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

Nurse hours

3.37 /day

Staff turnover

49%

Serious cites

0

Green Bay Health Services runs 125 beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage drops about 7% below what the home staffs on weekdays, and turnover hits 49.2% against a national figure of 45.8%, so the aides and nurses your family sees may not be there a year from now. The inspection record shows 29 deficiencies, none at the harm level, but six tied to abuse. That mix, thinner staffing plus a hard quality-measure score, is what pulls the home's overall picture down despite a recent June 2025 inspection.

Nurse hours

3.47 /day

Staff turnover

40%

Serious cites

0

Willowdale runs lean on nursing hours, 3.47 per resident day against a national average of 3.86, and weekends get thinner still, about 12% below its own weekday coverage. Turnover sits at 40%, a bit better than the 45.8% national figure. The inspection record shows 16 deficiencies with none at harm or jeopardy level, though 4 are abuse-related, and the most recent inspection was in October 2024. The quality measure rating is where the trouble concentrates: 1 out of 5 stars. That combination, decent staffing relative to its size, no serious harm citations, but poor clinical quality metrics, is worth asking the administrator about directly.

Nurse hours

4.04 /day

Staff turnover

60%

Serious cites

0

Dove Healthcare - Fennimore runs a 50-bed for-profit home in Grant County, and its staffing is genuinely better than average, 4.04 nurse hours per resident day against a national 3.86. The catch is consistency: weekends run about 8% thinner than weekdays, and turnover sits at 60.4% versus 45.8% nationally, so the people providing that care keep changing. The inspection record is where things get serious. Thirty-seven deficiencies, six of them at harm or jeopardy level, 13 tied to abuse, and four fines totaling $326,232. The most recent inspection was September 2025, so this is current, not old history. Strong hours, unstable workforce, and a troubled regulatory record can all be true at once.

Nurse hours

3.83 /day

Staff turnover

73%

Serious cites

0

Plymouth Health Services runs 50 certified beds under for-profit corporate ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. That small gap matters less than what happens on weekends, when hours drop about 12% below the home's own weekday level. The bigger number is turnover: 73.1% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are frequently new. Inspectors cited 35 deficiencies on the current record, six of them abuse-related, though none rose to harm or jeopardy. The most recent inspection was August 2025.

Nurse hours

3.84 /day

Staff turnover

55%

Serious cites

0

Imperial Care Center runs 130 certified beds in Studio City under a for-profit limited liability company, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86. That's the good news. The rest is harder. Staff turnover is 54.8% a year, well above the 45.8% national figure, and weekend coverage drops about 6% below the home's own weekday levels. The inspection record shows 99 deficiencies, including 8 at harm or jeopardy level and 15 tied to abuse, with four fines totaling $212,749. The most recent inspection was June 20, 2025. When you visit, ask directly how they've addressed the abuse-related findings and what weekend staffing actually looks like.

Nurse hours

3.91 /day

Staff turnover

52%

Serious cites

0

Golden Sonora Care Center runs 210 certified beds in Tuolumne County under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.91 hours per resident day, just barely above the national average, though weekends drop about 6% below the home's own weekday coverage, and with annual turnover at 52.2% against a national 45.8%, that thin margin depends on a workforce that keeps changing. The harder problem is the inspection record: 89 deficiencies, two of them serious enough to put residents at harm or jeopardy, one fine of $56,843, and a 2025 inspection that left both the health inspection and quality measure ratings at one star out of five.

Nurse hours

4.52 /day

Staff turnover

48%

Serious cites

0

Kern River Transitional Care runs 140 beds in Bakersfield under for-profit LLC ownership, and its numbers pull in two directions. Nurse staffing averages 4.52 hours per resident day, roughly 17% above the national figure, but weekends run about 12% thinner than weekdays and annual turnover sits at 48.3%, slightly worse than the 45.8% national average, so the coverage you get depends heavily on which day you visit. The bigger concern is the inspection record: 94 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, with a $77,720 fine and a survey as recent as April 2025. Quality measures score well; the compliance history is what drags this home down.

Nurse hours

3.44 /day

Staff turnover

66%

Serious cites

0

Avir At Woodlands runs on thin nursing coverage: 3.44 hours per resident day, roughly 11% under the national average, and weekends dip about 7% below its own weekday level. Turnover sits at 65.9% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the heavier concern, a 1-out-of-5 health inspection rating, 34 deficiencies including three at harm or jeopardy level and one tied to abuse, plus an $85,613 fine. A recent August 2025 inspection keeps the record current, and the 4/5 quality measure score shows some clinical targets are being met, but staffing instability and that deficiency history are what a family should weigh most.

Nurse hours

3.24 /day

Staff turnover

—

Serious cites

0

La Frontera runs 186 certified beds in Laredo under corporate for-profit ownership, and its nursing hours come in around 3.24 per resident per day, roughly 16% under the national average of 3.86. Weekends are thinner still, about 19% below what the home staffs on weekdays, so the coverage gap families notice most is the one that shows up on Saturdays and Sundays. Inspectors were last in on May 29, 2025, and the record carries 11 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,021. The health inspection rating holds at 4 of 5 and quality measures at 3, but staffing sits at 1.

Nurse hours

3.01 /day

Staff turnover

60%

Serious cites

0

Meadowbrook Care Center runs about 3.01 nurse hours per resident each day, roughly 22% under the national average, and weekend staffing dips another 10% below its own weekday levels, so the thinnest coverage lands when families are most likely to visit. Annual turnover sits at 60% against a national 45.8%, meaning the people caring for your relative are often new to the building. The current record carries 17 deficiencies, including one at the harm level and one tied to abuse, with a $21,645 fine. That quality measure score of 5/5 reflects charted care, but the staffing and inspection scores tell a different story.

Nurse hours

2.86 /day

Staff turnover

88%

Serious cites

0

Avir At Fredericksburg runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below its own weekday coverage. The bigger red flag is turnover: 87.8% annually, nearly double the national 45.8%. On the quality measures the home scores well, but its health inspection rating is 2 out of 5 with 47 deficiencies on record, including 2 at harm or jeopardy level and 2 tied to abuse. One fine totaling $23,520 has been levied. The last inspection was June 20, 2025. Staffing consistency and inspection history are where the concerns live.

Nurse hours

3.14 /day

Staff turnover

54%

Serious cites

0

Woodland Manor runs about 3.14 nurse hours per resident per day, roughly 19% under the national average, and weekends dip another 9% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 53.7% annual turnover against a national 45.8%, and 25 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse. Three fines total $77,780, and the last inspection was March 2025. It's a 146-bed for-profit LLC in Conroe, and the 3-out-of-5 quality measure rating is the one bright spot in an otherwise difficult record.

Nurse hours

2.98 /day

Staff turnover

49%

Serious cites

0

San Marcos Rehabilitation and Healthcare Center runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home already provides on weekdays. State inspectors have cited 17 deficiencies, three of them serious enough to put residents at harm or jeopardy, and the last inspection was in October 2025. Staff turnover sits at 48.8%, a few points above the national rate, at a for-profit corporate home with 129 certified beds. Its quality measure score looks strong, but that reflects charted care, not the hours of nursing help actually available at the bedside when you or your family member needs it.

Nurse hours

3.26 /day

Staff turnover

54%

Serious cites

0

Avir At Heritage runs on thin nursing coverage: 3.26 nurse hours per resident each day, roughly 16 percent under the national figure, and weekends drop about 14 percent below its own weekday levels. That staffing picture is the main reason its CMS staffing rating sits at just one star out of five, even though its last inspection in April 2025 produced no deficiencies at the harm or jeopardy level and nothing abuse-related. Staff turnover of 54.3 percent tops the national average of 45.8 percent, which matters for a 150-bed for-profit home because residents see more unfamiliar faces. The inspection record looks clean on paper, but consistently low hours and high churn are what a family should weigh when deciding.

Nurse hours

3.13 /day

Staff turnover

—

Serious cites

0

Franklin Nursing Home runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in its one-star staffing rating, even as inspections and quality measures each earn four stars. The current record carries 19 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. It's a hospital-district home, which may explain the stable oversight despite the lean floor. Ask how many nurses are actually on duty on a Saturday evening.

Nurse hours

2.59 /day

Staff turnover

59%

Serious cites

0

Towers Nursing Home in Smithville runs a nonprofit operation with 120 certified beds, and its inspection record looks solid on paper, a 4-out-of-5 health inspection rating and a recent survey from July 2025. But the staffing numbers tell a different story. At 2.59 nurse hours per resident per day, this home sits about a third below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover is 58.8%, well above the 45.8% national figure, which matters when you're counting on consistent caregivers. Fifteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and CMS has fined the home $15,239. Ask about weekend coverage and how they keep CNAs.

Nurse hours

2.79 /day

Staff turnover

57%

Serious cites

0

Autumn Leaves is run by the hospital district in Henderson, and its clinical quality scores look strong on paper. The problem is who's there to deliver that care: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends running about 12% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which means residents see a rotating cast of caregivers. The inspection record backs that up, 42 deficiencies, including one at the harm level and one tied to abuse, plus a $22,925 fine. The last inspection was May 2026. A hospital district can be a stable owner; here the staffing numbers are doing the talking.

Nurse hours

3.54 /day

Staff turnover

49%

Serious cites

0

Golden Creek runs 125 certified beds in Navasota under corporate for-profit ownership, and its recent inspection history is the strongest part of the picture, a four-star health inspection rating, with the last survey done in April 2025 and 18 deficiencies on record, none at the harm or jeopardy level. That's one abuse-related citation, though, which families should ask about directly. Where the home slips is staffing: 3.54 nurse hours per resident day sits about 8% under the national average, weekends run roughly 12% below its own weekday levels, and turnover is 48.9%. Those numbers are why CMS gives it a single staffing star, and they're worth weighing against the decent inspection score.

Nurse hours

3.09 /day

Staff turnover

61%

Serious cites

0

The Plaza At Lubbock runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops about 14% below what it manages on weekdays. Staff turnover sits at 60.9% against a national 45.8%, meaning more than half the nursing staff leaves each year, that churn shows up in the 40 deficiencies on record, four of them serious enough to reach harm or jeopardy level and three tied to abuse. Corporate ownership keeps the money side simple, but the record includes three fines totaling $38,594, and the most recent inspection in January 2026 found enough to keep the health inspection rating at 2 out of 5. The quality measures look strong, but strong numbers on paper don't staff a building on a Saturday.

Nurse hours

3.40 /day

Staff turnover

59%

Serious cites

0

Crestview Court runs on thinner nurse coverage than most homes, 3.40 hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday level. Turnover sits at 58.5%, well above the 45.8% national figure, so the people providing that care change often. Inspections tell a mixed story: a 4-star health inspection rating and a 5-star quality measure score, but 21 deficiencies on the current record, including 3 at harm or jeopardy level and 7 tied to abuse, plus one fine of $16,799. The most recent inspection was April 2025. A for-profit corporation owns the 125-bed home. Strong quality marks and steady inspection results sit alongside staffing shortages and a documented abuse-related history, worth asking about directly before deciding.