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

Nurse hours

3.22 /day

Staff turnover

40%

Serious cites

0

Windsor Las Palmas runs a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is genuinely the hard part of this business. The tradeoff shows up in staffing: 3.22 nurse hours per resident day against a national average of 3.86, and weekends run about 10 percent thinner than weekdays. Turnover sits at 40.3 percent, a bit better than the 45.8 percent norm, so the workforce is comparatively stable even if it's spread thin. One fine totaling $38,393 is on record, and the last inspection was in March 2025. Good care when inspectors look, leaner coverage the rest of the time.

Nurse hours

3.46 /day

Staff turnover

45%

Serious cites

0

North Star Ranch runs 3.46 nurse hours per resident day, about 10% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. That thinner coverage sits behind a 2-out-of-5 staffing rating, while turnover of 45.2% is essentially at the national figure of 45.8%. The inspection record is where this home separates from the pack: 61 deficiencies, including 5 at the harm or jeopardy level and 4 abuse-related, with two fines totaling $278,005. Its last inspection was April 24, 2025, so that record is recent. Quality measure scores look strong at 5 out of 5, but that stands against a 1-out-of-5 health inspection rating at a 65-bed for-profit.

Nurse hours

2.70 /day

Staff turnover

41%

Serious cites

0

Care Choice of Boerne runs 74 certified beds under corporate for-profit ownership, and the number that stands out is nurse staffing: 2.70 hours per resident per day, roughly 30% under the national average of 3.86. That shortfall shows up on weekends too, when coverage drops about 12% below the home's own weekday level. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The current inspection record carries 30 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,937. The most recent inspection was February 14, 2026. If you're weighing this one, ask directly how they cover weekends and what changed since those abuse-related findings.

Nurse hours

3.04 /day

Staff turnover

36%

Serious cites

0

The Courtyard Rehabilitation and Healthcare Center runs about 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level, the kind of gap that shows up when a resident needs help on a Saturday night. Staff turnover sits at 36.1%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with one fine of $17,635; the most recent inspection was in September 2025. For-profit corporate ownership, 56 beds, and a four-star inspection history are the tradeoffs against that thin daily staffing.

Nurse hours

3.31 /day

Staff turnover

69%

Serious cites

0

Avir At Commerce runs on thinner nursing coverage than most homes, about 3.31 nurse hours per resident each day against a national figure near 3.86, with weekends dipping roughly another 10% below its own weekday level. Staff turnover sits at 69.2%, well above the 45.8% national average, so the people around your family member change often. The inspection record shows 42 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the most recent look came in February 2026. Quality measures score well here, but staffing and inspections are where the gaps show. It's a federal-government-operated home, which is unusual, and worth asking about directly when you visit.

Nurse hours

3.32 /day

Staff turnover

46%

Serious cites

0

Victoria Gardens of Frisco runs 118 certified beds under corporate ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip even further, about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 46.3 percent, essentially tracking the national rate. Inspections look strong on paper, with a recent May 2025 survey, yet the record still carries 15 deficiencies, two at harm or jeopardy level and one tied to abuse, plus two fines totaling $23,546. High marks from CMS on inspection and quality measures coexist here with weak staffing scores and real, recent citations.

Nurse hours

3.20 /day

Staff turnover

67%

Serious cites

0

Avir At Pecos runs on 3.20 nurse hours per resident day, roughly 17 percent below the national average of 3.86, and weekend coverage dips about 8 percent below its own weekday level. Staff turnover sits at 66.7 percent against a national 45.8 percent, two-thirds of the nursing staff leaving in a year is a lot of new faces for residents to adjust to. The current record shows 22 deficiencies, none at the harm level, though one is abuse-related. Inspectors last visited in March 2025. Quality measures score well; staffing is where the numbers fall short, and ownership is a for-profit corporation.

Nurse hours

3.10 /day

Staff turnover

52%

Serious cites

0

Avir At Grapevine runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in a 1-out-of-5 staffing rating and a 51.9% annual turnover rate, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 40 deficiencies, four serious enough to cause harm or jeopardy, five tied to abuse, and two fines totaling $29,614. Its quality measure score is perfect, but that reflects charted care, not hands on the floor. The last inspection was November 2025, so the record is current.

Nurse hours

3.71 /day

Staff turnover

75%

Serious cites

0

Woodway runs leaner than the typical nursing home on nurse staffing, 3.71 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 14 percent below what the home staffs on weekdays. The bigger concern is who's left to do the work: annual turnover of 74.5 percent means most of the aides and nurses caring for residents today probably won't be there a year from now, and that churn sits well above the 45.8 percent national figure. Inspectors have cited 15 deficiencies, five involving harm or jeopardy and seven tied to abuse, with two fines totaling $14,846.

Nurse hours

3.00 /day

Staff turnover

54%

Serious cites

0

The Garrison center runs 3.00 nursing hours per resident per day, about a fifth below the national average, and weekend coverage drops roughly 11% below its own weekday level, thin staffing that gets thinner when families tend to visit. Inspectors have logged 42 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $37,020 in fines across three penalties. Staff turnover sits at 53.8%, above the 45.8% national figure. The hospital district ownership and recent June 2026 inspection don't offset a record that includes abuse findings alongside persistent short staffing.

Nurse hours

2.87 /day

Staff turnover

51%

Serious cites

0

Village Creek runs about 2.87 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 10% below its own weekday coverage. That thin staffing shows up in a 51.4% annual turnover rate, higher than the 45.8% national figure. The inspection record isn't clean either: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $19,009 in fines across two events. A recent August 2025 inspection and decent marks on health inspections and quality measures don't offset a staffing level that sits well under what most homes provide.

Nurse hours

— /day

Staff turnover

85%

Serious cites

0

Park Plaza runs 90 certified beds in San Angelo under corporate for-profit ownership, and its most recent inspection in March 2025 left 28 deficiencies on the record, none at the harm level, but one tied to abuse. That's a lot of paperwork findings for a single survey, even without immediate jeopardy attached. The bigger issue sits in the staffing numbers: a 1-out-of-5 CMS staffing rating and 85% annual turnover, nearly double the national rate of about 46%. High turnover means the aide helping your mother today may be gone in a few months. Inspections and quality measures both scored 4 out of 5, so care planning looks solid on paper, but consistent staffing is what actually delivers it.

Nurse hours

3.42 /day

Staff turnover

92%

Serious cites

0

Cedar Manor runs about 166 beds in San Angelo under corporate for-profit ownership, and the numbers that stand out most are staffing and turnover. Nurses give 3.42 hours of care per resident per day, roughly 11 percent below the national average, and weekends drop another 7 percent below the home's own weekday level. Annual staff turnover sits at 92.3 percent, double the national rate of 45.8 percent, which means the people caring for your family member are, statistically, likely to be gone within a year. The current inspection record shows 22 deficiencies, none at harm or jeopardy level, and the last survey was in December 2024. CMS rates staffing 2 out of 5; inspection and quality measures each come in at 3.

Nurse hours

3.40 /day

Staff turnover

56%

Serious cites

0

Avir at North Richland Hills runs lean on nursing staff, 3.40 hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays, so the gap shows up most when families tend to visit. Staff turnover sits at 56.3%, well above the 45.8% national figure, and the current inspection record carries 24 deficiencies, three of them serious enough to put a resident in harm's way, plus two tied to abuse. A $195,946 fine is on file. The quality measure rating of 4/5 looks better than the staffing picture, which the federal government scores at 2/5. The most recent inspection was April 2025, so the record is current.

Nurse hours

3.11 /day

Staff turnover

63%

Serious cites

0

Sandy Lake Rehabilitation And Care Center runs about 3.11 nursing hours per resident day, roughly 19% under the national average of 3.86, and weekends dip another 12% below its own weekday numbers. That thinner coverage matters more given a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses on the floor keep changing. Inspections paint a similar picture: 37 deficiencies on record, three serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $23,677. The last inspection was August 19, 2025, so the record is current. The family-facing quality scores look decent; the staffing and safety record is where the concern sits.

Nurse hours

3.18 /day

Staff turnover

41%

Serious cites

0

Brodie Ranch runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends are about 13% thinner than its own weekdays. For a 120-bed home that is a real gap, and it shows up in the staffing star rating, which sits at 2 out of 5. The inspection record is heavier than that number alone suggests: 31 deficiencies, three of them at harm or jeopardy level, three abuse-related, and $61,059 in fines across three events. Last inspection was March 26, 2025. Turnover at 40.9% is actually below the national 45.8%, and the 4/5 quality measure rating is the strongest thing here. Government hospital district ownership doesn't change what the numbers say about daily coverage.

Nurse hours

2.83 /day

Staff turnover

51%

Serious cites

0

Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.

Nurse hours

3.18 /day

Staff turnover

56%

Serious cites

0

Oak Village Healthcare runs on thin staffing. At 3.18 nurse hours per resident per day, it sits about 18% under the national average, and weekends drop roughly 11% below what the home itself manages on weekdays. Annual turnover of 56.4% is well above the 45.8% national figure, so the people around your family member change often. What keeps it from being worse is the inspection record: a 5/5 health inspection rating, six deficiencies on file with none at the harm level and none abuse-related, and the most recent inspection in April 2025. The tradeoff is clear enough, a clean survey history, but not a lot of hands on deck, especially on Saturdays and Sundays.

Nurse hours

3.21 /day

Staff turnover

35%

Serious cites

0

Laredo Nursing and Rehabilitation Center runs 120 beds under individual for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, with weekends about 15 percent thinner than its own weekdays. Turnover is actually better than average at 34.9 percent, so the problem isn't churn so much as how few hands are scheduled on any given shift. What should concern you most is the inspection record: 27 deficiencies, six serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $93,962. The most recent inspection was March 2026. Low staffing plus that many serious findings is a pattern worth asking about directly before you decide.

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

Las Colinas Of Westover runs 140 beds on the city's northwest side, and the staffing numbers are where the story starts. At 3.34 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly another 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 43.9% is slightly better than the 45.8% national figure, which helps, but doesn't offset the thin hours. The inspection record is heavier: 39 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $38,630. State surveyors were last in on December 3, 2025. The quality measure scores look good on paper, but those come from resident assessments, not from someone watching the floor at 7 p.m. on a Sunday.