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

Nurse hours

6.20 /day

Staff turnover

26%

Serious cites

0

Chapman Care Center sits in Garden Grove with 99 certified beds and for-profit LLC ownership. The staffing numbers stand out: 6.20 nurse hours per resident day, roughly 61% above the national average of 3.86, and weekend staffing only dips about 9% below weekday levels. Turnover runs 26.3% against a national 45.8%, so the people caring for residents tend to stay. Inspections tell a more mixed story, 59 deficiencies on record, including two abuse-related citations, though none at the harm or jeopardy level, and the most recent inspection was January 2026. CMS gives the home 4 out of 5 stars across health inspections, quality measures, and staffing.

Nurse hours

4.02 /day

Staff turnover

37%

Serious cites

0

Modesto Post Acute Center runs on 99 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday levels, so families should ask how that gap gets covered. Staff turnover is 36.8%, noticeably better than the 45.8% national figure. Inspections are recent, and the record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, small numbers matter less than what those two are. The quality measure rating is 5/5, staffing 4/5, health inspection 4/5.

Nurse hours

3.97 /day

Staff turnover

38%

Serious cites

0

The Avenues Transitional Care Center is a for-profit, LLC-owned home in San Francisco with 140 certified beds, and its staffing sits slightly above the national average at 3.97 nurse hours per resident day. Turnover runs 38%, better than the 45.8% national figure, though weekend coverage dips about 6% below weekday levels. The current inspection record shows 21 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $12,685, a light financial penalty given the volume. Federal ratings put quality measures and staffing at the top of the scale, with inspections at the middle, and the most recent survey came in March 2025. Strong day-to-day care numbers, but that harm-level finding and the deficiency count are worth asking about directly.

Nurse hours

4.01 /day

Staff turnover

28%

Serious cites

0

Burlington Convalescent Hospital runs 124 beds in Los Angeles under corporate ownership, and its staffing picture is better than most. Nurses deliver 4.01 hours per resident day, a bit above the national average, and weekend coverage slips only about 7% from weekday levels. Staff turnover sits at 27.9% against a national 45.8%, which matters, familiar caregivers tend to notice changes in a resident sooner. The tradeoff is paperwork history: 32 deficiencies on the current record, one serious enough to involve harm or jeopardy, though none tied to abuse, and a single fine of $8,278. State inspectors were last in during May 2026.

Nurse hours

4.45 /day

Staff turnover

43%

Serious cites

0

Pleasanton Nursing and Rehabilitation Center runs on more nurse hours per resident than most homes in the country, 4.45 a day against a national average of 3.86, and its inspection record shows a 5/5 rating with 14 deficiencies on file, none of them causing harm. Weekend staffing sits roughly 9% below its own weekday level, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 42.9%, slightly better than the national 45.8% but still meaning nearly half the nursing staff turns over in a year. The one abuse-related deficiency and the fact that this is a for-profit limited liability company are the other things to press on during a tour.

Nurse hours

4.06 /day

Staff turnover

28%

Serious cites

0

Medical Center Convalescent Hospital runs 99 certified beds in San Bernardino under for-profit LLC ownership, and the staffing picture is its strongest card: 4.06 nurse hours per resident day, roughly 5% above the national figure, though weekends dip about 8% below the home's own weekday levels. Turnover sits at 28.4% against a national average near 46%, which matters for whether you see the same faces on repeat visits. The inspection record shows 34 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey dated February 2026. All three CMS star ratings land at 4 out of 5. The numbers describe a home that is stable and adequately staffed rather than exceptional.

Nurse hours

3.36 /day

Staff turnover

44%

Serious cites

0

Pioneer Health Care Center in Rocky Ford runs 3.36 nurse hours per resident per day, about 13% under the national average, and weekend coverage drops roughly 10% below its own weekday level, so the thinnest staffing lands when families tend to visit. The inspection record shows 24 deficiencies, four of them at harm or jeopardy level and five tied to abuse, with one fine of $10,033 and the last inspection in April 2024. Turnover sits at 44%, right around the national figure. What lifts this home is its quality measure score, which is strong despite the staffing gap.

Nurse hours

3.82 /day

Staff turnover

35%

Serious cites

0

Life Care Center of Pueblo runs 187 certified beds under corporate for-profit ownership, and its staffing sits at 3.82 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so ask how that gap gets filled. Turnover is 35.1%, better than the 45.8% national figure, which matters for whether you see the same faces. The tradeoff is the inspection record: 31 deficiencies, 5 at harm or jeopardy level and 3 abuse-related, with $23,590 in fines and a May 2024 inspection. Quality measures score well, but the harm-level findings are the part worth asking about directly.

Nurse hours

4.16 /day

Staff turnover

27%

Serious cites

0

Life Care Center of Aurora runs 166 beds under corporate ownership, and the staffing numbers are its strongest card: 4.16 nurse hours per resident per day, roughly 8% above the national average. Turnover sits at 27.3%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The tradeoffs show up elsewhere. Inspectors have logged 23 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $33,222. Weekend staffing drops about 13% below weekday levels, so coverage isn't uniform across the week. A recent inspection and top marks on quality measures round out a home that's generally solid but has real compliance history worth asking about directly.

Nurse hours

3.82 /day

Staff turnover

43%

Serious cites

0

Life Care Center of Greeley runs a 124-bed for-profit operation with six deficiencies on its current record, and three of those reached the harm or jeopardy level, including one tied to abuse. That's the number a family should sit with, not the star ratings. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and weekends drop about 14% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Turnover at 42.7% is slightly better than the national 45.8%, and the most recent inspection was July 2024. One fine totaling $12,285 is on file.

Nurse hours

4.95 /day

Staff turnover

31%

Serious cites

0

Advanced Health Care of Aurora runs 4.95 nurse hours per resident day against a national average of 3.86, so you're looking at roughly 28% more hands-on time than the typical home. Weekend coverage does dip about 10% below its own weekday level, which is worth asking about if your family tends to visit or need answers on Saturdays and Sundays. Staff turnover sits at 31%, notably below the national 45.8%, meaning the people caring for residents are more likely to still be there next year. Seven deficiencies on record, one at harm level, none tied to abuse, and the most recent inspection was October 2024.

Nurse hours

3.71 /day

Staff turnover

40%

Serious cites

0

River Glen runs 3.71 nurse hours per resident day, about 4% under the national average, and weekends dip roughly 12% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Turnover sits at 39.6%, better than the 45.8% national figure, which suggests some stability in the workforce. On inspections, the record shows 27 deficiencies with none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. The most recent inspection was in August 2025, so the picture is current.

Nurse hours

3.41 /day

Staff turnover

29%

Serious cites

0

The Sands At South Beach runs 230 beds under for-profit LLC ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 7% below its own weekday coverage, so ask how that plays out on a Sunday. What stands out is stability: 28.8% turnover against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a single staffing number. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in July 2025.

Nurse hours

3.75 /day

Staff turnover

41%

Serious cites

0

Royal Oak Nursing Center sits in Dade City with 120 certified beds, run by a nonprofit corporation. Its nurse staffing comes in at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends run roughly 12% thinner than weekdays, worth knowing if you're planning visits or worried about coverage gaps. Turnover is 41.2%, actually better than the 45.8% national figure, which matters for consistency of care. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in March 2024. Quality measures score high. What's behind the strong overall picture is steady staffing, low harm-level findings, and better-than-average retention, not one standout number.

Nurse hours

4.22 /day

Staff turnover

25%

Serious cites

0

Fort Myers Rehabilitation and Nursing Center runs 4.22 nurse hours per resident day, roughly 9 percent above the national average, and its staff stays put, turnover is 25.4 percent against a national average near 46 percent. That kind of retention usually shows up in how consistently residents get the same caregivers. The trade-offs sit elsewhere: 23 deficiencies on the current record, one serious enough to involve harm or jeopardy, though none tied to abuse, and the most recent inspection was April 2025. Weekend staffing dips about 14 percent below weekday levels, which is common but worth asking about. A for-profit corporate owner, 120 beds, Medicare-certified.

Nurse hours

3.64 /day

Staff turnover

25%

Serious cites

0

Unity Healthcare and Rehabilitation Center runs 294 certified beds in Miami under individual for-profit ownership, and its last inspection was in June 2025, recent enough that the record reflects how the place operates now. The current record shows 29 deficiencies, but none at the harm or jeopardy level, with one abuse-related citation. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends dip roughly 6% below its own weekday levels. Turnover is where it separates itself: 25.1% against a national average of 45.8%, meaning far fewer caregivers are cycling out the door. That stability, paired with strong inspection and quality marks, is what holds the numbers up despite the thinner staffing margin.

Nurse hours

4.17 /day

Staff turnover

26%

Serious cites

0

Harbours Edge runs a tight ship on staffing for a 54-bed nonprofit in Delray Beach. Nurses give about 4.17 hours of care per resident per day, roughly 8% more than the national average, and weekend coverage only dips about 12% below weekday levels, which matters because that's when a lot of homes quietly thin out. Turnover sits at 25.9%, well under the national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 15 deficiencies on the current record, including one abuse-related, though none rose to harm or jeopardy. That record earned a 3 out of 5 on health inspections, offset by 5s in quality measures and staffing.

Nurse hours

4.28 /day

Staff turnover

24%

Serious cites

0

West Gables runs on more nursing hours than most homes in the country, 4.28 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 23.7% versus 45.8% nationally. That combination matters more than any single rating, because consistent caregivers who know the residents are the ones who catch problems early. The tradeoff shows up on weekends, when staffing dips about 12% below the home's own weekday levels, so coverage is thinner then. Twelve deficiencies sit on the current record, none at the harm level and none abuse-related. The last full inspection was in September 2025, so the picture is recent.

Nurse hours

3.92 /day

Staff turnover

45%

Serious cites

0

Westchester Gardens runs 3.92 nurse hours per resident day, a hair above the national average of 3.86, so staffing is adequate but not generous, and weekends drop about 10% below its own weekday level, which is worth asking about if your family visits then. The 45% annual turnover lands right at the national figure, so continuity of caregivers is about typical. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related; the last inspection was June 2025. Quality measures score 5 out of 5 stars while inspections and staffing each sit at 3, a split that suggests good clinical outcomes but a survey history with room to improve.

Nurse hours

4.79 /day

Staff turnover

41%

Serious cites

0

The Inn at Freedom Village runs 4.79 nurse hours per resident day, roughly a quarter more than the national average, and that staffing shows up as a 5-out-of-5 federal rating, the strongest part of this home's record. Weekend coverage dips about 14% below weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. Inspections are the weaker side: 17 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was July 2024, and the health inspection rating is 2 out of 5.