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

Nurse hours

3.15 /day

Staff turnover

61%

Serious cites

0

Avir At River Ridge runs on 3.15 nursing hours per resident day, roughly 18% below the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows up in turnover: 60.9% of nurses left over the past year, against a national average of 45.8%. The inspection record is the harder problem, 29 deficiencies, three serious enough to threaten resident harm, one tied to abuse, plus two fines totaling $22,932. Its last inspection was in January 2026. Quality measures score well, but that's largely self-reported data, while staffing and inspections are where the trouble sits. For-profit, limited liability ownership rounds out the picture.

Nurse hours

3.28 /day

Staff turnover

49%

Serious cites

0

Avir At Coronado runs 188 beds in Abilene, and its nurse staffing sits at 3.28 hours per resident day, about 15% under the national average of 3.86. Weekends run roughly 11% leaner than weekdays already are, and nearly half the staff turns over each year, slightly worse than the 45.8% national rate. The inspection record is the harder reading: 44 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, with $184,619 in fines behind them. Quality measures score well, but that 2-out-of-5 inspection rating and an April 2026 survey tell you the day-to-day care side is where the problems live.

Nurse hours

3.49 /day

Staff turnover

45%

Serious cites

0

Kingsville Nursing and Rehabilitation Center runs on thinner staffing than most homes its size, 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below what the building manages Monday through Friday. That shortfall shows up in its federal staffing rating, which sits near the bottom of the scale, even though its inspection record is genuinely strong: 16 deficiencies on file, none at the harm level, and the most recent survey done in July 2025. Two abuse-related citations are worth asking about directly. Turnover at 45.2% tracks almost exactly with the national figure, so retention here isn't the problem, hours per resident are. Nonprofit ownership tends to mean steadier budgets, but that hasn't translated into more bedside time.

Nurse hours

3.22 /day

Staff turnover

45%

Serious cites

0

Park Manor Of South Belt runs 3.22 nursing hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly 15 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5 even though inspections and quality measures both come in at 4 out of 5. Turnover is 45.4 percent, basically level with the national figure. The current record shows 9 deficiencies, none at the harm level, though one is abuse-related. A June 2025 inspection means the picture is recent. For-profit limited liability ownership. Families should ask how weekend coverage is handled on the specific unit their relative would live on.

Nurse hours

3.63 /day

Staff turnover

48%

Serious cites

0

Las Ventanas De Socorro runs 126 certified beds under for-profit LLC ownership that changed hands within the past year, and the numbers show a building still finding its footing. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, thin margins on the days families tend to visit. The inspection record is the bigger concern: 47 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $8,827 fine and a February 2026 inspection as the most recent look. Staff turnover at 47.8% edges past the national rate, so the people providing care keep changing.

Nurse hours

2.88 /day

Staff turnover

47%

Serious cites

0

Farmersville Health And Rehabilitation runs on thin staffing. At 2.88 nurse hours per resident day, it sits about 25% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels. That helps explain the 2-star staffing rating even as inspections came back clean: 5 stars, 13 deficiencies on record with none at the harm level. Three of those are abuse-related, worth asking about directly. Turnover is 47.1%, slightly above the 45.8% national figure. The corporate for-profit owner keeps 74 certified beds, and the most recent inspection was January 2025. Good survey results, light coverage on the floor.

Nurse hours

4.36 /day

Staff turnover

55%

Serious cites

0

Ignite Medical Resort Fort Worth runs a for-profit, corporate-owned home with 70 certified beds, and the staffing numbers tell two stories. Total nurse coverage sits at 4.36 hours per resident day, about 13% above the national average, but weekends drop roughly 11% below its own weekday level, and turnover hits 54.5% against a national 45.8%. The inspection record is where things get serious: 44 deficiencies on file, 9 of them at harm or jeopardy level and 3 abuse-related, with six fines totaling $155,085 and the most recent inspection dated February 2026. A 5/5 quality measure rating sits alongside a 1/5 inspection rating and 2/5 for staffing, worth asking what that quality score actually reflects.

Nurse hours

3.36 /day

Staff turnover

64%

Serious cites

0

Advanced Rehabilitation & Healthcare Of Burleson runs 121 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86. Weekends thin out further, roughly 12 percent below the home's own weekday coverage. Staff turnover is 63.6 percent against a national 45.8 percent, which means a large share of caregivers are new to the building each year. The inspection record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus $17,804 in fines across two events. Quality measures score well, but staffing and inspection results are where the concerns concentrate.

Nurse hours

3.25 /day

Staff turnover

73%

Serious cites

0

Stonehaven runs on thinner nurse coverage than most homes: 3.25 hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72.5%, well above the 45.8% national figure, which means the people caring for residents are frequently new to the building. Its last health inspection was February 2023, and the record carries eight deficiencies, two of them serious enough to involve harm or jeopardy. The limited liability company operating it is for-profit. Quality measures score well, but that sits against staffing and inspection results that raise real questions.

Nurse hours

3.19 /day

Staff turnover

45%

Serious cites

0

Diversicare Of Oxford runs 173 beds under corporate ownership, and its last inspection was in April 2026. The staffing picture is the real story here: 3.19 nurse hours per resident day sits about 17% under the national average of 3.86, and weekends drop roughly 15% below what the home staffs on weekdays. Turnover lands at 44.8%, close to the national figure, so retention isn't the standout problem, raw coverage is. The inspection record is thinner: 18 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $111,900 fine. Quality measures score well, but that one-star health inspection rating reflects what surveyors actually found.

Nurse hours

3.40 /day

Staff turnover

45%

Serious cites

0

Opp Health and Rehabilitation runs 197 certified beds as a for-profit corporation, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday numbers, so coverage dips exactly when families tend to visit. Turnover lands at 45.3%, almost identical to the national 45.8%, which tells you this isn't a retention crisis but isn't stability either. Six deficiencies sit on the current record with none at harm level and none abuse-related, though the last inspection was March 2020, a long stretch without a fresh look.

Nurse hours

4.28 /day

Staff turnover

58%

Serious cites

0

Marshall Manor runs nurse staffing at 4.28 hours per resident day, about 11% above the national average of 3.86, that's the strongest number in its file. The catch is weekends, when coverage drops roughly 24% below the home's own weekday level, so the daily average doesn't tell you what a Saturday looks like. Staff turnover sits at 57.8% against a national 45.8%, meaning more than half the nursing staff leaves each year, which matters for residents who rely on familiar faces. The inspection record is clean where it counts most: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the last full inspection in June 2023. Corporate-owned, 91 beds.

Nurse hours

3.92 /day

Staff turnover

63%

Serious cites

0

Huntsville Health & Rehabilitation runs 105 certified beds under corporate for-profit ownership, and its staffing numbers tell two different stories. Total nurse coverage sits at 3.92 hours per resident day, a hair above the national average, but weekends drop about 19% below weekday levels, and annual turnover hits 63% against a national 45.8%. Inspections are the bigger concern: 19 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse, with the most recent inspection dated May 2026. CMS scored health inspections 1 out of 5 stars. The consistent staffing hours look decent on paper, but the churn and the inspection history are what a family should weigh.

Nurse hours

4.00 /day

Staff turnover

55%

Serious cites

0

South Hampton runs a for-profit limited liability operation with 81 certified beds, and its nurse staffing comes in at 4.00 hours per resident day, a bit above the 3.86 national average. That cushion isn't evenly spread, though: weekends run roughly 21% thinner than weekdays, and annual turnover sits at 55.1% against a national 45.8%, so the people providing that care change often. The current record shows 7 deficiencies, none rising to harm or jeopardy, but 3 of them abuse-related, which is worth asking about directly. The last inspection was July 14, 2023, so the picture is over a year old. Quality measures score low even as staffing scores well, a home held up by hours rather than outcomes.

Nurse hours

3.35 /day

Staff turnover

63%

Serious cites

0

The Blossoms at Van Buren runs on thinner nursing coverage than most homes in the country, about 3.35 nurse hours per resident each day against a national average near 3.86, and weekends get leaner still, with staffing roughly 18 percent below its own weekday pace. That strain shows in the workforce itself: 63.3 percent of staff turned over in the past year, well above the 45.8 percent national figure, which matters because consistent caregivers know residents' routines and catch changes early. Its 48 recorded deficiencies include none flagged as causing harm or tied to abuse, and the most recent inspection was in May 2025, so the record is current. The for-profit limited liability company behind it posts CMS inspection and staffing ratings of one and two stars out of five.

Nurse hours

3.67 /day

Staff turnover

65%

Serious cites

0

Spring Creek Health & Rehab runs 109 certified beds in Cabot under for-profit corporate ownership, and its most recent inspection in August 2025 left a clean record: six deficiencies total, none at the harm or jeopardy level, none related to abuse. That inspection history is the strongest part of the picture here. Staffing is where it gets thinner, 3.67 nurse hours per resident day sits about 5% under the national average, weekends drop roughly 19% below the home's own weekday levels, and annual turnover of 64.6% is well above the 45.8% national figure. Consistent weekday coverage, but weekends and staff retention are worth asking about directly.

Nurse hours

3.36 /day

Staff turnover

69%

Serious cites

0

The Blossoms at West Dixon runs a for-profit shop owned by a limited liability company with 127 certified beds in Little Rock, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average. Weekends dip even lower, about 22% below what the home staffs Monday through Friday, and 69% of its nurses turn over annually against a national rate near 46%. Its inspection record shows 31 deficiencies, one tied to abuse, with no citations at the harm level; the last state visit was January 2026. Quality measures score well, but that staffing picture is what families should weigh.

Nurse hours

4.12 /day

Staff turnover

—

Serious cites

0

Royal Vista Care Center has a staffing number that looks fine on paper, 4.12 nurse hours per resident day, about 7% above the national average. But the inspection record tells a different story: 100 deficiencies on file, including one at the harm level and five tied to abuse. CMS gave it one star for health inspections. For-profit, LLC-owned, 99 beds. Weekend staffing drops roughly 8% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Sunday. The most recent inspection was February 2026, so that record is current, not stale. High staffing hours don't offset a pattern of serious findings.

Nurse hours

3.93 /day

Staff turnover

—

Serious cites

0

Granada Rehabilitation runs 87 certified beds in Eureka under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, roughly 2% above the national average. That margin is thin, and weekends dip about 5% below the home's own weekday coverage, so the hours your relative actually gets can vary by day of the week. The inspection record carries 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Two fines total $38,445, and the most recent inspection was April 24, 2026. Quality measure scores look stronger than the health inspection side, which is worth asking about directly.

Nurse hours

3.97 /day

Staff turnover

—

Serious cites

0

Golden Harbor runs 99 certified beds in Hayward under for-profit LLC ownership, and the staffing picture is more mixed than the raw number suggests. Total nurse staffing sits at 3.97 hours per resident day, about 3% above the national average, but weekends drop roughly 7% below the home's own weekday level, so coverage thins out right when families tend to visit. The inspection record is the bigger concern: 45 deficiencies, including one at the harm level and one abuse-related, plus three fines totaling $40,025. The most recent inspection was August 2025. Quality measures score well, but staffing and inspection ratings both sit at 2 out of 5.