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

Nurse hours

3.71 /day

Staff turnover

51%

Serious cites

0

Evergreen Post Acute runs 151 beds in Smyrna, and its inspection record is the main thing to know going in. The current file shows 69 deficiencies, seven of them serious enough to cause harm or jeopardy, plus six tied to abuse. Two fines total $94,156, and the last inspection was April 2025. Nurse staffing sits at 3.71 hours per resident day, about 4 percent under the national average, and it thins further on weekends. Staff turnover of 51 percent runs above the 45.8 percent national figure, which matters for whether caregivers know your family member. The quality measure stars look strong, but that score comes from resident assessments, not from how the place is run day to day.

Nurse hours

4.52 /day

Staff turnover

48%

Serious cites

0

Cadia Rehabilitation Pike Creek runs a for-profit operation under an LLC, with 177 certified beds in Wilmington. The raw nurse staffing number looks strong at 4.52 hours per resident day, about 17% above the national average, but that average hides a drop of roughly 12% on weekends, when families often do their visiting. Staff turnover sits at 48.2%, slightly worse than the 45.8% national figure, and CMS gives the home just 2 out of 5 stars for staffing and 2 for health inspections, despite a 5-star quality measure score. The inspection record carries 40 deficiencies, five at harm or jeopardy level and one abuse-related, plus three fines totaling $78,351, with the most recent inspection in April 2025.

Nurse hours

3.43 /day

Staff turnover

62%

Serious cites

0

Aviata At Emerald Shores runs 77 certified beds in Callaway, and the staffing numbers are where the trouble shows. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 62.4% against a 45.8% national average means a good share of the people providing that care are still learning the building. The inspection record is cleaner: 9 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the last visit was March 2025. Corporate ownership, for what it's worth. The care itself hasn't drawn serious citations, the concern is how much consistent attention is available day to day.

Nurse hours

3.25 /day

Staff turnover

50%

Serious cites

0

If you're weighing Rehab & Healthcare Center of Cape Coral, the numbers put two different pictures side by side. The clinical quality measures that track things like pain and mobility come in well above average, and there's no record of a deficiency causing actual harm to a resident. But the people delivering that care are stretched thin, 3.25 nurse hours per resident each day runs about 16% under the national average, weekend coverage dips a further 6%, and half the staff turned over in the past year, a bit above the national rate. That combination usually shows up as inconsistency, not catastrophe. A single abuse-related deficiency and roughly $32,000 in fines across three citations round out a record that's more uneven than alarming.

Nurse hours

3.41 /day

Staff turnover

52%

Serious cites

0

Riverside Post Acute runs 240 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip another 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 52.3%, well above the 45.8% national figure, which means familiar faces are hard to count on. The inspection record shows 25 deficiencies, including one at the harm level and two tied to abuse, plus $17,777 in fines. The last inspection was recent, December 2025, and the three-star ratings across health, quality, and staffing suggest a home that's neither failing nor standing out. Ask direct questions about weekend coverage and how they screen and retain aides.

Nurse hours

3.62 /day

Staff turnover

40%

Serious cites

0

Charlotte Bay runs 164 beds in Port Charlotte under corporate ownership, and the numbers tell two different stories. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, with weekends dropping roughly 7% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 39.9% actually beats the national 45.8%, which means the people who stay are, on paper, a relatively stable group. The inspection record is the harder part. Twenty-eight deficiencies, five at harm or jeopardy level, three tied to abuse, and two fines totaling $274,053. The most recent inspection was January 30, 2025. Quality and staffing measures score well; the survey history is what pulls the overall picture down.

Nurse hours

3.55 /day

Staff turnover

52%

Serious cites

0

Courtyards of Orlando runs 120 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekend coverage drops about 10% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover is 51.6% against a national 45.8%, meaning more than half the nursing staff turns over each year. The current record shows 22 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Quality measure scoring is the weak spot here, 1 out of 5 stars, while staffing and health inspection each land at 3.

Nurse hours

3.54 /day

Staff turnover

54%

Serious cites

0

The Nursing & Rehabilitation Center of New Port Richey runs 120 beds under corporate for-profit ownership, and its staffing numbers are the clearest signal here: 3.54 nurse hours per resident day sits about 8% under the national average, weekends drop roughly 9% below its own weekday levels, and annual turnover hits 53.8% against a 45.8% national figure. Inspections back that up, a 2-out-of-5 health inspection rating, 20 deficiencies on the current record, including two tied to abuse, though none rose to actual harm or jeopardy. The last survey was December 2024, so the record is fairly current. Quality measures score a middling 3, but staffing lands at 1. When turnover is this high and weekend coverage thins out, ask who's actually on the floor on a Sunday.

Nurse hours

3.61 /day

Staff turnover

70%

Serious cites

0

The Terrace At Courtenay Springs runs 80 certified beds in Merritt Island under corporate for-profit ownership, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, which matters when residents need help on a Saturday. The bigger number is turnover: 69.9% against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. Its current record carries 25 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse. The most recent inspection was April 16, 2026, so the picture is fairly current. Three stars across health inspections, quality measures, and staffing.

Nurse hours

3.26 /day

Staff turnover

44%

Serious cites

0

Nspire Healthcare Plantation runs 120 beds in Broward County under corporate ownership, and the staffing number is the one to pay attention to: 3.26 nurse hours per resident day, roughly 16% under the national average, with weekends dipping about 6% below its own weekday level. Turnover sits at 44%, close to the national 45.8%, so retention isn't the outlier here, raw coverage is. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with eight fines totaling $35,989, and the last inspection was August 2024. Inspection and quality measures both land mid-range; staffing is the weakest of the three.

Nurse hours

2.94 /day

Staff turnover

49%

Serious cites

0

Fairburn Heights runs on 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 10% below what it manages on weekdays. You can see that thinness in its staffing rating, which sits at the bottom of CMS's scale, and in a turnover rate of 48.7%, higher than the 45.8% national figure. The inspection record shows 30 deficiencies, including one tied to abuse and one at the harm level, though the most recent inspection was in February 2026. Quality measures score well, but that number reflects resident outcomes on paper, not how many hands are available when someone needs help.

Nurse hours

2.87 /day

Staff turnover

44%

Serious cites

0

Pruitthealth - Washington runs 47 certified beds in Wilkes County under corporate for-profit ownership. The staffing numbers are the real story here: 2.87 nurse hours per resident day, roughly 26% below the national average, with weekend coverage dropping another 15% below its own weekday level. That gap matters most on Saturdays and Sundays, when families tend to visit and when residents need the most hands-on help. Turnover sits at 44.4%, essentially in line with the national rate, so retention isn't the problem, raw hours are. The inspection record is genuinely solid: four stars, five deficiencies, none involving harm or abuse, and the last survey was recent. Quality measures land mid-range at three stars.

Nurse hours

3.40 /day

Staff turnover

51%

Serious cites

0

Winder Center for Nursing and Healing runs on thinner staffing than most homes its size. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 14% below what it manages on weekdays, so the coverage gap is worst exactly when families tend to visit. Turnover runs 51.2% against a national 45.8%, which means the aides and nurses cycling through are often new to the building. The inspection record is the harder problem: 17 deficiencies, two of them at harm or jeopardy level, a 1-star health inspection rating, and $17,074 in fines. The most recent inspection was January 22, 2026. A 1-star staffing rating alongside that inspection history is what pulls the overall picture down, despite middling quality measures.

Nurse hours

3.49 /day

Staff turnover

48%

Serious cites

0

Waycross Health and Rehabilitation runs on thinner staffing than most homes, 3.49 nurse hours per resident day against a national average of 3.86, with weekends dipping about 12% below its own weekday levels. Turnover sits at 47.8%, a bit above the national 45.8%. The inspection record is genuinely strong: a 5/5 health inspection rating with the most recent survey in May 2026, and only 7 deficiencies, none tied to abuse, though one rose to the harm level. Quality measures are where it slips, at 2/5. A non-profit with clean surveys but modest bedside hours and weak clinical measures is worth a visit, ask about weekend coverage specifically.

Nurse hours

3.30 /day

Staff turnover

39%

Serious cites

0

Pruitthealth - Augusta Hills runs a 126-bed for-profit home in Augusta, and the numbers split in two directions. The care side looks reasonably steady: nine deficiencies on the current record with none at the harm or jeopardy level and none tied to abuse, plus a recent inspection and solid marks on health inspections and quality measures. Staffing is where the trouble sits. At 3.30 nurse hours per resident day, this home runs about 15 percent under the national average, and weekends drop roughly 27 percent below its own weekday level, that's the stretch when families often can't visit and problems go unnoticed. Turnover at 39.1 percent is better than the 45.8 percent national figure, so the staff who are there tend to stay. The question is whether there are enough of them.

Nurse hours

3.76 /day

Staff turnover

52%

Serious cites

0

The Rehabilitation Center of South Georgia runs 178 certified beds in Tifton under corporate for-profit ownership, and its staffing sits slightly under the national average at 3.76 nurse hours per resident day. Weekends drop roughly 14% below the home's own weekday coverage, and annual turnover of 51.9% runs above the 45.8% national figure, both worth asking about directly. The current record shows 30 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection came in December 2025. Its quality measure rating sits at 1 out of 5, the weakest of its three CMS scores.

Nurse hours

3.07 /day

Staff turnover

39%

Serious cites

0

Reliable Health & Rehab At Lakewood runs on 3.07 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop about 14% below what the building staffs on weekdays. Turnover sits at 39.2%, which is actually better than the 45.8% national figure, so the issue here isn't constant churn, it's raw coverage. The current record shows 17 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was April 30, 2026. With 100 beds under corporate for-profit ownership, the staffing numbers are the ones worth pressing on when you tour.

Nurse hours

3.40 /day

Staff turnover

54%

Serious cites

0

Chelsey Park runs a clean building, four deficiencies on its current record, none causing harm, and a five-star inspection history as recent as April 2026. That part's real, and it matters. What pulls the grade down is the day-to-day coverage. At 3.40 nurse hours per resident, staffing sits about 12% under the national average, and weekends drop roughly 7% below the home's own weekday level, so the thinnest shifts land when families tend to visit. Turnover of 53.8% means more than half the nursing staff leaves each year, well above the national 45.8%. A nonprofit operator with a strong survey record is a good sign; the question is whether enough consistent hands are there between inspections.

Nurse hours

3.72 /day

Staff turnover

62%

Serious cites

0

Legacy Hilo Rehabilitation & Nursing Center is a for-profit home with 100 certified beds in Hilo, and the numbers tell a story worth reading carefully. Federal inspectors have logged 34 deficiencies against it, including one at the harm level and one tied to abuse, and the home sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staffing runs slightly below the national average at 3.72 hours per resident day, weekend coverage drops about 14% below weekdays, and annual turnover hits 62.3% against a national 45.8%. Its last inspection was February 27, 2026. One $16,350 fine is on record.

Nurse hours

3.43 /day

Staff turnover

75%

Serious cites

0

Grangeville Health & Rehabilitation runs a 60-bed for-profit home in Idaho County, and its inspection record is genuinely solid, 13 deficiencies on file, none at the harm level, none tied to abuse, and a survey as recent as August 2025 that earned four stars. What pulls the overall picture down is the workforce. Nurses provide 3.43 hours per resident per day, roughly 11% under the national average, and weekends run about 10% lighter than weekdays. Turnover sits at 75%, well above the 45.8% national figure. Consistent hands matter more than a clean paper record when your family member needs help at 2 a.m. on a Sunday.