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

Nurse hours

3.71 /day

Staff turnover

38%

Serious cites

0

Signature Healthcare of Greeneville runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, with weekends about 12% thinner than its own weekdays. Turnover is 37.6%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection history: 10 deficiencies on file, including one at the harm level and three tied to abuse, plus a $9,419 fine. The most recent inspection was March 18, 2026. If you're weighing this one, ask directly how the abuse-related findings were resolved and how weekend coverage is filled.

Nurse hours

5.15 /day

Staff turnover

57%

Serious cites

0

Stone River Post Acute runs 68 beds in Murfreesboro under corporate ownership, and the staffing picture is genuinely better than most: 5.15 nurse hours per resident day against a national average of 3.86, with weekends dipping only about 5% below weekdays. That's real coverage. The trouble shows up elsewhere. Staff turnover sits at 57.4%, well above the 45.8% national rate, so residents see a lot of new faces. The current inspection record carries 16 deficiencies, including one at the harm level and two tied to abuse, and the quality measure rating comes in at 2 out of 5. High hours help, but they don't offset a record like that on their own.

Nurse hours

2.90 /day

Staff turnover

41%

Serious cites

0

McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

West Side Campus Of Care runs 234 beds in White Settlement under corporate for-profit ownership, and its staffing numbers sit well under what you'd want to see: 3.07 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. The inspection record shows 23 deficiencies, four of them serious enough to cause harm or jeopardy and four tied to abuse, plus three fines totaling $31,279. Turnover at 36.3% is better than the national 45.8%, which matters, but it doesn't offset a one-star staffing rating and a two-star inspection history. The most recent inspection was March 2026. Quality measures score well; the hands-on care and oversight numbers don't.

Nurse hours

3.45 /day

Staff turnover

59%

Serious cites

0

Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.

Nurse hours

3.04 /day

Staff turnover

78%

Serious cites

0

Hilltop Village runs 150 certified beds in Kerrville under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop about 10% below its own weekday coverage, and annual turnover hits 78.3%, well above the 45.8% national figure, which means the people providing that already-thin care are cycling out fast. Its inspection history includes 51 deficiencies, one at the harm level and five abuse-related, and staff turnover at that rate makes it harder to fix problems and keep them fixed even after a recent August 2025 inspection.

Nurse hours

3.04 /day

Staff turnover

39%

Serious cites

0

Palo Duro Nursing Home runs 66 certified beds in Claude, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 39.1%, which is actually better than the 45.8% national figure, and the inspection record is recent and clean where it counts: 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in August 2025. The tension here is between a decent inspection history and thin daily staffing, which is what pulls the staffing measure down to one star.

Nurse hours

3.04 /day

Staff turnover

50%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Mcallen sits in a tough spot: its inspectors clearly found a well-run building, with a 4/5 health inspection rating and a recent December 2025 survey, but the daily staffing tells a different story. At 3.04 nurse hours per resident day, it runs about 21% under the national average, weekends drop another 12% below its own weekday levels, and half the staff turns over each year, worse than the 45.8% national figure. That thin coverage shows up in 18 deficiencies, including one at the harm level and three tied to abuse, plus a $24,083 fine. Good care when watched, but not enough hands the rest of the time.

Nurse hours

3.45 /day

Staff turnover

35%

Serious cites

0

San Antonio Wellness & Rehabilitation runs 154 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. Nurses provide 3.45 hours per resident day, roughly 11% below the national average, and weekends drop another 11% below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover sits at 35.4%, better than the 45.8% national figure, but that's the one bright spot. The inspection record shows 47 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $104,627 fine. The most recent inspection was in November 2024. Quality measures score well, but quality scores reflect resident outcomes on paper, not whether enough hands are on the floor.

Nurse hours

2.92 /day

Staff turnover

53%

Serious cites

0

Hearthstone runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 13% below its own weekday coverage. Staff turnover sits at 53.3% against a national 45.8%, which matters when the same short-staffed floor keeps training replacements. The current inspection record carries 26 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, with $152,617 in fines across three penalties. Quality measures score well, but that's resident outcome data, not a picture of the hands available daily. Hospital district ownership doesn't offset what the staffing and inspection numbers show. If you're weighing this one, ask directly how weekend coverage is filled.

Nurse hours

2.92 /day

Staff turnover

42%

Serious cites

0

The Lev At Town Park runs on thin nursing coverage: 2.92 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels. Its inspection record is the bigger problem, 29 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $31,031 fine, all from a June 2025 inspection. Turnover at 42.4% is slightly better than the 45.8% national figure, and resident outcome measures score well, but the staffing rating is 2/5 and inspections 1/5. Government hospital district ownership hasn't translated into stronger oversight here.

Nurse hours

3.64 /day

Staff turnover

52%

Serious cites

0

Monument Healthcare Bountiful runs 100 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, weekend coverage drops roughly 11% below its own weekday level, and annual turnover hits 52.3% against a national 45.8%. The inspection record backs that up: 21 deficiencies, four at harm or jeopardy level, three abuse-related, and three fines totaling $51,852, with the most recent inspection in December 2024. The 5/5 quality measure score looks strong, but quality measures are self-reported, and the 2/5 staffing and 2/5 inspection ratings tell you more about what daily life there actually looks like.

Nurse hours

3.63 /day

Staff turnover

70%

Serious cites

0

Rocky Mountain Care - The Lodge runs 92 certified beds as a nonprofit corporation, and its quality measure score is strong. The staffing picture is where things get complicated: 3.63 nurse hours per resident day sits about 6% under the national average of 3.86, weekends run roughly 10% thinner than weekdays, and annual turnover hits 69.9% against a national 45.8%. On inspections, the record shows 29 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus one fine of $32,029. The last inspection was March 2024. Strong quality numbers and heavy staff churn can coexist, but families should ask how the home keeps direct care consistent when so many caregivers leave each year.

Nurse hours

4.07 /day

Staff turnover

36%

Serious cites

0

Waterside Health & Rehab Center runs 197 certified beds in Norfolk under corporate ownership, and the staffing picture is genuinely better than average: 4.07 nurse hours per resident day against a national 3.86, with turnover at 35.8% compared to 45.8% nationally. That stability matters, because weekends here run about 11% leaner than weekdays, so coverage isn't perfectly even. The concerns sit elsewhere. Fifty-two deficiencies on the current record include three at harm or jeopardy level and three tied to abuse, with $8,375 in fines. The last inspection was June 2023, so that record is getting stale. Quality measure scores came in at 2 out of 5 stars. Ask about those harm-level findings specifically when you visit.

Nurse hours

3.09 /day

Staff turnover

55%

Serious cites

0

Charlottesville Health & Rehabilitation Center runs 105 certified beds under corporate ownership, and its nurse staffing sits at 3.09 hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, and annual turnover hits 55.2% against a national 45.8%, so the aides and nurses cycling through the building change often. The current record carries 50 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was July 2024. Federal ratings split sharply here: four stars for quality measures, two for both health inspections and staffing. If you're weighing this one, ask how they hold staffing steady on weekends and what that abuse citation involved.

Nurse hours

3.81 /day

Staff turnover

63%

Serious cites

0

Nans Pointe runs about 3.81 nurse hours per resident per day, roughly in line with the national average of 3.86, but that average hides a problem. Weekend staffing drops about 12% below the home's own weekday level, and annual turnover sits at 62.7% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The inspection record is the harder read: 51 deficiencies, including one at the harm level and one abuse-related, with the last inspection dating to July 2022. A for-profit LLC operates the 148-bed building. Low inspection marks and high turnover tend to reinforce each other, and both show up in the numbers here.

Nurse hours

3.92 /day

Staff turnover

45%

Serious cites

0

Loudoun Rehabilitation and Nursing Center runs 100 beds in Leesburg under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.92 nurse hours per resident day against 3.86, with weekends running about 13% thinner than weekdays. That thin margin matters because the inspection record is where the real trouble shows: 76 deficiencies, three at harm or jeopardy level and six tied to abuse, plus three fines totaling $123,589. Staff turnover is 45.3%, right at the national average, and the last inspection was December 2023. Resident care measures score well, but a one-star inspection rating alongside that deficiency count and fine total tells you the day-to-day care environment has serious problems.

Nurse hours

3.50 /day

Staff turnover

50%

Serious cites

0

Elizabeth Adam Crump Health And Rehab runs 180 beds in Glen Allen under corporate ownership, and the numbers families tend to ask about first are the ones that stand out here. Nurse staffing sits at 3.50 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 50%, above the 45.8% national figure. The inspection record is the harder part. The current file carries 87 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. The last inspection was in August 2022, so that record has had time to age without a fresh look.

Nurse hours

2.92 /day

Staff turnover

46%

Serious cites

0

Greene Acres runs on 2.92 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 10 percent below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the bottom of the scale, and in turnover of 46.3 percent, about the same as the national rate, so replacements cycle through steadily. Inspections are a different story: 18 deficiencies on record, none at the harm level and none related to abuse, with the last full inspection back in October 2022. A four-star inspection history is real, but it's also more than two years old, and quality measures land at two stars.

Nurse hours

3.18 /day

Staff turnover

48%

Serious cites

0

Skyline Nursing & Rehabilitation runs 90 certified beds in Floyd under corporate for-profit ownership, and the numbers that stand out are on the staffing side. Its CMS staffing rating sits at 1 out of 5, the lowest tier, which typically signals fewer direct care hours per resident than the federal government expects. Turnover runs at 47.6 percent against a national average of 45.8 percent, slightly worse than typical, not dramatically so, but it means a good share of the people caring for residents are new each year. The home carries 20 deficiencies on its current record, including one at the harm or jeopardy level, plus a single fine of $10,358. Its last inspection was December 4, 2025, so the record is recent.