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

Nurse hours

2.92 /day

Staff turnover

58%

Serious cites

0

Iva Post-Acute is a 60-bed for-profit home in Anderson County, and the numbers tell a split story. On paper, the care quality looks strong, a 5/5 quality measure rating and a 4/5 on health inspections, with the most recent inspection in September 2025 finding 11 deficiencies, none of them serious enough to cause harm or jeopardy and none tied to abuse. The catch is staffing. At 2.92 nurse hours per resident day, this home runs roughly 24% below the national average, and weekends dip another 11% below its own weekday levels. Annual turnover sits at 57.8% against a national rate of 45.8%. A limited liability company owns it. Good inspection results matter, but they can't fully offset thin, churning staffing.

Nurse hours

3.25 /day

Staff turnover

57%

Serious cites

0

Angel Oak runs lean on the floor: 3.25 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 5% below its own weekday coverage. That shortfall matters more when you look at turnover, 57.3% of staff leaving annually, well above the 45.8% national figure, so the people providing care keep changing. Inspectors last visited in February 2026 and found eight deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $13,520 fine on record. The recent inspection and quality scores look decent on paper, but staffing is where the trouble shows.

Nurse hours

4.86 /day

Staff turnover

65%

Serious cites

0

Summit Hills runs a small house, 27 beds, and staffs it better than most: 4.86 nurse hours per resident day against a national average of 3.86, with weekend coverage holding nearly level with weekdays. That's the good news. The harder fact is turnover at 65.4% against a national 45.8%, which means the people delivering those hours keep changing. Five deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measures rate 2 of 5, the weakest mark in the file. Ownership is for-profit through a limited liability company. Strong hands-on hours, but a workforce that doesn't stay.

Nurse hours

2.94 /day

Staff turnover

49%

Serious cites

0

Celina Health and Rehabilitation Center runs about 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday levels. That thin coverage shows up in its staffing rating of 2 out of 5, while its health inspection record is stronger, 4 out of 5, with seven deficiencies on file, none involving harm, jeopardy, or abuse, and a clean inspection as recent as September 2025. Annual turnover sits at 49.1%, above the 45.8% national figure. For-profit, LLC-owned, 78 beds. The pattern here is a home that inspects well but may leave your family member waiting on aide time.

Nurse hours

2.92 /day

Staff turnover

56%

Serious cites

0

Delta Blues Health & Rehabilitation runs 180 certified beds in Memphis under for-profit LLC ownership, and its nurse staffing sits at 2.92 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 11% under the home's own weekday levels, and annual turnover hits 55.8% against a national 45.8%, so the people available to residents change often. The current record shows 8 deficiencies, one serious enough to involve harm or jeopardy, plus a single $8,281 fine. What's striking is the split: the home scores 5/5 on quality measures but 1/5 on staffing and 2/5 on health inspections, with the last inspection dated October 2025. Strong clinical numbers can coexist with thin coverage, ask how it feels on a Sunday.

Nurse hours

3.31 /day

Staff turnover

62%

Serious cites

0

Avir At Jeffrey Place runs thinner on nursing hours than most homes, about 3.31 per resident day against a national average near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,301 in fines across two penalties; the last inspection was April 9, 2026. A for-profit LLC operates the 95-bed building. Quality measures score well, but staffing and the deficiency history are where the concerns sit.

Nurse hours

3.53 /day

Staff turnover

57%

Serious cites

0

Avir At Center runs 3.53 nurse hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin coverage adds up over time: 56.8% annual turnover means more than half the nursing staff leaves each year, against a national rate of 45.8%. The inspection history shows 17 deficiencies on record, including one at the harm level and one tied to abuse, plus a $9,113 fine. The health inspection rating of 4 out of 5 is genuinely good, and the most recent survey was July 2025. But staffing and quality measure ratings both sit at 2 out of 5, and that gap between a clean-looking inspection and weak day-to-day numbers is the part worth asking about directly.

Nurse hours

2.85 /day

Staff turnover

58%

Serious cites

0

Bedford Wellness & Rehabilitation runs 166 beds under individual for-profit ownership, and its own numbers tell the story better than any label. Nurses provide 2.85 hours of care per resident per day, roughly a quarter less than the national average, and weekend coverage drops about 12% below what residents get during the week, a gap that matters most when families visit and problems tend to surface. Staff turnover sits at 57.8% against a national 45.8%, so the people caring for your relative are likely to change often. The 18 deficiencies on record include one at the harm level and one tied to abuse, with a $13,627 fine attached. Quality measures look strong, but that staffing rating is telling you something worth weighing.

Nurse hours

3.19 /day

Staff turnover

61%

Serious cites

0

Avir At Borger runs on 3.19 nursing hours per resident per day, about 17% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That thin coverage matters more given 60.7% annual turnover, well above the 45.8% national figure, so the people providing care are often new to the building. The record shows 34 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $40,307 in fines across two penalties. The most recent inspection was September 12, 2025. Hospital district ownership doesn't erase any of that; it just means the accountability runs to a public board rather than a private chain.

Nurse hours

4.10 /day

Staff turnover

64%

Serious cites

0

Bennington Health & Rehab runs 91 beds under for-profit LLC ownership, and the staffing numbers here are genuinely better than most: 4.10 nurse hours per resident day, about 6% above the national average, which is why CMS gives it 4 out of 5 staffing stars. But look at what sits alongside that. Staff turnover is 63.8% a year against a national average of 45.8%, meaning roughly two of every three caregivers left within the year, and weekend coverage drops about 9% below its own weekday level. The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 52 deficiencies with five at harm or jeopardy level, and three fines totaling $282,224. Federal regulators have placed it in the Special Focus Facility program, their watchlist for homes with a persistent pattern of poor care.

Nurse hours

3.34 /day

Staff turnover

59%

Serious cites

0

Culpeper Health & Rehabilitation Center is a 180-bed for-profit home where the staffing numbers are the real story. Nurses provide 3.34 hours per resident day, about 14% under the national average, and weekends run thinner still. Annual turnover sits at 59.2% against a national 45.8%, so the people caring for your family member are likely to change often. The inspection record backs that up: a 1-out-of-5 health inspection rating, 52 deficiencies including one at the harm level and one abuse-related, and a $16,298 fine. Quality measures score well, but those reflect resident outcomes, not the hands available to deliver care. Ask about weekday-to-weekend staffing and how they hold onto aides.

Nurse hours

4.01 /day

Staff turnover

65%

Serious cites

0

Berea Health & Rehab has 90 certified beds in Fredericksburg and runs on a for-profit corporate model. Nurse staffing sits at 4.01 hours per resident day, about 4% above the national average, but that edge is thin and weekend coverage drops roughly 11% below its own weekday levels. Annual turnover hits 65.4%, well above the 45.8% national benchmark, meaning the people giving care change often. The current inspection record shows 33 deficiencies, three of them serious enough to involve harm or jeopardy, with the most recent inspection in March 2026. Staffing and health inspection ratings both sit at 2 out of 5, while quality measures land at 3. The numbers here aren't alarming on their face, but they don't point to a stable operation either.

Nurse hours

4.51 /day

Staff turnover

70%

Serious cites

0

Garden Village runs a nonprofit operation with 101 certified beds, and the raw staffing number looks good: 4.51 nurse hours per resident day, about 17% above the national average. But that average hides a lot. Weekend coverage drops roughly 15% below the home's own weekday level, and nearly 70% of staff turn over each year, well above the 45.8% national figure. High turnover at that rate makes it hard to keep consistent caregivers who know the residents. The inspection record is the bigger concern. Sixty-five deficiencies on the current record, including five at the harm or jeopardy level and nine tied to abuse. Two fines totaling $74,671. The last inspection was September 2025.

Nurse hours

3.68 /day

Staff turnover

52%

Serious cites

0

Sullivan Park runs about 92 deficiencies on its current record, including two at the harm level and eight tied to abuse, that's a lot of paper for a 125-bed building, and it's the main reason the state's last look at the place came in March 2025 with a 2-star inspection result. Nurse staffing sits at 3.68 hours per resident day, a bit under the national average, and it thins out further on weekends, down roughly 14% from weekday coverage. With 52.3% annual turnover, nearly half the nursing staff is replaced every year, which makes consistent care hard to hold onto. Two fines totaling $126,188 round out the picture.

Nurse hours

3.81 /day

Staff turnover

66%

Serious cites

0

Marianwood runs 117 beds in Issaquah under for-profit LLC ownership, and its nurse staffing sits just under the national average, close enough that the 3.81 hours per resident day isn't the real story. The real story is what happens on weekends, when staffing drops about 13% below its own weekday level, and a turnover rate of 66.1% that runs well past the national 45.8%. On inspections, the record shows 50 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $64,574. The most recent inspection was November 2025, so the picture is current. Quality measures score well, but consistent staffing and a clean inspection history are what families actually live with day to day.

Nurse hours

3.90 /day

Staff turnover

50%

Serious cites

0

Alaska Gardens runs a 123-bed for-profit home in Tacoma, and its nurse staffing sits right at the national average, 3.90 hours per resident day against 3.86. That number hides a wrinkle: weekends run about 9% leaner than weekdays, and half the nursing staff turns over each year, worse than the 45.8% national rate. Where the record really sours is inspections. Sixty-four deficiencies, seven serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $196,648. The last inspection was May 2026. State surveyors have flagged this home repeatedly, and that history is what a family should weigh before touring.

Nurse hours

4.23 /day

Staff turnover

45%

Serious cites

0

Everett Center runs 100 certified beds as a for-profit partnership, and its overall staffing number of 4.23 nurse hours per resident day sits about 9% above the national average of 3.86. That looks good until you notice weekends run roughly 11% thinner than weekdays, and turnover holds at 44.6%, essentially the national rate, meaning the staff you meet may not be there next year. The current inspection record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $378,252. The last inspection was February 2026.

Nurse hours

3.65 /day

Staff turnover

51%

Serious cites

0

Complete Care At Oak Ridge runs 74 certified beds on Charleston's west side as a for-profit corporate operation, and the numbers show a building running lean. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 12% below its own weekday level, which matters because that's when families tend to visit and notice. Staff turnover is 51.4% against a national 45.8%, so more than half the nursing workforce turns over in a year. The current record carries 37 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single $16,039 fine. The last inspection was June 5, 2025, so the picture is recent. Ask about weekend coverage and how they screen and supervise staff.

Nurse hours

3.64 /day

Staff turnover

63%

Serious cites

0

Waunakee Valley Senior Living runs 84 certified beds under corporate for-profit ownership, and the numbers split in an unusual way. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, with weekends roughly 9% thinner than weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the bigger concern: 62.5% annually against a national average of 45.8%, meaning most of the people caring for your relative may be new to the building within the year. The inspection record shows 24 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $32,856 in fines across two penalties. The quality measure score looks strong, but that's largely self-reported data, while the inspection and staffing stars tell a different story. Worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

50%

Serious cites

0

Beloit Health and Rehabilitation Center runs 110 certified beds as a for-profit corporation, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.28 hours per resident day, about 15% under the national average of 3.86, and weekend coverage drops roughly 13% below what the home staffs on weekdays. Annual turnover hits 50%, higher than the 45.8% national figure, which means aides and nurses are cycling through steadily. The inspection history is the heavier concern: 46 deficiencies on the current record, four at harm or jeopardy level and three abuse-related, plus a $46,542 fine. The last inspection was January 29, 2026. Ask about weekend coverage and how they've corrected the abuse-related findings before deciding.