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

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The staffing number is what stands out here. Pasadena Park Healthcare and Wellness Center holds a 1-out-of-5 staffing rating, well below average, even as its inspection and quality measures sit at 3 out of 5. That gap matters more than the overall picture: California requires more direct care hours than most states, so falling short on staffing is a real signal at a 99-bed for-profit home. The record shows 53 deficiencies, none at the harm level, but two tied to abuse. Inspectors last visited in May 2024. With a limited liability company running the place, ask direct questions about who's on the floor overnight and how complaints get handled.

Nurse hours

3.33 /day

Staff turnover

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Berthoud Care And Rehabilitation is a 76-bed for-profit home in Larimer County, and its record is split down the middle. The health inspection side is genuinely strong, a 5-star rating with no deficiencies at the harm or jeopardy level, and a clean inspection as recently as June 2024. What pulls the overall picture down is staffing: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 14% below the home's own weekday levels, which is when families tend to visit and notice. Sixteen total deficiencies on record, one tied to abuse, plus a 2-star staffing rating, mean the people caring for residents are stretched thinner than at the average American nursing home.

Nurse hours

3.38 /day

Staff turnover

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Bayside Health and Rehabilitation Center is a 120-bed for-profit home in Pensacola, and its inspection record is genuinely strong, a 5-out-of-5 health inspection rating with just six deficiencies on file, none of them causing harm or involving abuse, and the most recent survey done in May 2025. Staffing is where the picture changes. At 3.38 nurse hours per resident day, it runs about 12 percent below the national average of 3.86, and weekend coverage dips roughly 9 percent below what the home staffs on weekdays. Quality measures land in the middle at 3 out of 5. So you're looking at a home that inspects clean but runs lean on daily nursing hours.

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Westwood passed its most recent inspection in April 2025 with only three deficiencies on the books, none of them serious enough to harm a resident. That clean record is the strongest thing going for this 60-bed for-profit home. The problem is staffing: CMS rates it 1 out of 5 stars, well below what most Florida nursing homes post, and that's with a quality measure score sitting in the middle. Fewer aides and nurses on the floor means slower answers to call lights and less help at meals, which matters more as residents get frailer. A good inspection tells you the building is run lawfully. It doesn't tell you whether someone will come when your mother presses the button.

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Bay Breeze Senior Living and Rehabilitation Center sits on 120 certified beds in Gulf Breeze, under corporate for-profit ownership. The inspection record is the strongest part of the picture: a recent May 2025 survey with seven total deficiencies, none rising to harm or jeopardy, and nothing abuse-related. Staffing is the weak spot, though, the federal staffing rating lands at just one star out of five, well below what you'd want for a building this size. That gap between a solid inspection history and thin staffing numbers is the tension worth asking about directly: what the day-to-day coverage actually looks like on evenings and weekends, and how quickly call lights get answered when the census is full.

Nurse hours

4.67 /day

Staff turnover

52%

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Douglas Jacobson State Veterans Nursing Home runs on state government ownership in Port Charlotte with 120 certified beds, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. But look past that headline number and the picture gets uneven: weekend staffing drops about 15% below its own weekday level, so coverage depends on which day your family member needs help. The current inspection record carries 20 deficiencies, five of them at harm or jeopardy level and five abuse-related, with seven fines totaling $139,435 and a September 2024 inspection. Annual turnover of 52.1% tops the national 45.8% average, meaning the people providing that generous staffing are often new to the building.

Nurse hours

3.27 /day

Staff turnover

33%

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Pruitthealth - Peake runs 122 beds in Macon under for-profit LLC ownership, and its staffing numbers are the main thing to know. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly another 15% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is a genuine bright spot at 33%, well under the 45.8% national figure, which suggests a steadier crew than many peers. The inspection record shows 7 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related; the last survey was in May 2026. Quality measures score well, but staffing is where the concern lives.

Nurse hours

3.31 /day

Staff turnover

58%

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The inspection record here is actually pretty solid, a 4-star health inspection rating, most recent survey in September 2025, and no abuse deficiencies on file. Where it gets thin is the day-to-day staffing. At 3.31 nurse hours per resident, this home runs about 14% below the national average, and weekends dip roughly 17% below its own weekday levels, which is when families tend to notice. Staff turnover sits at 58.2% against a national 45.8%, so the people providing that care are cycling through faster than average. Twelve deficiencies, two of them serious enough to reach harm or jeopardy level, plus $16,530 in fines, round out the picture: safe enough on paper, but you'd want to ask about weekend coverage and how long aides tend to stay.

Nurse hours

4.33 /day

Staff turnover

68%

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Community Nursing and Rehabilitation Center is county-owned and carries 115 certified beds on Indianapolis's east side. The raw staffing number looks decent, 4.33 nurse hours per resident day, about 12% above the national average, but weekends run roughly 20% below its own weekday level, and annual turnover sits at 67.7% against a national 45.8%. Inspectors have logged 37 deficiencies, including one at the harm or jeopardy level and three tied to abuse; the health inspection rating is 1 out of 5, while resident outcome measures score 5 out of 5. One fine totaling $12,735 is on record, and the most recent inspection closed in April 2026. The county's answer to understaffing is overtime and turnover, not more hires.

Nurse hours

3.49 /day

Staff turnover

57%

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Altenheim Health & Living Community is county-owned and holds 87 certified beds, and its recent inspection history is genuinely solid, a 4 out of 5 on health inspections, a perfect 5 on quality measures, and 11 deficiencies on record with none rising to harm or jeopardy and nothing abuse-related. The problem sits in the staffing column. At 3.49 nurse hours per resident day, this home runs about 10% under the national average, and weekends drop roughly 20% below its own weekday levels, meaning care thins out exactly when families tend to visit. Annual turnover of 57.3% against a 45.8% national average suggests a workforce that isn't sticking around. A last inspection in June 2025 means the record is current.

Nurse hours

3.41 /day

Staff turnover

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Envive of River City runs 71 certified beds in Evansville under for-profit LLC ownership, and its nursing hours land at 3.41 per resident day, roughly 12 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday staffing, so coverage thins exactly when families tend to visit. The inspection record shows 41 deficiencies, two tied to abuse, though none at the harm or jeopardy level. Last inspection came January 7, 2026. Quality measures score well, but staffing and health inspection ratings both sit at the low end, and that split is worth asking about directly before you decide.

Nurse hours

3.60 /day

Staff turnover

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Envive of Muncie runs 60 certified beds under corporate for-profit ownership, and its staffing picture is the main thing to know: 3.60 total nurse hours per resident day, roughly 7% under the national average of 3.86, with weekends running about 11% thinner than its own weekdays. That pattern shows up in the federal staffing rating of 1 out of 5 even though quality measures score 4 out of 5. The inspection record carries 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 31, 2026. Staffing is where the gaps sit; the care-quality numbers and the absence of serious deficiencies are what keep the overall picture from being worse.

Nurse hours

4.15 /day

Staff turnover

27%

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Grandview Healthcare Center runs 72 certified beds in Oelwein under for-profit limited liability ownership, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage drops about 15% below its own weekday levels, so the weekday numbers aren't the whole picture. Staff turnover is 27%, well under the national 45.8%, which matters for whether caregivers actually know the residents. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was April 2026, so the record is recent. Quality measure scores run low while inspection scores run high, worth asking about specific care outcomes.

Nurse hours

3.14 /day

Staff turnover

38%

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Accura Healthcare of Newton East runs 54 beds under for-profit LLC ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, actually better than the 45.8% national figure, which makes the thin hours look more like a budget decision than a retention problem. The inspection record is the harder part: 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $19,744 fine. The most recent inspection was February 2026.

Nurse hours

4.20 /day

Staff turnover

51%

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Medicalodges Iola runs a for-profit, limited-liability operation with 45 certified beds in Allen County, and its staffing is genuinely a bright spot: 4.20 nurse hours per resident day, roughly 9% above the national average. That's the good news, and it matters. But the same numbers show weekend staffing drops about 16% below weekday levels, and annual turnover sits at 51.1%, higher than the 45.8% national figure. The inspection record is the harder part: 41 deficiencies on file, five of them serious enough to involve harm or jeopardy, three tied to abuse, plus two fines totaling $42,224. The most recent inspection was July 2025, so the record is current, not stale.

Nurse hours

3.77 /day

Staff turnover

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Lincoln Care and Rehab runs 45 beds in Wichita under corporate ownership, and its inspection record is the part that stands out: 43 deficiencies logged, two of them serious enough to put residents in harm or jeopardy, plus one tied to abuse. Three fines add up to $40,104. The last full inspection was October 2023, so that record has had time to age without a fresh look. Staffing sits slightly under the national average at 3.77 hours per resident day, and weekends run about 13% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays.

Nurse hours

3.52 /day

Staff turnover

55%

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Spring Lake runs 3.52 nurse hours per resident per day, about 9% under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Staff turnover sits at 55.4% against a national 45.8%, so the people caring for residents change often. The inspection record is cleaner than the staffing picture: 14 deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent inspection was December 3, 2025. CMS gives it 4 stars for health inspections and 5 for quality measures, but only 2 for staffing, that split tells you where the weakness is. It's a for-profit limited liability company with 160 beds.

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Hopkins Restorative Care Center is a 65-bed for-profit home in Hennepin County, and the staffing numbers are the first thing I'd look at, a 1-star CMS staffing rating is about as low as that scale goes, meaning nurse hours per resident fall well short of what the federal government considers adequate. The inspection record shows 45 deficiencies on the current record, including 3 abuse-related citations, though none rose to the harm or jeopardy level. The last inspection was in March 2026, so the record is recent. Quality measures land at 3 stars, which suggests some clinical care is being delivered, but with this few staff, I'd want to ask directly how they cover overnight shifts and weekends before making a decision.

Nurse hours

3.52 /day

Staff turnover

27%

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Lawrence County Nursing Center runs a lean ship on the floor. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 18% below its own weekday pace, so the thinnest coverage lands exactly when families tend to visit. The tradeoff is retention: 26.7% turnover is well below the 45.8% national figure, meaning the aides you meet are more likely to still be there next year. What pulls the record down sits elsewhere. Seventeen deficiencies, two of them at harm or jeopardy level, and a one-star inspection rating with a matching one-star quality score. Two fines total $16,720. The most recent inspection was April 2025.

Nurse hours

4.10 /day

Staff turnover

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Compere Nh Inc runs 60 certified beds in Jackson under individual for-profit ownership, and its overall nurse staffing of 4.10 hours per resident day sits about 6% above the national average of 3.86. That headline number looks fine until you notice weekends run roughly 28% thinner than weekdays, so the coverage your family member gets depends heavily on which day it is. The inspection record is the stronger side: a 4-out-of-5 health inspection rating, last survey in July 2025, and 8 deficiencies on file with none at harm or jeopardy level and nothing abuse-related. Quality measures and staffing each rate 2 out of 5, which is where the concerns concentrate.