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

Nurse hours

3.29 /day

Staff turnover

50%

Serious cites

0

Fairmont Crossing runs about 3.29 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops another 12 percent below what it manages on weekdays. That thin staffing shows up in the numbers: turnover near 50 percent, higher than the national figure, and 25 deficiencies on the current record, two of them serious enough to cite harm or jeopardy. One fine of $12,740 has been levied. The quality measure score is strong, but those ratings rely on reported data rather than direct observation, and the last full inspection was in June 2022, over two years ago. For-profit, limited liability ownership. Low staffing plus a long inspection gap is the pattern worth weighing.

Nurse hours

3.39 /day

Staff turnover

71%

Serious cites

0

Newport Post Acute runs on thinner staffing than most homes you'll compare it to, 3.39 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That's the number that matters most here, because the people in the building don't get fewer needs on a Saturday. Turnover sits at 71.4%, well above the 45.8% national figure, which means the staff who are there are often new. The good news: 27 deficiencies on record but none at harm or jeopardy level, nothing abuse-related, and a recent March 2025 inspection. Quality measures score well; the corporate owner keeps the margin. Ask about weekend coverage and how long aides have actually been on staff.

Nurse hours

3.45 /day

Staff turnover

40%

Serious cites

0

South Boston Health & Rehab runs 216 certified beds under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.45 hours per resident per day, roughly 11 percent under the national average, and weekends drop about 13 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 40.4 percent is actually a bit better than the 45.8 percent national figure, which matters for consistency of care. The bigger concern is the inspection record: 50 deficiencies, including four at harm or jeopardy level and six abuse-related, plus $28,172 in fines across two penalties. The most recent inspection was May 2025.

Nurse hours

3.02 /day

Staff turnover

52%

Serious cites

0

Southampton runs about 3.02 nurse hours per resident per day, roughly 22% under the national average, and weekends are staffed about 9% thinner than weekdays. That thin coverage shows up in the numbers: 52.2% annual turnover, 55 deficiencies on the current record including 3 at harm level and 8 abuse-related, and four fines totaling $36,283. The last inspection was September 2021, so the record is old. Ownership is for-profit partnership. Quality measure scores look strong on paper, but staffing is where the daily reality lives, and that's what families should weigh most heavily here.

Nurse hours

3.07 /day

Staff turnover

52%

Serious cites

0

Hidden Valley Center runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. That shortfall shows up in the federal stars, where it earns 1 out of 5 for staffing and 1 out of 5 on health inspections, with 53 deficiencies on its current record, including one at the harm level and five tied to abuse. Annual turnover sits at 51.5%, above the 45.8% national figure, meaning CNAs and nurses cycle through faster than average. The quality measure score of 4 out of 5 is the one bright spot, but it reflects charted care, not the hands available to deliver it.

Nurse hours

4.10 /day

Staff turnover

50%

Serious cites

0

Lincoln Park Nursing And Rehab has 122 certified beds and is owned by an individual for profit. Nurse staffing runs 4.10 hours per resident day, about 6% above the national average, but weekend coverage drops roughly 13% below its own weekday level, and annual turnover sits at 50% against a national 45.8%. The inspection record is where the trouble concentrates: 54 deficiencies, including 5 at the harm or jeopardy level and 8 abuse-related, plus two fines totaling $182,618. The most recent inspection was in April 2026, so it's current rather than stale. Staffing looks adequate on paper, and quality measures rate mid-range, but the volume and severity of cited problems are what drive the numbers down.

Nurse hours

3.20 /day

Staff turnover

42%

Serious cites

0

Sheridan Health and Rehabilitation Center runs 81 beds in Kenosha under corporate ownership, and the staffing numbers are the first thing to notice: 3.20 nurse hours per resident per day against a national average of 3.86, with weekends dropping roughly 12% below its own weekday level. That matters because residents don't stop needing help on Saturdays. The inspection record is heavier than you'd want, 38 deficiencies, including one at the harm level and three tied to abuse, and the last state visit was January 8, 2026. Staff turnover of 42.1% is slightly better than the 45.8% national figure, so retention isn't the main problem here; coverage is. Ask about weekday-to-weekend staffing before you decide.

Nurse hours

3.29 /day

Staff turnover

30%

Serious cites

0

Birch Hill runs lean on nurse staffing, 3.29 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover sits at 30.3%, notably below the national 45.8%, which suggests a steadier crew than many for-profit homes. The current record shows 20 deficiencies with none at harm or jeopardy level, but 6 are abuse-related, and its quality measure rating is 1 out of 5. State inspectors were last in on February 11, 2026.

Nurse hours

3.71 /day

Staff turnover

60%

Serious cites

0

Complete Care At Ridgewood in Racine runs 200 certified beds under for-profit LLC ownership, and the staffing picture is the one worth sitting with. Nurse coverage sits at 3.71 hours per resident day against a national average of 3.86, roughly 4% below, and weekends drop about 10% below what the home staffs on weekdays, so a Saturday shift has less help than a Tuesday. Staff turnover of 60.3% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The inspection history shows 35 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related, and the most recent inspection was August 2025.

Nurse hours

— /day

Staff turnover

42%

Serious cites

0

Barron Care and Rehabilitation runs a 50-bed for-profit home where the staffing numbers are genuinely better than most: 4.34 nurse hours per resident day, about 12 percent above the national average, and turnover at 42.1 percent comes in under the 45.8 percent national figure. Weekends dip roughly 9 percent below weekday coverage, which is common but still worth asking about. The trouble sits elsewhere. Thirty-seven deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, against a 2-out-of-5 inspection rating and a 1-out-of-5 quality measure rating. The most recent inspection was January 7, 2026. Good staffing alone doesn't offset that citation history.

Nurse hours

3.26 /day

Staff turnover

67%

Serious cites

0

Oconto Health and Rehab runs about 3.26 nursing hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 66.7% against a national average of 45.8%, so the people caring for residents change often. The inspection record shows 41 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with $18,819 in fines. The most recent inspection was in September 2025, so the picture is fairly current. Quality measures score well, but staffing and inspections are where the concerns concentrate.

Nurse hours

4.01 /day

Staff turnover

39%

Serious cites

0

Bakersfield Post Acute runs a for-profit corporate operation with 99 certified beds, and its staffing numbers are the one bright spot: 4.01 nurse hours per resident day, roughly 4% above the national average, with turnover at 38.6%, noticeably better than the 45.8% national figure. Weekends thin out about 11% below weekday coverage, which is worth asking about. The inspection record is where the story turns. A 1-out-of-5 health inspection rating sits behind 113 deficiencies, including two at the harm or jeopardy level and eight tied to abuse. Two fines totaling $25,940 are on file, and the most recent inspection was in May 2026. Good staffing alone doesn't offset that kind of citation history.

Nurse hours

3.91 /day

Staff turnover

58%

Serious cites

0

Country Hills runs 305 beds in El Cajon under for-profit LLC ownership, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86. That thin margin gets thinner on weekends, which run about 6% below the home's own weekday levels, and annual turnover hits 58.2% against a national 45.8%. The inspection record is where the real concern lives: 73 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $122,210 fine. The last inspection was March 2025, so the record is current. Quality measure scores look strong on paper, but that's a different measure than the ones families feel day to day.

Nurse hours

3.34 /day

Staff turnover

41%

Serious cites

0

Lakeview runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends are thinner still, about 12% below its own weekday coverage. Staff turnover sits at 41.3%, a bit better than the 45.8% national figure, so the people who are there tend to stay. But 31 deficiencies on the current record, including six at the harm or jeopardy level and five tied to abuse, is a lot for a 60-bed home, and the two fines total $47,253. The hospital district that owns it isn't a for-profit chain, which matters, but ownership alone doesn't staff a Saturday shift.

Nurse hours

3.05 /day

Staff turnover

52%

Serious cites

0

Focused Care At Allenbrook runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff you meet may not be there next year. Inspections are the brighter spot: a four-star health inspection rating and a recent visit in March 2026, with 14 deficiencies on record, two of them serious enough to reach harm level. The single fine of $8,400 is modest. Ownership is a for-profit limited liability company, and the 1-star staffing rating tells you where the pressure sits.

Nurse hours

3.63 /day

Staff turnover

57%

Serious cites

0

Bluebonnet Rehab At Ennis runs 136 certified beds under for-profit LLC ownership, and its staffing is the first thing that stands out: 3.63 nurse hours per resident day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 8% below its own weekday levels. Turnover sits at 56.9% against a national 45.8%, so that thinner staffing keeps getting rebuilt. The inspection record is comparatively clean, 17 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent April 2026 survey. The split is real, though: steady survey results alongside staffing hours and retention that trail what most homes manage.

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Harbor Point Skilled Nursing runs 129 certified beds in Texas City under for-profit LLC ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection star, ten deficiencies on file with none at the harm or jeopardy level, and a survey as recent as April 2026. The problem sits elsewhere. Nurse staffing comes to 3.15 hours per resident day, roughly 19% under the national average, and weekends drop another 14% below the home's own weekday coverage. Annual turnover of 59.3% against a 45.8% national rate means the aides and nurses at the bedside keep changing. One abuse-related deficiency also appears on the record.

Nurse hours

3.47 /day

Staff turnover

59%

Serious cites

0

Avir At Cisco gets top marks on health inspections, a 5 out of 5, and its last survey was recent, in August 2025. But that inspection record still carries 18 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The bigger concern is staffing: a 1 out of 5 star rating, with 58.5% annual turnover against a national average of 45.8%. Quality measures land in the middle at 3 out of 5. This is a for-profit limited liability company with 80 certified beds. Strong surveys, thin and churning staff, that combination is worth asking about directly before you decide.

Nurse hours

3.20 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.

Nurse hours

2.74 /day

Staff turnover

23%

Serious cites

0

Windsor Mission Oaks runs lean on direct care: 2.74 nurse hours per resident day, roughly 29% under the national average, with weekends dropping about 19% below its own weekday staffing. That thin coverage sits behind 37 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Retention is the bright spot, 23.2% turnover against a national 45.8% means far fewer unfamiliar faces than at a typical home. But a June 2025 inspection, a $10,842 fine, and a nonprofit owner don't offset what the staffing numbers say about daily coverage.