ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 2041–2060 of 10,187, best-graded first.

B

82/100

Vierra Falls Church

Falls Church, VA · Fairfax County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
33%
Serious cites
0

Vierra Falls Church runs 160 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage, though, drops about 12% below its own weekday level, so care thins out when families tend to visit. Annual turnover is 33.1%, well under the national 45.8%, which suggests a steadier crew than most. The record shows 32 deficiencies, but none at the harm or jeopardy level and none abuse-related. One thing to weigh: the last inspection was August 2022, so that clean harm record is now several years old.

B

82/100

Grays Harbor Health & Rehabilitation Center

Aberdeen, WA · Grays Harbor County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
45%
Serious cites
0

Grays Harbor Health & Rehabilitation in Aberdeen runs 105 certified beds as a for-profit corporation, and its nurse staffing sits at 4.17 hours per resident day, about 8% above the national average of 3.86, though weekend coverage dips roughly 10% below its own weekday levels. Staff turnover is 44.6%, essentially at the national average of 45.8%, so retention isn't a standout problem here. On its record: 18 deficiencies, none at the harm or jeopardy level, one abuse-related, with the most recent inspection completed March 19, 2025. The four-star marks across health inspections, quality measures, and staffing line up with what the numbers show, solid coverage and no serious citations, with the weekend staffing drop worth watching.

B

82/100

Pacific Care And Rehabilitation

Hoquiam, WA · Grays Harbor County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
41%
Serious cites
0

Pacific Care and Rehabilitation runs a tight ship on the clinical side. State inspectors visited in May 2025 and logged twelve deficiencies, but none rose to harm or jeopardy, and nothing on the record involves abuse, that's a cleaner inspection sheet than most homes carry. Nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average, though weekends drop about 13% below weekday coverage, so ask how that gap gets filled. Turnover of 40.5% edges out the national rate of 45.8%, meaning this corporate-owned building retains caregivers a bit better than average. The weak spot isn't care quality, it's consistency when the weekday crew goes home.

B

82/100

Linden Post Acute

Toppenish, WA · Yakima County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
28%
Serious cites
0

Linden Post Acute runs 75 beds in Toppenish under corporate ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so families should ask how that gap gets covered. What stands out is retention: 28.3% turnover against a national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. Inspections in November 2025 produced 31 deficiencies, none at harm or jeopardy level, though three were abuse-related. Recent inspections and steady staff count for a lot; the thin weekend coverage and those abuse citations are what to press on.

B

82/100

Avamere Rehabilitation Of Burien

Burien, WA · King County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
24%
Serious cites
0

Avamere Rehabilitation of Burien runs a 140-bed for-profit home where the day-to-day staffing picture is genuinely better than average: 4.08 nurse hours per resident day against a national 3.86, and turnover of 24.4% is roughly half the national rate. Those are real strengths. The trouble shows up on the inspection side, where 54 deficiencies on the current record include six at the harm or jeopardy level and three tied to abuse, plus a $59,485 fine. Weekends also run about 11% thinner than weekdays, so coverage isn't even across the week. The most recent inspection was May 2025, so the record is current. Strong staffing, a rough survey history.

B

82/100

Hudson Bay Health And Rehabilitation

Vancouver, WA · Clark County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
58%
Serious cites
0

Hudson Bay Health and Rehabilitation in Vancouver runs 17 deficiencies on its current record, but none of them rose to the level of harm or jeopardy, and none were abuse-related. That matters more than the raw count. The home's inspection and quality-measure ratings both come back strong, and nurse staffing sits slightly above the national average at 3.94 hours per resident day, though weekends run about 9% leaner than weekdays, which is worth asking about directly. The bigger flag is turnover: 58.1% of staff leaving annually against a national average of 45.8%, under corporate for-profit ownership. A March 2026 inspection means the state's picture is current.

B

82/100

South Creek Post Acute

Centralia, WA · Lewis County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
55%
Serious cites
0

South Creek Post Acute runs 4.23 nurse hours per resident day, roughly 10 percent above the national average, and its quality measure scores come in at the top of CMS's range. Those are real strengths. The concerns sit elsewhere: weekend staffing drops about 14 percent below the weekday level, and annual turnover of 55 percent runs well above the 45.8 percent national figure, which matters for whether the same caregivers know your mother from one week to the next. The current record carries 42 deficiencies, including one at the harm level and seven tied to abuse. An $8,278 fine is modest, and the last inspection was recent, in February 2026.

B

82/100

Marysville Care Center

Marysville, WA · Snohomish County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
42%
Serious cites
0

Marysville Care Center, a for-profit LLC home with 97 certified beds, runs nurse staffing at 4.04 hours per resident day, about 5% above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 15% below its own weekday level, and turnover sits at 41.9%, a bit better than the 45.8% national figure. The harder numbers are on the inspection side: 45 deficiencies on the current record, three of them at harm or jeopardy level and five tied to abuse, with two fines totaling $95,001. Its last inspection was September 29, 2025. Staffing and quality measure ratings both land mid-range, but that deficiency record is what a family should weigh most.

B

82/100

Puget Sound Transitional Care

Des Moines, WA · King County

CMS 2/5 165 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
32%
Serious cites
0

Staffing at Puget Sound Transitional Care lands right at the national average, 3.85 nurse hours per resident day against 3.86, and turnover of 32.4% is meaningfully better than the 45.8% typical elsewhere. The problem isn't the workforce. It's the inspection record: 63 deficiencies, including one at the level that signals actual harm or jeopardy and three tied to abuse. A one-star health inspection rating alongside a four-star quality measure score tells you the day-to-day care metrics look fine on paper, but the state has found serious problems when it looks closely, most recently in August 2025. Weekend staffing also drops about 12% below weekday levels, so if you're touring, ask who's actually on the floor on a Saturday.

B

82/100

Taylor Healthcare Center

Grafton, WV · Taylor County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
29%
Serious cites
0

Taylor Healthcare Center runs a tight ship on inspections, a five-star health inspection rating and no deficiencies at the harm or jeopardy level, with the most recent survey done in November 2025. The catch is staffing. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 13% below its own weekday coverage. Turnover is the bright spot: 29.3% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. Nineteen total deficiencies with one abuse-related finding is worth asking about directly.

B

82/100

Willow Ridge Healthcare

Amery, WI · Polk County

CMS 3/5 83 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
32%
Serious cites
0

Willow Ridge Healthcare runs 83 certified beds in Amery under corporate for-profit ownership, and its staffing is the strongest thing going for it: 4.26 nurse hours per resident day, about 10% above the national average, with turnover at 32.4% against a national 45.8%. Weekend coverage dips roughly 9% below weekday levels, which matters when families visit and needs don't pause. The inspection record is where it gets harder to read: 19 deficiencies on file, two at harm or jeopardy level and three abuse-related, though the most recent inspection was July 2025. Quality measures sit at 2 stars. A recent survey and better-than-average retention help, but those harm-level and abuse findings are the ones to ask about directly.

B

82/100

Pine View Care Center

Black River Falls, WI · Jackson County

CMS 3/5 95 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
32%
Serious cites
0

Pine View Care Center sits in Black River Falls with 95 certified beds and for-profit ownership. Its staffing sits just above the national average, at 3.89 nurse hours per resident day, and turnover runs 32.1%, noticeably lower than the 45.8% national figure, which suggests people tend to stay. Weekends dip about 10% below its own weekday staffing, worth asking about if your family member needs consistent weekend care. The current record shows 22 deficiencies, none at the harm or jeopardy level, though 5 are abuse-related. The most recent inspection was September 2025, so the picture is fairly current. Quality measure scores come in lower than the staffing numbers suggest.

B

82/100

Friendly Village Nursing And Rehab Center

Rhinelander, WI · Oneida County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
38%
Serious cites
0

Friendly Village runs a 100-bed for-profit operation in Rhinelander, and the numbers tell a fairly steady story. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and weekends dip about 7 percent below its own weekday coverage, so care gets thinner exactly when families tend to visit. Turnover is 38 percent, which is better than the 45.8 percent national figure, and the inspection record is recent, from April 2026, with 14 deficiencies on file but none at the harm level. One abuse-related citation is worth asking about directly. Strong quality and inspection stars offset the lighter staffing.

B

82/100

Hammond Health Services

Hammond, WI · St. Croix County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
24%
Serious cites
0

Hammond Health Services runs on a for-profit corporate model with 50 certified beds, and the numbers suggest a home that's been kept in decent shape. Nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, though weekends dip roughly 10% below its own weekday level, worth asking about if your family member needs more hands-on care on Saturdays and Sundays. Staff turnover is the standout: 23.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. The inspection record backs that up, three deficiencies, none at harm or jeopardy level, none abuse-related, and a 5/5 health inspection rating from a visit in May 2026. Quality measures score lower at 2/5, so ask what those specifically cover.

B

82/100

Meadow View Health Services

Sheboygan, WI · Sheboygan County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
23%
Serious cites
0

Meadow View runs on a for-profit LLC model with 50 beds in Sheboygan, and its staffing story is a mixed one. The 3.59 nurse hours per resident day sit about 7% under the national average, and weekends drop roughly 13% below its own weekday coverage, so care thins out exactly when families tend to visit. What's genuinely unusual is the 23.3% turnover, roughly half the national rate, which suggests a stable crew even if the raw hours run lean. Against that, the record shows 13 deficiencies, including one at harm level and three tied to abuse, with the most recent inspection in December 2025. Quality measures score low; the staffing star doesn't tell the whole story.

B

82/100

Mission At Castle Rock

Green River, WY · Sweetwater County

CMS 5/5 59 beds Non-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
42%
Serious cites
0

Mission At Castle Rock runs on leaner nursing hours than the typical U.S. home, about 3.36 per resident day against a national 3.86, and weekends are thinner still, roughly 13% below what it staffs on weekdays. Turnover sits at 41.7%, a bit better than the 45.8% national figure but still meaning four in ten caregivers leaving within a year. What holds the record together is oversight: a five-star health inspection rating and a five-star quality measure rating, with 12 deficiencies on file, none at the harm or jeopardy level, though two are abuse-related. The last inspection was April 2, 2025. The tradeoff here is consistent care quality on fewer hands.

B

82/100

University Post Acute

Mentone, CA · San Bernardino County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
46%
Serious cites
0

University Post Acute sits in Mentone with 50 certified beds under for-profit LLC ownership. Its nurse staffing comes in at 3.96 hours per resident day, a hair above the national average of 3.86, though weekend coverage dips about 8% below its own weekday level. Turnover is 45.8%, dead even with the national figure. Inspections are the strong point: a five-star health inspection rating and a five-star quality measure rating, with the most recent survey in November 2025 and no deficiencies at the harm or jeopardy level, none tied to abuse. The 17 total deficiencies on record are the paperwork kind, not the dangerous kind.

B

82/100

Baldwin Gardens Nursing Center

Temple City, CA · Los Angeles County

CMS 4/5 59 beds Government Medicaid
Nurse hours
5.64 /day
Staff turnover
24%
Serious cites
0

Baldwin Gardens runs on unusually heavy staffing for a 59-bed home, 5.64 nurse hours per resident day against a national average of 3.86, with turnover at 24.3% versus 45.8% nationally. That continuity matters, though weekend coverage dips about 9% below weekday levels. The tradeoff sits in the inspection record: 35 deficiencies, one tied to abuse, though none rose to harm or jeopardy, and the most recent survey is recent enough to trust. Quality measures scored lower than staffing did, which is worth asking about directly. Federal ownership is uncommon in this setting and can mean different oversight than a chain. Ask about that abuse citation and what changed after it.

B

82/100

English Oaks Convalescent & Rehabilitation Hospita

Modesto, CA · Stanislaus County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
33%
Serious cites
0

English Oaks runs 4.41 nurse hours per resident per day, roughly 14% above the national average, and its weekend staffing holds within about 7% of weekday levels, a smaller drop-off than many homes manage. Staff turnover sits at 32.7%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The record isn't clean, though: 46 deficiencies, one at harm or jeopardy level and two tied to abuse, with the most recent inspection in January 2026. At 180 beds under for-profit LLC ownership, this is a home where the staffing numbers look stronger than the inspection history.

B

82/100

Auburn Oaks Care Center

Auburn, CA · Placer County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
47%
Serious cites
0

Auburn Oaks runs 99 certified beds under a for-profit LLC, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though weekends drop about 9% below its own weekday level. Turnover is 46.9%, slightly worse than the 45.8% national figure, so the extra hours don't necessarily mean familiar faces. The inspection record is the harder read: 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse. Quality measures score well, but the last inspection was January 2026 and the health inspection rating sits at 2 out of 5. Ask about the abuse-related findings and weekend coverage before deciding.

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.

Before you shortlist