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

Nurse hours

3.42 /day

Staff turnover

41%

Serious cites

0

The Heights of Atascosa runs lean on nursing hours: 3.42 per resident day against a national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Turnover sits at 41.2 percent, slightly better than the national 45.8 percent, so the staff who are there tend to stay. Inspections look stronger, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level, though one abuse-related citation appears on the current record among 16 total. The last inspection was in May 2025. The staffing star rating of 2/5 is the weak point; quality measures score 4/5.

Nurse hours

3.30 /day

Staff turnover

—

Serious cites

0

Copperas Hollow runs 90 certified beds in Caldwell under corporate ownership, and the staffing numbers are the first thing to notice. At 3.30 nurse hours per resident per day, it sits about 15 percent under the national average of 3.86, and weekends drop roughly 9 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 24 deficiencies on record, two of them at harm or jeopardy level, include two fines totaling $49,901, though none involve abuse. The quality measure rating of 5/5 stands out against a staffing rating of 1/5, which is worth asking about directly.

Nurse hours

3.24 /day

Staff turnover

55%

Serious cites

0

Copperfield Healthcare and Rehabilitation runs 124 certified beds in Houston under corporate for-profit ownership, and its staffing is the first thing to look at: 3.24 nurse hours per resident per day, roughly 16% under the national average. Weekends drop about 15% below its own weekday level, and annual turnover sits at 55% against a national 45.8%, so the aides and nurses who remain are stretched thinner on Saturdays and Sundays. The inspection record backs that up: 28 deficiencies, three of them at harm or jeopardy level, and a two-star health inspection rating despite strong quality measure scores. One fine of $23,029 is on file, with the last inspection dated September 2025. The low staffing rating tells you where the risk sits.

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

Pecan Valley runs a 124-bed corporate-owned building where the aide and nurse hours per resident sit around 3.41 a day, roughly 12% under the national figure, and weekends get thinner still, about a fifth lighter than weekdays. That gap matters more than the turnover rate, which at 45.2% is basically the national norm. What stands out is the shape of the record: a five-star quality measure score sitting on top of a one-star staffing score, with 25 deficiencies logged and one serious enough to involve harm. The last inspection was January 30, 2026, so the picture is current rather than stale. If you're weighing this one, ask how they cover weekends and what that harm-level citation involved.

Nurse hours

3.38 /day

Staff turnover

38%

Serious cites

0

Legend Oaks-Kyle runs on thinner nursing coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with the gap widening on weekends, when staffing drops about 19% below its own weekday level. That pattern matters for a 126-bed building, because fewer hands on Saturdays and Sundays is when falls and missed care tend to happen. Turnover at 38.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how many nurses are scheduled in the first place. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $8,278 fine. Inspectors last visited in December 2025.

Nurse hours

3.39 /day

Staff turnover

—

Serious cites

0

River Bend Healthcare runs on thinner nursing coverage than most homes in the country, 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the building staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The inspection record shows 49 deficiencies, including two at the harm level and two tied to abuse, with $18,225 in fines across two cases; the last survey was February 13, 2026. It's a hospital-district-owned home, which can mean steadier public oversight but doesn't change what the numbers say about daily coverage. The quality measure score runs high, yet staffing sits at the bottom of the federal scale.

Nurse hours

3.07 /day

Staff turnover

—

Serious cites

0

Crossroads Nursing & Rehabilitation runs on 3.07 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 15% below what the home itself staffs on weekdays. That thin coverage is the main reason its staffing rating sits at the bottom of CMS's scale, even though its quality measure score is perfect and its inspection record shows 30 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection in December 2025 was recent. For-profit corporate ownership out of Hearne, 80 beds. Families should ask who is actually on the floor on Saturday and Sunday.

Nurse hours

3.58 /day

Staff turnover

47%

Serious cites

0

Sundance Inn runs 128 certified beds in New Braunfels under corporate for-profit ownership, and its nursing hours sit at 3.58 per resident day, about 7% under the national average of 3.86, with weekend coverage dropping roughly 17% below what the home staffs on weekdays. The inspection record is the bigger concern: 27 deficiencies, two of them serious enough to involve harm or jeopardy, four tied to abuse. Staff turnover lands at 47.1%, slightly above the 45.8% national figure, and the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results tell a different story about day-to-day conditions.

Nurse hours

3.64 /day

Staff turnover

72%

Serious cites

0

Greenway runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekend coverage drops another 13% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover is 72.1% against a national 45.8%. Inspectors cited 21 deficiencies, seven at harm or jeopardy level and five abuse-related, and the home has paid eight fines totaling $78,421. Its last inspection was August 2023, so that record has had time to age without a fresh look. The corporate owner runs it for profit, which is worth knowing when you weigh where the money goes.

Nurse hours

4.47 /day

Staff turnover

50%

Serious cites

0

Centennial Post Acute has some of the better nurse staffing numbers you'll see, 4.47 hours per resident day, about 16% above the national average. That's real, though weekend coverage dips roughly 10% below its own weekday level, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the part to pay attention to. Eighty-three deficiencies on the current record, eight serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $232,502. That's a lot of regulatory history for a 102-bed for-profit home, and it's what's driving its overall grade down despite the staffing.

Nurse hours

3.03 /day

Staff turnover

58%

Serious cites

0

Pueblo Springs runs 129 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.03 hours per resident day, about 22% under the national average of 3.86, and weekends drop roughly 13% below the home's own weekday levels, which matters when residents need help on a Saturday night. Staff turnover is 58.3% against a 45.8% national figure, so caregivers are cycling through faster than average. The inspection record shows 20 deficiencies, none at harm or jeopardy level, though three are abuse-related. A June 2025 inspection is recent, and the quality measure score of 4 out of 5 suggests clinical outcomes hold up better than the staffing picture would predict.

Nurse hours

3.26 /day

Staff turnover

47%

Serious cites

0

La Canada Care Center runs 128 certified beds in Tucson under for-profit LLC ownership, and the staffing numbers are where the story starts. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, weekend coverage drops roughly 13% below its own weekday level, and turnover lands at 47%, slightly above the national figure. On paper the home scores well on quality measures, but its current record carries 15 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse. One fine totaling $8,278 is on file, and the last inspection was recent. The staffing pattern is the piece worth asking about directly.

Nurse hours

4.35 /day

Staff turnover

72%

Serious cites

0

The Center at Arrowhead runs 96 beds in Glendale under corporate for-profit ownership, and its last health inspection came in May 2025. Inspectors have cited 13 deficiencies, none serious enough to cause harm or immediate jeopardy, though one is abuse-related, worth asking about directly. The staffing picture is mixed: 4.35 nurse hours per resident day sits about 13% above the national average, but that same staff turns over at roughly 72% a year against a national rate near 46%, and weekend coverage drops about 8% below weekdays. Clinical quality measures score well. The weak spot is keeping the people who deliver the care.

Nurse hours

3.92 /day

Staff turnover

51%

Serious cites

0

The Woods runs 3.92 nurse hours per resident day, just above the national average of 3.86, and weekends drop about 10% below its own weekday coverage, a real gap if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 51.2% against a national 45.8%, so the faces around your relative may change often. The bigger concern is the inspection record: a 1-out-of-5 health inspection rating, 36 deficiencies including one at the harm level, and a $15,940 fine, with the most recent inspection in July 2025. For-profit, limited liability ownership. Ask to see the plan of correction for that harm-level deficiency before deciding.

Nurse hours

3.48 /day

Staff turnover

83%

Serious cites

0

The Blossoms at Eureka Springs runs on thin staffing: 3.48 nurse hours per resident day, about 10 percent under the national average, and weekends dip roughly 8 percent below its own weekday levels. The bigger red flag is turnover, 83.3 percent of staff leave annually, against a national average near 46 percent, which means the people caring for residents are, more often than not, new. Its inspection history backs that up: a 1-out-of-5 star rating, 28 deficiencies on record including two tied to abuse, though none rose to actual harm or jeopardy. The 4-out-of-5 quality measure score suggests some clinical targets are being met, and the most recent inspection was in May 2025.

Nurse hours

3.27 /day

Staff turnover

42%

Serious cites

0

The Blossoms at Star City runs 3.27 nurse hours per resident per day, roughly 15 percent under the national average, and weekends dip about 6 percent below its own weekday coverage. Turnover sits at 41.5 percent, actually a bit better than the 45.8 percent national figure, so the staffing trouble looks more like thin hours than a churning workforce. Its 23 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the most recent inspection was January 30, 2025, so the record is current. A 2-out-of-5 quality measure rating and 2-out-of-5 staffing rating are the parts worth pressing on when you visit.

Nurse hours

3.25 /day

Staff turnover

57%

Serious cites

0

The Blossoms At Fort Smith runs 130 certified beds as a for-profit partnership, and its staffing is the number that stands out: 3.25 nurse hours per resident per day, roughly 16% under the national average, with weekends about 13% thinner than weekdays. Staff turnover sits at 57% against a national 45.8%, so the people providing care keep changing. Its inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, and the last visit was September 19, 2025. Quality measures look better (4/5), but that staffing star tells you how hard it is to cover the floor.

Nurse hours

4.74 /day

Staff turnover

60%

Serious cites

0

Sherwood Nursing & Rehabilitation Center runs 4.74 nurse hours per resident day, about 23% more than the national average of 3.86, and that's a real point in its favor. But weekend staffing drops roughly 13% below its own weekday level, so the coverage your family member gets on a Saturday won't match a Tuesday. Annual turnover sits at 60.3% against a national 45.8%, meaning most of the people providing that care are relatively new. The current record shows 12 deficiencies, two serious enough to involve harm or jeopardy, plus $24,431 in fines, with the last inspection in December 2025.

Nurse hours

4.24 /day

Staff turnover

44%

Serious cites

0

Rosemead Healthcare Center runs about 99 certified beds in El Monte, and the staffing headline looks decent at first: 4.24 nurse hours per resident day, roughly 10% above the national average. But that average hides a drop on weekends, when coverage runs about 13% below its own weekday level, and CMS still rates staffing at just 2 out of 5 stars. Turnover sits at 44.3%, essentially matching the national rate, so continuity isn't a strength either. The bigger concern is the inspection record: 73 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a 2-star health inspection rating. The last survey was March 27, 2026. Fines total $8,824 across one penalty.

Nurse hours

6.28 /day

Staff turnover

56%

Serious cites

0

Creekside Post Acute runs on unusually heavy staffing for a 59-bed home, 6.28 nurse hours per resident day, roughly 63% above the national figure. That's the strongest thing in its file. Weekend coverage dips about 10% below its own weekday levels, though, and annual turnover sits at 55.6% against a national 45.8%, so the hours are there but the faces change often. The inspection record is more mixed. Thirty-one deficiencies are on the books, none at harm or jeopardy level and none abuse-related, and the last survey was recent, in July 2025. Quality measures score 2 out of 5, which is where the weaker numbers show up.