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

Nurse hours

2.81 /day

Staff turnover

36%

Serious cites

0

Edinburg Nursing And Rehabilitation Center runs on 2.81 nurse hours per resident per day, roughly 27% under the national average, and weekends drop about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 35.8% is better than the 45.8% national figure, which suggests some continuity, but 32 deficiencies sit on the current record, including 5 tied to abuse and 2 serious enough to put residents in harm's way. Two fines totaling $21,472 followed. It's hospital-district owned and inspected recently, in April 2025, with quality measures scoring well above its staffing. The gap between those two numbers is the whole story.

Nurse hours

2.90 /day

Staff turnover

30%

Serious cites

0

Focused Care At Burnet Bay runs lean on nursing hours, 2.90 per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop another 8% below its own weekdays. That thin coverage shows up in the inspection record: 25 deficiencies, five serious enough to put residents at harm or jeopardy, and two tied to abuse, with a $12,893 fine on file. What the numbers don't show is instability, 30% turnover is actually better than the 45.8% national figure, so the problem looks less like a constantly changing staff than too few of them. The last inspection was recent, May 2026, and ownership is for-profit corporate.

Nurse hours

3.24 /day

Staff turnover

41%

Serious cites

0

Cambridge Health and Rehabilitation Center runs 158 certified beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.24 hours per resident per day, about 16% under the 3.86 national average, with weekends roughly 9% thinner than weekdays. The inspection record is where the real weight sits: 26 deficiencies on file, seven of them at harm or jeopardy level and two tied to abuse, plus four fines totaling $68,342, most recently inspected May 15, 2025. Staff turnover of 40.6% is actually a touch better than the 45.8% national figure, and the quality measure score is strong, but thin daily staffing against that deficiency history is the tradeoff families should weigh.

Nurse hours

3.56 /day

Staff turnover

60%

Serious cites

0

Life Care Center of Haltom runs 127 beds in Fort Worth under corporate ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 13% below its own weekday coverage, and annual turnover hits 60.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 25 deficiencies, none at harm or jeopardy level, but six tied to abuse. Its last inspection was January 2026, so the picture is current. Quality measures score well; staffing and inspections are where the gaps sit.

Nurse hours

3.16 /day

Staff turnover

44%

Serious cites

0

Willow Rehab & Nursing is a for-profit LLC home in Kilgore with 118 certified beds, and its record shows real tension between care quality and staffing. The quality measure rating comes in at 5 out of 5, but nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 11% thinner than weekdays, with a 2 out of 5 staffing rating to match. Its inspection history carries 33 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $219,229. Turnover at 43.8% is slightly better than the 45.8% national figure. The most recent inspection is dated April 1, 2026. Strong clinical measures, thin coverage, and a costly enforcement record.

Nurse hours

3.19 /day

Staff turnover

32%

Serious cites

0

Westpark Rehabilitation and Living runs 140 certified beds in Euless under hospital district ownership, and its inspection record is the part that should worry you. The home carries 55 deficiencies on its current record, including three at the harm or jeopardy level and three tied to abuse. Its health inspection rating sits at 1 out of 5, the lowest CMS assigns, with two fines totaling $26,186. Staffing runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 31.8% is genuinely better than the 45.8% national figure, and the quality measure rating is 4 out of 5, though strong self-reported measures are easier to post when inspections are finding this much.

Nurse hours

3.46 /day

Staff turnover

62%

Serious cites

0

Vista Ridge runs lean on nursing hours, 3.46 per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops roughly 12% below its own weekday level. That thin staffing shows up in the turnover number too: 62.2% of nurses leaving in a year, well above the 45.8% national rate, which means unfamiliar faces are often the ones at the bedside. The inspection record carries 21 deficiencies, including one at the harm level and four tied to abuse, with a single $10,348 fine. A 5/5 on quality measures sits alongside a 2/5 on staffing, and the most recent inspection was December 2024.

Nurse hours

3.25 /day

Staff turnover

40%

Serious cites

0

Park Manor of Westchase runs 125 beds in Houston under individual for-profit ownership, and its last inspection, in February 2025, turned up 29 deficiencies, seven of them serious enough to cause harm or put residents in jeopardy, four tied to abuse. Staffing sits at 3.25 nurse hours per resident per day, about 16% under the national average, and weekends run thinner still. The one bright spot in the numbers is turnover: 39.6%, lower than the 45.8% national figure, though that matters less when the hours themselves are short. The five-star quality measure score stands out against a one-star inspection record and one-star staffing, but quality measures come from self-reported data. The fines total $136,617 across three cases.

Nurse hours

3.29 /day

Staff turnover

37%

Serious cites

0

Mira Vista Court runs 142 certified beds in Fort Worth under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing. At 3.29 nurse hours per resident day, it sits roughly 15 percent under the national average, and weekends drop about 11 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 36.7 percent is actually better than the 45.8 percent national figure, which suggests some stability in who's showing up. But the inspection record carries real weight: 34 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $87,958. The last inspection was July 2025. Quality measures look strong on paper; the direct-care and oversight picture is where the concerns concentrate.

Nurse hours

3.38 /day

Staff turnover

—

Serious cites

0

Prairie Estates runs 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 16% below its own weekday numbers. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5. The inspection record carries 23 deficiencies, two of them at the harm or jeopardy level, though none involve abuse, and CMS has fined the home twice for $24,587 total. Its quality measure rating is strong at 5 out of 5, and the last inspection was recent, in March 2026. Corporate-owned with 180 beds, Prairie Estates looks like a home where resident care measures well but day-to-day staffing is the weak point worth asking about directly.

Nurse hours

3.20 /day

Staff turnover

47%

Serious cites

0

Park Manor Of Tomball runs 125 certified beds under for-profit LLC ownership, and its nursing hours come in at 3.20 per resident day against a national average of 3.86, roughly 17% thinner, with weekends about 9% leaner than its own weekdays. Staff turnover sits at 47.3%, a bit above the 45.8% national mark. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a single $14,069 fine and a survey dated March 26, 2026. Its quality measure stars look strong on paper, but those depend on the staffing and inspection results underneath them.

Nurse hours

3.95 /day

Staff turnover

56%

Serious cites

0

Duncanville Healthcare and Rehabilitation Center runs 124 certified beds under corporate for-profit ownership, and its staffing picture is more mixed than the headline number suggests. Total nurse staffing sits at 3.95 hours per resident day, slightly above the national average of 3.86, but weekends drop about 9% below the home's own weekday coverage, and annual turnover hits 56.3% against a national 45.8%, meaning the people providing that care keep changing. The inspection record is where the real weight sits: 61 deficiencies on file, six at harm or jeopardy level, four tied to abuse, and four fines totaling $43,902, with the most recent inspection in August 2025. A 1-out-of-5 health inspection rating reflects that history, even as quality measures score higher.

Nurse hours

3.04 /day

Staff turnover

33%

Serious cites

0

Elgin Nursing and Rehabilitation Center runs lean on direct care: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 12% under its own weekday pace. That thin coverage shows up in the federal staffing rating, and it's worth weighing against 27 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $36,221 fine. Staff turnover at 33.3% is better than the 45.8% national figure, and the quality measure score of 4 out of 5 suggests residents' clinical outcomes aren't the main problem. The last inspection was April 2025, so the record is recent.

Nurse hours

3.36 /day

Staff turnover

63%

Serious cites

0

Willow Creek Lodge has 135 certified beds and runs on 3.36 nurse hours per resident per day, roughly 13% under the national average of 3.86, and weekends drop about 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 62.5% against a national 45.8%, which means the aides and nurses caring for your parent are changing often. The inspection record is mixed: 23 deficiencies, none at harm or jeopardy level, but one abuse-related finding. State inspectors were last in on July 17, 2025, and the health and quality ratings both came back solid. It's a for-profit LLC, so watch the staffing line closest.

Nurse hours

3.24 /day

Staff turnover

30%

Serious cites

0

Canton Oaks runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends dip about 6% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the brighter spot: 30.4% is well under the 45.8% national figure, meaning the aides and nurses who are there tend to stay. The trouble sits in the inspection record: four deficiencies, two of them serious enough to rate harm or jeopardy, plus two fines totaling $49,111. A July 2025 inspection is recent, at least. Ask what those two harm-level findings involved and how the home fixed them.

Nurse hours

3.31 /day

Staff turnover

40%

Serious cites

0

Hunters Pond runs 128 beds in San Antonio under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.31 nurse hours per resident day, it sits roughly 14% under the national average, and weekends dip about another 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with $66,531 in fines across three penalties; the last inspection was August 2025. Turnover at 40% is actually a bit better than the 45.8% national figure, and its quality measure score is strong. But the health inspection and staffing ratings both come in low, and that's the tension worth weighing.

Nurse hours

3.05 /day

Staff turnover

50%

Serious cites

0

The Heights of Tomball has 131 certified beds and a for-profit corporate owner, and its nurse staffing comes in at 3.05 hours per resident day, roughly a fifth below the national average of 3.86. Weekends run about 10% lighter than weekdays, and annual turnover sits at 49.5%, above the 45.8% national figure. Inspections look better than that staffing picture: the last visit was March 28, 2024, and the health inspection rating is 4 out of 5. But the record still carries 14 deficiencies, two at harm or jeopardy level and one abuse-related, plus two fines totaling $21,908. The staffing star lands at 1.

Nurse hours

2.99 /day

Staff turnover

41%

Serious cites

0

Falcon Ridge runs 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage sits behind 33 deficiencies on the current record, including two at the harm level and three abuse-related, with $8,577 in fines. Turnover is 40.8%, a bit better than the 45.8% national figure, and the last inspection was March 20, 2025. The 140-bed corporate-owned home draws a 3 out of 5 on health inspections and 4 on quality measures, but staffing comes in at 1.

Nurse hours

— /day

Staff turnover

57%

Serious cites

0

Windemere at Westover Hills runs 112 certified beds under corporate ownership, and its staffing is the weak spot, a one-star rating against a national average, with 57% of staff turning over each year versus 45.8% nationally. That churn shows up on the inspection record too: 22 deficiencies, two of them serious enough to reach harm or jeopardy level, though none involved abuse. A single fine of $8,281 rounds out the enforcement history. The quality measure score of four stars is the brighter note here, and the most recent inspection came in December 2025, so the picture is current. If you're weighing this one, ask directly how they're holding onto aides and nurses, because the numbers say that's where the trouble lives.

Nurse hours

3.36 /day

Staff turnover

38%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation Garland runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, dropping about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. The current inspection record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Staff turnover is 38.1%, better than the 45.8% national figure. The most recent inspection was February 2025, so the picture is fairly current. Ask about weekend coverage and what those three abuse deficiencies involved before deciding.