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

Nurse hours

3.89 /day

Staff turnover

61%

Serious cites

0

Ignite Medical Resort Round Rock runs 70 beds in Austin under for-profit LLC ownership, and its staffing sits barely above the national average, 3.89 nurse hours per resident day against 3.86, with weekends running about 14% thinner than weekdays. The bigger concern is turnover at 61.2%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. Its inspection record shows 40 deficiencies, including 7 at the harm or jeopardy level and 2 tied to abuse, plus three fines totaling $63,733, and the most recent inspection was January 2026. Strong quality-measure scores don't offset that inspection history; ask direct questions about staff retention and how the home corrected those abuse-related findings.

Nurse hours

3.39 /day

Staff turnover

62%

Serious cites

0

Las Brisas Rehabilitation And Wellness Center in Irving runs a curious split: a five-star health inspection rating and zero deficiencies at the harm or jeopardy level, yet its staffing rating sits at two stars. Nurses provide 3.39 hours per resident day, roughly 12% under the national average, and weekends drop about 14% below the home's own weekday coverage. Annual turnover hits 62.3%, well above the 45.8% national figure, which matters when consistent caregivers are what families count on. One abuse-related deficiency appears on the current record. The inspection was recent, in January 2026. For-profit corporate ownership rounds out the picture.

Nurse hours

4.11 /day

Staff turnover

51%

Serious cites

0

Cullman Health Care Center runs 4.11 nurse hours per resident day, about 7% above the national average, and that shows up in its staffing rating. The catch is weekends, when hours drop roughly 19% below the weekday level, and turnover sits at 50.5% against a 45.8% national average, so the people covering those shifts keep changing. Inspections landed at 2 stars, with six deficiencies on record, none tied to harm, abuse, or jeopardy, plus one fine of $26,982. The last full inspection was October 2023. Quality measures also came in at 2 stars. Strong weekday staffing, thinner weekends, and a recent inspection history that isn't clean.

Nurse hours

5.38 /day

Staff turnover

—

Serious cites

0

Coral Cove Post Acute runs 117 beds in Long Beach under individual for-profit ownership, and the staffing is genuinely higher than most: 5.38 nurse hours per resident day against a national average of 3.86. That's real coverage, though weekends dip about 10% below its own weekday level. The problem is everything else. The current inspection record carries 120 deficiencies, 7 of them at the harm or jeopardy level and 15 tied to abuse. Three fines total $118,978. Health inspection rating sits at 1 out of 5. If you're weighing this one, ask directly how those abuse-related citations were resolved and who manages weekend coverage.

Nurse hours

3.91 /day

Staff turnover

—

Serious cites

0

Brighton Place San Diego runs 99 certified beds as a for-profit LLC, and its health inspection record is the main thing to know: 53 deficiencies on the current record, including two abuse-related citations. None reached the harm or jeopardy level, and the last inspection was in January 2025, so the record is recent. Staffing looks solid at first glance, 3.91 nurse hours per resident day, just above the national average, but the numbers sag on weekends, running about 7% below the home's own weekday level, and CMS rates staffing at just one out of five stars. Total nurse hours can clear the national bar while the distribution still leaves gaps.

Nurse hours

2.99 /day

Staff turnover

51%

Serious cites

0

Thornton Care Center runs on 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 16% below its own weekday staffing. That thinner coverage sits alongside 50.7% annual turnover, so the aides and nurses in the building keep changing. Inspectors have cited 62 deficiencies on the current record, 7 of them at harm or jeopardy level and 5 tied to abuse, with three fines totaling $21,483 and a December 2024 inspection date. Adams County families comparing options should weigh those numbers directly.

Nurse hours

3.29 /day

Staff turnover

—

Serious cites

0

Vivo Healthcare Winter Haven runs 120 beds under individual for-profit ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends drop about 9 percent below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record carries 45 deficiencies, none flagged at harm or jeopardy level and none abuse-related, with the most recent survey dated April 10, 2025. Federal staffing and health inspection stars both sit at 1 out of 5, while quality measures come in at 3. That split is worth noticing: the clinical tracking looks steadier than the day-to-day staffing and inspection history behind it.

Nurse hours

3.91 /day

Staff turnover

—

Serious cites

0

Brentwood Health Center By Harborview runs 103 certified beds in Waynesboro under corporate for-profit ownership, and its staffing sits at 3.91 nurse hours per resident day, barely a percentage point above the national average, with weekend coverage dipping slightly below its own weekday level. That thin margin matters, because the inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent state visit was in mid-2025. The staffing and health inspection ratings both land at two out of five stars, while quality measures score three. Nothing here reads as dangerous, but the numbers describe a home doing the minimum rather than one with room to absorb a bad week.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Autumn Lane runs about 3.50 nursing hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop about 17% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families tend to visit and notice. Turnover sits at 45.9%, essentially identical to the national figure, so retention isn't the problem here, day-to-day coverage is. The inspection record is the stronger part: a 4-out-of-5 health inspection rating, last surveyed in May 2025, with 12 deficiencies on file but none at the harm level and none abuse-related. As a nonprofit, it isn't managing to a quarterly earnings target, which may explain the clean inspection history alongside the thin weekend staffing.

Nurse hours

3.29 /day

Staff turnover

31%

Serious cites

0

Pruitthealth - Holly Hill runs 100 beds in Valdosta under for-profit LLC ownership, and the inspection record is the main thing to know going in: 23 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and $19,145 in CMS fines across two events. The health inspection rating sits at 1 out of 5, and the last inspection was February 27, 2026, so the record is recent. Nurse staffing averages 3.29 hours per resident day, roughly 15% under the national average, and weekends run about 18% below the home's own weekday level, gaps tend to show up when families visit. Turnover at 30.6% is actually better than the 45.8% national figure, which means the staff who are there tend to stay.

Nurse hours

3.33 /day

Staff turnover

48%

Serious cites

0

Pruitthealth - Sunrise runs 60 certified beds in Moultrie under for-profit LLC ownership, and its recent inspection history is a genuine strength, 12 deficiencies on record, none at the harm or jeopardy level, and a survey completed in June 2025. The staffing picture is where the concern sits: 3.33 nurse hours per resident day, roughly 14% below the national average of 3.86, with weekends about 15% thinner than weekdays. Annual turnover of 47.8% edges just past the national figure of 45.8%, meaning the people who are there are stretched and the roster keeps shifting. Strong survey results don't erase thin daily coverage, especially on weekends.

Nurse hours

3.53 /day

Staff turnover

66%

Serious cites

0

Green Acres runs about 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends drop another 17% below its own weekday staffing. That gap matters more than the average, because most families visit on weekends. Annual turnover sits at 65.5% against a national 45.8%, so the aides and nurses on the floor change often, that's hard on residents who need consistent hands. The current inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and no abuse findings. The last inspection was April 2026, so the picture is recent, not stale. It's a for-profit, individually owned home. Staffing hours look decent on paper, but the churn and weekend dip tell the fuller story.

Nurse hours

3.90 /day

Staff turnover

47%

Serious cites

0

Orchards Of Cascadia runs 100 beds in Nampa under for-profit LLC ownership, and its staffing sits barely above the national average, 3.90 nurse hours per resident day against 3.86. That's a thin margin, and weekends drop about 18% below the home's own weekday level, which is when coverage gaps tend to show up. Turnover is 47.4%, slightly worse than the 45.8% national figure. What stands out most is the inspection record: 23 deficiencies, including two at the harm level and two tied to abuse, plus $34,954 in fines, and CMS has placed it in the Special Focus Facility program. The most recent inspection was December 2025.

Nurse hours

3.73 /day

Staff turnover

51%

Serious cites

0

Wellspring Health & Rehabilitation Of Cascadia runs 120 certified beds in Nampa under for-profit LLC ownership, and the staffing numbers are where the story starts. Nurses provide 3.73 hours per resident day, a bit under the national average, and weekends drop roughly 22% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover sits at 51.4%, above the national rate. The inspection record shows 19 deficiencies, including two at the harm level and one tied to abuse, plus a $30,927 fine; the most recent inspection was September 2025. Quality measure scores look strong on paper, but staffing and inspection results tell a more mixed story.

Nurse hours

3.24 /day

Staff turnover

53%

Serious cites

0

Royal Plaza runs on thin staffing for a 76-bed home, 3.24 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday level. That matters because care doesn't pause on Saturdays. The 27 deficiencies on record include five at the harm or jeopardy level, which is a meaningful count, though inspectors have visited recently and returned a four-star inspection rating. Annual turnover sits at 53.4%, higher than the national 45.8%, so aides and nurses are cycling through. Quality measures land at two stars even as inspections hold at four. The ownership is a for-profit partnership, and the split between those ratings tells you where to push when you tour.

Nurse hours

4.32 /day

Staff turnover

—

Serious cites

0

The Arc At Kankakee runs 4.32 nurse hours per resident day, roughly 12 percent above the national average, and weekend staffing holds within about 3 percent of weekday levels, so the raw coverage looks adequate. What sits underneath is harder: 13 deficiencies on the current record, three of them at harm or jeopardy level and two tied to abuse, plus a single $86,813 fine. This is a for-profit limited liability company with 51 beds, and its last inspection was May 9, 2025. A family weighing this home should ask specifically how those abuse-related findings were resolved and whether the same direct-care staff are consistently on the floor.

Nurse hours

3.67 /day

Staff turnover

62%

Serious cites

0

River Terrace is county-owned, which usually means steadier oversight than you'd get from a for-profit chain, and the inspection record backs that up: a five-star health inspection rating, just four deficiencies on the books, none causing harm and none tied to abuse, with the most recent visit in December 2025. The trouble sits in the day-to-day staffing. At 3.67 nurse hours per resident, it runs about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to notice slower call bells. Turnover near 62%, well above the 45.8% national figure, means the people caring for your relative keep changing.

Nurse hours

3.67 /day

Staff turnover

48%

Serious cites

0

Mayfair Manor runs about 3.67 nurse hours per resident per day, roughly 5% under the national average, and weekend coverage drops another 17% below what the home staffs on weekdays. That thin weekend margin matters more when you look at the inspection record: 27 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse. Staff turnover sits at 48.2%, a few points above the national figure. The federal inspection rating is 1 out of 5, and the home has paid $33,602 across three fines. The most recent inspection was February 2026. Corporate-owned, 98 beds.

Nurse hours

3.45 /day

Staff turnover

47%

Serious cites

0

Hardinsburg Nursing and Rehabilitation Center runs 63 certified beds under for-profit LLC ownership, and its state inspection record is the strongest part of the picture, 12 deficiencies on file, but three of those reached harm or jeopardy level and two were abuse-related, which matters more than the raw count suggests. Staffing is where the numbers pull the other way: 3.45 nurse hours per resident day sits about 11 percent under the national average, weekends drop roughly 16 percent below the home's own weekday level, and turnover runs 47.3 percent against a 45.8 percent national figure. The most recent inspection was July 10, 2025. Federal ratings put health inspections and quality measures at 4 stars each, staffing at 3.

Nurse hours

3.88 /day

Staff turnover

41%

Serious cites

0

Campbellsville Nursing and Rehabilitation Center runs 67 certified beds under for-profit LLC ownership, and its staffing picture is more mixed than the headline number suggests. Total nurse staffing sits at 3.88 hours per resident day, essentially matching the national average of 3.86, but weekends run about 15 percent below the home's own weekday level, and the federal staffing rating lands at just 2 out of 5. Turnover is 40.8 percent, better than the 45.8 percent national figure. On inspections, the record is cleaner: a 4-star health inspection rating, six deficiencies with none at harm or jeopardy level and none abuse-related, and a recent survey dated January 6, 2026. Quality measures rate 3 out of 5.