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

Nurse hours

2.98 /day

Staff turnover

40%

Serious cites

0

Heritage Hall - Brookneal runs 60 beds under corporate ownership, and its inspection record is the strongest thing about it: a five-star health inspection rating in mid-2024, with 13 deficiencies on file and none of them involving actual harm or abuse. The staffing numbers tell a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average, and weekends run about 18 percent thinner than weekdays, so the coverage your family member gets on a Saturday is lighter than on a Tuesday. Turnover at 40 percent is slightly better than the 45.8 percent national figure, which helps, but it doesn't close the hours gap.

Nurse hours

3.22 /day

Staff turnover

51%

Serious cites

0

Autumn Care of Norfolk runs 120 beds under individual for-profit ownership, and the staffing numbers are the main thing to know. At 3.22 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 17% below its own weekday levels. That thin coverage is likely why CMS gave it 2 out of 5 stars for staffing. Turnover is 51.1%, above the 45.8% national figure, so the aides and nurses your family member sees may change often. The good news: 43 deficiencies on record but none at harm or jeopardy level and none abuse-related, with a 3-star inspection rating and a January 2023 survey that's now more than two years old.

Nurse hours

3.23 /day

Staff turnover

43%

Serious cites

0

Heritage Hall Blacksburg runs a 179-bed for-profit operation where the inspection record is the strong part, a 4-out-of-5 health inspection rating, with the most recent survey in August 2024 and 22 deficiencies on file, two of them serious enough to involve harm or jeopardy and one abuse-related. Staffing is where the numbers get thin: 3.23 nurse hours per resident day sits roughly 16 percent under the national average of 3.86, and weekends drop another 16 percent below the home's own weekday coverage. Turnover at 42.9 percent is slightly better than the 45.8 percent national figure, so the issue isn't so much retention as how many hands are scheduled at once.

Nurse hours

3.68 /day

Staff turnover

48%

Serious cites

0

Springtree runs 120 certified beds in Roanoke under corporate for-profit ownership, and the staffing numbers are where the story sits. At 3.68 nurse hours per resident day, it's under the national average of 3.86, and weekends drop roughly 22% below its own weekday levels, so coverage thins out exactly when families tend to visit and residents may need more attention. Annual turnover of 47.6% runs slightly above the national 45.8%, meaning a good share of the people providing that care are still learning the building. The quality measure rating comes in at 5/5, but with a 1/5 on staffing, a 3/5 on inspections, and 40 deficiencies on record, the everyday care picture looks weaker than the outcome scores suggest.

Nurse hours

3.71 /day

Staff turnover

57%

Serious cites

0

Aurora Valley Care runs 105 deficiencies on its current record, three of them at the harm or jeopardy level and nine tied to abuse, a load that says something about how day-to-day care is supervised. Staffing sits at 3.71 hours per resident day, a bit under the national average, and it thins out further on weekends when coverage drops roughly 15% below its own weekday level. Annual turnover of 57.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The five-star quality measure score reflects reported care outcomes, but the one-star inspection rating and a $93,457 fine tell a different story.

Nurse hours

3.46 /day

Staff turnover

66%

Serious cites

0

Brookfield Health and Rehab of Cascadia runs 83 beds in Battle Ground under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 11% under the national average, with weekends dropping about 15% below its own weekday levels. That thin weekend coverage matters because turnover is 65.9%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the building. The inspection history is where the real weight sits: 36 deficiencies on the current record, six at harm or jeopardy level and six abuse-related, plus one fine of $10,358. Quality measures score well, but the staffing and inspection numbers tell the more useful story.

Nurse hours

3.75 /day

Staff turnover

62%

Serious cites

0

Enumclaw Health and Rehabilitation runs 92 certified beds under for-profit LLC ownership, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. The bigger concern is consistency: weekends drop roughly 18% below weekday coverage, so care depends on which day your family member needs help. Staff turnover is 61.5% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 67 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $23,203 in fines and a two-star health inspection rating. The most recent inspection was June 13, 2025, so that record is current.

Nurse hours

3.16 /day

Staff turnover

37%

Serious cites

0

Teays Valley Center runs about 3.16 nurse hours per resident each day, which is roughly 18% under the national average, and weekends drop another 17% below its own weekday staffing. That matters because the home carries 47 deficiencies on its current record, including one at the harm or jeopardy level, though none tied to abuse, and its last inspection was February 2026, so the record is recent. Turnover sits at 37.4%, better than the 45.8% national figure, which suggests some stability in the workforce. Ownership is for-profit corporate, and one fine totaling $24,948 is on file.

Nurse hours

3.38 /day

Staff turnover

—

Serious cites

0

Yorktown Nursing and Rehabilitation Center runs 82 certified beds under for-profit LLC ownership, and its inspection record is genuinely better than most, a four-star health inspection rating, 14 deficiencies with just one at the harm level and none tied to abuse. The problem sits with staffing, which CMS rates at one star. At 3.38 nurse hours per resident day, this home runs about 13% under the national average, and weekends drop roughly 14% below its own weekday numbers. One fine of $8,018 is on record, and the last inspection was February 2026. Families should ask how the weekend floor is actually covered, because that gap is where care gets thin.

Nurse hours

3.14 /day

Staff turnover

—

Serious cites

0

Amarillo Medical Lodge runs lean on nursing hours: 3.14 per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday staffing. That gap is what drives its one-star staffing rating, even as inspections and quality measures both come back strong. The 13 deficiencies on record are all low-level, none involved harm or jeopardy, and none were abuse-related, and the most recent inspection was in March 2026, so the record is current. This is a for-profit LLC with 102 certified beds. Families should ask how the weekend schedule is covered and what the nurse-to-resident ratio looks like on a Saturday evening, because the inspection record won't show it.

Nurse hours

2.95 /day

Staff turnover

—

Serious cites

0

Deleon Nursing and Rehabilitation is run by a hospital district, and its inspection record is genuinely strong, a 5/5 on health inspections with 14 deficiencies on file, none of them causing harm or involving abuse, and the most recent visit was in November 2025. The catch is on the floor: total nurse staffing sits at 2.95 hours per resident per day against a national average of 3.86, roughly a quarter less, and weekends run about 10% thinner than weekdays. Quality measures also score 5/5. So the picture is a home that documents care well and inspects cleanly, but asks families to weigh that against fewer nursing hours than most places provide.

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

0

Avir At Irving holds up well on inspections, a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from February 2026. The quality measures are strong too. Where the numbers get thinner is staffing: 3.31 nurse hours per resident day against a national average of 3.86, with weekends running about 17% below the home's own weekday level. Annual turnover sits at 48%, slightly above the national figure. Eighteen total deficiencies include two abuse-related citations, which is worth asking about directly. For-profit, LLC-owned, 84 beds. The care outcomes look solid on paper; the question is whether there are enough hands on weekends to keep them that way.

Nurse hours

3.19 /day

Staff turnover

37%

Serious cites

0

Laredo South runs lean on the floor: 3.19 nurse hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly another 18 percent below its own weekday coverage. That gap matters more than the headline numbers, because the home's 36.7 percent turnover is actually better than the 45.8 percent national rate, meaning staff tend to stay, but there aren't enough of them scheduled. Inspections are recent, July 2025, and the record shows 26 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,021 fine. Nonprofit ownership and 4-star inspection and quality ratings give you something solid to work with. Ask directly how they cover weekends.

Nurse hours

2.78 /day

Staff turnover

47%

Serious cites

0

Pleasanton South runs on a government hospital district license with 88 certified beds, and the staffing numbers are the first thing to notice: 2.78 nurse hours per resident per day, roughly 28% under the national average, with weekends running about 23% below its own weekday level. That thin coverage shows up in the staffing star rating and in 47.3% annual turnover, slightly above the national rate. The inspection record carries 33 deficiencies, three at harm or jeopardy level and two abuse-related, plus $24,653 in fines; the most recent inspection was December 10, 2025. Quality measures score well, but a 3/5 inspection rating and low staffing tell you where the risk sits.

Nurse hours

3.04 /day

Staff turnover

49%

Serious cites

0

Renaissance Care Center runs 91 beds in Gainesville under individual for-profit ownership, and the staffing numbers are where families should focus. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 49.1%, above the 45.8% national figure. The inspection record shows 29 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 30, 2025. Quality measures score well, but that staffing figure is the thing to ask about directly.

Nurse hours

3.45 /day

Staff turnover

—

Serious cites

0

Mesa Springs runs 89 certified beds in Abilene under corporate for-profit ownership, and its staffing is the weak spot: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, with weekends dropping roughly 13% below its own weekday levels. The inspection record carries 33 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, plus a single $8,190 fine. Federal ratings split sharply here, three stars for health inspections, four for quality measures, but one for staffing. The most recent inspection was March 19, 2026. If you're weighing this one, ask directly how nurse coverage holds up on Saturday and Sunday.

Nurse hours

3.17 /day

Staff turnover

39%

Serious cites

0

Country Care Manor runs lean on the floor. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 21% below its own weekday pace, the gap families feel most on Saturday and Sunday. Turnover is the brighter spot: 38.5% against a national 45.8% means the staff who are there tend to stay, which matters for consistency even when the numbers are thin. On paper, inspections and quality measures both rate well, with no harm-level or abuse-related deficiencies among the 12 on record and $22,143 in fines across two events. A hospital district runs it, and the last inspection was recent.

Nurse hours

3.23 /day

Staff turnover

36%

Serious cites

0

Mystic Park runs at 3.23 nurse staffing hours per resident per day, about 16 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 35.6 percent, better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. The record also carries 22 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a single $111,121 fine. Inspectors last visited in April 2026. The quality measure score looks strong, but that's built from resident assessments, not direct observation of care, the staffing and inspection numbers tell a harder story.

Nurse hours

3.15 /day

Staff turnover

41%

Serious cites

0

Senior Care Health & Rehabilitation Center in Wichita Falls runs on a government hospital district license and holds a five-star inspection record, with its most recent survey completed in February 2025. That inspection history is clean where it matters most: no deficiencies tied to harm or jeopardy, none related to abuse. Where the home falls short is staffing. At 3.15 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekend coverage drops another 16% below its own weekday levels, a real concern if your family visits or needs help on Saturdays and Sundays. Turnover at 40.7% is better than the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

2.92 /day

Staff turnover

48%

Serious cites

0

Avir At Bellville runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That thin margin is the main story behind its staffing rating of 1 out of 5, and with turnover at 47.5%, slightly above the national 45.8%, the home is regularly refilling positions. The good news is real: a 4/5 inspection rating, a clean record with no harm-level or abuse deficiencies among the 31 cited, and a recent May 2026 inspection. But a corporation-owned home with this few hands on deck asks families to watch the evening and weekend shifts closely.