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

10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).

How chain-owned homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA, grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 1 to 20 of 10,187, best-graded first.

A

100/100

Deerfield Health Care Center

Urbandale, IA · Polk County

CMS 5/530 bedsNon-profit
Nurse hours
5.31 /day
Staff turnover
26%
Serious cites
0

Deerfield Health Care Center is a 30-bed nonprofit home in Urbandale, church-affiliated, and the numbers behind it are unusually steady. Nurse staffing runs 5.31 hours per resident day, roughly 38% above the national average, and weekends hold within about 2% of weekday coverage, a gap that sinks plenty of homes. Staff turnover sits at 25.8% against a national average of 45.8%, which matters because aides who stay know the residents. The inspection record shows three deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 27, 2025. At 30 beds, this is a small enough building that consistent staffing and low turnover show up directly in daily care.

A

99/100

Acacia Health Center

Phoenix, AZ · Maricopa County

CMS 5/578 bedsFor-profit
Nurse hours
5.65 /day
Staff turnover
17%
Serious cites
0

Acacia Health Center runs on a level of nurse staffing that most homes don't come close to, 5.65 hours per resident day against a national average of 3.86. That kind of margin matters on nights and weekends, and even though weekend coverage here dips about 10% below its own weekday numbers, it stays well above what's typical elsewhere. Turnover is where this place really separates itself: 16.7% annually, compared to a national average near 46%, which means the people caring for residents tend to stick around and know them. The record is thin, too, three deficiencies, none at the harm level, none abuse-related, with an inspection as recent as December 2025. Corporate ownership, but the numbers read like a home that's actually staffed.

A

99/100

Canterbury Woods

Pacific Grove, CA · Monterey County

CMS 5/524 bedsNon-profit
Nurse hours
6.71 /day
Staff turnover
19%
Serious cites
0

Canterbury Woods runs 24 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 19.2% against a national 45.8%, so the people caring for residents tend to stay. Inspections in February 2026 produced 26 deficiencies, none at the harm or jeopardy level and none abuse-related, alongside top marks on health inspection, quality measures, and staffing.

A

99/100

The Terraces At San Joaquin Gardens Village

Fresno, CA · Fresno County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
30%
Serious cites
0

The Terraces at San Joaquin Gardens Village runs a strong staffing operation, 5.13 nurse hours per resident day, about a third above the national average, with a 5/5 CMS staffing star. Weekend coverage dips roughly 13% below weekday levels, and turnover sits at 30.3%, well under the 45.8% national figure. Quality measures score 5/5, though the 3/5 health inspection rating reflects 31 deficiencies on record, one serious enough to reach harm or jeopardy level; no abuse citations appear. This nonprofit's last inspection was March 21, 2025, so the record is current. The staffing and quality numbers are the real story here.

A

99/100

Waters Edge Health And Rehabilitation

Palm City, FL · Martin County

CMS 5/536 bedsFor-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
17%
Serious cites
0

Waters Edge runs 5.39 nurse hours per resident per day, roughly 40% more than the national average, and its weekend staffing dips only about 7% below weekdays, a small gap compared to many homes. Staff turnover is 16.7%, well under the 45.8% national figure, which matters because consistent caregivers learn residents' routines. The 9 deficiencies on record include none tied to harm or abuse, and the most recent inspection was May 2025, so the picture is current rather than stale. At 36 beds under corporate for-profit ownership, it's small enough that staffing numbers reflect daily reality, not a large building's averages. All three CMS star ratings, health inspections, quality measures, staffing, sit at 5 out of 5.

A

99/100

Honoka'a Hospital & Skilled Nursing

Honokaa, HI · Hawaii County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
5.51 /day
Staff turnover
24%
Serious cites
0

Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

A

99/100

Promontory Point Rehabilitation

Ammon, ID · Bonneville County

CMS 5/550 bedsFor-profit
Nurse hours
5.62 /day
Staff turnover
21%
Serious cites
0

Promontory Point runs 5.62 nurse hours per resident day, about 46% above the national average of 3.86, and its staff turnover of 21.3% is roughly half the national rate of 45.8%, that combination of more hands and more continuity is rare. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse. Weekend staffing dips about 12% below weekday levels, a normal pattern but worth asking about if your family visits Saturdays and Sundays. The most recent inspection was May 28, 2026, so the findings are current. It's a for-profit LLC with 50 beds, small enough that you can reasonably ask who the director of nursing is and how long they've been there.

A

99/100

Ingleside At King Farm

Rockville, MD · Montgomery County

CMS 5/545 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
15%
Serious cites
0

Ingleside At King Farm runs on a rare amount of nursing attention: 5.28 hours per resident day, roughly a third more than the national figure, and it holds that level fairly steady through the weekend. Staff turnover is the striking number, under 15% a year against a national average near 46%, which matters because familiar caregivers tend to notice changes sooner. The non-profit owner has kept a clean harm record: 19 deficiencies on file, none at the level of harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was in March 2026, so the picture is current.

A

99/100

Friendship Village

Kalamazoo, MI · Kalamazoo County

CMS 5/557 bedsNon-profit
Nurse hours
5.91 /day
Staff turnover
20%
Serious cites
0

Friendship Village runs 5.91 nursing hours per resident day, roughly half again the national figure of 3.86, and its weekend coverage dips only about 13% below weekday levels, a gap that tends to matter when a Friday afternoon problem stretches into Sunday. Staff turnover sits at 20% against a national average near 46%, which usually means familiar faces and less retraining churn. The 16 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection landed in April 2026. As a nonprofit with 57 certified beds, it's small enough that census changes hit staffing ratios quickly.

A

99/100

Trinity Care Center

Farmington, MN · Dakota County

CMS 5/590 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
20%
Serious cites
0

Trinity Care Center in Farmington runs on a nonprofit model, and its staffing reflects that: 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage slips about 11% below its own weekday level, which is common but worth asking about if you're planning visits or worrying about Saturday care. Turnover sits at 19.8% against a national average near 46%, that stability matters, because familiar staff notice changes in residents. The inspection record isn't spotless: 14 deficiencies, two serious enough to involve harm or jeopardy, though none related to abuse, and the most recent inspection was April 30, 2026. The quality and staffing measures both score at the top of CMS's scale, which is where much of the strength here comes from.

A

99/100

Lutheran Convalescent Home

Webster Groves, MO · St. Louis County

CMS 5/5251 bedsFor-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
32%
Serious cites
0

Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

A

99/100

Newport House

Omaha, NE · Douglas County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
33%
Serious cites
0

Newport House runs 5.07 nurse hours per resident day, roughly a third more hands-on care than the national average, and its weekend hours dip only about 11% below weekday levels, smaller than what many homes see. Staff turnover sits at 32.8% against a national 45.8%, so the people caring for residents tend to stick around. The inspection record shows nine deficiencies with none at the harm level, though one is abuse-related, and the last survey was recent, in January 2026. Quality and staffing both score at the top of CMS's five-star scale while inspections land at three, which fits a nonprofit home that invests heavily in daily care.

A

99/100

Willowbrooke Court Skilled Care At Evergreens

Moorestown, NJ · Burlington County

CMS 5/517 bedsNon-profit
Nurse hours
5.31 /day
Staff turnover
18%
Serious cites
0

Willowbrooke Court runs on a small 17-bed unit, and the staffing numbers back up what that size allows: 5.31 nurse hours per resident day, roughly a third more than the national average. Turnover sits at 18.2% against a national 45.8%, so the people caring for residents tend to stay. Weekend coverage dips about 14% below weekdays, which is worth asking about if your family visits mainly on Saturdays or Sundays. Six deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The last inspection was September 2025, and it's a nonprofit.

A

99/100

Helen Hayes Hospital T C U

West Haverstraw, NY · Rockland County

CMS 5/524 bedsGovernment
Nurse hours
7.22 /day
Staff turnover
33%
Serious cites
0

Helen Hayes Hospital's transitional care unit in West Haverstraw runs on unusually heavy staffing, 7.22 nurse hours per resident day, roughly 87% above the national figure, and that shows up in the weekend numbers too, which dip about 14% below weekdays but stay high in absolute terms. Staff turnover sits at 33.3%, noticeably below the 45.8% national average, which matters for consistency of care. Its inspection record is clean: two deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2025. State-run ownership adds a layer of public accountability. For 24 beds, that combination of nurse hours and low deficiency counts is the whole story.

A

99/100

Deupree Cottages

Cincinnati, OH · Hamilton County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
16%
Serious cites
0

Deupree Cottages runs on a small scale, 24 certified beds under nonprofit ownership, and the staffing numbers reflect that attention. At 5.39 nurse hours per resident day, it sits roughly 40% above the national average of 3.86, and weekend coverage stays within about 10% of its weekday level, so care doesn't thin out when families tend to visit. Staff turnover tells its own story: 15.8% against a national 45.8% means aides and nurses are staying put, which matters for residents who depend on familiar faces. Thirteen deficiencies on record with none at the harm level and none abuse-related, plus a July 2025 inspection, round out a picture of a home that's both well-staffed and recently reviewed.

A

99/100

Willowbrooke Court Skilled Care Center At Brittany

Lansdale, PA · Montgomery County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
29%
Serious cites
0

Willowbrooke Court runs on 4.21 nurse hours per resident day, roughly 9% above the national average, and weekend coverage dips only modestly below its own weekday level, a gap far smaller than what many homes show. Staff turnover sits at 29.4% against a national 45.8%, which matters because consistent caregivers know residents' routines and catch changes early. The current record holds three deficiencies, none at the harm level and none abuse-related, with an inspection completed in July 2025. As a nonprofit, it answers to a board rather than shareholders. Every one of those signals points the same direction, which is rare, homes often look strong in one area and thin in another.

A

99/100

Mervyn Sharp Bennion Central Utah Veterans Home

Payson, UT · Utah County

CMS 5/5108 bedsGovernmentMedicaid
Nurse hours
5.69 /day
Staff turnover
34%
Serious cites
0

The state-run veterans home in Payson runs nurse staffing at 5.69 hours per resident day, roughly 47% above the national figure, with weekend coverage dipping about 9% below its own weekday levels. Staff turnover of 33.7% sits well under the national 45.8%, which matters for continuity in a memory-care-heavy population. Against that, the current record carries 13 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the most recent inspection was April 2026. Strong marks across CMS's health, quality, and staffing domains coexist here with real citations, so read the inspection details rather than the star averages.

A

99/100

Briarwood At Timber Ridge

Issaquah, WA · King County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
29%
Serious cites
0

Briarwood At Timber Ridge runs 4.64 nurse hours per resident per day, roughly a fifth more than the national average, and its staff turnover sits at 28.6 percent against a national 45.8, meaning the people caring for your relative are more likely to still be there next year than at a typical home. Weekend coverage dips about 12 percent below weekdays, so ask how that plays out on a Sunday. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent visit in December 2025. For a 45-bed for-profit, that combination of low turnover and steady survey history is what stands out.

A

99/100

Spring Lake Village

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsNon-profit
Nurse hours
5.54 /day
Staff turnover
22%
Serious cites
0

Spring Lake Village runs a genuine nonprofit operation in Santa Rosa with 70 certified beds, and the staffing numbers show it: 5.54 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% from weekday levels. Annual turnover sits at 22.1%, roughly half the national rate of 45.8%, which suggests caregivers are staying long enough to know the residents. The health inspection record holds 26 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Inspectors were last on site January 22, 2026, and the federal ratings land at 4 out of 5 for health inspections and 5 out of 5 on both quality measures and staffing.

A

99/100

Health Care Ctr At The Forum At Rancho San Antonio

Cupertino, CA · Santa Clara County

CMS 4/548 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
29%
Serious cites
0

The Health Care Center at The Forum at Rancho San Antonio runs on unusually heavy staffing for a 48-bed nonprofit home, 5.75 nurse hours per resident day, roughly half again the national figure. Weekend coverage dips about 8% below weekday levels, but turnover sits at 28.8% against a national average near 46%, so the people caring for residents tend to stay. The tradeoff shows up in inspections: 36 deficiencies on the current record, one tied to abuse, though none reached harm or jeopardy. The last survey was in January 2026. Strong quality and staffing marks sit alongside middling inspection results, worth asking about that abuse citation directly.

Frequently asked questions

How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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