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

Nurse hours

3.59 /day

Staff turnover

63%

Serious cites

0

Cherrydale runs 210 certified beds under corporate for-profit ownership, and the numbers that matter most here are the staffing ones. Nurses deliver 3.59 hours per resident day, about 7 percent under the national average, and weekend coverage drops roughly 14 percent below what the home staffs on weekdays. Turnover sits at 63.2 percent against a national average of 45.8 percent, well over half the nursing staff leaving in a year. The inspection record shows 77 deficiencies, three at harm or jeopardy level and six abuse-related, with a $18,066 fine and a 1-out-of-5 inspection rating. The 5-out-of-5 quality measure score stands out against all of that, though it's worth asking what's driving the gap.

Nurse hours

3.30 /day

Staff turnover

59%

Serious cites

0

Franklin Health and Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing picture is the first thing to know. At 3.30 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop another 15% below its own weekday level. Annual turnover of 59% is well above the 45.8% national figure, which means aides and nurses cycle through faster than residents can get used to them. The clinical quality scores look strong, but the inspection record tells a more mixed story: 16 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent inspection dating to September 2023. Worth asking how the home keeps its quality numbers up while running leaner shifts.

Nurse hours

3.70 /day

Staff turnover

58%

Serious cites

0

Stanleytown Health and Rehabilitation Center is a 120-bed for-profit partnership in Bassett, and its numbers tell a mixed story. The health inspection record is solid, 27 deficiencies on file, none at the harm level, though two are abuse-related, and its quality measure scores run high. Staffing is where the gaps show: 3.70 nurse hours per resident day sits below the national average, weekend coverage drops about 13% below its own weekday level, and annual turnover runs 57.9% against a national 45.8%. That combination of strong inspection results and thin, churning direct-care staffing is roughly what lands it near the middle of the pack.

Nurse hours

3.67 /day

Staff turnover

71%

Serious cites

0

Colfax Health And Rehabilitation Of Cascadia runs 55 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection and staffing ones. State surveyors cited 64 deficiencies on the current record, four of them at the harm or jeopardy level, plus four abuse-related findings and $81,864 in fines across three penalties, with the most recent inspection dated June 2025. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, and weekends run about 13% below the home's own weekday coverage. Staff turnover is 71.4%, well above the 45.8% national figure, meaning more than two-thirds of the caregiver workforce turns over annually. The quality measure score looks strong, but consistent staffing and a clean inspection record are what hold up day to day.

Nurse hours

4.10 /day

Staff turnover

63%

Serious cites

0

Bridge Crest runs 4.10 nurse staffing hours per resident day, roughly 6% above the national average, and that earned it 4 out of 5 stars on the CMS staffing measure. But weekend coverage drops about 15% below its own weekday level, so the help you see on a Tuesday may not be there on a Sunday. Turnover tells the bigger story: 63.3% of staff leave each year against a national 45.8%, meaning most of the people caring for your relative will be gone within two years. The inspection record shows 53 deficiencies, eight involving harm or jeopardy and four tied to abuse, with five fines totaling $212,847. A for-profit LLC with a two-star inspection rating carries real risk.

Nurse hours

3.06 /day

Staff turnover

42%

Serious cites

0

Tygart Center runs on thin nursing coverage. At 3.06 nurse hours per resident per day, it sits roughly 21% under the national average, and weekends dip about 10% below its own weekday level, which matters, because that's when families tend to visit and notice. The inspection record is heavy: 60 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Turnover at 41.6% is slightly better than the national rate, though that's cold comfort when staffing hours are this low. Ownership is for-profit corporate, and the last inspection was February 2026. The quality measure score looks strong on paper, but quality measures are self-reported, staffing and inspections are where you see the real picture.

Nurse hours

3.46 /day

Staff turnover

70%

Serious cites

0

E.a. Hawse Healthcare Center runs on thinner staffing than most homes its size. At 3.46 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover is the bigger signal: nearly 70% of staff leave each year, against a national rate near 46%. That churn means unfamiliar faces, and it's likely why CMS rates staffing 2 out of 5 despite a 4 out of 5 on health inspections and 21 deficiencies on record, none at harm or jeopardy level. Ownership is for-profit corporate.

Nurse hours

3.28 /day

Staff turnover

51%

Serious cites

0

Edenbrook Of Fond Du Lac runs on 3.28 nurse staffing hours per resident day, about 15% under the national average of 3.86, and weekends drop roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.4%, above the 45.8% national figure, which matters because unfamiliar caregivers miss changes. The 14 deficiencies on record include one at the harm level and one abuse-related citation, plus a $9,113 fine. Inspections are recent, and the 4/5 health inspection rating shows the home can pass a survey, but the staffing numbers and that harm-level finding are what pull its overall standing down to C territory.

Nurse hours

4.57 /day

Staff turnover

47%

Serious cites

0

Care And Rehab - Boscobel runs a 50-bed, for-profit home in Grant County, and its staffing is the strongest thing it has going: 4.57 nurse hours per resident day, roughly 18% above the national average. Weekend coverage dips about 12% below its own weekday level, so the weekday numbers are better than what a Saturday looks like. Turnover sits at 47.4%, a touch above the national 45.8%. The current record shows three deficiencies, one at harm or jeopardy level, and a single fine of $157,729, real money, tied to real findings. Its last inspection was August 2025. Quality measure scores are weak, which is worth asking about directly.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.

Nurse hours

— /day

Staff turnover

100%

Serious cites

0

The Rosebud home is a for-profit corporation with 85 certified beds, and its inspection record looks solid on paper, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with the most recent survey done in January 2026. The problem sits in staffing: a 1 out of 5, paired with 100% annual turnover against a national average near 46%. That means the entire workforce, roughly speaking, turns over every year, which is hard on residents who rely on familiar faces. Ten deficiencies on the current record, one serious enough to cause harm, and a $13,804 fine round out the picture. Good outcomes in the data, but a workforce that can't stay put.

Nurse hours

3.42 /day

Staff turnover

98%

Serious cites

0

Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.

Nurse hours

3.26 /day

Staff turnover

92%

Serious cites

0

Rockwall Nursing Care Center runs 192 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, with weekends dipping about 9% below its own weekday levels. That thin coverage shows up in the workforce itself: annual turnover is 92.4%, more than double the 45.8% national figure, which means the people caring for residents are constantly changing. Inspectors have cited 45 deficiencies on the current record, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $66,755. The last inspection was January 16, 2025, so the record is recent.

Nurse hours

4.79 /day

Staff turnover

54%

Serious cites

0

Nurse staffing at Golden Villa runs about 24% above the national average, which sounds like the headline until you notice weekends drop roughly 29% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover sits at 54.3% against a national 45.8%, and the inspection record shows 42 deficiencies, five of them at harm or jeopardy level, plus one abuse-related finding and $122,216 in fines. The quality measure score looks good, but that reflects resident care metrics, not whether the building is run safely. A for-profit individual owner, a recent June 2025 inspection, and a two-star health inspection rating round out the picture.

Nurse hours

3.20 /day

Staff turnover

56%

Serious cites

0

The Laurenwood Nursing and Rehabilitation runs 103 certified beds in Duncanville under corporate ownership, and its staffing is the part that stands out. At 3.20 nurse hours per resident day, it sits about 17% below the national average, and weekend coverage drops roughly 8% below its own weekday levels, so the thinnest shifts are the ones families tend to visit. Annual turnover of 55.6% runs well above the 45.8% national figure, meaning the aides and nurses you meet may not be there long. The 22 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with $38,522 in fines. Strong quality-measure scores don't offset that pattern.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

3.22 /day

Staff turnover

61%

Serious cites

0

East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

The Colonnades at Reflection Bay is a 180-bed for-profit home in Pearland where the inspection record is the real story: 42 deficiencies on file, eight of them serious enough to involve actual harm or jeopardy, three tied to abuse. Six fines totaling $135,102 back that up, and the most recent inspection was in May 2026, so this isn't old history. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national average, and weekends run thinner still. Turnover near 50% means the aides and nurses who know your family member may not be there next month.

Nurse hours

3.11 /day

Staff turnover

62%

Serious cites

0

Windmill Village runs 3.11 nurse hours per resident per day, about 20% under the national average of 3.86, and weekends dip another 11% below its own weekday levels. Staff turnover is 61.6%, well above the 45.8% national figure, so the people caring for residents change often. The 27 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, which matters. Inspectors last visited in May 2025 and the health inspection rating sits at 3 out of 5. Ownership changed hands in the past year, so current management is still new to this building.