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

Nurse hours

3.30 /day

Staff turnover

76%

Serious cites

0

Heights Care & Rehabilitation runs 110 beds in Denver under for-profit LLC ownership, and its staffing numbers are the first thing to flag: 3.30 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels, so coverage thins exactly when families tend to visit. Annual turnover of 75.9% is well above the national 45.8%, meaning many of the people caring for residents are new to the building. The inspection record shows 56 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, with $68,159 in fines and the most recent inspection dated April 2026. Quality measure scores look strong; the staffing and inspection data tell a different story.

Nurse hours

3.32 /day

Staff turnover

65%

Serious cites

0

Atlas Post Acute in Pueblo carries a for-profit corporate owner and 146 certified beds, with a 64.6% annual staff turnover rate that runs well above the 45.8% national average. That churn is reflected in its one-out-of-five staffing rating, even though its health inspection and quality measure ratings each sit at four. The gap between those numbers is the story here. Twenty-nine deficiencies sit on the current record, three serious enough to involve harm or jeopardy, three tied to abuse. One fine totaling $39,368 has been levied. The most recent inspection was October 22, 2024, so the picture is reasonably current. Strong inspection and quality marks don't cancel out a thin, constantly changing direct-care workforce.

Nurse hours

2.93 /day

Staff turnover

40%

Serious cites

0

Hilltop Park Post Acute runs 162 beds in Denver under for-profit LLC ownership, and its last inspection in March 2024 left 35 deficiencies on the books, four serious enough to cause harm or jeopardy, one tied to abuse. Fines total $66,307 across two penalties. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average, and weekends dip about 7% under its own weekday levels. Turnover is 39.5%, actually better than the 45.8% national figure. The quality measure score looks strong on paper, but that's largely resident-assessment data, and it's hard to square a five there with a one-star inspection record and thin coverage on the floor.

Nurse hours

3.68 /day

Staff turnover

50%

Serious cites

0

Storybrook Care & Rehabilitation runs 60 certified beds in Fort Collins under for-profit LLC ownership, and the staffing numbers are where you'd want to start a hard conversation. At 3.68 nurse hours per resident day, it sits roughly 5% under the national average, weekend coverage drops about 11% below its own weekday level, and annual turnover hits 50% against a 45.8% national figure. The inspection record is heavier: 34 deficiencies, five at harm or jeopardy level, one abuse-related, plus two fines totaling $36,180, with the last inspection in September 2024. Quality measures score mid-range, but low staffing and a serious deficiency history together are the numbers families should weigh before deciding.

Nurse hours

3.46 /day

Staff turnover

63%

Serious cites

0

Eagle Ridge Post Acute runs 70 beds in Grand Junction under corporate ownership, and the numbers tell a split story. The clinical quality measures look strong, but that 1-out-of-5 inspection rating sits on 47 deficiencies, including four at harm or jeopardy level and four tied to abuse. Staffing runs about 10% under the national average at 3.46 nurse hours per resident day, weekends drop roughly 14% below weekdays, and 62.7% annual turnover means the aides and nurses your family sees keep changing. Four fines totaling $71,637 round out the record, last inspected in June 2024. Good quality scores don't offset a thin, churning workforce and a serious inspection history.

Nurse hours

3.64 /day

Staff turnover

60%

Serious cites

0

The Springs at St. Andrews Village in Aurora runs 3.64 nurse hours per resident day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating of 1 out of 5, and 60% annual turnover means the aides and nurses working those shifts are often new. The 21 deficiencies on record include one at the harm level, with a $14,220 fine. Quality scores look strong at 5 out of 5, but that's largely self-reported MDS data, while the staffing number is payroll-verified. Worth asking how the home covers weekends.

Nurse hours

3.06 /day

Staff turnover

18%

Serious cites

0

Nurse staffing at Apple Rehab Rocky Hill runs about 3.06 hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 7% below its own weekday coverage. The inspection record shows 42 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus three fines totaling $28,565; the most recent inspection was September 2024. Staff turnover is 17.8%, well under the 45.8% national average, which suggests a steadier workforce than many for-profit corporate homes, though that stability hasn't translated into strong marks on health inspections or quality measures, both rated 2 out of 5.

Nurse hours

3.47 /day

Staff turnover

25%

Serious cites

0

Apple Rehab West Haven is a 90-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent inspection problems. The record backs that up: 68 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, plus a $26,685 fine. Staffing sits about 10% under the national average at 3.47 nurse hours per resident day, and weekends run roughly 11% thinner than weekdays. The one bright spot is turnover at 24.7%, well below the 45.8% national figure, so the people who are there tend to stay. But a one-star health inspection rating and that deficiency history are the things to weigh hardest.

Nurse hours

3.18 /day

Staff turnover

35%

Serious cites

0

Apple Rehab Uncasville runs 130 beds under corporate ownership, and its 3.18 nurse staffing hours per resident day sit about 18% under the national average of 3.86. Weekends are thinner still, roughly 10% below the home's own weekday coverage. Turnover of 35.2% actually beats the national 45.8%, so the problem isn't retention so much as how many hands are scheduled per shift. The inspection record is the harder read: 42 deficiencies, four at harm or jeopardy level, three tied to abuse, and a $16,065 fine, with the last inspection in March 2024. Two-out-of-five stars on health inspections and quality measures tell you where the risk concentrates.

Nurse hours

3.70 /day

Staff turnover

58%

Serious cites

0

Seven Hills runs 156 beds under corporate ownership, and the numbers show a building leaning on its clinical outcomes to offset thin staffing. Nurse coverage sits at 3.70 hours per resident day, roughly 4% under the national figure, with weekends running about 8% lighter than weekdays, a pattern families often notice as slower response times on Saturdays and Sundays. Turnover is the bigger concern: 58.1% of staff leave annually against a national rate of about 45.8%, meaning the people caring for your relative are frequently new to the building. The 14 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in March 2026. Quality measures look strong; staffing is where the risk sits.

Nurse hours

3.56 /day

Staff turnover

38%

Serious cites

0

Golfview Nursing Center runs 56 beds in Saint Petersburg under for-profit LLC ownership, and the numbers point to a home that's had recurring problems without any single severe incident. State inspectors cited 17 deficiencies on the current record, including two tied to abuse, and fined the place seven times for a total of $70,940. Nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends running about 4% thinner than weekdays. Turnover is 37.5%, which actually beats the 45.8% national figure. The quality measure rating of 1 out of 5 is the real outlier here, staffing and inspection scores both land mid-range, but resident outcomes lag badly.

Nurse hours

3.27 /day

Staff turnover

65%

Serious cites

0

Aviata At Brentwood runs 120 certified beds in Lecanto under individual for-profit ownership, and the staffing numbers are the first thing to notice: 3.27 nurse hours per resident day against a national average of 3.86. Weekends dip roughly 5% below its own weekday coverage. Annual turnover sits at 64.8%, well above the 45.8% national figure, so the faces around a resident change often. Its last health inspection was August 15, 2024, and 28 deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, which is a meaningful distinction. The two-out-of-five inspection and staffing stars tell you where the strain is, not the three-out-of-five quality measure rating.

Nurse hours

3.21 /day

Staff turnover

56%

Serious cites

0

Aviata At San Jose runs on 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday levels. Annual turnover sits at 55.8% against a national 45.8%, so nearly six in ten staff left last year. The corporate-owned, 120-bed home has 10 deficiencies on record, none at harm or jeopardy level and none abuse-related, with its most recent inspection in April 2025. All three CMS star ratings land at 3 out of 5. Nothing here reads as dangerous, but the thin staffing and heavy churn are the numbers worth asking about.

Nurse hours

3.35 /day

Staff turnover

79%

Serious cites

0

Flagler Health and Rehabilitation Center runs 120 certified beds in Bunnell under for-profit LLC ownership, and its staffing is the number to sit with: 3.35 nurse hours per resident day, about 13% under the national average, with weekends running roughly 8% below its own weekday level. Annual turnover of 78.6% is well above the national 45.8%, which matters because that many departures usually means caregivers are still learning residents' routines. Fifteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was December 4, 2025. The five-star quality measure score and one-star staffing score tell different stories about the same building.

Nurse hours

3.35 /day

Staff turnover

62%

Serious cites

0

Baya Pointe runs on thinner nursing coverage than most homes, 3.35 hours per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday levels, which is when families tend to visit and notice. Staff turnover sits at 62.2% against a national 45.8%, so the people caring for residents change often. Its inspection record shows 27 deficiencies, four of them at the harm or jeopardy level and one abuse-related, with the most recent survey in August 2025. The quality measure stars look better than the rest of the profile, but quality scores reflect resident outcomes, not the staffing and compliance problems underneath them.

Nurse hours

4.48 /day

Staff turnover

69%

Serious cites

0

Lakes Of Clermont runs an 80-bed for-profit operation, and the staffing picture splits in two directions. Total nurse coverage sits at 4.48 hours per resident day, about 16% above the national average, but weekends drop roughly 11% below the home's own weekday level, and turnover hits 68.8% against a national 45.8%, that churn matters more than the headline number, since it often means unfamiliar faces on the floor. The inspection record shows 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $14,335 fine; the most recent survey was February 2026, so the record is current. Quality measures score well, but staffing and health inspection results pull the other way.

Nurse hours

3.41 /day

Staff turnover

58%

Serious cites

0

Abercorn Rehabilitation Center runs a 100-bed for-profit operation in Savannah, and its staffing numbers are the main thing to know going in. Nurses provide 3.41 hours per resident day against a national average of 3.86, weekends drop about 12% below the home's own weekday levels, and annual turnover hits 58.2% while the national figure sits near 45.8%, that combination means care is being delivered by a stretched, constantly changing crew. The inspection record backs up the concern: 20 deficiencies, including one at the harm level and one tied to abuse, plus a $10,868 fine, with the most recent inspection dated February 2026. Family members should ask specifically how the home covers weekends and what it's doing about retention.

Nurse hours

3.67 /day

Staff turnover

42%

Serious cites

0

Oaks - Athens Skilled Nursing runs 148 certified beds in Clarke County under corporate for-profit ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% below the national average. Weekends get thinner still, running about 15% under its own weekday levels, which matters most when families visit and needs go unnoticed. The inspection record is where the real concern lives: 14 deficiencies, four of them serious enough to put residents in harm's way, and two tied to abuse. Staff turnover at 41.9% is actually a bit better than the national 45.8%, so the instability here isn't mainly about people leaving, it's about what the building does while they're there. One fine of $15,646 is on record, and the most recent inspection was February 2026.

Nurse hours

3.14 /day

Staff turnover

27%

Serious cites

0

Pruitthealth - Shepherd Hills runs 112 certified beds in La Fayette under corporate for-profit ownership, and its staffing sits about 19 percent below the national average, at 3.14 nurse hours per resident day. Weekends drop roughly 14 percent further below its own weekday level, so coverage thins out right when families tend to visit. Turnover is the bright spot: 27 percent against a national 45.8 percent, meaning aides and nurses stick around longer than most places. The tradeoff shows up on the record, 12 deficiencies, three tied to abuse, though none reached harm or jeopardy level. Inspectors were last on site in November 2025.

Nurse hours

3.00 /day

Staff turnover

33%

Serious cites

0

Gateway Health and Rehab runs 60 beds in Cleveland under corporate ownership, and its inspection record is genuinely clean, a five-star health inspection rating, just two deficiencies on file, none involving harm or abuse, and a survey completed in April 2026. The problem sits elsewhere. Nurse staffing averages 3.00 hours per resident day, roughly 22% under the national figure of 3.86, and weekends dip about 10% below what the home already provides on weekdays. That thin coverage is what drives the one-star staffing rating and the two-star quality measure score, even as turnover at 33.3% actually beats the 45.8% national rate. Good surveys, not enough hands.