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

Nurse hours

4.75 /day

Staff turnover

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Serious cites

0

Alameda Healthcare & Wellness Center runs 166 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, though weekend coverage dips about 6% below its own weekday level. The problem isn't the hours on the floor; it's the record. That staffing advantage hasn't translated into a clean inspection history: 61 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $8,990 fine and a 2/5 inspection rating. The last survey was August 2024, so the current picture is reasonably fresh. Stronger staffing than most, but the compliance record is doing the damage.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

McKinney Healthcare and Rehabilitation Center sits at 125 certified beds under hospital district ownership, and the inspection record is the bright spot here, a 4-out-of-5 health inspection rating with the most recent survey done in May 2025. The 21 deficiencies on file are mostly low-level, with none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Staffing is where the numbers get thin. At 3.06 nurse hours per resident day, this home runs roughly 21 percent below the national average, weekends drop about 19 percent below its own weekday coverage, and turnover hits 50.7 percent against a 45.8 percent national figure. Ask how they cover weekends and how long the current director of nursing has been in place.

Nurse hours

— /day

Staff turnover

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Serious cites

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Mullican Care Center runs about 3.44 nurse staffing hours per resident per day, roughly 11 percent under the national average, and weekends dip another 12 percent below its own weekdays. That thin coverage shows up in CMS's staffing rating: one star out of five. The inspection record carries 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $5,159. A May 2025 inspection is recent, and the three-star marks on health inspections and quality measures suggest care isn't failing across the board. Still, for 112 beds in a for-profit corporate setup, the numbers point to a home where staffing is the weak spot worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

43%

Serious cites

0

Fort Bend Healthcare Center runs 56 beds in Rosenberg under for-profit partnership ownership, and its staffing is the weak spot: 3.15 nurse hours per resident day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover lands at 43.2%, slightly better than the 45.8% national figure, so retention isn't the problem, raw coverage is. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,929 fine; the most recent inspection was August 2025. CMS rates quality measures 5 out of 5 but staffing 1 out of 5, which tells you the clinical outcomes look good on paper even as daily floor coverage lags.

Nurse hours

3.87 /day

Staff turnover

60%

Serious cites

0

Everstead Health and Rehabilitation Center runs 50 beds in Russellville under for-profit LLC ownership, and its staffing sits almost exactly at the national average, 3.87 nurse hours per resident day against 3.86. The catch is weekends, when hours drop about 14% below the home's own weekday level, so coverage thins right when families tend to visit. Annual turnover of 60.4% is well above the 45.8% national figure, meaning many of the aides and nurses who know your relative may not stay long. Four deficiencies sit on the current record, none involving harm or abuse, though the last inspection dates to September 2022, so that record is aging.

Nurse hours

3.79 /day

Staff turnover

65%

Serious cites

0

Camellia Health and Rehabilitation Center runs 170 certified beds in Mobile under for-profit limited liability ownership. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The bigger number is turnover: 65.3% of staff leave annually, well above the 45.8% national average. That kind of churn means unfamiliar faces at the bedside. Six deficiencies sit on the current record, none at harm or jeopardy level, and the last inspection was January 2022, so that record is getting stale.

Nurse hours

3.03 /day

Staff turnover

46%

Serious cites

0

Baron House Of Hueytown runs 50 certified beds as a for-profit LLC, and its staffing is the number that stands out: 3.03 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekends dip about 12 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 45.5 percent, essentially tracking the national 45.8 percent. On the inspection side, nine deficiencies are on record with none at harm or jeopardy level and nothing abuse-related, and the last survey was March 2024, a decent record, though the two-star quality measure rating and three-star staffing rating suggest the day-to-day care metrics aren't as strong as that inspection result.

Nurse hours

2.92 /day

Staff turnover

63%

Serious cites

0

Ahwatukee Post Acute runs 192 certified beds as a for-profit corporation, and its staffing is the number that stands out. At 2.92 nurse hours per resident day, it sits about a quarter below the national average of 3.86, with weekend coverage dipping even further. That thin staffing shows up in a 63.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are, more often than not, new to the building. Its inspection record carries 38 deficiencies on file, including six tied to abuse, though none reached harm or jeopardy. Last inspected in August 2025. The quality measure score looks strong, but that's self-reported data, and it's worth weighing against what the inspection and staffing numbers actually show.

Nurse hours

3.82 /day

Staff turnover

46%

Serious cites

0

Madera Rehabilitation & Nursing Center runs 176 certified beds under for-profit LLC ownership, and its inspection record is the number that should worry you most: 71 deficiencies on the current record, 7 of them serious enough to cause harm or jeopardy, and 5 tied to abuse. Fines total $373,733 across three penalties. Nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86, with weekends running about 7% thinner than weekdays, and turnover at 45.5% is essentially the national norm. The 4/5 quality measure score looks good on paper, but inspections and staffing are where the day-to-day reality shows. The last inspection was August 2025.

Nurse hours

3.98 /day

Staff turnover

63%

Serious cites

0

Garden City Healthcare Center has 104 beds and runs on a for-profit limited liability structure. Its nurse staffing comes in at 3.98 hours per resident day, a bit above the national figure of 3.86, but weekends drop roughly 8% below its own weekday levels, and annual turnover sits at 62.8% against a national 45.8%, that churn matters more than the small staffing edge. The inspection record is where things get serious: 60 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, plus $35,153 in fines across 3 penalties. The last inspection was February 12, 2026, and the health inspection rating is 2 out of 5.

Nurse hours

5.04 /day

Staff turnover

42%

Serious cites

0

Intercommunity Healthcare & Rehabilitation Center runs 86 beds in Norwalk under individual for-profit ownership, and its nurse staffing comes in at 5.04 hours per resident day, roughly 30 percent above the national average of 3.86. That's the strongest number here. Weekend coverage dips about 8 percent below its own weekday level, and turnover sits at 42.1 percent, a bit under the national 45.8 percent. The inspection record is where it gets harder to read: 46 deficiencies, including one at harm or jeopardy level and four tied to abuse, drawing a single $20,654 fine. The most recent inspection was July 2025, so it's current. Staffing looks good on paper; the deficiency history is what a family should ask about directly.

Nurse hours

4.22 /day

Staff turnover

40%

Serious cites

0

Nurse staffing at this Newhall home runs about 9% above the national average, and weekend coverage only dips about 9% below its own weekday level, not a dramatic drop. Staff turnover sits at 39.7%, better than the national 45.8%. The trouble is on the inspection side. The current record carries 91 deficiencies, five of them serious enough to put residents in harm's way and four tied to abuse. Three fines total $118,170, and the last full inspection was February 2025. Quality measures score well, and staffing holds up, but a record with that many citations, especially the harm and abuse findings, is the number a family should weigh hardest here.

Nurse hours

3.73 /day

Staff turnover

33%

Serious cites

0

Villa Las Palmas runs 151 beds in El Cajon under corporate ownership, and its staffing sits a bit under the national average, 3.73 nurse hours per resident day against 3.86, with weekends dipping about 5% below weekdays. The tradeoff is retention: 33.1% turnover beats the 45.8% national figure, so the faces here tend to stick around longer than at a typical home. What pulls the record down is the inspection side: 47 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus four abuse-related citations and $33,732 in fines. The last inspection was May 2025, so this is current.

Nurse hours

4.31 /day

Staff turnover

54%

Serious cites

0

Broadway By The Sea runs on a for-profit LLC out of Long Beach, and the numbers tell a split story. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, but weekends dip roughly 13% below weekdays, and turnover runs 53.6% against a national 45.8%, so the hours are there on paper, the consistency isn't. The inspection record is the real problem: 79 deficiencies, four at harm or jeopardy level, nine abuse-related, and $205,642 in fines across five events, with the most recent inspection in January 2026. Strong quality scores don't offset that paper trail.

Nurse hours

3.86 /day

Staff turnover

47%

Serious cites

0

Santa Cruz Post Acute runs 149 certified beds under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, though weekends drop about 7% below its own weekday coverage, so care thins out when families tend to visit. What stands out is the split between its quality scores and its inspection record: strong marks on clinical measures, but 84 deficiencies on file, four of them serious enough to involve harm or jeopardy, plus three fines totaling $161,912. Staff turnover, at 46.7%, tracks close to the national rate of 45.8%. That combination, decent daily staffing, poor inspection history, is worth asking about directly before you decide.

Nurse hours

3.88 /day

Staff turnover

47%

Serious cites

0

Devonshire Care Center runs 99 beds in Hemet under for-profit LLC ownership, and its staffing sits at 3.88 nurse hours per resident day, barely a hair above the national average of 3.86. Weekends run about 6% leaner than weekdays there, and turnover is 46.7%, slightly worse than the 45.8% national figure. The bigger issue is the inspection record: 73 deficiencies, including one at the harm level and six tied to abuse, with a $10,364 fine on file and a health inspection rating of 1 out of 5. That record was updated as recently as April 2025, so it reflects current conditions rather than old problems.

Nurse hours

3.26 /day

Staff turnover

—

Serious cites

0

Brighton Care Center runs 108 certified beds under corporate ownership, and its state inspection record is recent and solid, a 4-star health inspection rating with the last survey in November 2024. Where it gets shaky is staffing: 3.26 nurse hours per resident day, roughly 16% under the national average, and weekends run another 16% below its own weekday levels. A 1-star staffing rating reflects that gap. The 13 deficiencies on record, two of them at harm or jeopardy level, plus a single $38,812 fine, suggest problems serious enough to matter without a pattern of abuse. Quality measures score well at 5 stars, but good numbers on paper don't staff a night shift.

Nurse hours

2.76 /day

Staff turnover

53%

Serious cites

0

Juniper Village - The Spearly Center carries 31 deficiencies on its current record, six of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of problems, and inspectors have fined it seven times for a total of $274,182. Staffing sits at 2.76 nurse hours per resident day against a national average of 3.86, roughly 29% below, with weekends running about 13% lighter than weekdays, and annual turnover of 52.6% means more than half the nursing staff leaves each year. The most recent inspection was December 4, 2025.

Nurse hours

3.20 /day

Staff turnover

44%

Serious cites

0

Apple Rehab Farmington Valley runs 160 certified beds under corporate ownership, and its staffing score sits at 1 out of 5 stars from CMS, the weakest mark the federal system gives. That matters more than the 44.1% annual turnover rate, which actually lands slightly below the national average of 45.8%. The inspection history shows 39 deficiencies on the current record, including 5 tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection was June 3, 2025. Health inspection and quality measure ratings both come in at 3 out of 5. The staffing shortfall is the number worth asking about directly when you tour.

Nurse hours

4.08 /day

Staff turnover

45%

Serious cites

0

Village Green runs a for-profit corporation home with 120 certified beds, and its nurse staffing sits at 4.08 hours per resident day, about 6% above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 10% below the home's own weekday level, so the weekday numbers don't tell the whole story. Turnover among nursing staff is 45.2%, essentially matching the national average of 45.8%. The current inspection record carries 38 deficiencies, including two at the harm or jeopardy level and three tied to abuse, along with two fines totaling $22,411. The most recent inspection was March 12, 2025.