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

Nurse hours

3.10 /day

Staff turnover

57%

Serious cites

0

Hurst Plaza passed its most recent inspection cleanly, a 5/5 health inspection rating, no deficiencies at the harm level, and no abuse citations. That's genuinely good, and it matters. The problem is the day-to-day coverage. Nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average, with weekends running about 13% thinner than weekdays. Staff turnover is 57.4%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. A home can inspect well and still leave your family member waiting for help. Ask what a Tuesday night actually looks like, and how long the current director of nursing has been there.

Nurse hours

3.53 /day

Staff turnover

64%

Serious cites

0

Rocky Mountain Care-Clearfield runs 168 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86, with weekends running about 8% leaner than weekdays. Staff turnover is 64.1% against a national 45.8%, meaning nearly two-thirds of the nursing team leaves within a year. The health inspection record is the harder read: 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a $58,637 fine, with the last inspection in April 2024. Quality measures score well, but the staffing and inspection numbers are where a family should focus.

Nurse hours

3.71 /day

Staff turnover

60%

Serious cites

0

South Ogden Post-Acute runs 122 beds under for-profit LLC ownership, and its inspection record is the first thing worth knowing: 35 deficiencies on file, four of them serious enough to cause harm or jeopardy, five tied to abuse. Three fines totaling $68,891 have followed. Staffing sits at 3.71 nurse hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 10% below the home's own weekday level. Turnover is the sharper number: 60.2% of staff leave each year, against a national average near 46%. That churn doesn't automatically mean bad care, but it makes consistency harder to hold onto. Ask specifically about the abuse-related findings before you visit.

Nurse hours

3.52 /day

Staff turnover

60%

Serious cites

0

Stratford Healthcare Center runs 60 beds in Danville under for-profit LLC ownership, and the split in its record is worth understanding. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, with weekends running about 15% below its own weekday levels. Annual turnover of 59.7% is well above the national 45.8%, meaning more than half the nursing staff leaves each year. What keeps this home from looking worse is its inspection history: a 5/5 health inspection rating, 26 deficiencies on record with none at harm or jeopardy level, and a recent October 2024 survey. One abuse-related deficiency stands out. The quality measure rating of 2/5 suggests the day-to-day care results don't match that clean inspection sheet.

Nurse hours

3.36 /day

Staff turnover

65%

Serious cites

0

Appomattox Health & Rehabilitation Center runs on thin staffing for a 60-bed home. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 11% below its own weekday level, so the hours when families tend to visit are also the leanest. Turnover tells another part of the story: 64.9% of staff leave each year, against a national 45.8%, which means new faces constantly. The inspection record includes 39 deficiencies, two at harm or jeopardy level and four tied to abuse, plus $18,636 in fines, and the last inspection was May 2023. Quality measures score well, but consistent staffing and a clean survey record are what keep residents safe day to day.

Nurse hours

3.42 /day

Staff turnover

58%

Serious cites

0

Cypress Pointe runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below what the home staffs during the week, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection record shows 52 deficiencies, including one at harm level and five tied to abuse, with a $10,358 fine and a February 2026 inspection. For-profit LLC ownership. Ask about weekend coverage and how they screen staff.

Nurse hours

3.35 /day

Staff turnover

48%

Serious cites

0

Galax Health and Rehab runs on 3.35 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 11 percent below what the home staffs on weekdays. That thinner weekend coverage matters in a building where staff turnover sits at 48.3 percent and inspectors have logged 40 deficiencies, including one at the harm level and three tied to abuse. The last full inspection was in November 2023, so the record is fairly current, and a single $13,627 fine is on file. The for-profit corporate owner keeps 120 certified beds; a 2-out-of-5 rating across health inspections, quality measures, and staffing tells you the shortfalls show up in more than one place.

Nurse hours

3.10 /day

Staff turnover

60%

Serious cites

0

Walter Reed Post Acute sits in Gloucester with 181 certified beds and a for-profit corporate owner. The inspection record is genuinely strong, 18 deficiencies total, with just one at the harm level and none tied to abuse, and the last survey was recent. Where the picture changes is staffing: 3.10 nurse hours per resident day runs about 20% under the national average, weekends dip roughly 14% below the home's own weekday coverage, and turnover hits 59.9% against a national 45.8%. A strong survey history doesn't cancel out thin daily coverage, especially on weekends, and the staff churn suggests replacements are constantly learning the building.

Nurse hours

3.30 /day

Staff turnover

64%

Serious cites

0

Deer Meadows runs a 119-bed for-profit operation in Abingdon, and the staffing numbers are where the story starts: 3.30 nurse hours per resident per day against a national average of 3.86, with weekends dipping roughly 11% below its own weekdays. Nearly two-thirds of staff turned over in the past year, 63.6% against a national 45.8%, which means the people delivering care keep changing. On paper, the quality measures look decent at 4 out of 5 stars, and the 53 deficiencies on record include none flagged for harm or abuse. But low staffing plus high turnover is a hard combination to dress up, no matter how the quality scores read.

Nurse hours

3.30 /day

Staff turnover

57%

Serious cites

0

Holly Manor Rehab And Nursing runs 120 certified beds in Farmville under for-profit LLC ownership, and the numbers that matter most here are the inspection and staffing ones. CMS gives it one star for health inspections and one for staffing. There are 95 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekends drop about 12% below its own weekday level. Annual turnover is 56.9%, well above the 45.8% national figure. The quality measure star of four looks better on paper, but it's built from resident assessment data, not from how the place is actually run day to day. The last inspection was August 30, 2024.

Nurse hours

3.51 /day

Staff turnover

61%

Serious cites

0

Othello Post Acute runs 39 beds under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and annual turnover hits 61.1% against a national 45.8%, so the aides and nurses cycling through are often new to the building. The inspection record shows 34 deficiencies, four serious enough to reach harm or jeopardy level and one tied to abuse, with two fines totaling $19,182; the most recent survey was January 2026. CMS gives middle marks across health inspections, quality measures, and staffing, three stars each.

Nurse hours

4.20 /day

Staff turnover

67%

Serious cites

0

Cascades Of St Anne runs 47 beds in Seattle under corporate ownership, and the staffing picture is mixed. Total nurse hours come in at 4.20 per resident day, roughly 9% above the national average, but weekends drop about 12% below what the home staffs on weekdays. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people providing that care are cycling through quickly. The inspection record is the bigger concern: 57 deficiencies, including 2 at the harm level and 4 tied to abuse, against a 2/5 inspection rating. The last survey was January 21, 2026, so the record is current. Good quality measure scores don't offset that history.

Nurse hours

3.72 /day

Staff turnover

58%

Serious cites

0

Heritage Health Services runs about 3.72 nurse hours per resident per day, roughly 4% under the national average, and weekends dip another 13% below its own weekday staffing. That matters more when you see turnover at 57.5%, well above the 45.8% national figure, meaning the people caring for residents are frequently new. The inspection record shows 33 deficiencies, including one at the harm level and two tied to abuse, with a $16,801 fine on file. The last inspection was in March 2025, so the picture is current rather than stale. For-profit ownership under an LLC, 50 beds, and middling marks on both health inspections and quality measures round out a home where the staffing numbers and the deficiency count are telling the same story.

Nurse hours

3.54 /day

Staff turnover

52%

Serious cites

0

Lake Country runs lean on nurse staffing, 3.54 hours per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 51.8%, meaning more than half the nursing staff leaves within a year, well above the 45.8% national figure, and that churn shows up in the record: 42 deficiencies, including four at the harm or jeopardy level and five tied to abuse. Two fines total $120,868. The most recent inspection was August 27, 2025, so the picture is current, not stale.

Nurse hours

3.92 /day

Staff turnover

43%

Serious cites

0

Arbor Post Acute runs 144 beds in Chico as a for-profit corporation. Its nurse staffing sits just barely above the national average, and weekend coverage dips about 7% below its own weekday level, so the thinnest shifts are the ones when families tend to visit. Turnover lands at 42.5%, a touch better than the 45.8% national figure. The inspection record is the real story here: 94 deficiencies, including 4 at harm or jeopardy level and 11 tied to abuse. Two fines total $61,825, and the most recent inspection was January 24, 2025. A four-out-of-five quality measure score doesn't offset a one-out-of-five on health inspections, those 94 findings describe care that was actually delivered, not how residents were assessed.

Nurse hours

4.32 /day

Staff turnover

39%

Serious cites

0

Pioneers Memorial runs on a government hospital district budget, and the staffing shows it: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39%, better than the 45.8% typical elsewhere. Weekends thin out about 10% from weekday coverage, which is worth asking about if your family visits then. The problem sits on the inspection side. Sixty-seven deficiencies on the current record, four serious enough to involve harm or jeopardy, and a $52,435 fine. A January 2025 inspection is recent, so this reflects present conditions rather than old history. Good staffing can't fully offset that many citations.

Nurse hours

2.96 /day

Staff turnover

36%

Serious cites

0

Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.

Nurse hours

3.27 /day

Staff turnover

68%

Serious cites

0

Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.

Nurse hours

3.50 /day

Staff turnover

54%

Serious cites

0

Woodlake Nursing Center runs about 3.50 nurse hours per resident each day, roughly 9% under the national average, and weekends drop another 12% below its own weekday staffing. That thinner weekend coverage matters because hands-on time is already lean. Annual turnover sits at 54% against a 45.8% national figure, so caregivers cycle through faster than typical. The current inspection record shows 12 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $20,965. Inspectors were last on site in June 2025. This is a for-profit corporate home with 93 certified beds, and its federal ratings land at 3 out of 5 for health inspections, 2 for quality measures, and 2 for staffing.

Nurse hours

3.29 /day

Staff turnover

50%

Serious cites

0

Crestwood runs about 3.29 nurse hours per resident each day, roughly 15 percent under the national average, and weekends dip another 7 percent below its own weekday coverage. Staff turnover sits at 50 percent, a bit above the national 45.8 percent. On the plus side, its most recent inspection in January 2026 produced a 5-star health inspection rating, with 10 deficiencies on record, none at the harm level, though one is abuse-related, which is worth asking about directly. The quality measure rating of 2 out of 5 is where the tension shows: good inspection results, thinner day-to-day staffing and measured care outcomes. For-profit partnership ownership.