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

Nurse hours

3.44 /day

Staff turnover

42%

Serious cites

0

Vivo Healthcare Lakeland runs 185 beds under for-profit LLC ownership, and its last inspection on June 26, 2025 wasn't clean. The home carries 34 deficiencies, including three at the harm or jeopardy level and three tied to abuse. Fines total $171,903 across 15 penalties. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 12% below the home's own weekday coverage. Turnover is 41.5%, a bit better than the 45.8% national figure. The quality measure rating looks strong, but a 1-out-of-5 inspection rating is the number that matters most when you're weighing safety.

Nurse hours

3.57 /day

Staff turnover

56%

Serious cites

0

Bear Creek runs 3.57 nurse hours per resident day, about 8% under the national average, and weekends dip roughly 7% below its own weekday numbers. Staff turnover is 55.8%, well above the 45.8% national figure, so the people caring for your relative are changing often. The inspection record is where the real weight sits: 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $37,198 in fines across two penalties. The last inspection was March 2024. Quality measures score well at 4 stars, but the health inspection side sits at 2, and those two numbers rarely tell the same story.

Nurse hours

3.57 /day

Staff turnover

57%

Serious cites

0

Sea Breeze Rehab and Nursing Center runs 110 certified beds in Vero Beach, and the staffing numbers are the story here. At 3.57 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Annual turnover hits 56.8% against a national 45.8%, which is a lot of churn on top of already thin coverage. The inspection record shows 25 deficiencies, none at the harm or jeopardy level, so nothing catastrophic, but the last survey was January 2025, so that picture is fairly recent. For-profit corporate ownership, a 1-out-of-5 staffing star, and mediocre marks on inspections and quality measures. Ask about weekend coverage before you decide.

Nurse hours

3.34 /day

Staff turnover

53%

Serious cites

0

Shores Nursing and Rehab Center carries a record that should give you pause. Over 40 deficiencies are currently on file, seven of them serious enough to involve harm or jeopardy, plus one tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of homes with persistent problems. A single fine of $137,446 backs that up. Nurse staffing sits at 3.34 hours per resident day, about 14% under the national average, and roughly 53% of staff turned over in a year. The one bright spot is a recent inspection in May 2025, though a 1-out-of-5 health inspection rating tells you what that visit found.

Nurse hours

3.13 /day

Staff turnover

72%

Serious cites

0

Riverwood runs lean on the floor. At 3.13 nurse hours per resident day, it sits about 19% under the national average, weekends drop roughly 13% below its own weekday levels, and 72.4% of staff turned over last year, well above the 45.8% national figure. That churn matters more than any single number here. The inspection record backs it up: 19 deficiencies, three at harm or jeopardy level, one abuse-related, and a $17,036 fine, with the most recent look coming in August 2025. Resident care measures score well, and a for-profit limited liability company owns the place, so the money and the margins are worth asking about directly.

Nurse hours

3.35 /day

Staff turnover

57%

Serious cites

0

Aviata At Orange Park runs on 3.35 nursing hours per resident day, about 13 percent under the national average, and weekend coverage slips roughly 6 percent below its own weekday levels. Staff turnover sits at 56.8 percent against a national 45.8 percent, which matters because replacements spend their first weeks learning residents they'll soon leave. The tradeoff shows up in inspections: ten deficiencies on record, none at harm or jeopardy level, one abuse-related, with the most recent survey dated November 2025. As a nonprofit, it answers to a board rather than shareholders. If you're weighing this one, ask how weekends are covered and how long the current director of nursing has been in place.

Nurse hours

3.55 /day

Staff turnover

50%

Serious cites

0

Indian River Center runs 179 beds in West Melbourne under corporate ownership, and the numbers show a home that's stretched thin in ways that matter. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends dip another 8% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. That strain shows up in the inspection record: 16 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and a $74,386 fine. Staff turnover near 50% means the people caring for residents are often new. The last inspection was September 2024.

Nurse hours

3.45 /day

Staff turnover

67%

Serious cites

0

Pensacola Nursing & Rehabilitation Center runs 120 beds under for-profit LLC ownership, and its staffing sits about 11% under the national average, 3.45 nurse hours per resident day against 3.86. Weekends dip roughly 7% below its own weekday coverage, and 67% of staff turned over in a year versus 45.8% nationally, which matters because new faces mean less familiarity with residents who need consistent care. The current inspection record shows 22 deficiencies, none at harm or jeopardy level and none abuse-related. The last inspection was April 2026, so the picture is reasonably current. Both the health inspection and quality measure ratings land at 2 out of 5 stars, middling on both, with staffing the relative bright spot.

Nurse hours

4.00 /day

Staff turnover

60%

Serious cites

0

Azalea Health Center By Harborview runs about 4.00 nurse hours per resident day, a bit above the national average of 3.86, but weekends drop roughly 10% below its own weekday levels, so the coverage families see on a Tuesday isn't what shows up on a Saturday. Annual staff turnover sits at 60.4% against a national 45.8%, meaning most of the people caring for your relative will likely be gone within the year. The current record carries 18 deficiencies, including one abuse-related citation, and the most recent inspection was in April 2026. This is a for-profit limited liability company, and the numbers suggest staffing consistency and oversight are the real questions worth asking about.

Nurse hours

3.48 /day

Staff turnover

54%

Serious cites

0

Riverdale Center for Nursing and Healing runs 152 beds under for-profit LLC ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so if your family visits on a Saturday, expect thinner nursing presence than midweek. Staff turnover is 54% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The current inspection record carries 31 deficiencies, three of them abuse-related, none at harm or jeopardy level, with $10,050 in fines. The last inspection was March 15, 2026.

Nurse hours

3.57 /day

Staff turnover

58%

Serious cites

0

Macon Rehabilitation and Healthcare runs 100 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.57 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage, so the thinnest shifts are the ones when families often visit. Annual turnover of 57.5% is well above the 45.8% national figure, meaning caregivers cycle through steadily. The current inspection record shows 26 deficiencies, none at harm or jeopardy level but four tied to abuse, plus five fines totaling $24,702. Its last inspection was August 2025.

Nurse hours

3.49 /day

Staff turnover

46%

Serious cites

0

Riverside Health Care Center runs 159 certified beds in Covington under corporate for-profit ownership, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.49 hours per resident day against a national average of 3.86, and weekends dip about 9% below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is 46.4%, slightly above the national 45.8%, meaning nearly half the nursing staff leaves each year. What stands out most is the inspection record: 30 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a 1-out-of-5 health inspection rating. The last inspection was April 2025, so the record is current, not stale.

Nurse hours

3.62 /day

Staff turnover

61%

Serious cites

0

Pruitthealth - Carrollton runs 42 certified beds as a for-profit corporate home, and its most recent inspection on January 11, 2026 turned up 10 deficiencies, none at the harm or jeopardy level, none tied to abuse. That's a relatively clean record, and the four-out-of-five inspection stars back it up. The harder question is staffing. At 3.62 nurse hours per resident day, it sits about 6% under the national average, weekend coverage drops roughly 11% below its own weekday level, and annual turnover hits 61% against a national 45.8%. A two-out-of-five quality measure rating suggests the day-to-day care results don't match the tidy inspection sheet.

Nurse hours

2.74 /day

Staff turnover

45%

Serious cites

0

Pruitthealth - Forsyth runs 72 certified beds under corporate for-profit ownership, and its staffing is the number that stands out. At 2.74 nurse hours per resident day, it sits roughly 29% under the national average of 3.86, and weekends drop about 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 44.9% is close to the national 45.8%, and inspections show 10 deficiencies with none at harm or jeopardy level and no abuse citations. One fine totaling $10,615 is on record, and the last inspection was recent. Quality and inspection measures each rate mid-range; staffing is the weak point, and that's what drives the grade down.

Nurse hours

4.54 /day

Staff turnover

51%

Serious cites

0

Summerhill Elderliving runs 160 certified beds in Perry under for-profit LLC ownership, and the staffing numbers are genuinely above average, 4.54 nurse hours per resident day against a national 3.86. That's the good news, and it's real. The rest is harder. Weekend coverage drops about 14% below the home's own weekday level, and annual turnover sits at 51.4%, meaning more than half the nursing staff leaves each year. Twenty-three deficiencies sit on the current record, five of them serious enough to involve harm or jeopardy, two tied to abuse. Three fines total $86,129. Inspectors were last in on January 23, 2026, and the health inspection rating came back 2 out of 5. Plenty of hands on paper; the record shows where that breaks down.

Nurse hours

2.94 /day

Staff turnover

47%

Serious cites

0

Heritage Inn Of Barnesville runs a 117-bed nonprofit home in Lamar County, and its inspection record is genuinely its strongest suit: the most recent visit came in April 2025, with 14 deficiencies on file and none at the harm or jeopardy level. Staffing is where the picture shifts. At 2.94 nurse hours per resident day, this home sits roughly a quarter below the national average, weekends drop about 10% further from its own weekday level, and turnover near 47% means the aides and nurses caring for residents are frequently new to the building. Four abuse-related deficiencies also appear on the current record. For families weighing a move here, the practical question is whether the caregiving hours per resident are enough on a Sunday afternoon.

Nurse hours

3.07 /day

Staff turnover

18%

Serious cites

0

The Crossings at East Lake in Decatur runs a for-profit operation under a limited liability company, and its 29 deficiencies, three of them serious enough to put residents in harm's way, one tied to abuse, tell you the state has found real problems here, not paperwork slips. Inspectors were last in on January 14, 2026, so the record is current, and $53,565 in fines across three actions backs it up. Nurse staffing sits at 3.07 hours per resident day, roughly a fifth under the national average, with weekends about 9 percent thinner than weekdays. The one genuinely strong number: 18 percent turnover, well below the 45.8 percent national average, meaning the aides who are there tend to stay.

Nurse hours

3.25 /day

Staff turnover

49%

Serious cites

0

Dublin Trails of Journey is a for-profit LLC home in Laurens County with 105 certified beds, and the numbers point to a place that runs thin on nursing hours. At 3.25 hours per resident day, staffing sits about 16% under the national average of 3.86, and weekends drop roughly 6% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover runs 49.2%, higher than the 45.8% national figure, which matters because unfamiliar aides miss small changes. The inspection record shows 19 deficiencies, including two abuse-related citations, though none at the harm or jeopardy level, and one fine of $4,963. Its last inspection was March 31, 2025.

Nurse hours

2.86 /day

Staff turnover

53%

Serious cites

0

Crossview Care Center runs 102 certified beds in Pineview under corporate for-profit ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly 26% under the national average of 3.86. Weekend coverage dips about 6% below the home's own weekday level, and annual turnover is 52.5% against a national average of 45.8%. The current inspection record carries 17 deficiencies, none flagged at harm or jeopardy level, though four are abuse-related, worth asking about directly. CMS rates the home 3 of 5 on health inspections and 2 of 5 on both quality measures and staffing. The most recent inspection was December 4, 2025, so the picture is reasonably current.

Nurse hours

2.80 /day

Staff turnover

31%

Serious cites

0

Pruitthealth - Bethany runs 100 beds in Millen under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86. Weekends drop about 27% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 31.3%, better than the 45.8% national figure, but that's the one bright spot in the workforce data. The current inspection record carries 15 deficiencies, four serious enough to involve harm or jeopardy and two tied to abuse, plus a single $91,062 fine. The last inspection was May 2025, so the record is recent.