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

Nurse hours

2.95 /day

Staff turnover

50%

Serious cites

0

Legacy Nursing and Rehabilitation runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% tops the national 45.8%, meaning the aides at the bedside are often the newest hires. The 23 deficiencies on record include zero at harm or jeopardy level, but two are abuse-related, and the most recent inspection came in February 2026. Government hospital district ownership doesn't change the math; the staffing star of 1 out of 5 tells you where the pressure is.

Nurse hours

3.16 /day

Staff turnover

—

Serious cites

0

Granite Mesa runs lean on nursing hours, 3.16 per resident day against a national average of 3.86, and weekends drop roughly another 20% below what the home staffs during the week. That pattern matters more than any single number, because it means the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, with a $59,345 fine and a survey completed at the very end of 2025. Ownership is a for-profit LLC, and the 124-bed building earns solid marks on quality measures while staffing sits at the bottom of the federal scale.

Nurse hours

3.15 /day

Staff turnover

55%

Serious cites

0

Sheridan Medical Lodge earned a clean five-star inspection rating, and that's not nothing, 13 deficiencies on record with zero at the harm or jeopardy level and nothing abuse-related, reviewed as recently as March 2026. The staffing side tells a different story. At 3.15 nurse hours per resident day, it runs about 18% under the national average, weekends drop roughly 14% below its own weekday level, and annual turnover sits at 54.5% against a national 45.8%. For-profit corporate ownership, 130 beds. Ask how they hold that inspection record when the people providing the care keep changing.

Nurse hours

3.51 /day

Staff turnover

96%

Serious cites

0

Five Points runs a 120-bed for-profit operation in Amarillo where the clinical numbers tell two different stories. On quality measures and health inspections, it scores well, four and five stars respectively, but staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday levels. That thin coverage comes with 96.3% annual turnover, more than double the national rate, which means the people at the bedside are constantly changing. The current record shows 18 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,281. The last inspection was May 2026. High marks on paper don't offset a workforce that can't stay put.

Nurse hours

3.36 /day

Staff turnover

47%

Serious cites

0

Mabank Nursing Center runs on thin staffing. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% turnover rate is roughly in line with the national figure, but combined with 33 deficiencies on record, including 2 at the harm or jeopardy level and 2 tied to abuse, the picture is not comforting. Two fines total $31,234. A May 2026 inspection is recent, and the county hospital district that owns it isn't a for-profit chain, which may help explain the 3-star middle ground across inspections, quality, and staffing.

Nurse hours

2.43 /day

Staff turnover

61%

Serious cites

0

Cypress Pointe runs on 2.43 nurse hours per resident day, roughly 37% under the national average, and that thinness gets worse on weekends, when staffing drops about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, so the aides and nurses your family would see are cycling through faster than at the typical home. The 14 deficiencies on record, including two at the harm level, came out of a March 2026 inspection, and $8,018 in fines has been assessed. Corporate-owned and certified for 124 beds, it earns top marks on quality measures but the staffing side is where the risk lives.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.

Nurse hours

3.29 /day

Staff turnover

59%

Serious cites

0

Cottage Of The Shoals runs 3.29 nurse hours per resident day, about 15 percent under the national average, and weekends drop another 16 percent below its own weekday staffing. That gap is worth asking about directly, since it's the stretch when families often can't visit. Staff turnover sits at 58.8 percent against a 45.8 percent national figure, so the people caring for your relative are cycling through faster than average, though the current record shows just 5 deficiencies with none at the harm or jeopardy level. One is abuse-related, which deserves a specific question. The last inspection was August 2021, so the record you're looking at is nearly four years old.

Nurse hours

2.87 /day

Staff turnover

56%

Serious cites

0

Birmingham Nursing and Rehabilitation Center East runs on 2.87 nurse hours per resident day, roughly a quarter below the national figure of 3.86, and weekend coverage drops another 20% from its own weekday level. Staff turnover sits at 55.7%, nearly ten points above the national average, so the people around your family member keep changing. The inspection record is the harder part: 14 deficiencies, five serious enough to involve harm or jeopardy, two tied to abuse, and five fines totaling $24,834. Its quality measure score looks strong on paper, but that reflects charted care, not the staffing and safety problems inspectors actually found in May 2024.

Nurse hours

3.23 /day

Staff turnover

56%

Serious cites

0

Cherry Hill Rehabilitation & Healthcare Center runs 117 certified beds in Birmingham under corporate ownership, and its nurse staffing sits at 3.23 hours per resident per day, roughly 16 percent under the national average. Weekends get thinner still, running about 16 percent below the home's own weekday coverage, and annual turnover of 56.3 percent tops the national figure of 45.8. The inspection record shows nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the last full inspection in December 2022. Quality measures earn three stars, but inspections and staffing each land at two. That mix of adequate clinical scores against weaker staffing and a dated inspection tells you where to focus your questions.

Nurse hours

3.14 /day

Staff turnover

77%

Serious cites

0

The staffing numbers at Haven of Scottsdale tell the real story here. At 3.14 nurse hours per resident day, it runs about 19 percent below the national average, weekends drop roughly 18 percent below its own weekday levels, and annual turnover hits 76.9 percent against a national 45.8, that's a workforce cycling through faster than most. Its most recent inspection, in January 2026, left 24 deficiencies on record, including one at the harm or jeopardy level and ten tied to abuse. Ownership is a for-profit limited liability company. The five-star quality measure score stands out against a one-star staffing rating and a one-star inspection rating, which is worth asking about directly.

Nurse hours

3.29 /day

Staff turnover

—

Serious cites

0

Woodland Hills Healthcare and Rehabilitation runs 120 certified beds in Jacksonville under for-profit limited liability ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends drop about another 10 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and the last inspection was December 2024. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1, 2, and 2 respectively, which tells you the federal surveyors and the payroll numbers are pointing the same direction.

Nurse hours

3.94 /day

Staff turnover

—

Serious cites

0

Los Feliz Healthcare & Wellness Center runs 131 certified beds in Los Angeles under for-profit LLC ownership, and its nurse staffing sits at 3.94 hours per resident day, just barely above the national average of 3.86. That thin margin narrows further on weekends, when staffing drops about 6% below the home's own weekday levels. The inspection record is where the real concern sits: 107 deficiencies, including 2 at the harm or jeopardy level and 9 tied to abuse, plus two fines totaling $58,006. A 1-out-of-5 health inspection rating alongside those numbers tells you regulators have found repeated, serious problems across multiple visits, not a single bad day.

Nurse hours

2.50 /day

Staff turnover

—

Serious cites

0

Gainesville Health and Rehabilitation runs 120 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.50 nurse hours per resident day, roughly 35% under the national average of 3.86. Weekends drop about 7% below the home's own weekday level. The current record shows 34 deficiencies, none flagged at harm or jeopardy level but three tied to abuse, plus three fines totaling $12,930. Inspections are recent, with the last one in April 2025, and the health inspection rating sits at 2 of 5 stars while quality measures come in at 4. Staffing earns 1 star. If you're weighing this one, the quality scores are doing the lifting while direct care hours lag.

Nurse hours

2.70 /day

Staff turnover

47%

Serious cites

0

Pruitthealth - Fort Oglethorpe runs 120 certified beds as a for-profit LLC, and its staffing is the number that stands out: 2.70 nurse hours per resident day against a national average of 3.86, roughly 30% below. Weekends drop about 25% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 47.4%, slightly above the 45.8% national figure. The current record carries 20 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus two fines totaling $10,699; the most recent inspection was January 15, 2026. Quality measures score well relative to the rest of the record, but staffing is the gap worth asking about directly.

Nurse hours

3.31 /day

Staff turnover

45%

Serious cites

0

Westbury Center of Conyers runs 173 certified beds as a for-profit LLC, and its strongest suit is inspections, a 4-out-of-5 health inspection rating with a survey as recent as August 2025. The catch is who's on the floor when those inspectors aren't there. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends dip about 16% below the home's own weekday levels, which is when families tend to visit and notice. Eighteen deficiencies are on record, one serious enough to involve harm or jeopardy, though none abuse-related, plus a single fine of $10,527. Turnover of 44.6% is essentially average nationally, neither a red flag nor a point in its favor.

Nurse hours

3.42 /day

Staff turnover

57%

Serious cites

0

Four County runs a tight ship on inspections, a five-star health inspection record with just three deficiencies, none causing harm and no abuse findings, and the most recent survey was in May 2025. That part is genuinely clean. The staffing side is where it frays: 3.42 nurse hours per resident day sits about 11% under the national average, weekends drop roughly 21% below the home's own weekday coverage, and 57.3% annual turnover means more than half the nursing staff leaves each year. For a family weighing this one, the question isn't whether care is unsafe, the record says it isn't, it's whether the people providing it stay long enough to know your parent.

Nurse hours

2.77 /day

Staff turnover

—

Serious cites

0

Harbor Health & Rehab runs 106 certified beds as a nonprofit, but the numbers show a home stretched thin on the floor. Nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 10% below its own weekday coverage, so the thinnest shifts are also the least supervised. The inspection record is the heaviest weight here: 69 deficiencies, three of them serious enough to put residents in harm's way, plus two fines totaling $29,230. Quality measures score well, but that's the one bright spot against staffing and inspection ratings that sit at the bottom of the scale.

Nurse hours

4.52 /day

Staff turnover

57%

Serious cites

0

Auburn Village runs 111 certified beds under corporate ownership, and its nurse staffing sits at 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real cushion, but weekends drop about 20% below the home's own weekday level, so the coverage your family member gets depends heavily on which day you visit. The bigger concern is turnover at 57.1%, well above the 45.8% national figure, which means caregivers change often. Inspectors were last in on June 17, 2025, and the record shows 12 deficiencies, one tied to abuse, none reached harm or jeopardy, but it's a flag worth asking about directly.

Nurse hours

4.14 /day

Staff turnover

69%

Serious cites

0

Osage Nursing & Rehabilitation Center runs 53 certified beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. That sounds fine until you notice weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 69.1% against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. The current deficiency record shows 25 citations, none at the harm or jeopardy level and none abuse-related, but 25 is still a lot to work through. Inspectors last visited in September 2024. Ask about weekend coverage, who actually supervises on Saturdays, and how they retain aides.