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

Nurse hours

4.19 /day

Staff turnover

33%

Serious cites

0

Empress Care Center runs on 4.19 nursing hours per resident day, roughly 8% above the national average, and its weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 32.7%, well under the 45.8% national figure, so the people caring for residents tend to stick around longer than at a typical home. The catch is the inspection record: 44 deficiencies, including one abuse-related finding, though none rose to actual harm or jeopardy, and the last state visit was in April 2025. A five-star quality rating alongside a two-star inspection history is worth asking about directly when you tour.

Nurse hours

4.47 /day

Staff turnover

31%

Serious cites

0

The Redwoods runs on strong staffing ratios, 4.47 nursing hours per resident day, about 16% above the national figure, and its staff retention is genuinely better than most, with turnover at 30.8% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which is worth asking about if your relative needs consistent weekend care. The concern sits in inspections: a 2-out-of-5 health inspection rating, 55 deficiencies on record including one at the harm level, and a January 2025 survey that's already a year old. Corporate ownership plus that deficiency count means you should read the actual inspection reports before deciding.

Nurse hours

5.37 /day

Staff turnover

25%

Serious cites

0

Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

Nurse hours

3.74 /day

Staff turnover

15%

Serious cites

0

Berkley Manor runs on a fairly lean nurse staffing line, 3.74 hours per resident day, just under the national average, and weekends get thinner still, dropping roughly 9% below what the home staffs on weekdays. What stands out instead is retention: 14.5% annual turnover against a national average near 46%, which means the people caring for residents largely stay put. The inspection record is mixed: 29 deficiencies on file, two of them serious enough to involve harm, plus one fine of $17,160, and the most recent inspection was in February 2026. A for-profit limited liability company owns the 118-bed home.

Nurse hours

9.21 /day

Staff turnover

55%

Serious cites

0

Nurse staffing at Neurorestorative Colorado runs 9.21 hours per resident day, roughly two and a half times the national average, and weekend coverage holds nearly level with weekdays. That's the kind of consistency that matters in a 36-bed home, and it's reflected in the four out of five staffing star rating. The inspection record is more mixed. Thirteen deficiencies on file, one serious enough to reach harm or jeopardy level, and a $13,406 fine, though nothing tied to abuse. Quality measures scored five out of five. Worth knowing: this is a for-profit corporate operation and about 55% of staff turn over each year, well above the national 45.8%, high staffing hours only help if the people providing them stick around.

Nurse hours

5.02 /day

Staff turnover

44%

Serious cites

0

Castle Peak runs a nonprofit home in Eagle with 44 beds and a staffing level that stands out: about 5.02 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage slips about 14% below the home's own weekday numbers, and turnover sits at 44.4%, just under the national 45.8%. That strong day-to-day staffing coexists with a mixed inspection record, 22 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $23,580. The most recent inspection was September 19, 2024. Families weighing that inspection history against the staffing and quality marks should ask directly how the abuse-related findings were resolved.

Nurse hours

4.80 /day

Staff turnover

27%

Serious cites

0

Avalon Health Care Center at Stoneridge runs on more nursing hours than most homes in the country, 4.80 per resident day against a national average of 3.86. That's roughly a quarter more hands-on time, and the staff tends to stay: turnover sits at 27.1% while the national figure is closer to 46%. Weekend coverage does thin out, running about 11% below its own weekday pace, so ask how that plays out on a Sunday afternoon. The inspection record is a mixed picture worth reading carefully. Eight deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $8,018 fine. The most recent state visit was September 2024. Staffing is clearly the strength here; the survey history is where your questions should go.

Nurse hours

4.04 /day

Staff turnover

34%

Serious cites

0

Life Care Center of Altamonte Springs runs 228 certified beds under corporate for-profit ownership, and the staffing picture is genuinely better than average, 4.04 nurse hours per resident day against a national 3.86, with turnover at 33.6% versus 45.8% nationally, meaning aides and nurses tend to stay longer here than at most homes. Weekends thin out about 11% from weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is where the concerns sit: 27 deficiencies on the current record, 8 serious enough to reach harm or jeopardy level, 3 tied to abuse, and one $83,493 fine. The most recent inspection was August 2025, so the findings are recent, and the 1-star health inspection rating reflects that. Strong quality measure scores don't cancel out a citation history like this.

Nurse hours

4.25 /day

Staff turnover

23%

Serious cites

0

Okeechobee Health Care Facility runs 210 beds under for-profit LLC ownership, and the staffing numbers here are genuinely strong: 4.25 nurse hours per resident day, about 10% above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 23% against a national average near 46%, which matters more than almost anything else for consistent daily care. Weekend staffing dips roughly 9% below its own weekday level, so ask how that plays out on Sundays. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2024. Quality measures score 5/5; health inspections sit at 3/5, the one area trailing the rest.

Nurse hours

4.33 /day

Staff turnover

13%

Serious cites

0

Springtree runs on unusually steady ground. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and only 13.3% of staff left last year against a national turnover rate near 46%, that kind of retention usually shows up in how consistently residents see the same faces. Weekends dip about 10% below weekday coverage, so ask how that gap gets handled. The 13 deficiencies on record include none tied to harm or abuse, and the most recent inspection was in May 2024. It's a for-profit LLC, so worth asking who owns it and how long they've held it.

Nurse hours

4.61 /day

Staff turnover

29%

Serious cites

0

Spring Lake Rehabilitation Center runs on 4.61 nurse hours per resident day, about 20% more than the national average, and its staff tends to stay, turnover is 28.8% against a national 45.8%. That kind of retention shows up in consistency of care. Weekend staffing dips roughly 13% below weekdays, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 15 deficiencies on its current record, none involving harm, jeopardy, or abuse, and it was last inspected in February 2025. For-profit partnership ownership, 132 beds, with a three-star health inspection rating that trails its stronger marks for staffing and quality measures.

Nurse hours

4.75 /day

Staff turnover

39%

Serious cites

0

Premier Place At The Glenview runs about 4.75 nurse hours per resident each day, roughly a quarter more than the national average, and weekend staffing only dips about 4% below its own weekday levels. Turnover sits at 38.8%, below the 45.8% national figure, which matters for whether you see the same faces month to month. The current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was January 23, 2026. It's a nonprofit corporation operating 42 certified beds in Naples, with five out of five stars on health inspections, quality measures, and staffing.

Nurse hours

4.24 /day

Staff turnover

23%

Serious cites

0

Willowbrooke Court runs 4.24 nurse hours per resident day, roughly a tenth more than the national average, and its staff tends to stay, turnover is 23.1% against a national figure near 46%. Weekend coverage dips about 6% below weekday levels, a gap worth asking about if your family visits Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. It's a 48-bed nonprofit in Gainesville, and the staffing and inspection numbers are doing the heavy lifting here.

Nurse hours

4.85 /day

Staff turnover

10%

Serious cites

0

Kauai Veterans Memorial Hospital is a small state-run home, 20 certified beds, where the caregiver hours per resident run about 26% above the national average, and staff turnover sits at 9.5% against a national 45.8%. That kind of retention is rare, and the quality measures score reflects it. The problem isn't the people; it's the building's history. Twenty-one deficiencies on the current record, two of them serious enough to put residents in harm's way, landed this home in CMS's Special Focus Facility program, and the inspection star tells the same story. Weekend staffing also dips about 11% below weekdays. One fine on record, $34,588. The last inspection was September 2024.

Nurse hours

5.56 /day

Staff turnover

39%

Serious cites

0

Gottlieb Memorial is small, 32 certified beds, and it's run by a nonprofit corporation, which tends to mean the money goes back into the building rather than out to shareholders. The staffing numbers are the real story here: 5.56 nurse hours per resident per day against a national average of 3.86. That's roughly 44% more hands-on time than a typical home, and weekend coverage barely drops off from weekdays, so your family member isn't getting a skeleton crew on Sundays. Turnover sits at 38.6%, better than the 45.8% national figure, though not low enough to call it settled. Six deficiencies on record, none at the level that suggests actual harm, but two tied to abuse, worth asking about specifically.

Nurse hours

4.51 /day

Staff turnover

26%

Serious cites

0

Accura Healthcare Of Le Mars runs a 46-bed for-profit home in Plymouth County, and the staffing numbers are its strongest card. At 4.51 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only about 9% below its own weekday level, modest by industry standards. Turnover is 26.1%, well under the national 45.8%, which suggests people stay. The caution is on the inspection side: 17 deficiencies on the current record, including 2 at the harm level and 1 abuse-related. That's a meaningful count for a home this size. Staffing is clearly doing the heavy lifting here.

Nurse hours

5.15 /day

Staff turnover

41%

Serious cites

0

Linden Ponds runs 5.15 nurse hours per resident day, roughly a third more than the national average of 3.86, and its 41% staff turnover sits below the national rate of 45.8%, a real edge on the two things families worry about most. Weekend staffing dips about 12% below weekdays, though, so the coverage your relative gets on a Saturday won't quite match Tuesday. The health inspection side is less comfortable: six deficiencies, two of them at harm or jeopardy level and one abuse-related, with one fine of $12,735, and the last inspection was April 2026. The five-star quality measure rating reflects good clinical outcomes, but those harm-level findings are worth asking the administrator about directly.

Nurse hours

4.36 /day

Staff turnover

28%

Serious cites

0

Fraser Villa runs on 4.36 nurse hours per resident day, about 13% above the national average, and its staff turnover of 28.4% sits well under the 45.8% norm, both signs of a stable crew rather than a revolving door. Weekend staffing dips roughly 13% below weekday levels, so ask how that plays out on a Sunday. The record shows 8 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2026. Nonprofit ownership under a corporation, and top marks across health inspection, quality measures, and staffing. The numbers point to a home that's been running clean.

Nurse hours

4.60 /day

Staff turnover

33%

Serious cites

0

Augustana Care Hastings runs a nonprofit shop with real staffing depth, 4.60 nurse hours per resident day against a national average of 3.86, and a 33.3% turnover rate that's meaningfully better than the 45.8% typical elsewhere. Weekends dip about 13% below weekday coverage, so ask how that gap gets filled. The catch sits on the inspection side: 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,645 fine, and the most recent survey dates to May 2025. Quality measures score well, but quality scores are self-reported by the facility. The staffing is genuinely there; the compliance record is the part worth pressing on during a visit.

Nurse hours

3.81 /day

Staff turnover

25%

Serious cites

0

Avera Granite Falls runs on a church-affiliated nonprofit model with 48 beds, and its staffing tells a story that splits in two directions. The day-to-day numbers land just under the national average, and weekends dip about 10% below its own weekday coverage, but only a quarter of its staff left last year, well under the 45.8% national rate, which matters for residents who need consistent faces. The trouble sits in inspections: 17 deficiencies on record, two serious enough to involve harm or jeopardy, one tied to abuse, and a $15,642 fine. That's the gap behind the middling grade, steady hands, uneven oversight.