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

Nurse hours

3.70 /day

Staff turnover

53%

Serious cites

0

Joshua Tree Post Acute runs about 47 beds in Yucca Valley, and its inspection record is genuinely decent, a four-star health inspection rating with the most recent survey done in November 2025. The staffing picture is where it gets shakier. At 3.70 nurse hours per resident day, it sits below the national average of 3.86, and weekends drop roughly 12% below its own weekday coverage. Turnover is 53% against a national 45.8%, which is high even for an industry where churn is normal. Twenty-four deficiencies are on record, none at harm level, but two are abuse-related, and the home has paid $33,751 in fines across two penalties.

Nurse hours

3.05 /day

Staff turnover

43%

Serious cites

0

Crestview Healthcare Residence runs 192 certified beds in Waco under for-profit LLC ownership, and its staffing is the number to sit with first: 3.05 nurse hours per resident day against a national average of 3.86, roughly a fifth below what residents elsewhere get. Weekends drop about 8% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 43.3%, a touch better than the 45.8% national figure, and the inspection record shows 17 deficiencies with none at harm level, though one is abuse-related, plus a single $56,550 fine. The most recent inspection was June 19, 2025, and the 4-star health inspection rating is the strongest part of the picture.

Nurse hours

3.07 /day

Staff turnover

41%

Serious cites

0

Southbrooke Manor runs about 3.07 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends dip further, running about 14% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. The inspection record is the reassuring part: 16 deficiencies on file, none at the harm level and none abuse-related, with a recent February 2026 survey behind a four-star health inspection rating. Turnover sits at 40.6%, a bit better than the 45.8% national figure, and nonprofit ownership tends to mean steadier management. The tension here is real: a clean inspection history paired with staffing that's on the lean side.

Nurse hours

2.65 /day

Staff turnover

49%

Serious cites

0

The Oaks At Longview runs on thin nursing coverage: 2.65 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 15% below what the home already staffs on weekdays. That's the number behind its low staffing rating, and it matters most on Saturdays and Sundays when families tend to visit. Turnover sits at 48.5%, a few points above the national figure, so the aides and nurses working with your relative are likely to change. The 33 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspections were recent, and state surveyors rated the home well on health and quality measures, the gap here is who's on the floor and how long they stay.

Nurse hours

3.29 /day

Staff turnover

53%

Serious cites

0

Laurel Court in Alvin runs a lean nursing floor: 3.29 hours of nurse staffing per resident day, roughly 15 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday numbers. Annual turnover sits at 53 percent, higher than the 45.8 percent national figure, which matters more in a building where the margin is already thin. The recent inspection history is genuinely clean, nine deficiencies, none at harm or jeopardy level, none abuse-related, and inspectors were last in on July 31, 2025. So you're weighing reliable care against thin coverage, especially on Saturdays and Sundays. That's the tradeoff worth asking about directly.

Nurse hours

3.01 /day

Staff turnover

37%

Serious cites

0

Whitehall Rehab & Nursing runs about 3.01 nurse hours per resident each day, roughly 22 percent under the national average of 3.86, and weekend coverage drops another 13 percent below its own weekday level. That thin staffing shows up alongside 22 deficiencies on the current record, including five at the harm or jeopardy level and five tied to abuse, plus five fines totaling $77,342. Turnover sits at 36.5 percent, better than the 45.8 percent national figure, and the last inspection was recent, February 2026. For-profit ownership under an LLC, a 113-bed building, and a quality measure score that outpaces its staffing picture, worth asking about directly on a visit.

Nurse hours

3.27 /day

Staff turnover

54%

Serious cites

0

Regency House runs about 3.27 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 54.3% runs well above the 45.8% national figure, meaning the people scheduled are also frequently new. The current record carries 16 health deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was in September 2024. Quality measures score noticeably better than staffing does. If you're weighing this one, ask how the weekend shift is actually covered.

Nurse hours

2.80 /day

Staff turnover

38%

Serious cites

0

Mi Casita runs lean on nurses: 2.80 hours per resident per day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. Turnover sits at 37.5%, actually better than the 45.8% national figure, so the problem isn't churn, it's raw coverage hours, which is why staffing lands at the bottom of CMS's scale. The inspection record is cleaner than that number suggests: 28 deficiencies on file, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was recent enough to matter. A for-profit partnership operating 95 beds. Strong inspections, thin daily staffing, and a recent look behind it, those are the facts a family should weigh.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Gracy Woods II runs on 3.50 nurse hours per resident per day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin margin is the main reason it lands where it does, despite steady turnover at 45.5%, essentially the national rate. What keeps it from sliding further is an inspection record with no harm-level or abuse-related deficiencies among its 16, and recent federal surveys from March 2025 that rated four out of five stars for health inspections and quality measures. The staffing star tells the more honest story. If your family member needs frequent hands-on help, ask how weekends are covered before deciding.

Nurse hours

3.19 /day

Staff turnover

51%

Serious cites

0

Sagebrook runs on noticeably thinner staffing than most homes, 3.19 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. That's the number behind its low staffing rating, and it's the kind of gap families feel on a Saturday afternoon. Turnover sits at 50.7%, above the national 45.8%, so the aides and nurses cycling through are less likely to know your mother's routines. The inspection side looks steadier: 21 deficiencies on record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. A May 2025 inspection is recent enough to trust. Corporate-owned and for-profit, this is a home that passes its surveys but may ask more of your own vigilance between them.

Nurse hours

2.67 /day

Staff turnover

43%

Serious cites

0

Avir At Kingsland runs on thin nursing coverage: 2.67 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays. That staffing level is the main reason the federal staffing rating lands at 1 out of 5, even though turnover at 42.5% is slightly better than the 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated May 2026. It's a hospital-district home with 122 certified beds, and its health inspection and quality measure ratings both sit at 3 out of 5.

Nurse hours

3.62 /day

Staff turnover

46%

Serious cites

0

Legend Oaks runs 126 certified beds in San Antonio under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, about 6% under the national figure of 3.86. Weekends run roughly 13% leaner than weekdays there, and annual turnover is 46.2%, which is right at the national average of 45.8%, so retention isn't the outlier here; the hours per resident are. The current record shows 32 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection on December 4, 2025. Quality measures score well above its staffing marks, a gap worth asking about directly.

Nurse hours

3.61 /day

Staff turnover

49%

Serious cites

0

Green Oaks runs 142 certified beds under corporate ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, and turnover is 48.5% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 17 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single $83,850 fine; the last survey was in January 2025. The 5/5 quality measure star is genuinely strong, but staffing stars sit at 2/5 and health inspections at 3/5, worth asking how the good outcomes hold up when fewer nurses are on the floor.

Nurse hours

3.17 /day

Staff turnover

47%

Serious cites

0

Mansfield Medical Lodge runs a 118-bed for-profit operation, and the numbers point to a home that inspects well but runs lean. Its last health inspection, in December 2025, came back clean on the serious stuff, 12 deficiencies on record, none at the harm level, none abuse-related, and a single $6,032 fine. Where it slips is staffing: 3.17 nurse hours per resident day against a national average of 3.86, with weekends roughly 11% thinner than weekdays. Annual turnover of 46.6% sits just above the national 45.8%. So you're looking at a place that keeps its record tidy but asks a relatively small crew to carry the load, which is worth asking about directly.

Nurse hours

3.26 /day

Staff turnover

50%

Serious cites

0

The Courtyards At Pasadena runs 196 beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends run about 7% leaner than weekdays, so coverage thins out right when families tend to visit. Annual turnover of 49.6% edges past the 45.8% national figure, meaning many of the aides and nurses you meet may not be there in a year. The current inspection record shows 17 deficiencies, one serious enough to reach harm or jeopardy level, with $8,827 in fines. No abuse citations appear. The last inspection was May 14, 2026. Ask how they staff weekends and what changed since that harm-level finding.

Nurse hours

2.98 /day

Staff turnover

52%

Serious cites

0

The Lev At Winchester is run by a hospital district, and its inspection record is the strongest thing going for it, a four-star health inspection score, no deficiencies at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. On the floor, though, the numbers tell a different story: 2.98 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Staff turnover sits at 52.1%, above the 45.8% national figure, which matters most when the same aides aren't there week to week. Quality measures score well at four stars, and there's just one fine on record, $3,174. If your family member needs steady hands nearby, ask specifically about weekend coverage and how long the current staff have been there.

Nurse hours

3.09 /day

Staff turnover

51%

Serious cites

0

Onion Creek runs on thin staffing: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends about 11% leaner than weekdays. The 1-out-of-5 staffing rating reflects that, and turnover at 50.5% means many of the aides and nurses currently on the floor weren't there a year ago. Its inspection history is the heavier concern, 26 deficiencies on record, including three at the harm or jeopardy level and one tied to abuse, plus two fines totaling $51,337. The 4-out-of-5 quality measure rating shows some clinical care is being tracked and scored well, but staffing is what families feel day to day, and the numbers there are hard to argue with.

Nurse hours

5.16 /day

Staff turnover

62%

Serious cites

0

Purehealth Transitional Care At Thr Arlington runs 54 certified beds as a for-profit LLC, and its nurse staffing sits at 5.16 hours per resident day, roughly a third above the national average of 3.86. That's the strongest card in its hand. Look at the rest, though: weekend staffing drops about 13% from weekday levels, annual turnover hits 62.1% against a national 45.8%, and the inspection record shows 10 deficiencies, four of them at harm or jeopardy level and one tied to abuse, with two fines totaling $118,148. The most recent inspection was May 2025. High staffing hours only go as far as the people staying long enough to deliver them.

Nurse hours

3.18 /day

Staff turnover

47%

Serious cites

0

Avir At El Paso runs on 3.18 nurse hours per resident day, about 18% under the national average, and weekend coverage drops roughly 13% below its own weekday level. The inspection record is the real problem: 98 deficiencies, including 5 at harm or jeopardy level and 8 abuse-related, plus three fines totaling $192,681. Staff turnover sits at 46.8%, slightly above the national figure. Resident outcome measures score well, but a 1-out-of-5 inspection rating and 2-out-of-5 for staffing tell you where the trouble lives. It's a for-profit limited liability company, and the last inspection was March 2025.

Nurse hours

3.92 /day

Staff turnover

71%

Serious cites

0

North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.