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

Nurse hours

2.31 /day

Staff turnover

73%

Serious cites

0

Brentwood Place One runs 120 beds in Dallas under corporate ownership, and its inspection record actually looks decent, 4 out of 5 stars, with the most recent survey in April 2026. The trouble sits in staffing: 2.31 nurse hours per resident per day, roughly 40% under the national average, with weekends about 11% thinner than weekdays. Turnover is 73.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. Sixteen deficiencies sit on the current record, including one at the harm level and one tied to abuse. Strong quality scores and a five-star quality measure rating don't erase any of that.

Nurse hours

3.44 /day

Staff turnover

71%

Serious cites

0

Harmony Care At Brookshire is owned by a hospital district, which usually signals some public accountability, but the numbers here don't flatter it. Nurse staffing sits at 3.44 hours per resident per day, roughly 11 percent under the national average, and weekends drop about 11 percent below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. Turnover is the bigger concern: 70.9 percent of staff leaving annually against a national 45.8 percent means caregivers rarely stay long enough to know residents well. Inspections in December 2024 turned up 39 deficiencies, including two at the harm level and one abuse-related, with $25,797 in fines.

Nurse hours

3.06 /day

Staff turnover

43%

Serious cites

0

Avir At Golfcrest runs 200 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 42.9%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 21 deficiencies, five at harm or jeopardy level, one abuse-related, and $43,799 in fines across three penalties. The last inspection was April 2025. Federal stars put quality measures at 4 out of 5 but staffing and health inspections at 2, a split that says the care processes may look fine on paper while the hands-on coverage and survey history raise real questions.

Nurse hours

3.47 /day

Staff turnover

99%

Serious cites

0

St. Joseph Manor runs on thin staffing: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends about 11% leaner than weekdays. The bigger problem is who's left to fill those shifts, annual turnover of 98.6% means the whole nursing staff essentially turns over every year, against a national rate near 46%. Inspectors have found 39 deficiencies, including two involving harm or jeopardy and two tied to abuse, and the most recent visit was March 2025. Hospital-district ownership doesn't change the math: a 1-out-of-5 inspection rating and 1-out-of-5 staffing rating alongside that turnover is what families should weigh.

Nurse hours

2.94 /day

Staff turnover

63%

Serious cites

0

Diboll Nursing and Rehab runs 82 beds under corporate ownership, and the numbers show a staffing problem more than a quality one. Nurses give 2.94 hours per resident per day, about a quarter below the national average, and weekends drop roughly 8 percent below what the home already provides on weekdays. Annual turnover sits at 63.3 percent against a national 45.8, so a lot of the people providing that care are still learning the building. The health inspection record shows 33 deficiencies, two serious enough to involve harm or jeopardy, though none tied to abuse, and the last inspection was recent. Clinical quality measures rate well; staffing does not.

Nurse hours

3.36 /day

Staff turnover

59%

Serious cites

0

The Villa At Texarkana holds a four-star record on health inspections and quality measures, but its staffing tells a different story. At 3.36 nurse hours per resident day, it runs about 13% under the national average, and weekends dip roughly 11% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 59% sits well above the 45.8% national figure, meaning the people caring for residents are often new. Thirty deficiencies appear on the current record, including one at the harm level and two tied to abuse. A recent March 2026 inspection keeps the oversight current, but steady leadership and enough hands on deck are the harder problems here.

Nurse hours

3.32 /day

Staff turnover

71%

Serious cites

0

Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.

Nurse hours

2.82 /day

Staff turnover

76%

Serious cites

0

Avir At Luling runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekend coverage drops another 13% below its own weekday level. Staff turnover sits at 76.1% against a national 45.8%, so the people providing most of the hands-on care are constantly changing. The inspection record shows 41 deficiencies, including three at harm or jeopardy level and four tied to abuse, with $35,559 in fines across three penalties; the most recent inspection was November 2025. Corporate-owned and certified for 56 beds, the home's quality measure scores look good, but that's the part of the record least dependent on having enough consistent staff on hand.

Nurse hours

3.51 /day

Staff turnover

57%

Serious cites

0

Creekside Village runs lean on nursing hours, 3.51 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 9% below its own weekday coverage. Staff turnover sits at 57.4%, well above the 45.8% national figure, which means the people caring for residents are changing often. The inspection record is genuinely strong: a 5/5 health inspection rating, 11 deficiencies with none at harm or jeopardy level, nothing abuse-related, and a survey as recent as June 2025. But quality measures come in at 1/5, a real split from that inspection score. Ownership is a for-profit partnership. The pattern worth noticing is that the home inspects well while its clinical quality measures and staffing stability lag.

Nurse hours

3.41 /day

Staff turnover

44%

Serious cites

0

Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.

Nurse hours

3.58 /day

Staff turnover

66%

Serious cites

0

Corinth Rehabilitation Suites On The Parkway runs 134 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.58 nurse hours per resident per day, it sits about 7% under the national average, and weekends dip roughly 14% below its own weekday coverage, so the gaps aren't evenly spread. Turnover is the harder number: 66.2% of nursing staff leaving annually against a national 45.8% means the people caring for residents are, more often than not, new to the building. Fifty deficiencies, four at harm or jeopardy level and five tied to abuse, with the most recent inspection in May 2025. Quality measures score well; inspections and staffing do not.

Nurse hours

3.31 /day

Staff turnover

55%

Serious cites

0

Bear Creek runs lean on nursing staff, 3.31 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, dropping about 10% below its own weekday coverage. More than half its nurses left over the past year (55% turnover), a rate well above the 45.8% national figure. The inspection record is where things get serious: 34 deficiencies, six of them at the harm or jeopardy level, one abuse-related, and three fines totaling $148,612. A 1-out-of-5 health inspection rating reflects that pattern, and a 3-out-of-5 quality measure score doesn't offset it. For-profit LLC ownership rounds out the picture.

Nurse hours

3.35 /day

Staff turnover

70%

Serious cites

0

Rollingbrook is owned by a hospital district, and its inspection record is genuinely solid, a 4/5 on health inspections, with the most recent visit in March 2026 and no abuse-related deficiencies. But the staffing side tells a different story. At 3.35 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 10% below its own weekday levels, and annual turnover sits at 70.1% against a national average of 45.8%. Ten deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a $23,676 fine. Good inspections mean the home generally gets things right when surveyors arrive; thin, churning staffing is what families live with between visits.

Nurse hours

3.18 /day

Staff turnover

56%

Serious cites

0

Simpson Place runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip another 7% below its own weekday staffing. That thin coverage comes with 55.6% annual turnover, well above the 45.8% national figure, so the aides and nurses cycling through are stretched even when the numbers look adequate on paper. The record shows 34 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, but staffing 1 out of 5, which tells you where the trouble lives.

Nurse hours

4.36 /day

Staff turnover

—

Serious cites

0

York Healthcare & Wellness Centre sits on 107 certified beds in Los Angeles, run by an individual for-profit owner. The raw staffing number looks decent, 4.36 nurse hours per resident day, about 13% above the national average, but weekend coverage drops roughly 12% below its own weekday level, and CMS still rates staffing at just 2 out of 5 stars. The inspection record is the real problem: 56 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with a $99,206 fine and the most recent inspection in May 2025. Quality measures land mid-range at 3 stars, but that paperwork score doesn't offset what surveyors actually found in the building.

Nurse hours

2.33 /day

Staff turnover

48%

Serious cites

0

Pruitthealth - Greenville runs 113 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 2.33 hours per resident day, roughly 40% under the national average of 3.86, and weekends drop about 12% below what the home manages on weekdays, that staffing level earned a 1 out of 5 from CMS. Turnover is 48.1%, a bit above the national 45.8%, so the people who do show up don't stay long. On the other side, the quality measure rating is a perfect 5 out of 5, and the eight deficiencies on record include nothing at the harm level and nothing abuse-related, with the last inspection in August 2025.

Nurse hours

3.52 /day

Staff turnover

31%

Serious cites

0

Cambridge Post Acute Care Center runs on thinner nursing coverage than most homes nationally, about 3.52 nurse hours per resident per day against a 3.86 average, and weekends dip roughly 16% below what the building staffs on weekdays. Turnover is the relative bright spot at 31.1%, well under the 45.8% national figure, so the people who stay tend to stay. The inspection record is mixed: 27 deficiencies, five fines totaling $24,162, and no harm-level or abuse findings, with the last survey in April 2026. Licensed for 144 beds under limited-liability, for-profit ownership, it sits at mid-range marks across staffing, inspections, and quality measures alike.

Nurse hours

3.32 /day

Staff turnover

54%

Serious cites

0

Weiser Care of Cascadia runs 76 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average. Weekends dip about 16% below the home's own weekday level, and annual turnover hits 54.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 20, 2026. CMS gives it middle marks for health inspections and quality measures, but only 2 of 5 stars for staffing, the number that most directly shapes daily care.

Nurse hours

3.78 /day

Staff turnover

61%

Serious cites

0

Teton Healthcare of Cascadia runs 88 certified beds in Idaho Falls under for-profit LLC ownership. Nurse staffing sits at 3.78 hours per resident day, slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so families visiting Saturday or Sunday may find fewer hands on deck. Annual turnover of 60.8% is well above the 45.8% national figure, meaning the staff caring for your relative changes often. The bigger concern is the inspection record: a 1-star health inspection rating, 37 deficiencies on file, two of them serious enough to involve harm or jeopardy, and $36,190 in fines from two separate penalties. The most recent inspection was March 6, 2026.

Nurse hours

3.68 /day

Staff turnover

59%

Serious cites

0

Rosewalk Village is county-owned, with 140 beds in Indianapolis, and its numbers split in two directions. The clinical quality measures look strong at 5 out of 5 stars, but staffing sits at 1 star: 3.68 nurse hours per resident day, under the national average, with weekends running about 16% thinner than weekdays and turnover at 58.8% against a national 45.8%. Inspections landed at 3 stars, and the current record shows 25 deficiencies, one serious enough to involve harm, plus a single fine of $22,925. The last inspection was in March 2026. Consistent staffing is what holds good outcomes in place, and that's where this home is thinnest.