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

Nurse hours

5.48 /day

Staff turnover

40%

Serious cites

0

Northwoods Lodge runs about 5.5 nurse hours per resident each day, roughly 42% above the national average, and its staffing rating reflects that. The catch is consistency: weekends run about 19% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The inspection record carries 36 deficiencies, three at the harm level and one tied to abuse, plus a $51,942 fine, though the most recent inspection was in March 2026 and the health and quality ratings both sit at four stars. Turnover at 40% is a bit better than the 45.8% national figure.

Nurse hours

5.18 /day

Staff turnover

39%

Serious cites

0

Cedar River Healthcare Center sits in Renton with 60 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 5.18 nurse hours per resident day, well above the national average of 3.86, with turnover at 39.3%, better than the 45.8% national figure. That's real coverage, though weekends run about 17% thinner than weekdays. The inspection record tells a different story. Thirty deficiencies on file, including two at the harm level and two tied to abuse, plus a $74,815 fine. The most recent inspection was April 2025, so the record is current. Strong daily staffing and a troubled compliance history are both true here, the question is whether the care at the bedside reflects the hours or the citations.

Nurse hours

4.12 /day

Staff turnover

39%

Serious cites

0

Charleston Healthcare Center runs 150 certified beds under corporate for-profit ownership, and its staffing sits at 4.12 nurse hours per resident day, roughly 7% above the national average of 3.86, with turnover at 38.9%, better than the 45.8% norm. The catch is weekends, when staffing drops about 21% below the home's own weekday level, so coverage thins exactly when families tend to visit. Inspections tell a harder story: 71 deficiencies on the current record, including four abuse-related and one at the harm or jeopardy level, with a $12,831 fine and a most recent inspection dated April 2026. Strong quality-measure scores don't cancel out that inspection history.

Nurse hours

4.41 /day

Staff turnover

44%

Serious cites

0

Palm Terrace runs 4.41 nurse hours per resident day, about 14% above the national average, though weekends dip roughly 15% below its own weekday numbers. Its 25 deficiencies include none at the harm or jeopardy level and one abuse-related citation, with an inspection in May 2025 keeping the record current. Staff turnover sits at 43.5%, slightly better than the 45.8% national rate, and the 5/5 quality measure rating stands out against a 3/5 on inspections and a 3/5 on staffing. For a 71-bed corporate-owned home, the care metrics look stronger than the compliance record, and the weekend gap is worth asking about directly.

Nurse hours

3.45 /day

Staff turnover

52%

Serious cites

0

River City Center runs 183 beds in Decatur under corporate ownership, and its last full health inspection was in April 2021, more than four years ago. The current record shows 12 deficiencies, including one that caused actual harm or put residents in jeopardy, plus two tied to abuse. Staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 10% below the home's own weekday coverage. Annual turnover is 51.9%, higher than the 45.8% national figure. The quality and staffing scores look strong on paper, but a single-star inspection history and that long gap since the last survey are the numbers worth weighing.

Nurse hours

3.74 /day

Staff turnover

46%

Serious cites

0

Ozark Health and Rehabilitation runs 149 certified beds under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.74 hours per resident day. The bigger wrinkle is weekends, when coverage drops roughly 13% below what the home staffs on weekdays, so the quiet shifts are the thinner ones. Annual turnover lands at 46.3%, essentially tracking the national rate, and the home's record shows five deficiencies, none at harm or jeopardy level but one tied to abuse. Inspectors last visited in June 2023, which makes that record fairly dated. Quality and staffing measures grade reasonably well; the inspection history and weekend pattern are where a family should focus questions.

Nurse hours

6.27 /day

Staff turnover

75%

Serious cites

0

Providence Seward Mountain Haven runs on a city government license and 40 certified beds, and the staffing numbers are genuinely strong: 6.27 nurse hours per resident day, roughly 62% above the national average. That's the kind of coverage that shows up in daily care. The catch is retention. Annual turnover sits at 75% against a national rate near 46%, so residents likely see a rotating cast of caregivers even though the hours are there. Twenty deficiencies on record, none at harm level, but two tied to abuse. The last inspection was September 2024. Quality and staffing each earned 4 of 5 stars from CMS; health inspection landed at 3.

Nurse hours

3.22 /day

Staff turnover

18%

Serious cites

0

Haven Health Green Valley runs lean on nursing hours, about 3.22 per resident day, roughly 17% under the national average, and weekends drop another 11% below its own weekday coverage. That's the kind of pattern families notice when a Saturday call button goes unanswered. What stands out in the other direction is retention: 18.4% annual turnover against a national average near 46%, which suggests a steadier crew than most homes manage. State inspectors last visited in May 2024 and logged 35 deficiencies, two tied to abuse, though none rose to the harm or jeopardy level. For-profit ownership through a limited liability company, with middling marks on health inspections and staffing but strong scores on quality measures.

Nurse hours

4.45 /day

Staff turnover

38%

Serious cites

0

Brookdale Santa Catalina runs on more nursing hours than most homes, 4.45 per resident per day against a national average of 3.86, and its staff tends to stay longer than the industry norm. The tradeoff is a record with 31 deficiencies, four of them tied to abuse, though none rose to the level of actual harm or jeopardy. The last inspection was in June 2025, so the picture is reasonably current. Weekend coverage dips about 8% below weekdays, which is common but worth asking about for a 42-bed home. Corporate-owned and for-profit, it earns its strongest marks on staffing and middling ones on inspections and quality measures.

Nurse hours

4.26 /day

Staff turnover

49%

Serious cites

0

Sandstone Estates runs a 103-bed for-profit operation in Tucson, and its staffing sits about 10% above the national average at 4.26 nurse hours per resident day, though weekends dip roughly 10% below its own weekday coverage, so the care you see on a Tuesday may not match a Sunday. The turnover number, 48.6%, lands a bit above the 45.8% national average, meaning nearly half the nursing staff turns over each year. Inspections are the weak spot: a 2/5 health inspection rating with 28 deficiencies on record, including four tied to abuse, though none reached harm or jeopardy level. The most recent inspection was March 2026.

Nurse hours

4.01 /day

Staff turnover

44%

Serious cites

0

The Springs Of Greers Ferry runs a little richer on nursing hours than the typical American home, 4.01 per resident day against a national average of 3.86, though weekends thin out by roughly 9% compared to its own weekdays, so a Saturday shift isn't quite the same as a Tuesday. Turnover sits at 44.3%, marginally better than the 45.8% national figure and nothing unusual for a corporate-owned building of this size. Its inspection record shows 14 deficiencies, none at the harm or jeopardy level and none tied to abuse, with the most recent visit in January 2026, recent enough that the findings still reflect how the place runs now.

Nurse hours

5.12 /day

Staff turnover

47%

Serious cites

0

The Cottages At Texarkana runs 140 certified beds under for-profit LLC ownership, and its staffing is the headline: 5.12 nurse hours per resident day, about a third above the national average of 3.86. Weekends dip roughly 12% below its own weekday level, so coverage thins out, but the baseline is high. What pulls against that is the inspection record, 20 deficiencies on file, one of them serious enough to reach harm or jeopardy level, and a single $28,022 fine. Staff turnover sits at 46.8%, essentially matching the national rate. The last inspection was March 2025, so the picture is current. Strong hands-on care, but the survey history is the caution flag.

Nurse hours

4.27 /day

Staff turnover

52%

Serious cites

0

Siloam Healthcare runs 120 beds in Siloam Springs under for-profit LLC ownership, and its nurse staffing sits at 4.27 hours per resident day, roughly 10% above the national average of 3.86. That's a real margin, though weekends run about 10% thinner than weekdays, so coverage isn't perfectly even across the week. Staff turnover is 52.4% against a national 45.8%, which means a good share of the people caring for residents are still learning the building. The current record shows 33 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2025. Quality and staffing both earned 4 out of 5 stars from CMS, while health inspections landed at 2.

Nurse hours

5.13 /day

Staff turnover

39%

Serious cites

0

Creekside Healthcare Center runs 80 certified beds in San Pablo under for-profit partnership ownership. The staffing numbers stand out: 5.13 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on care, though weekend coverage dips about 8% below its own weekday level. Turnover sits at 38.8%, better than the 45.8% national figure but still meaning more than a third of staff leaving in a year. Inspections in August 2025 turned up 21 deficiencies, none at the harm or jeopardy level, with one abuse-related citation on the record. The 4/5 health inspection and 5/5 staffing ratings carry the weight here; quality measures land at 3/5.

Nurse hours

4.17 /day

Staff turnover

11%

Serious cites

0

Monterey Park Conv Hosp runs on a for-profit LLC model with 89 certified beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, so the weekday numbers flatter the picture slightly. Turnover is the real standout: 11% annual staff turnover against a national average of 45.8%, which is unusually stable for this industry. That stability shows up elsewhere too, a 5/5 quality measure rating and zero deficiencies at the harm or jeopardy level. But there are 38 total deficiencies on the current record, including one abuse-related citation, and the health inspection rating is only 3/5 despite an inspection as recent as May 2025. The staffing-to-resident ratio is solid; the inspection history is the part worth asking about directly.

Nurse hours

3.94 /day

Staff turnover

27%

Serious cites

0

San Jacinto Valley Post Acute runs a tight ship on the things that matter most. Nurse staffing sits at 3.94 hours per resident day, a hair above the national average, and the home holds onto its workers far better than most, 26.6% turnover against a national rate of 45.8% means familiar faces, which tends to matter more to families than a staffing star rating suggests. The 4/5 inspection and 5/5 quality scores back that up, though 32 deficiencies on record and one abuse-related finding are worth asking about directly. Weekend coverage dips about 7% below weekdays, so if you're visiting on a Saturday, pay attention to how quickly call lights get answered.

Nurse hours

4.12 /day

Staff turnover

34%

Serious cites

0

La Mesa Healthcare Center runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its 33.7% turnover is well below the 45.8% norm, a sign people tend to stay. Weekends dip about 8% below weekday staffing, so coverage is thinner then. The tradeoff shows in its record: 38 deficiencies, none at harm or jeopardy level, but one abuse-related finding, and a 2/5 staffing star despite the decent hours. Inspectors last visited in March 2025, and the 4/5 inspection and 5/5 quality ratings suggest care outcomes hold up. For a for-profit LLC with that many citations, the question is whether the abuse finding was a one-off or a pattern.

Nurse hours

4.29 /day

Staff turnover

39%

Serious cites

0

Downey Post Acute runs a 99-bed for-profit operation where the nursing hours work out to 4.29 per resident day, roughly 11% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 12% below the home's own weekday level, so the weekday number flatters the week as a whole. Staff turnover sits at 39.3%, better than the 45.8% national figure, meaning fewer caregivers are cycling out the door than is typical. The harder part is the inspection record: 55 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $13,575. The most recent inspection was May 2026.

Nurse hours

4.02 /day

Staff turnover

33%

Serious cites

0

Costa Del Sol Healthcare runs 99 beds in Los Angeles under for-profit LLC ownership, and its numbers pull in opposite directions. The quality measure score is excellent, but staffing sits at the bottom, one star out of five, and that's the piece families feel daily, since it reflects how many aides and nurses are actually on the floor. The inspection record is heavy: 72 deficiencies, including one at the harm level and three tied to abuse, with a $38,181 fine and a May 2025 inspection. Staff turnover at 33.3% beats the national 45.8%, which helps continuity. Ask about direct-care hours per resident and what changed since that inspection.

Nurse hours

4.14 /day

Staff turnover

38%

Serious cites

0

Sunny Hills Post Acute runs on a for-profit LLC model with 142 beds, and its staffing numbers look better than most, 4.14 nurse hours per resident day, about 7% above the national average, with turnover at 38.1% compared to 45.8% nationally. Weekends dip roughly 8% below its own weekday staffing, which is worth knowing if your visits fall on Saturdays or Sundays. The inspection record is where the picture darkens. A 1-out-of-5 health inspection rating, 89 deficiencies on file, three of them serious enough to put residents in harm's way, and five tied to abuse. Two fines totaling $89,134 sit on the record, and the most recent inspection was February 26, 2026. Strong quality measure scores don't cancel out an inspection history like that, ask hard questions before you sign anything.