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

Nurse hours

3.31 /day

Staff turnover

90%

Serious cites

0

Amarillo Center For Skilled Care runs 122 certified beds as a for-profit limited liability company, and its staffing numbers are the first thing to look at. Nurses provide 3.31 hours per resident per day, roughly 14% under the national average of 3.86, and weekend coverage drops about 15% below what the home itself staffs on weekdays. Annual turnover of 89.6% is nearly double the national rate of 45.8%, that's people cycling through constantly, which matters more than any single number. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $21,390 fine. The last inspection was February 2026.

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

0

The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

0

Bridgecrest Rehabilitation Suites runs 130 beds in Houston under corporate ownership, and the staffing numbers are the first thing to notice. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover hits 50% against a national 45.8%, which means the people providing that care are frequently new. The current record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $48,802 in fines. The last inspection was June 26, 2025, so that picture is recent. Resident outcome measures look strong; the direct-care hours behind them don't match.

Nurse hours

3.09 /day

Staff turnover

42%

Serious cites

0

Windsor Quail Valley Post-Acute runs 120 beds in Missouri City under hospital district ownership, and the numbers tell a mixed story. Nursing hours come to 3.09 per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 11 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover at 41.7 percent is actually a touch better than the 45.8 percent national figure, which matters for continuity. On the record are 15 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus two fines totaling $52,036. The most recent inspection was March 2025. Quality measures score well; staffing and the inspection history are where the concern sits.

Nurse hours

3.28 /day

Staff turnover

45%

Serious cites

0

Woodlands Place Rehabilitation Suites runs 133 beds in Denison under corporate ownership, and its staffing is the number that stands out first: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends running about 9 percent thinner than weekdays. Turnover sits at 44.6 percent, essentially level with the national figure, so the issue isn't retention so much as how few hands are scheduled. The inspection record shows 26 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $109,954 fine, with the most recent inspection dated February 26, 2026. Strong quality measure scores don't cancel out thin weekend coverage and that deficiency history.

Nurse hours

2.98 /day

Staff turnover

45%

Serious cites

0

Brightpointe At Lytle Lake runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday numbers. That shows up in the federal staffing rating, which sits at the bottom. The inspection record is heavier still: 27 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with one fine of $23,733. Turnover at 44.9% is essentially the national rate, so the for-profit operator isn't losing staff faster than average, but it isn't keeping them either. The last full inspection was April 9, 2026, so the findings are recent.

Nurse hours

3.24 /day

Staff turnover

49%

Serious cites

0

Crimson Heights runs 3.24 nursing hours per resident day, about 16 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. That thin margin shows up in a 49 percent annual turnover rate and a staffing star rating of 2 out of 5. The inspection record is the bigger concern: 33 deficiencies, four of them serious enough to put residents in harm's way, and $33,539 in fines, with the most recent state visit in August 2025. Corporate ownership has kept the quality-measure scores high at 5 out of 5, but strong chart numbers don't offset four harm-level findings or a workforce that turns over nearly half its staff each year.

Nurse hours

3.31 /day

Staff turnover

35%

Serious cites

0

Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.

Nurse hours

3.75 /day

Staff turnover

61%

Serious cites

0

Brown Nursing Home runs 68 certified beds in Alexander City under corporate ownership, and its staffing sits slightly under the national average at 3.75 hours per resident day. The bigger issue is who's still there: annual turnover hits 60.7%, well above the 45.8% norm, and weekends drop roughly 17% below weekday coverage. Inspections look solid otherwise, a 4-star health inspection rating, seven deficiencies on record with none tied to harm, jeopardy, or abuse. But that inspection happened in February 2020, so it's badly dated. Quality measures come in at 2 stars, which suggests the clinical numbers families actually track aren't keeping pace. Plenty of homes look good on paper until you ask when someone last checked.

Nurse hours

3.12 /day

Staff turnover

63%

Serious cites

0

Mobile Nursing and Rehabilitation Center runs 120 certified beds under for-profit limited liability ownership, and the staffing numbers are the first thing worth noticing. At 3.12 nurse hours per resident day, it sits about 19% below the national average of 3.86, and weekends dip roughly 20% below its own weekday level, when your family member needs help on a Saturday, there's less of it. Annual turnover of 62.8% against a 45.8% national average means aides and nurses cycle through constantly, so the people learning your parent's routines may not be there long. The inspection record shows 12 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,788 and a June 2025 inspection.

Nurse hours

3.79 /day

Staff turnover

71%

Serious cites

0

Ashley Rehabilitation in Rogers runs 100 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, but weekends drop about 19% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Staff turnover is 71% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 33 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $65,473 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems.

Nurse hours

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Staff turnover

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Serious cites

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Blue Lake Post Acute in Deland runs 60 certified beds under corporate for-profit ownership, and the numbers split hard in two directions. The quality measure rating sits at 4 out of 5, which suggests some clinical targets are being met, but staffing comes in at 1 out of 5, a real problem when direct care hours are what families actually feel day to day. The inspection record is the bigger concern: 28 deficiencies on file, four of them serious enough to involve harm or jeopardy, three tied to abuse, and 18 fines totaling $152,994. The most recent inspection was in April 2026. When quality metrics look decent but staffing and inspections don't, it usually means the care process is strained by too few hands.

Nurse hours

3.47 /day

Staff turnover

57%

Serious cites

0

Bolingreen runs lean on nursing hours, 3.47 per resident day, roughly 10 percent under the national average, and the gap widens on weekends, when coverage drops about 17 percent below its own weekday level. Staff turnover sits at 56.9 percent, well above the 45.8 percent national figure, so the people caring for your family member are changing often. Inspections turned up 19 deficiencies, two of them serious enough to reach harm or jeopardy level, and the health and quality ratings both come in at 2 out of 5. The nonprofit ownership and the absence of abuse citations are genuine positives. But staffing consistency and inspection history are the two things to press hardest on when you visit.

Nurse hours

3.84 /day

Staff turnover

55%

Serious cites

0

Lacon Rehab And Nursing sits at 93 certified beds under for-profit LLC ownership, and its staffing numbers tell a split story. Total nurse hours per resident day come in at 3.84, essentially matching the national average, but weekends run about 17% thinner than weekdays, a gap families should ask about directly, since that's when visits often happen. Annual turnover of 55% tops the national 45.8% mark, so the people providing care change often. The inspection record is the bigger concern: 38 deficiencies, including two at harm or jeopardy level and one abuse-related, with the most recent survey dated May 2025. Quality measure scores look strong, but a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating point to problems that quality numbers alone don't capture.

Nurse hours

3.60 /day

Staff turnover

71%

Serious cites

0

Brickyard Healthcare - Willow Springs runs 134 certified beds on the far west side of Indianapolis, and the numbers that stand out most are about who's there to provide care. Nurse staffing sits at 3.60 hours per resident day against a national average of 3.86, and weekends run roughly 17% thinner than weekdays. Annual turnover hits 70.9% while the national figure is 45.8%, so the staff you meet in May may not be there by fall. The current record carries 40 deficiencies, one tied to abuse, though none reached the harm or jeopardy level. The last inspection was May 2025.

Nurse hours

3.66 /day

Staff turnover

33%

Serious cites

0

Azria Health Clarinda runs a 70-bed for-profit home in Page County, and the staffing numbers are the first thing worth noticing: 3.66 nurse hours per resident day sits below the national average, and weekends drop about 16% below the home's own weekday coverage. Turnover at 32.8% is actually better than the national 45.8%, so the people who stay tend to stay, but the quality measure rating of 1 out of 5 is a real signal, and there's one deficiency at the harm level plus an abuse-related citation among the 14 on record, with a $16,448 fine. The last inspection was May 2025, so the record is current.

Nurse hours

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Staff turnover

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Serious cites

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Legacy At Salina runs 45 certified beds under for-profit LLC ownership, and its staffing score comes in at the lowest rung CMS assigns, one out of five stars. That shortage shows up in the inspection record too: 44 deficiencies on file, four of them serious enough to put residents in harm's way and four tied to abuse. Three fines totaling $31,773 round out the picture. The most recent state visit was September 10, 2025, so the findings are current, not stale. Quality measures sit mid-range at three stars, but low staffing plus that many serious citations is the pattern families should weigh when comparing this home to others in the Salina area.

Nurse hours

4.04 /day

Staff turnover

75%

Serious cites

0

Signature Healthcare at Jackson Manor runs 4.04 nurse hours per resident day, a bit above the national average, but that cushion thins out on weekends, when staffing drops roughly 17 percent from weekday levels. The bigger issue is turnover: 75 percent of staff left over the past year, well above the 45.8 percent national figure, which means caregivers are constantly new to residents who need consistency. Inspectors cited 16 deficiencies on the current record, including one abuse-related finding, though none rose to harm or jeopardy level, and the last visit was in May 2025. For-profit corporate ownership, a two-star staffing rating, and that churn are what pull the overall picture down.

Nurse hours

3.75 /day

Staff turnover

58%

Serious cites

0

Landmark of Baton Rouge runs 144 certified beds as a for-profit limited liability company, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. That gap looks small until you see weekends, when hours drop about 21% below the home's own weekday levels. Annual turnover is 57.8%, well above the national 45.8%, which means the people showing up on a Saturday may be newer than you'd expect. The inspection record carries 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit dated February 25, 2026, recent enough to reflect current conditions.

Nurse hours

3.34 /day

Staff turnover

27%

Serious cites

0

Chateau Terrebonne runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends get thinner still, roughly a fifth below what the home staffs on weekdays. That pattern matters for a 197-bed building, because gaps tend to show up on Saturdays and Sundays when families aren't visiting. The good news sits in the inspection record: no deficiencies at the harm level, nothing abuse-related, and a recent survey. Staff turnover is also well below the national figure, which suggests people stay. What holds the rating back is the combination of thin daily coverage and a middling quality measure score, not any single serious finding.