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

Nurse hours

3.03 /day

Staff turnover

51%

Serious cites

0

Focused Care of Gilmer runs 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends drop another 17% below its own weekday level, and 51% of staff turned over in a year, so the aides working Saturday may be new to the building. The current record carries 40 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way, plus a $23,520 fine. Its quality measure rating looks good, but that reflects charted care, not the inspection record. For-profit corporate ownership, 112 beds, and an inspection that already happened in February 2026 round out the picture.

Nurse hours

3.32 /day

Staff turnover

—

Serious cites

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Beaumont Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and the numbers split in an unusual direction. Nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86, and weekend coverage drops about 8 percent below its own weekday level, so the thinnest shifts land when families tend to visit. The current inspection record carries 23 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse; two fines total $275,992. The most recent inspection was June 11, 2025. Quality measures score well, but a staffing rating of 1 out of 5 and that deficiency history are what a family should weigh before choosing.

Nurse hours

3.62 /day

Staff turnover

74%

Serious cites

0

Accel At Willow Bend runs 110 beds in Plano under corporate ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.62 hours per resident day, about 6% under the national average, weekend shifts drop roughly 17% below weekdays, and annual turnover hits 74.4% against a national 45.8%, that's a lot of new faces rotating through. The inspection record backs it up: 49 deficiencies on file, five serious enough to involve harm or jeopardy and four tied to abuse, with a 2/5 health inspection rating. The 4/5 quality measure score looks better on paper, but quality measures depend on the staff actually there to document them.

Nurse hours

3.04 /day

Staff turnover

—

Serious cites

0

Sedona Trace runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, roughly a fifth below what's typical. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends get thinner still, about 15% under the home's own weekday coverage. Inspections tell a better story: a recent visit in July 2025 and only one harm-level deficiency among 16 total, none tied to abuse, with a single fine of $11,168. So you're looking at a building that generally passes inspection but asks its nurses to cover more residents per shift than most. For a family weighing a move here, the question worth asking is how that weekday-to-weekend staffing dip plays out on the floor.

Nurse hours

3.35 /day

Staff turnover

40%

Serious cites

0

Arlington Rehabilitation runs 117 beds in Birmingham under corporate ownership, and its staffing numbers are the first thing to notice. At 3.35 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover comes in at 40.4%, a bit better than the 45.8% national figure, which helps. The inspection record is genuinely strong: 4 of 5 stars, 11 deficiencies with none at harm level and none abuse-related. But that last inspection was April 2021, and quality measures score 2 of 5. Ask when the next survey is due.

Nurse hours

3.27 /day

Staff turnover

71%

Serious cites

0

The Blossoms at Berryville runs a 114-bed for-profit operation, and the staffing numbers are where the trouble shows. At 3.27 nurse hours per resident day, it sits roughly 15% under the national average, and weekends dip about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 70.7% against a 45.8% national rate means aides and nurses are cycling through constantly, which makes consistent care hard. The health inspection record carries 16 deficiencies, one serious enough to reach harm or jeopardy, plus two fines totaling $22,880. Quality measures score well, but that sits on top of a thin, churning staff and a recent, problem-heavy inspection.

Nurse hours

3.95 /day

Staff turnover

74%

Serious cites

0

The Springs of Pinnacle Mountain runs 3.95 nurse hours per resident day, a bit above the national average, but that average hides a problem: weekend staffing drops about 13% below its own weekday coverage. Staff turnover sits at 74%, far above the 45.8% national rate, and that churn shows up in the staffing and quality measure ratings, both 2 out of 5. The health inspection side is genuinely stronger at 4 out of 5, with a recent January 2026 inspection, but the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

Nurse hours

3.46 /day

Staff turnover

35%

Serious cites

0

Apple Rehab Watertown runs 110 beds as a for-profit corporation, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86. Weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 35.2%, better than the 45.8% national figure, meaning the staff who are there tend to stay. The inspection record carries 36 deficiencies, including one at the harm level and six tied to abuse, plus a $25,058 fine. The most recent inspection was March 2026. Quality measures score low even though inspections score well, worth asking about.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Aviata At The Sea in South Pasadena runs 58 certified beds under for-profit LLC ownership, and its inspection record shows 23 deficiencies, including one abuse-related finding. None of those rose to the level of actual harm or jeopardy, which matters, but 15 fines totaling $79,797 is a lot of enforcement activity for a building this size. The last full inspection was February 2023, so the record you're seeing isn't fresh. When you tour, ask what's changed since that inspection and how they've addressed the abuse citation specifically. The fine total alone tells you regulators found repeated problems worth penalizing, not a one-time slip.

Nurse hours

3.21 /day

Staff turnover

51%

Serious cites

0

Lakeland Hills Center runs on 3.21 nurse staffing hours per resident day, roughly 17% under the national average, and weekends dip below even that. With 50.9% annual turnover, more than half the nursing staff leaves each year, which matters when the health inspection record shows 33 deficiencies, three of them serious enough to put residents in harm's way, plus one tied to abuse. The $139,373 fine and a 1-out-of-5 inspection rating point the same direction. The 5-out-of-5 quality measure score stands out against all of this, but quality measures come from the same understaffed floor. The for-profit limited liability company ownership has a recent inspection on record, so the picture is current, not stale.

Nurse hours

3.59 /day

Staff turnover

62%

Serious cites

0

Fairway Oaks Center runs about 3.59 nurse hours per resident day, roughly 7% under the national average, and weekend coverage drops another 9% below its own weekday levels, so the thinnest staffing lands when families tend to visit. Staff turnover sits at 61.5% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 33 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level; the last survey was September 2024. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.

Nurse hours

3.24 /day

Staff turnover

62%

Serious cites

0

Aviata At Sand Key runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly another 8% below its own weekday level. That thin margin helps explain the 62.3% annual turnover, well above the 45.8% national figure, and a staffing star of 2 out of 5. Its inspection record is the bigger concern: 33 deficiencies, two at harm or jeopardy level, two abuse-related, and a $163,898 fine, with the last inspection in February 2024. Strong quality measures don't offset a 1-out-of-5 inspection rating and consistent understaffing. If you're considering this one, ask specifically how they cover weekends and what changed since that inspection.

Nurse hours

3.26 /day

Staff turnover

62%

Serious cites

0

Aviata At University Hills runs 120 certified beds in Pensacola under for-profit LLC ownership, and its inspection record is genuinely strong: a 4-star health inspection rating, no deficiencies at the harm or jeopardy level, and no abuse citations among the 11 on file. Where it lags is staffing. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 6% below its own weekday level. Annual turnover of 62.4% is well above the national 45.8%. Three fines totaling $28,359 round out the record. The care environment has been clean on paper, the question is whether the workforce can sustain it.

Nurse hours

3.65 /day

Staff turnover

57%

Serious cites

0

Hawthorne Center runs 3.65 nursing hours per resident day, roughly 5% under the national average, and weekends dip about 10% below its own weekday coverage. Staff turnover sits at 56.7% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The current inspection record carries 24 deficiencies, two of them serious enough to involve harm or jeopardy, along with a single fine of $157,729. Ownership is a for-profit limited liability company. Quality measures score well, but inspections and staffing don't, and that split is worth asking about directly.

Nurse hours

3.13 /day

Staff turnover

49%

Serious cites

0

Highland Pines runs on 3.13 nurse staffing hours per resident day, about 19% under the national average of 3.86, and weekends dip a little below weekdays. That thin coverage shows up in the numbers: a 1-out-of-5 health inspection rating and 37 deficiencies on the current record, seven of them serious enough to be flagged at harm or jeopardy level, two tied to abuse. Staff turnover sits just above the national rate at 48.5%. The nonprofit owner has paid $196,670 in fines across two penalties, and the most recent inspection was August 2024. A 4-out-of-5 on quality measures doesn't offset what inspectors keep finding.

Nurse hours

3.47 /day

Staff turnover

64%

Serious cites

0

Crescent Health And Rehabilitation Center runs 140 beds in Sarasota under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends run about 10% thinner than weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.4% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often. The health inspection record is the real concern: a 1-out-of-5 star rating, 20 deficiencies with two at harm or jeopardy level, and one fine of $26,534.

Nurse hours

3.28 /day

Staff turnover

47%

Serious cites

0

Aviata At Oakfield runs on 3.28 nursing hours per resident day, roughly 15 percent under the national average of 3.86, and weekend coverage dips about 7 percent below its own weekday numbers. The inspection record is where the real trouble sits: 34 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, with $29,328 in fines across two penalties. Staff turnover is 47 percent, slightly above the 45.8 percent national figure, and ownership is for-profit individual. The five-star quality measure score reflects how residents' conditions are tracked, but it doesn't offset a one-star inspection history or thin staffing. Ask about the abuse-related findings and the plan to keep weekend coverage steady.

Nurse hours

3.36 /day

Staff turnover

46%

Serious cites

0

Chaplinwood runs leaner than most homes on nursing hours, about 3.36 per resident day against a national average near 3.86, and weekends are thinner still, roughly 6% below its own weekday coverage. Staff turnover sits at 46.3%, essentially tracking the national rate, so this isn't a retention crisis so much as a coverage one. The current inspection record shows 13 deficiencies, including two at the harm level and one tied to abuse, with $7,901 in fines. The most recent survey was June 2025, so the picture is current rather than stale. As a nonprofit, it answers to a board rather than shareholders, but that structure hasn't translated into stronger staffing or quality scores here.

Nurse hours

3.37 /day

Staff turnover

65%

Serious cites

0

Sears Manor runs on thinner nurse staffing than most homes, 3.37 hours per resident day against a national average of 3.86, and weekends drop another 13% below its own weekday level, which is when families tend to visit and notice. The bigger number is turnover: 65.2% of staff left over the past year, well above the 45.8% national figure, and that churn shows up in the inspection record too. Twenty deficiencies are on file, three of them abuse-related, with the most recent state visit in May 2025. This is a for-profit LLC operating 100 beds in Brunswick, and the pattern reads as a home where care depends heavily on who happens to be on shift.

Nurse hours

4.02 /day

Staff turnover

62%

Serious cites

0

Roberta Trails of Journey runs 100 certified beds under corporate for-profit ownership, and its recent inspection history is genuinely clean, four deficiencies on record, none at harm or jeopardy level, none abuse-related, with a May 2025 inspection still fresh. The trouble sits in the workforce. Nurse staffing averages 4.02 hours per resident day, modestly above the 3.86 national figure, but weekends drop roughly 12% below the home's own weekday coverage, and annual turnover hits 61.8% against a 45.8% national average. High turnover with thinner weekend coverage is the pattern families end up feeling. Federal quality measures land at 1 out of 5 stars, which is worth asking about directly, because a clean inspection record and weak resident outcomes don't always tell the same story.