are what a family should weigh here.

Nurse hours

3.55 /day

Staff turnover

48%

Serious cites

0

Legacies Nursing And Rehabilitation runs 90 beds in Hemphill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with no deficiencies at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 12% below its own weekday level, and turnover at 47.7% edges past the national figure. Twelve deficiencies appear on the current record, none serious. The last inspection was recent, in March 2026. Quality measures land at two stars, so care outcomes documented in the data aren't keeping pace with the clean inspections.

Nurse hours

3.33 /day

Staff turnover

34%

Serious cites

0

Stonemere runs 136 beds in Frisco under corporate ownership, and its last inspection was in April 2025, recent enough that the record reflects current conditions rather than years-old findings. The 20 deficiencies on file include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage dips when families tend to visit. Turnover, at 33.8%, actually beats the national 45.8%, a genuine plus. Inspection history grades well; day-to-day staffing is where the tradeoff shows.

Nurse hours

3.68 /day

Staff turnover

52%

Serious cites

0

The Shoal runs 3.68 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 10% below what it manages on weekdays. Staff turnover sits at 52.3% against a national 45.8%, so the people around your family member keep changing. Its record shows 11 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was April 25, 2025. The quality measures look strong, but those come from resident assessments the home reports, while the staffing and inspection ratings, 2 out of 5 each, come from independent review. That gap is worth asking about directly.

Nurse hours

3.42 /day

Staff turnover

45%

Serious cites

0

Hollymead runs 112 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, with weekends about 7% thinner than its own weekdays. Turnover lands at 45%, right around the national figure, so retention isn't the outlier here; the shortfall is day-to-day coverage. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related, and a single fine of $9,110. Its last inspection was April 24, 2025, so the picture is reasonably current. Ask about weekend nurse coverage and what changed after that harm-level finding.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Park Manor Bee Cave is a hospital-district home with 140 beds, and its numbers point in two directions at once. The quality measures look good, but staffing runs about 3.07 nurse hours per resident day against a national average of 3.86, weekends drop roughly 14% below its own weekday levels, and turnover sits at 48.5%. The inspection record is the real concern: 36 deficiencies currently on file, 7 of them at the harm or jeopardy level, one abuse-related, and $19,608 in fines across two cases. The most recent inspection was September 2025, so that record is recent, not stale. Good clinical scores on paper don't offset thin weekend coverage and a serious deficiency history.

Nurse hours

3.00 /day

Staff turnover

36%

Serious cites

0

Lexington Medical Lodge runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 1 out of 5, even though turnover at 35.8% is actually better than the 45.8% national figure, a stable crew working with fewer hands than most homes. The inspection side tells a different story: a 5/5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as April 2025. This government hospital-district home passes its inspections cleanly; the open question is whether the daily staffing level matches what those inspections suggest.

Nurse hours

4.26 /day

Staff turnover

55%

Serious cites

0

The Brightpointe runs 150 certified beds in Conroe under corporate for-profit ownership, and its nurse staffing comes in at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That sounds solid until you notice weekends run about 12% lighter than weekdays, and turnover sits at 54.9% against a national 45.8%, so the people providing that care keep changing. The current inspection record carries 13 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus one fine of $21,037. The most recent inspection was July 9, 2025. Staffing beats the average on paper; the record behind it is what gives a family pause.

Nurse hours

3.70 /day

Staff turnover

52%

Serious cites

0

The Plano home run by the hospital district is licensed for 112 beds and gets decent marks on health inspections and quality measures, 4 out of 5 stars on both, with its most recent inspection in May 2025. Where it slips is staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 51.8% against a national 45.8%. Twenty deficiencies are on the current record, three serious enough to reach harm or jeopardy level, though none involve abuse, and fines total just over $10,000. The care picture looks steadier than the workforce holding it together.

Nurse hours

3.13 /day

Staff turnover

49%

Serious cites

0

Las Alturas runs 3.13 nurse hours per resident per day, about 19% under the national average, and the gap widens on weekends, when staffing drops roughly 13% below its own weekday level. That thin coverage is the main reason its staffing rating sits at 1 out of 5 even though quality measures score 5 out of 5, those measures reflect clinical outcomes, not how many hands are on the floor. The 22 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and turnover at 49.2% means nearly half the nursing staff leaves within a year. The last inspection was February 2026.

Nurse hours

2.99 /day

Staff turnover

43%

Serious cites

0

Starr County Nursing And Transitional Care runs on thin nursing hours, 2.99 per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home itself staffs on weekdays. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the home is government-owned through a hospital district. Inspections look strong on paper: 4 of 5 stars, most recent visit January 13, 2026, and 27 deficiencies with none rising to harm or jeopardy. Three abuse-related citations are on the record, though. The staffing gap is what pulls this home's overall standing down.

Nurse hours

3.15 /day

Staff turnover

—

Serious cites

0

Granite Creek runs 128 certified beds in Prescott under for-profit partnership ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 2% below its own weekday level, so the thin coverage doesn't improve when families visit. Inspectors logged 32 deficiencies on the current record, two tied to abuse, though none rose to harm or jeopardy; the last visit was January 7, 2026. The quality star reflects strong clinical measures, but that staffing star tells a different story about how much time nurses actually have with residents.

Nurse hours

3.46 /day

Staff turnover

66%

Serious cites

0

Westwood Health And Rehab runs 85 certified beds in Springdale under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and it thins out further on weekends, about 24% below the home's own weekday level. Annual turnover hits 66.3%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The inspection record is the bigger concern: 19 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $13,871 fine. The most recent inspection was January 31, 2025, so that record is fairly fresh rather than aging off the books. Strong quality measure scores don't offset a staffing pattern this stretched and a deficiency list this serious.