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

Nurse hours

3.14 /day

Staff turnover

53%

Serious cites

0

The Waters of Gallatin runs 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and it carries 12 deficiencies on its current record, two of them abuse-related, though none rose to harm or jeopardy level. Weekend staffing dips about 9% below its own weekday level, and turnover sits at 53.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The for-profit LLC ownership and that 1-out-of-5 staffing rating explain the C, even with a 4-out-of-5 quality measure score and a recent April 2026 inspection. If you're considering this one, ask directly how they cover weekends and what those two abuse citations involved.

Nurse hours

4.01 /day

Staff turnover

61%

Serious cites

0

Green Hills Center runs 4.01 nurse staffing hours per resident day, a bit above the 3.86 national average, but weekends drop roughly 10% below its own weekday coverage. The bigger concern is stability: 61.2% annual turnover against a 45.8% national rate means many of the people providing that care are new or on their way out. Its current record carries 39 deficiencies, including 7 at the harm or jeopardy level and 5 tied to abuse, with $16,801 in fines. The last inspection was February 2025, so this is a recent picture, and it's a for-profit corporate home where strong quality scores sit alongside weak inspection and staffing ratings.

Nurse hours

3.69 /day

Staff turnover

36%

Serious cites

0

Life Care Center Of Bruceton-Hollow Rock runs 3.69 total nurse hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 11% below its own weekday coverage. Turnover sits at 35.5%, which is actually better than the 45.8% national figure, so the staffing ratings gap isn't mainly about retention. The inspection record is the strong point: a 5/5 health inspection star and 14 deficiencies, none at harm or jeopardy level, though three are abuse-related. What pulls the overall picture down is staffing volume and a mid-range 3/5 on quality measures.

Nurse hours

3.72 /day

Staff turnover

47%

Serious cites

0

Cypress Grove runs a 170-bed building in Jackson under for-profit limited liability ownership, and the numbers land close to average without much cushion. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 8% below what the home staffs during the week, so the thinnest coverage comes when families tend to visit. Staff turnover is 47.4%, a bit above the national 45.8%. The record shows 24 deficiencies from its June 2025 inspection, three of them at harm or jeopardy level and one tied to abuse, with a single $17,355 fine. Three out of five stars across inspection, quality, and staffing describes a home that isn't failing outright but isn't standing out either.

Nurse hours

3.82 /day

Staff turnover

45%

Serious cites

0

Sterling Hills runs 96 beds in Sweetwater under corporate for-profit ownership, and its most recent inspection in March 2026 turned up 16 deficiencies, none of them serious enough to cause harm or involve abuse, which matters more than the raw count. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and drops roughly 14% on weekends, so coverage thins exactly when families tend to visit. The bigger split shows up in the federal ratings: five stars on health inspections, but only one on quality measures, with turnover at 45.3%, basically level with the national figure. Good inspections, weaker clinical measures, and thin weekend coverage are the real story here.

Nurse hours

3.45 /day

Staff turnover

56%

Serious cites

0

Wedgewood runs on thin staffing, and the numbers show it: 3.45 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday level. That's the kind of gap families notice on Saturday afternoons. Turnover sits at 56.1%, well above the national 45.8%, so the people caring for your relative keep changing. The health inspection record carries 39 deficiencies, three of them serious enough to put residents at risk of harm, though none involve abuse, and two fines total $31,778. A 5/5 quality measure score stands out, but it sits alongside 2/5 ratings for both staffing and inspections, a split worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Avir At Bay City runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays already are. Annual turnover of 54.2% sits well above the 45.8% national figure, so the people providing that care keep changing. The current record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $23,689; the most recent inspection was February 26, 2026. Hospital district ownership is a steadying factor, and the 3/5 inspection and quality ratings are middling rather than alarming. The staffing number is the one to press on when you visit.

Nurse hours

3.21 /day

Staff turnover

52%

Serious cites

0

Willowbrook runs about 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekends are thinner still, around 13% below its own weekday coverage. Staff turnover sits at 52%, above the 45.8% national figure, so the people providing that care keep changing. The 166-bed for-profit home has 23 deficiencies on its current record, one serious enough to involve harm or jeopardy, and a single fine of $153,439. Its last inspection was July 2025. Quality measures score well, but the staffing side is where the trouble shows, and that gap is worth asking about directly.

Nurse hours

2.57 /day

Staff turnover

55%

Serious cites

0

Monument Rehabilitation and Nursing Center is a 104-bed hospital-district home in La Grange, and its numbers pull in different directions. The clinical quality measures look solid at 4 out of 5 stars, but staffing sits at just 1 star with an annual turnover rate of 54.5 percent, nearly nine points above the national average of 45.8 percent. That churn matters. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with $8,281 in fines. The last inspection was September 11, 2025, so the record is recent enough to take seriously. Quality marks alone don't tell you who's showing up to provide the care.

Nurse hours

3.17 /day

Staff turnover

42%

Serious cites

0

Kirkwood Manor runs about 18% leaner on nurse staffing than the national average, and weekends dip roughly another 12% below its own weekday levels, so the hours per resident aren't just low on paper, they thin out further when families tend to visit. Turnover sits at 42.3%, slightly better than the national rate, which suggests the problem is how many staff are scheduled rather than whether they stay. The current inspection record carries 49 deficiencies, including one at the harm level and one abuse-related, plus a $29,026 fine. A 2/5 staffing rating and 2/5 on health inspections line up with that record; the 3/5 quality measures are the one place the numbers look steadier. Ask specifically how the weekend shift is covered.

Nurse hours

3.17 /day

Staff turnover

54%

Serious cites

0

Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.

Nurse hours

3.03 /day

Staff turnover

53%

Serious cites

0

Granbury Rehab & Nursing runs 95 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.03 nurse hours per resident day, it sits about 22% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover hits 52.8% against a national 45.8%, which tells you aides and nurses are cycling through steadily. The current record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. CMS rated the quality measures 4 out of 5 but staffing 1 out of 5, which is the split worth understanding: residents' clinical outcomes look decent on paper, but the hours of hands-on care behind them are thin.

Nurse hours

3.63 /day

Staff turnover

59%

Serious cites

0

Mt. Olympus Rehabilitation Center runs 100 beds in Salt Lake City under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage is weakest when families tend to visit. Staff turnover is 58.6%, well above the 45.8% national figure, which means new faces are constantly cycling through. The inspection record is the harder part: 58 deficiencies, including five at harm or jeopardy level and five abuse-related, with $149,703 in fines. Quality measures score well, but the state's last visit was May 2024.

Nurse hours

3.30 /day

Staff turnover

74%

Serious cites

0

Cascades At Orchard Park sits in Orem with 52 certified beds and a for-profit LLC owner. The inspection side looks solid, a four-star health inspection rating and a recent survey in March 2025, but the current record still carries 25 deficiencies, including one at the harm level and four tied to abuse, plus about $12,000 in fines. Staffing is where the numbers get thin. At 3.30 nurse hours per resident day, it runs roughly 15% under the national average, weekend coverage dips about 9% below its own weekday levels, and turnover hits 73.8% against a national 45.8%. That combination, decent surveys, shaky staffing retention, is worth asking about directly before you decide.

Nurse hours

3.79 /day

Staff turnover

56%

Serious cites

0

Hurricane Health and Rehabilitation runs 60 beds under corporate for-profit ownership, and its nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86. Weekends drop roughly 14% below its own weekday coverage, and annual turnover hits 55.7% against a national 45.8%, so the people caring for residents are changing often and thinning out on Saturdays and Sundays. The inspection record shows 16 deficiencies, three serious enough to cause harm, plus two fines totaling $46,602; the last inspection was September 25, 2025. Quality measures score well, but staffing consistency and the harm-level findings are the real story here.

Nurse hours

3.94 /day

Staff turnover

62%

Serious cites

0

Stonehenge Of American Fork runs 119 certified beds under for-profit LLC ownership, and its overall nurse staffing sits at 3.94 hours per resident day, just slightly above the national figure of 3.86. That thin margin narrows further on weekends, when coverage drops roughly 14% below what the home staffs during the week. Annual turnover of 62% is well above the national 45.8%, meaning many of the people providing that care are relatively new to the building. Inspections from July 2025 produced a four-star health inspection rating, but the current record also carries 16 deficiencies, two at the harm level, one tied to abuse, and a $21,590 fine.

Nurse hours

2.54 /day

Staff turnover

67%

Serious cites

0

Alpine Meadow runs on 2.54 nursing hours per resident day, roughly a third below the national average, and weekends drop another 12% under its own weekday level, so the thinnest coverage lands when families are most likely to visit. Staff turnover sits at 66.7%, well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current record carries 22 deficiencies, including two at the harm level and six tied to abuse, with one fine of $15,025 and a 2-out-of-5 inspection rating. City/county ownership is unusual here, and quality measures score well, but the staffing and inspection numbers are what a family should weigh.

Nurse hours

2.40 /day

Staff turnover

51%

Serious cites

0

Lawrenceville Health & Rehabilitation runs on 2.40 nurse hours per resident per day, roughly 38 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That's the same thread running through a 1-out-of-5 CMS staffing rating and 50.9 percent annual turnover, which sits above the 45.8 percent national figure. Its 31 deficiencies are all lower-level, with nothing tied to harm or abuse, and the most recent inspection came in March 2025. The 4-out-of-5 quality measure rating stands out against all of this, but quality scores lean on charted outcomes, and thin weekend coverage doesn't show up there. Ask about the actual aide-to-resident ratio on a Saturday.

Nurse hours

3.20 /day

Staff turnover

55%

Serious cites

0

Autumn Care of Madison runs a 92-bed for-profit operation, and the staffing numbers are the first thing worth knowing. At 3.20 nurse hours per resident day, it sits about 17% below the national average of 3.86, and weekends drop roughly another 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 54.8% tops the national 45.8%, which means the aides and nurses caring for your relative are often new to the building. Its inspection record shows 32 deficiencies, none at harm level, but one tied to abuse, and the last full inspection was in February 2023.

Nurse hours

3.43 /day

Staff turnover

46%

Serious cites

0

Louisa Health & Rehabilitation Center runs 90 certified beds under for-profit LLC ownership, and its staffing sits at 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 5% below its own weekday coverage, so the thinnest shifts get thinner. Turnover is 45.8%, right at the national average, which means a steady churn of familiar faces leaving. The current record shows 22 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. The last inspection was January 2023, so that record is dated. Quality measures score well; staffing is where the number tells the harder story.