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

Nurse hours

5.12 /day

Staff turnover

41%

Serious cites

0

Advanced Health Care of Reno runs a tight 42-bed operation, and the staffing numbers reflect it: 5.12 nurse hours per resident day, well above the national average of 3.86. The catch is weekends, where coverage drops about 17% below its own weekday level, so your visit timing matters. Turnover sits at 40.8%, slightly better than the national 45.8%, which suggests a relatively stable crew for a for-profit LLC. Inspections show 18 deficiencies on record, but none at the harm or jeopardy level and none related to abuse, a meaningful distinction when you're reading a deficiency count. State surveyors were last in on November 20, 2025, so the picture is current.

Nurse hours

5.26 /day

Staff turnover

27%

Serious cites

0

Langdon Place Of Keene runs 5.26 nurse hours per resident day across its 25 beds, about 36% above the national average, and weekend staffing dips roughly 22% below its own weekday level. That trade-off matters less here because turnover sits at 26.5% against a national 45.8%, a steadier crew than most. The current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 11, 2026. It's a for-profit limited liability company, so worth asking how that staffing holds through a full weekend.

Nurse hours

5.43 /day

Staff turnover

45%

Serious cites

0

Nc State Veterans Home - Black Mountain runs a 100-bed for-profit operation where the nursing hours look strong on paper, 5.43 per resident day, well clear of the 3.86 national figure, but weekends drop roughly 20% below the home's own weekday coverage, so the care your family member gets depends heavily on which day it is. Turnover sits at 45.3%, essentially the national rate. What troubles me is the inspection record: 20 deficiencies, three at harm or jeopardy level, two tied to abuse, and a single $12,759 fine. The most recent inspection was December 2025. Ask directly what changed since then.

Nurse hours

5.72 /day

Staff turnover

56%

Serious cites

0

Regency Redmond runs a 50-bed for-profit home in Deschutes County, and the raw staffing number stands out: 5.72 nurse hours per resident day, roughly half again the national average. Weekend coverage drops about 18% from its own weekday level, so the strong average softens on Saturdays and Sundays. Turnover sits at 55.6%, about ten points above the national rate, meaning the people delivering that care are cycling through faster than usual. The current inspection record carries 30 deficiencies, including two at harm or jeopardy level and four related to abuse, with the most recent inspection dated January 16, 2026.

Nurse hours

4.97 /day

Staff turnover

38%

Serious cites

0

Nhc Healthcare - Parklane runs on 4.97 nurse hours per resident day, roughly 29% more than the national average, and its staff turnover sits at 37.7% against a national 45.8%. Those two numbers explain most of what the federal ratings reflect: 4 out of 5 stars for staffing, 5 out of 5 on health inspections, 4 out of 5 on quality measures. The ten deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the file was last inspected in February 2026, so the picture is current. Weekend coverage does dip about 19% below weekday levels, which is worth asking about directly.

Nurse hours

5.79 /day

Staff turnover

43%

Serious cites

0

Aspen Ridge West runs 38 beds in Murray under limited liability ownership, and the staffing numbers are the first thing worth noticing: 5.79 nurse hours per resident day, roughly half again the national average of 3.86. Weekends dip about 23% below its own weekday levels, so ask how that gap gets covered. Turnover sits at 43.4%, a touch under the national 45.8%. Inspections turned up seven deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was in January 2026, so the record is recent.

Nurse hours

4.47 /day

Staff turnover

43%

Serious cites

0

Avamere Rehabilitation of Shoreline runs 4.47 nurse hours per resident day, roughly 16% above the national average, so staffing is the strongest part of the picture here. Weekend coverage, though, drops about 18% below its own weekday level, and turnover sits at 42.6%, slightly better than the 45.8% national figure. What pulls the record down is the inspection side: a 1-out-of-5 health inspection rating and 92 deficiencies on the current record, 14 of them abuse-related, with the most recent inspection in May 2025. None were cited at the harm or jeopardy level. The 5-of-5 quality measure rating contrasts sharply with that inspection history.

Nurse hours

4.32 /day

Staff turnover

36%

Serious cites

0

Alhambra Post Acute sits in Martinez with 44 certified beds and a for-profit corporate owner. The nurse staffing number is the strongest part of the picture: 4.32 hours per resident day, roughly 12% above the national average, and turnover at 36% beats the 45.8% national figure, meaning fewer caregivers are cycling out the door. The catch is weekends, when staffing drops about 16% below the home's own weekday level, so coverage isn't uniform across the week. Inspections paint a mixed picture: 53 deficiencies on record, none at the harm level but one abuse-related, with the most recent visit in November 2024. Quality measures score well even as the inspection history carries real weight against it.

Nurse hours

4.06 /day

Staff turnover

37%

Serious cites

0

Whispering Oaks runs on more nursing hours than the typical American home, about 4.06 per resident per day, roughly 5% above the national figure, and its staff turnover of 36.6% is notably better than the 45.8% norm, which matters for continuity of care. The tradeoffs are thinner weekend coverage, about 15% below its own weekday level, and a deficiency record of 27 findings, one of them serious enough to involve harm or jeopardy. Inspectors were last on site in July 2025. This is a for-profit LLC with a decent recent inspection history but a real pile of past citations to weigh.

Nurse hours

4.79 /day

Staff turnover

45%

Serious cites

0

The Center at Zaragoza runs 4.79 nursing hours per resident per day, about a quarter more than the national average, which is the number that matters most when you're weighing care. Weekend staffing drops roughly 16% from weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.7%, essentially at the national average, and the home has 31 deficiencies on record, none at harm or jeopardy level, none abuse-related. Its last inspection was July 2025, so the picture is current. Quality measures score 5/5 and inspections 3/5 under a for-profit corporate owner.

Nurse hours

4.80 /day

Staff turnover

—

Serious cites

0

Highlands Health And Rehab is county-owned, which is unusual, most nursing homes in Alabama are for-profit, and the numbers here mostly back it up. Nurse staffing runs at 4.80 hours per resident day, about 24% above the national average of 3.86, and that coverage holds together on weekends, dropping roughly 20% from weekday levels rather than falling off a cliff. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, from an inspection last dated March 2022. With 50 certified beds, this is a small home, and one thing worth asking about directly: that inspection is now more than three years old, so the record may not reflect how things stand today.

Nurse hours

3.86 /day

Staff turnover

44%

Serious cites

0

Athens Health and Rehabilitation runs 149 certified beds under corporate for-profit ownership, and its numbers mostly hold up. Nurse staffing sits at 3.86 hours per resident day, right at the national average, though weekends run about 13% lighter than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 43.7%, slightly better than the 45.8% national figure, which suggests less churn than many homes. The inspection record shows 10 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last full inspection was in April 2022, so that record is aging. Four and five stars on inspections, quality measures, and staffing back up the grade.

Nurse hours

4.23 /day

Staff turnover

37%

Serious cites

0

Anniston Health And Rehab runs a nonprofit home of 85 beds, and its strongest asset is the people on the floor: 4.23 nursing hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 14% below weekdays. Staff turnover sits at 37.4%, better than the 45.8% national figure but still meaning more than a third of the workforce turning over annually. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, though the last inspection was in December 2021, so that picture is getting old. Inspection and quality measures both land mid-range, which fits a home that's well-staffed but not recently scrutinized.

Nurse hours

3.79 /day

Staff turnover

23%

Serious cites

0

Tlc Nursing Center runs 103 certified beds in Oneonta under for-profit, limited-liability ownership, and the numbers that stand out most are about its workforce. Total nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. What offsets that is retention: turnover is 23.1%, notably lower than the 45.8% national figure, so residents likely see familiar faces. The inspection record shows 8 deficiencies, none rated at harm or jeopardy, though 2 are abuse-related, worth asking about directly. Its most recent inspection was April 2026, so the picture is current.

Nurse hours

5.08 /day

Staff turnover

45%

Serious cites

0

The Green House Cottages Of Belle Meade runs 5.08 nurse hours per resident day, roughly a third more than the national average of 3.86, and its weekend staffing holds within about 12% of weekday levels, both real strengths for a 167-bed home. Turnover sits at 45.2%, essentially matching the national rate. What pulls it down is the inspection record: 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $13,870 fine and a two-star health inspection rating, even though quality measures scored five stars. That gap between daily care numbers and the survey history is the whole story here.

Nurse hours

4.36 /day

Staff turnover

26%

Serious cites

0

Crestpark Stuttgart runs a for-profit operation with 100 beds, and the staffing numbers are the first thing worth noting: 4.36 nurse hours per resident day, roughly 13% above the national average, with a 4/5 CMS staffing rating to match. Turnover sits at 26.3%, well below the 45.8% national figure, which suggests a more stable workforce than most. The concerns lie elsewhere. Inspections show 34 deficiencies on record, including 2 at the harm level and 4 abuse-related, with a $25,728 fine and a 2/5 inspection rating. Weekend staffing drops about 12% below weekday levels. Quality measures score 4/5, and the last inspection was March 2025.

Nurse hours

5.06 /day

Staff turnover

35%

Serious cites

0

The Green House Cottages of Southern Hills runs about 5.06 nurse hours per resident per day, well above the national average of 3.86, and its staff turnover of 34.7% is lower than the typical 45.8%. That kind of consistency matters more than any single number, because it means the people caring for residents tend to stick around. The trade-offs show up elsewhere: 15 deficiencies on the current record, two of them serious enough to put residents at risk of harm, plus one fine of $39,621. Care quality and staffing both score above average, but the inspection record is only middling, which is why the overall picture lands where it does.

Nurse hours

3.80 /day

Staff turnover

32%

Serious cites

0

Central Gardens Post Acute runs 92 beds in San Francisco under for-profit LLC ownership, and its inspection record is the strongest thing it has going. A February 2025 survey is recent, the health inspection and quality measure ratings are both 5 out of 5, and none of the 26 deficiencies on file rose to harm or jeopardy level, though one is abuse-related, worth asking about directly. Staffing is where it thins out. At 3.80 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 9% below its own weekday coverage. Turnover at 31.7% is well below the national 45.8%, which suggests people stay. Ask how weekend coverage actually looks on the shift you'd visit.

Nurse hours

4.62 /day

Staff turnover

36%

Serious cites

0

Villa Serena runs a 52-bed for-profit home in Long Beach, and the staffing picture is genuinely above average: 4.62 nurse hours per resident day against a national 3.86, with turnover at 36.4% versus 45.8% nationally. Weekend coverage drops roughly 15% below its own weekday level, though, so the weekday numbers aren't quite what a family sees on a Saturday. The inspection history is where the shine fades, 49 deficiencies on record, including two at harm or jeopardy level and two tied to abuse, plus a $26,685 fine. The last inspection was February 2026, so the record is current, not stale. Strong daily staffing and comparatively stable staff sit alongside a serious citation history.

Nurse hours

5.18 /day

Staff turnover

25%

Serious cites

0

Bellflower Post Acute runs on unusually thick nurse coverage, 5.18 hours per resident day, roughly a third more than the national average, and its staff tends to stick around, with turnover at 25.4% against a national 45.8%. The catch is inspection history: 47 deficiencies on the current record, including one at the harm level and two tied to abuse, which is why the health inspection side rates poorly even as quality measures and staffing look strong. Weekend hours dip about 12% below weekday levels, so ask how that plays out on Saturdays. The last inspection was April 2026, recent enough to reflect current conditions.