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

Nurse hours

3.59 /day

Staff turnover

41%

Serious cites

0

The Springs of Harrison runs a tight ship on inspections, earning the top federal rating there with 16 deficiencies on record and none involving harm or abuse. Staffing is where it thins out: 3.59 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. Turnover lands at 41.4%, a bit better than the 45.8% national figure. For-profit, LLC-owned, 90 beds, last inspected July 2025. If your family member needs steady weekday attention, this place looks solid; if weekends are when you visit, ask who's actually on the floor.

Nurse hours

3.71 /day

Staff turnover

51%

Serious cites

0

Heartland runs 3.71 nurse hours per resident day, about 4% under the national average, and weekends dip roughly 11% below its own weekday coverage. Staff turnover sits at 51.2%, higher than the 45.8% national figure, so even with 140 beds, you'd want to ask how often residents see familiar faces. That said, the clinical side looks solid: a 5/5 quality measure rating, a 4/5 inspection rating, and only 10 deficiencies on record with none at harm or jeopardy level and no abuse citations. That mix, strong outcomes, thinner staffing, is what's behind the B.

Nurse hours

4.16 /day

Staff turnover

57%

Serious cites

0

The Springs Batesville runs 150 beds under corporate for-profit ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, which is a real point in its favor. The catch is consistency: weekend coverage drops about 13% below weekday levels, and annual turnover hits 57.3% against a national 45.8%, so the people caring for your family member change often. Its inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Quality measures score well; staffing and inspections land middle of the pack.

Nurse hours

3.76 /day

Staff turnover

49%

Serious cites

0

Ouachita Nursing and Rehabilitation Center runs 115 certified beds under limited-liability, for-profit ownership, and its numbers pull in two directions. Nurse staffing sits at 3.76 hours per resident day, roughly 3% under the national average, and weekends drop about 10% below the home's own weekday levels, with annual turnover at 49.4% against a 45.8% national figure. The 29 deficiencies on the current record include two tied to abuse, though none reached harm or jeopardy, and the last inspection was recent, in August 2025. CMS rates quality measures a full 5 out of 5 and staffing 4 out of 5, but health inspections only 2, which is where the tension lives: strong clinical scores on paper, weaker oversight history in practice.

Nurse hours

3.18 /day

Staff turnover

34%

Serious cites

0

The Blossoms at Stamps runs a tight ship on inspections, a five-star health inspection record with only eight deficiencies on file and no harm-level or abuse-related findings at all. That's the strongest number here. Staffing is thinner than it looks: 3.18 nurse hours per resident day sits about 18% under the national average of 3.86, and weekends run roughly 13% below its own weekday coverage. Turnover of 34% is better than the national 45.8%, so the people who stay tend to stay. The tradeoff is real, though, you get a clean inspection history and a stable core staff alongside thinner daily coverage, especially on Saturdays and Sundays.

Nurse hours

3.83 /day

Staff turnover

47%

Serious cites

0

Des Arc Nursing and Rehabilitation Center runs 98 certified beds under for-profit LLC ownership, and its staffing sits at 3.83 nurse hours per resident day, just under the national average of 3.86. The bigger problem shows up on weekends, when coverage drops about 13% below the home's own weekday level, and in a 47.1% annual turnover rate that edges past the national figure of 45.8%. What pulls the record down most is the inspection history: a 1-out-of-5 health inspection rating, 33 deficiencies on file, four of them at harm or jeopardy level and two tied to abuse. The most recent inspection was January 16, 2025, and CMS has levied one fine totaling $8,021. Strong quality measures and solid staffing stars don't offset that deficiency count.

Nurse hours

4.09 /day

Staff turnover

65%

Serious cites

0

Nursing And Rehabilitation Center At Good Shepherd runs about 4.09 nurse hours per resident per day, roughly 6% above the national average, but weekends drop about 12% below its own weekday staffing. The bigger issue is turnover: 64.6% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. The current record shows 26 deficiencies with none at the harm or jeopardy level, and the most recent inspection was January 2026. Quality measures score well, though the staffing rating sits lower than the inspection and quality numbers suggest. It's a for-profit limited liability company, so worth asking who's actually on the floor on a Saturday.

Nurse hours

4.58 /day

Staff turnover

55%

Serious cites

0

Chapel Ridge runs on more nursing hours than most homes, 4.58 per resident day against a national average of 3.86, and that shows up in its staffing rating. The trade-off is retention: 55.1% of staff left over the past year, well above the 45.8% national figure, and weekend coverage drops roughly 13% below what the home staffs on weekdays. Its 18 deficiencies include none involving harm or abuse, and the most recent inspection was in May 2025, so the record is fairly current. For-profit, limited liability ownership, 74 beds. Strong daily coverage, but ask how they hold that weekend line when turnover is this high.

Nurse hours

3.87 /day

Staff turnover

39%

Serious cites

0

Briarwood runs 120 beds in Little Rock under corporate for-profit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. That's not a cushion, though: weekends drop about 10% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Turnover at 38.9% is better than the 45.8% national figure, which matters for consistency of care. Inspections in May 2025 turned up 16 deficiencies, none at harm or jeopardy level, but one abuse-related citation is on the record. Quality measures score well; the inspection and staffing pictures are more mixed.

Nurse hours

3.48 /day

Staff turnover

51%

Serious cites

0

Greenhurst Nursing Center runs 113 certified beds in Charleston under for-profit LLC ownership, and its inspection record is genuinely strong: a 5/5 health inspection rating, 10 total deficiencies with none at the harm level and none abuse-related, and a recent July 2025 survey. Quality measures also rate 5/5. The catch is staffing, which rates 3/5, 3.48 nurse hours per resident day against a national average of 3.86, with weekends running about 12% below its own weekday level and annual turnover at 50.5%, above the 45.8% national figure. Inspections look clean; daily coverage is thinner than average, especially on weekends, so visit on a Saturday afternoon and ask how they fill those shifts.

Nurse hours

3.96 /day

Staff turnover

65%

Serious cites

0

Evergreen Living Center At Stagecoach sits in Bryant and runs 116 certified beds under corporate for-profit ownership. The inspection history is genuinely solid, a four-star health inspection rating, last survey in January 2025, and 21 deficiencies on record with none reaching harm or jeopardy level, though one is abuse-related. Where the picture gets shakier is staffing. Total nurse hours come in at 3.96 per resident day, only slightly above the national average, and weekends run about 12% thinner than weekdays. The bigger red flag is turnover: 64.7% annually against a national average of 45.8%. That churn matters more than a single inspection score suggests, because consistent caregivers are what actually hold quality together between surveys.

Nurse hours

3.70 /day

Staff turnover

54%

Serious cites

0

Superior Health & Rehab in Conway runs a tight ship on care quality, perfect five-star marks on health inspections and quality measures, with ten deficiencies on record that stop short of harm or jeopardy. Staffing is where the picture softens. At 3.70 nurse hours per resident day, the home sits about 4% under the national figure, and weekend coverage drops roughly 15% below its own weekday pace. Annual turnover of 54.4% runs well above the 45.8% national average, which means familiar faces cycle through faster than most families would like. The state surveyor's last visit was August 2025, so the inspection record is current. Read the numbers honestly: strong clinical marks, thinner staffing on weekends, and a workforce that churns more than average.

Nurse hours

3.16 /day

Staff turnover

53%

Serious cites

0

If you're weighing The Blossoms at Prescott, the inspection record is the strongest thing it has going: a five-star health inspection rating, last survey in April 2026, and 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 3.16 nurse hours per resident day, this for-profit LLC runs about 18% under the national average of 3.86, weekends drop roughly 11% below its own weekday levels, and turnover sits at 53.4% against 45.8% nationally. Five-star quality measures, two-star staffing, that gap is the whole picture. Ask directly how many CNAs are on the floor on a Sunday.

Nurse hours

4.01 /day

Staff turnover

52%

Serious cites

0

Oakwood Gardens runs 4.01 nurse hours per resident day, which puts it a bit above the national average of 3.86, but look at weekends, when staffing drops roughly 7% below its own weekday level. That's when families tend to visit and when problems surface. The turnover number is the one I'd ask about directly: 51.7% of staff leaving in a year, against a national average of 45.8%. Inspections look solid, a 4-star health inspection rating, no deficiencies at the harm level, and the most recent visit was January 2025. The one abuse-related citation on the record is worth asking about specifically.

Nurse hours

3.88 /day

Staff turnover

44%

Serious cites

0

East Bay Post-Acute runs 3.88 nurse hours per resident day, essentially matching the national average of 3.86, and weekend staffing dips about 8% below its own weekday levels. Turnover sits at 44%, a touch under the national figure. Where the picture darkens is inspections: 58 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with a one-out-of-five health inspection rating against a five-out-of-five quality measure score. The most recent inspection was November 17, 2025, so the record is recent, not stale. For-profit individual ownership, 91 beds. The staffing numbers are ordinary; the inspection history is what a family should weigh.

Nurse hours

4.40 /day

Staff turnover

53%

Serious cites

0

Country Oaks runs nurse staffing at 4.40 hours per resident day, roughly 14% above the national average, which is the main reason it holds a three-star staffing rating. That cushion thins on weekends, when coverage drops about 11% below the home's own weekday level, and turnover sits at 52.5%, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record is the harder part: 70 deficiencies, four tied to abuse, and a two-star health inspection rating, though none reached harm or jeopardy. A five-star quality measure score and a recent May 2026 inspection round out a mixed picture.

Nurse hours

4.42 /day

Staff turnover

32%

Serious cites

0

Kearny Mesa Convalescent runs a for-profit operation with 98 certified beds, and its nurse staffing works out to 4.42 hours per resident day, roughly 14% above the national average. That headline number deserves a closer look, though: weekend staffing drops about 13% below its own weekday level, and CMS gives the home just 2 out of 5 stars for staffing, even as it earns 5 stars on both health inspections and quality measures. The inspection record is clean where it counts, 21 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent visit in May 2025. Annual turnover sits at 32.4%, well below the 45.8% national average, which matters for continuity of care.

Nurse hours

— /day

Staff turnover

38%

Serious cites

0

Cedarwood Post Acute runs 51 beds in Sacramento under corporate for-profit ownership, and its numbers pull in two directions at once. The clinical quality measures look strong at five stars, and the health inspection rating sits at three, a recent June 2025 survey with 45 total deficiencies on record, three of them abuse-related, though none rose to actual harm or jeopardy. Where it falls apart is staffing: one star, the lowest CMS gives, even as annual turnover of 37.5% beats the national 45.8%. That combination matters. Better-than-average retention doesn't mean enough hands on deck, and with 51 beds and a for-profit operator, the question worth asking is what the daily aide and nurse coverage actually looks like on the shifts your family would visit.

Nurse hours

4.08 /day

Staff turnover

47%

Serious cites

0

Rock Creek Care Center runs about 4.08 nurse hours per resident each day, roughly 6% above the national average, though weekends dip about 10% below its own weekday coverage. Staff turnover sits at 46.7%, basically in line with the national 45.8%. The 33 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in January 2026, so the picture is current. Ownership is a for-profit limited liability company. What the numbers describe is a home with solid clinical quality marks and enough nursing presence, held back mainly by volume of minor findings and a weekend staffing pattern families may want to ask about directly.

Nurse hours

— /day

Staff turnover

28%

Serious cites

0

Main West Postacute Care runs 99 certified beds in Turlock under corporate for-profit ownership, and the inspection record is genuinely solid, a 4/5 health inspection rating, a 4/5 on quality measures, and no deficiencies at the harm or jeopardy level, with the most recent survey in March 2025. Staff turnover sits at 28.1%, well below the 45.8% national average, which matters for continuity of care. The catch is the staffing rating: 1 out of 5, meaning the hours per resident are thin even though the people who stay tend to stay. The 41 total deficiencies and 2 abuse-related findings are worth asking about directly, but nothing on record rises to actual harm.