194 of the 338 Medicare-certified nursing homes in Minnesota (57%) are chain-owned, and all are listed below. 57 of the 194 graded homes earn an A and 4 earn a D or F. They average 4.03 nursing hours per resident per day, 0.16 hours below the 4.19 for every home in Minnesota. Trinity Care Center in Farmington grades highest at A (99 out of 100).
How chain-owned homes in Minnesota compare
This group set against every nursing home in Minnesota, from the current CMS release.
Nursing hours per resident per day
4.03
All homes in Minnesota: 4.19
Worse than the local average
Nurse staff turnover
43.1%
All homes in Minnesota: 42.2%
Worse than the local average
Average ElderGrade score
78.7/100
All homes in Minnesota: 79.4/100
Worse than the local average
Grade spread
A
B
C
57 grade A, 95 grade B, 38 grade C, 4 grade D,
The best-graded chain-owned home in Minnesota is
Trinity Care Center
in Farmington, MN, grade A, 99/100.
Green Lea Senior Living runs 2.37 nurse hours per resident day, roughly 39 percent under the national average of 3.86, with weekends about 6 percent thinner than weekdays, so the thinnest coverage lands when families tend to visit. The inspection record is heavy: 38 deficiencies, two of them at harm or jeopardy level and four tied to abuse, and the most recent inspection in June 2025 didn't clear that. A 4/5 quality measure score sits oddly beside a 1/5 on staffing and a 1/5 on health inspections, which tells you charted care metrics look better than the day-to-day reality of who's actually on the floor. Corporate for-profit ownership, 41 beds.
Neilson Place runs 78 certified beds in Bemidji under nonprofit ownership, and the staffing picture is mixed in a way that matters. Total nurse hours sit at 3.80 per resident day, just under the national average of 3.86, but weekends drop about 14% below the home's own weekday coverage, and annual turnover hits 55.4% against a national 45.8%. Those two numbers together mean care is thinner exactly when families tend to visit and fewer familiar faces are on hand at all.
The inspection record is where the real weight sits: 47 deficiencies, 10 of them abuse-related, 6 serious enough to put residents in harm's way, and $45,915 in fines across 3 events. The most recent inspection is from March 2026, so the record is current, not stale.
The Waterview Pines runs on 3.30 nurse hours per resident day, about 15% under the national average, and weekend staffing drops roughly 11% below its own weekday level. That thin coverage shows up in the inspection record: 39 deficiencies, including two at the harm or jeopardy level and five tied to abuse, against a one-star health inspection rating. Staff turnover sits at 57.1%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar aides. It's a for-profit partnership with 83 beds, fined $10,036, last inspected January 15, 2026. The quality measure rating of three stars suggests some clinical metrics track better than the day-to-day staffing and safety picture.
The Emeralds At St Paul runs on a for-profit corporate model, and its nurse staffing sits at 4.60 hours per resident day, about 19% above the national average, with weekend coverage dipping roughly 8% below its own weekday levels. Annual turnover is 23.6%, well under the 45.8% national figure, so the same caregivers are largely sticking around. What pulls the record down is the inspection side: 62 deficiencies on file, 7 of them at harm or jeopardy level and 8 abuse-related, plus four fines totaling $138,736. The most recent inspection was July 30, 2025. Good staffing and a troubled survey history are both true here at once.
Glenoaks Senior Living Campus runs 52 certified beds in New London under corporate for-profit ownership, and the numbers deserve a close look before you visit. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends run about 11 percent thinner than weekdays, so care on a Saturday may look different than on a Tuesday. Staff turnover of 80.5 percent, against a national average near 46 percent, means the aides and nurses who know your family member are likely to change often. The health inspection record is the harder part: 47 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $29,822. The most recent inspection was in April 2025, so the record is current, not stale.
The Waterview Shores runs about 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage slips about 12% below its own weekday level. That thin staffing shows up against a 64.4% annual turnover rate, well above the 45.8% national figure, so the people caring for your relative are frequently new. Inspectors have cited 26 deficiencies, including 2 at the harm or jeopardy level and 1 abuse-related, and the single $334,488 fine on record is substantial for a 44-bed home. The most recent inspection was June 5, 2025. Quality measures score well, but the staffing and inspection records are where the real concerns sit.
Bayshore Residence and Rehabilitation Center runs 140 beds in Duluth under for-profit LLC ownership, and the staffing numbers tell two stories. Its 3.56 nurse hours per resident day sit about 8% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover hits 58% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder part: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,398 in fines, all from an April 2025 inspection. On paper the staffing star looks strong, but the same record shows real problems.
The Estates at Rush City runs 41 beds under for-profit partnership ownership, and its staffing sits slightly under the national average at 3.78 nurse hours per resident day, close enough to typical, but weekends drop about 10% below its own weekday coverage, which is when problems tend to surface. The bigger number is turnover: 72% of staff leave each year against a national rate near 46%, meaning nearly three-quarters of the people caring for residents are new to the building annually. Its inspection record shows 21 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was in January 2026. Quality measure scores land at 1 out of 5 stars.
The Emeralds At Grand Rapids runs 3.47 nursing hours per resident day, about 10 percent under the national average of 3.86, and weekends drop roughly 8 percent below its own weekday staffing. That thinner coverage matters more given a turnover rate of 48.9 percent, above the 45.8 percent national figure, and a CMS health inspection rating of 1 out of 5. The record shows 58 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with fines of $38,522 across three penalties. The most recent inspection was March 2025. For-profit corporate ownership, and families should ask directly how the home covers weekends and what's changed since that inspection.
Benedictine Care Community runs 49 beds in Ada under nonprofit ownership, and the numbers say the care side needs a closer look. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger flag: 60.4% of staff leave each year against a national average near 46%, which means the people showing up are often new. Inspections back that up, 28 deficiencies on record, two at harm or jeopardy level, two tied to abuse, and one fine of $154,460. The most recent inspection was June 2026, so the picture is current, not stale. Worth asking about staffing plans and how they hold the line on weekends.
Edgebrook Care Center runs on 2.45 nurse staffing hours per resident day, roughly 37 percent under the national average of 3.86, and the federal staffing rating lands at 1 out of 5 because of it. Weekend coverage tracks about 1 percent above weekdays, so that's not where the gap comes from. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse; the health inspection rating sits at 2 out of 5, with the most recent survey done in November 2025. It's a 54-bed nonprofit, and the quality measure rating of 3 shows clinical care isn't failing across the board, the shortfall is hands on deck.
Meadow Manor runs on thin staffing. At 2.94 nurse hours per resident day, it sits about 24 percent under the national average, and weekends drop roughly another 23 percent below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Twenty deficiencies are on the current record, including one at the harm level and two tied to abuse, which is a lot for a 26-bed home where problems are hard to hide. The four-star inspection rating and February 2026 visit suggest regulators found real issues but nothing rising to widespread failure. Corporate ownership and that one-star staffing rating explain where the overall grade lands.
Littlefork Care Center runs 42 beds as a nonprofit, and its staffing numbers are decent on paper, 3.41 nurse hours per resident day, though that's still about 12% under the national average of 3.86. Weekends drop roughly 17% below the home's own weekday level, and turnover sits at 52.8% against a national 45.8%, so the same faces aren't always there. The inspection record is where it gets harder to explain: 33 deficiencies on file, one at harm or jeopardy level, six tied to abuse, and a single $218,595 fine. The most recent inspection was December 10, 2025.
The Estates at Fridley runs 3.25 nurse hours per resident day, roughly 16 percent under the national figure, and weekends drop another 11 percent below its own weekday staffing. Turnover sits at 42.5 percent, a touch better than the 45.8 percent national rate, and a nonprofit corporation holds the license, though that hasn't kept the record clean. Thirty-seven deficiencies are on file, including one at the harm level and two tied to abuse, with the most recent inspection dated August 2025. The staffing star lands at 4, quality at 3, but health inspections sit at 2 out of 5, which is where families should focus their questions.
Benedictine Health Center runs 96 certified beds in Duluth under nonprofit, church-related ownership, and its staffing sits at 3.94 nurse hours per resident day, a bit above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 13% below its own weekday level. The bigger problem shows up in its record: 19 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 inspection rating. Annual turnover of 51.8% runs ahead of the 45.8% national figure, so the people providing that above-average care keep changing. Its quality measure score is strong; the inspection history is what pulls it down.
Heritage Manor runs a 65-bed nonprofit home in Chisholm, and the numbers pull in different directions. Staffing sits at 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 14 percent below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31 percent, well under the 45.8 percent national figure, which suggests less churn than most places. The current inspection record is the concern: 25 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in June 2025.
The Estates at Excelsior runs on thin margins where it counts. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 12% below what the home manages Monday through Friday, so the thinnest coverage lands when families tend to visit. Turnover at 40% is actually a bit better than the 45.8% national figure, though it's still four in ten staff leaving each year.
What pulls the record down is the inspection side: 46 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, against a one-star health inspection rating. The last inspection was April 7, 2026.
Meeker Manor runs 3.53 nursing hours per resident per day, roughly 8% under the national average, and weekends drop about 10% below its own weekday staffing. That thinner coverage matters more given the 62.7% annual turnover, well above the 45.8% national figure, meaning the aides and nurses in the building are often new. The current record carries 26 deficiencies, including one at the harm level and two tied to abuse, plus a $14,696 fine. The last inspection was March 2025. This is a for-profit corporate home where short staffing and high churn feed each other, and families should ask directly how many regular staff are on the evening and weekend shifts.
Cura Of Melrose runs a nonprofit home with 75 certified beds in Stearns County. The nurse staffing number looks decent on paper, 4.02 hours per resident day, a bit above the national average, but weekends drop roughly 10% below weekday coverage, and turnover sits at 57.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is where the trouble shows: 16 deficiencies, four serious enough to involve harm or jeopardy, two tied to abuse, and a $26,685 fine. Two stars each on health inspections and quality measures tells you the same story the deficiency count does.
Cura Of Willmar runs a 78-bed nonprofit home where the nurses' hours per resident day come in about 23% above the national average, and that staffing earns a 4 out of 5 from CMS. The catch is weekends, when coverage drops roughly 13% below what the home runs on weekdays. Inspections are the weaker side: 17 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse, with the most recent visit in August 2025. Quality measures land mid-range. Strong weekday nursing hours don't cancel out a harm-level finding, and families weighing this home should ask directly how weekends and evenings get covered.
Frequently asked questions
How many chain-owned nursing homes are there in Minnesota?
There are 194 chain-owned Medicare-certified nursing homes in Minnesota, 57% of the 338 nursing homes there.
Are chain-owned nursing homes better staffed?
In Minnesota they average 4.03 total nursing hours per resident per day, against 4.19 for all nursing homes in Minnesota, a difference of -0.16 hours. Staff turnover averages 43.1% against 42.2%.
Which chain-owned nursing home grades best in Minnesota?