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

Nurse hours

4.15 /day

Staff turnover

62%

Serious cites

0

Aviara Healthcare Center runs 120 certified beds in Encinitas under for-profit LLC ownership, and its nurse staffing comes in at 4.15 hours per resident day, about 7% above the national average of 3.86. The catch is retention: annual turnover sits at 62.4% against a national 45.8%, and weekend coverage dips roughly 7% below the home's own weekday level, so the extra hours can be uneven in practice. The record shows 60 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in September 2025. Quality measures score well; inspections land mid-range; staffing scores low.

Nurse hours

3.88 /day

Staff turnover

48%

Serious cites

0

Sunnyvale Gardens runs 140 beds under for-profit LLC ownership, and its staffing sits basically at the national average, 3.88 nurse hours per resident day against 3.86 nationally, but weekends drop about 7% below its own weekday coverage, so the care you'd see on a Saturday looks thinner than the weekday picture. Turnover is 47.7%, a bit above the 45.8% national mark, which means a lot of new faces cycling through. What stands out more is the inspection record: 54 deficiencies, including two at the harm level and two tied to abuse, with a $43,176 fine and a 2-star health inspection rating, though quality measures score 5 stars.

Nurse hours

3.60 /day

Staff turnover

58%

Serious cites

0

Cross Country Healthcare Center runs 94 certified beds in Brownwood under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 57.9% is well above the 45.8% national figure, which means the people caring for your relative are changing often. The inspection record shows 27 deficiencies, including two at the harm level and one tied to abuse, plus $22,084 in fines across two events. The most recent inspection was April 2025, so the picture is current.

Nurse hours

3.25 /day

Staff turnover

66%

Serious cites

0

Avir At Childress runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 11% below what the home manages on weekdays, and annual turnover hits 65.6% against a national 45.8%, meaning most of the aides and nurses your family member sees are likely newer than they should be. The current inspection record carries 31 deficiencies, one tied to abuse, though none at the harm or jeopardy level, and the most recent survey came in May 2025. Quality measures score well; staffing and inspections do not.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

The Vosswood Nursing Center is a 224-bed for-profit operation in Houston, and the split between its inspection record and its staffing numbers is the whole story here. On paper, the place looks clean: a 5-star health inspection rating, only three deficiencies on the current record, none of them causing harm or jeopardy, and no abuse findings, with the last inspection in June 2023. The problem is the staffing star rating, which sits at 1 out of 5, the lowest tier CMS assigns. A facility can pass inspections and still leave residents waiting too long for help getting to the bathroom, eating, or turning in bed. That gap is what pulls the grade down, and it's what you'd want to ask about directly before deciding.

Nurse hours

3.00 /day

Staff turnover

30%

Serious cites

0

Avir At Giddings runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends are roughly 12% thinner than weekdays, which is when families tend to visit and notice. The inspection record is the bigger concern: 39 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and $39,527 in fines. Staff turnover of 30.3% is actually better than the 45.8% national figure, so the problem looks less like retention and more like how few hands are on deck. With a 1-out-of-5 rating on both inspections and staffing, the recent survey date hasn't erased what's accumulated.

Nurse hours

2.82 /day

Staff turnover

52%

Serious cites

0

Paradigm At Faith Memorial runs about 2.82 nurse staffing hours per resident day against a national average near 3.86, and weekends dip roughly 13% below the home's own weekday levels. Staff turnover sits at 52.1%, above the 45.8% national figure, and the current record carries 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Two fines total $19,481. The quality measure rating of 5/5 stands out against a 1/5 staffing rating, which is worth asking about, strong clinical scores can reflect documentation practices as much as bedside care. The most recent inspection was April 23, 2026. For-profit, limited liability ownership out of Pasadena.

Nurse hours

2.58 /day

Staff turnover

39%

Serious cites

0

Brentwood Place Three runs about a third leaner on nursing hours than the typical American nursing home, 2.58 per resident day against a national 3.86, and weekends dip roughly 13 percent below its own weekday coverage. Those are the numbers families feel when call lights take longer to answer. The inspection record backs that up: 23 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a $12,740 fine and a 2-out-of-5 inspection rating. Turnover at 39.4 percent actually beats the 45.8 percent national figure, so this isn't a churning-staff problem so much as a thin-scheduling one. A 4/5 on quality measures says some clinical care is working. Whether that offsets routine short-staffing is your call.

Nurse hours

2.88 /day

Staff turnover

45%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Bastrop is run by a hospital district, and its inspection record reflects that, a four-star health inspection rating with 13 deficiencies on file, just one at the harm level and none related to abuse. The problem is staffing: 2.88 nurse hours per resident day, roughly 26% under the national average of 3.86, and weekends run about 9% thinner than weekdays. Turnover sits at 45%, basically identical to the national figure. One fine totaling $15,920 is on record, and the last inspection was July 2025. Good surveys don't help much when there are fewer hands on deck each day.

Nurse hours

2.41 /day

Staff turnover

40%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Weslaco is run by a hospital district, and its nurses put in 2.41 hours of care per resident each day. That's about 37 percent under the national average of 3.86, and weekends run roughly 11 percent thinner than weekdays. Staff turnover sits at 40 percent, a bit better than the 45.8 percent national figure, though 26 deficiencies on the current record, two of them at the harm or jeopardy level, suggest the short staffing has real consequences. Two fines total $31,541, and the last inspection was in May 2025. The 4/5 quality measure score reflects good clinical documentation, but quality measures don't capture whether enough hands are present.

Nurse hours

2.79 /day

Staff turnover

39%

Serious cites

0

Windsor Nursing And Rehabilitation Center Of Segui runs on thin staffing: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends about 14% below its own weekday levels. That shows up in its staffing rating, which sits at the bottom of CMS's scale. The inspection record is mixed, 33 deficiencies, two at harm or jeopardy level, one abuse-related, and $24,499 in fines across two events, though the most recent inspection came in July 2025 and quality measures score reasonably well. Turnover is 38.9%, better than the 45.8% national figure. Owned by a hospital district, it's not a chain, but the day-to-day nursing hours are the number to weigh hardest here.

Nurse hours

3.25 /day

Staff turnover

43%

Serious cites

0

Ashford Gardens runs 202 beds in Houston under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends are thinner still, about 14 percent below its own weekday coverage, so the gaps families notice tend to show up on Saturdays and Sundays. The inspection record carries 24 deficiencies, including one at the harm level and one abuse-related, with a single fine of $11,009. Staff turnover at 43 percent is slightly better than the 45.8 percent national figure, which is some consolation. Quality measures score well; staffing and inspections do not.

Nurse hours

3.48 /day

Staff turnover

42%

Serious cites

0

Hill Country Heights runs a 96-bed for-profit operation in Copperas Cove, and its inspection record is genuinely solid, a four-star health inspection and four-star quality measures, with 23 deficiencies on file but only one reaching harm or jeopardy level and none tied to abuse. Staffing is where the picture dims. At 3.48 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover at 42.1% is slightly better than the 45.8% national figure, which helps. A single fine of $12,356 and a May 2026 inspection round out the record. The takeaway: decent care oversight, thinner hands on weekends.

Nurse hours

3.12 /day

Staff turnover

51%

Serious cites

0

Trinity Care Center runs 179 certified beds in Round Rock under corporate ownership, and the numbers show a split picture worth understanding. Nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average, and weekends dip another 9 percent below the home's own weekday level, so coverage thins out right when families tend to visit. Staff turnover is 51.3 percent against a national rate of 45.8 percent, meaning more than half the nursing team turns over in a year, which makes consistent care harder to build. The inspection record carries 26 deficiencies, including two at the harm level and three tied to abuse, with one fine of $10,293. The last inspection was in January 2026, so the record is current.

Nurse hours

3.13 /day

Staff turnover

36%

Serious cites

0

Wisteria Place runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, which matters most when families visit and doctors don't. The 19 deficiencies on record include one at the harm level and one tied to abuse, plus a $21,645 fine. Staff turnover sits at 36.4%, better than the national 45.8%, so the people who do show up tend to stay. The last inspection was July 2025, so the record is recent rather than stale. What you have is a 123-bed for-profit that scores well on quality measures but is thin where it counts most: enough hands on deck.

Nurse hours

3.50 /day

Staff turnover

42%

Serious cites

0

Barton Valley runs 3.50 nurse hours per resident day, about 9 percent under the national average of 3.86, and weekends drop roughly 14 percent below its own weekday staffing. That pattern matters most on Saturdays and Sundays, when families tend to visit and when care gaps are easiest to miss. The current record shows 24 deficiencies, none flagged at the harm or jeopardy level, but one is abuse-related, which is worth asking about directly. Staff turnover sits at 42.2 percent, slightly better than the 45.8 percent national figure, and the last inspection was in April 2026. As a hospital district home, it answers to a public board, so meeting records and complaint responses are available if you ask.

Nurse hours

3.34 /day

Staff turnover

38%

Serious cites

0

Cityview runs 210 beds in Fort Worth under nonprofit ownership, and the numbers pull in two directions. Its quality measure score is perfect, but the health inspection record is where things get serious: 41 deficiencies, four of them at the level where residents were actually harmed or put in jeopardy, plus two tied to abuse. Three fines total $234,014. Nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average, and weekends run about 10% thinner than weekdays. Turnover at 38% is better than the 45.8% national figure, and the most recent inspection was in August 2025, so the picture is current. The staffing and inspection numbers are the ones to weigh.

Nurse hours

3.47 /day

Staff turnover

34%

Serious cites

0

Wooldridge Place runs 120 certified beds in Corpus Christi, and the numbers tell a mixed story. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends drop about 14% below what the home manages Monday through Friday, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 33.9% actually beats the national 45.8%, so the people there tend to stay. What pulls the record down is inspection history: 32 deficiencies, three at harm or jeopardy level, one tied to abuse, and $90,880 in fines across two penalties. The last inspection was February 2026.

Nurse hours

2.59 /day

Staff turnover

33%

Serious cites

0

Yoakum Nursing and Rehabilitation Center runs on 2.59 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 14% below its own weekday levels. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5. The 110-bed nonprofit has kept turnover lower than average at 33.3% against 45.8% nationally, but its inspection record carries 26 deficiencies, including one at the harm level and three tied to abuse, plus a $13,627 fine, with the most recent inspection in May 2025.

Nurse hours

4.04 /day

Staff turnover

65%

Serious cites

0

Signature Pointe runs 195 beds in Dallas under for-profit LLC ownership, and the nursing hours residents actually receive sit at 4.04 per day, roughly 5% above the national average. That sounds fine until you look at who's delivering those hours: annual turnover hits 64.6% against a national average of 45.8%, and weekends run about 8% thinner than weekdays. The inspection record is where the real concern lives, 32 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $38,436 fine. The most recent inspection was February 2025, so the picture is current. Strong quality measures don't offset a staffing churn problem and that deficiency history.