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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 2061–2080 of 10,187, best-graded first.

B

82/100

Sea Cliff Healthcare Center

Huntington Beach, CA · Orange County

CMS 2/5 182 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
45%
Serious cites
0

Sea Cliff Healthcare Center runs 182 certified beds in Huntington Beach under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average of 3.86. The catch is weekends, when coverage drops about 10% below what the home staffs on weekdays. Staff turnover lands at 44.6%, essentially in line with the national 45.8%, so retention isn't the standout problem here. The bigger concern is the inspection record: 87 deficiencies on file, four of them abuse-related, though none rose to actual harm or jeopardy. State inspectors were last in on January 14, 2026, and the health inspection rating came back 2 out of 5.

B

82/100

Lincoln Meadows Care Center

Lincoln, CA · Placer County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
36%
Serious cites
0

Lincoln Meadows runs about 97 certified beds under for-profit LLC ownership, and the staffing picture here is genuinely above average, 4.10 nurse hours per resident day against a national figure of 3.86. Turnover sits at 35.8%, well under the 45.8% national rate, which matters because steady staff usually means steadier care. The tradeoff shows up in the inspection record: 46 deficiencies on file, including one abuse-related citation, though none reached harm or jeopardy level. That combination, solid staffing and quality marks (4 and 5 stars) against a long deficiency list, is why the overall picture lands where it does. If you're weighing this one, ask the administrator directly about that abuse citation and how weekend coverage holds up.

B

82/100

Quartz Hill Post Acute

Redding, CA · Shasta County

CMS 3/5 115 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
43%
Serious cites
0

Quartz Hill Post Acute runs 115 certified beds in Redding under for-profit LLC ownership. Its 4.57 nurse hours per resident day sits roughly 18% above the national average of 3.86, but weekends dip about 9% below its own weekday staffing. The 43.1% annual turnover is modestly better than the 45.8% national figure. Inspections from February 2025 left 41 deficiencies on record, none at harm or jeopardy level, though three are abuse-related, which families should ask about directly. The three-star health inspection rating and four-star marks for quality measures and staffing reflect a home that performs well on paper in care metrics while carrying a longer-than-average deficiency list to review.

B

82/100

Creekside Center

Stockton, CA · San Joaquin County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
42%
Serious cites
0

Creekside Center runs 75 certified beds in Stockton under for-profit LLC ownership, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average. That headline number has a soft spot: weekend coverage drops roughly 9% below the home's own weekday level, and CMS gives staffing only 2 of 5 stars. Turnover is 41.5%, better than the 45.8% national figure but still meaning nearly half the nursing staff turns over annually. The current inspection record shows 34 deficiencies, four tied to abuse; none reached harm or jeopardy level. Its most recent inspection was March 20, 2026, so the record is fresh. Quality measures score 4 of 5, inspections 3 of 5.

B

82/100

Beach Creek Post-Acute

Anaheim, CA · Orange County

CMS 3/5 138 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
38%
Serious cites
0

Beach Creek Post-Acute runs 138 beds in Anaheim under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 11% below what it manages on weekdays. Staff turnover is 38%, better than the 45.8% national figure, which suggests less churn than many places. What stands out is the inspection record: 60 deficiencies on file, three of them abuse-related, with the most recent inspection dated January 26, 2026. None of those deficiencies rose to the harm or jeopardy level. For a family weighing this one, the staffing and turnover numbers look reasonable, but the abuse-related findings are worth asking about directly.

B

82/100

Fresno Postacute Care

Fresno, CA · Fresno County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
27%
Serious cites
0

Fresno Postacute Care runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.93 hours per resident day, just slightly above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the care you'd see on a Saturday isn't quite what you'd see midweek. Staff turnover of 26.6% is meaningfully lower than the national 45.8%, which matters for whether your family member sees the same faces. What pulls the record down is the inspection history: 44 deficiencies, including one at the harm level and one tied to abuse, with the last inspection dated April 2026.

B

82/100

The Grove Care And Wellness

Riverside, CA · Riverside County

CMS 5/5 38 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
46%
Serious cites
0

The Grove Care and Wellness runs 4.53 nurse hours per resident day, roughly 17% above the national average, and its quality measure rating sits at the top of CMS's scale. Weekend staffing, though, drops about 11% below what the home covers Monday through Friday, so coverage thins out when families tend to visit. Turnover is 45.7%, almost exactly the national rate, meaning this isn't a stable long-term crew. Inspectors found 24 deficiencies on the current record, none causing harm, but one tied to abuse, worth asking about directly. The last full inspection was January 30, 2025, so the record is recent. With 38 beds and for-profit corporate ownership, ask who's actually on the floor on Saturdays.

B

82/100

Auburn Ravine Healthcare Center

Auburn, CA · Placer County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
49%
Serious cites
0

Auburn Ravine sits in Auburn with 59 certified beds under for-profit LLC ownership, and its most recent inspection came in September 2025. The clinical picture is strong, five out of five on quality measures and four on health inspections, with 31 deficiencies on record but none at the harm or jeopardy level. Staffing tells a more mixed story: 3.98 nurse hours per resident day, roughly 3% above the national average, though weekends run about 7% thinner than weekdays and turnover hits 48.5%, a few points above the national rate. One abuse-related deficiency is worth asking about directly.

B

82/100

The Pavilion At Sunny Hills

Fullerton, CA · Orange County

CMS 1/5 300 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
40%
Serious cites
0

The nurse staffing here runs about 4.45 hours per resident per day, roughly 15 percent above the national average, and turnover sits at 39.8 percent, lower than the 45.8 percent typical nationwide. That's a real point in its favor. But the inspection record is where it gets shaky: 85 deficiencies on file, including 5 tied to abuse, and a 2-out-of-5 health inspection rating. None of those deficiencies rose to the level of actual harm or jeopardy, which matters, but 85 is still a lot to carry. The last full inspection was April 28, 2025. Weekend staffing drops about 10 percent below weekday levels, so if you're touring or visiting on a Saturday or Sunday, pay attention to what you see.

B

82/100

Murrieta Health And Rehabilitation Center

Murrieta, CA · Riverside County

CMS 2/5 145 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
41%
Serious cites
0

Murrieta Health And Rehabilitation Center runs 145 certified beds in Riverside County under for-profit LLC ownership. Its 4.26 nurse hours per resident day sit about 10 percent above the national average, and turnover at 40.6 percent is slightly better than the 45.8 percent typical elsewhere, though weekend staffing drops roughly 12 percent below its own weekday coverage. The current record carries 64 deficiencies, none flagged at harm or jeopardy level, but three are abuse-related, and the health inspection rating sits at 2 out of 5 stars. That's the tension here: decent bedside hours and a recent March 2026 inspection, weighed against a long citation history and a below-average inspection score.

B

82/100

Mission Care Center

Rosemead, CA · Los Angeles County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
38%
Serious cites
0

Mission Care Center runs 4.46 nurse hours per resident day, about 16% above the national average, and its 37.7% turnover beats the 45.8% norm, a sign the floor is mostly steady. Weekends thin out roughly 13% below weekday coverage, so ask how that plays out on Sundays. The record shows 40 deficiencies with none at harm level, but two tied to abuse, which deserves a direct question. The last inspection was March 2026; quality measures score 5/5 even as health inspection sits at 3/5, and this for-profit LLC home's numbers land it solidly above average without being clean.

B

82/100

Victoria Post Acute Care

El Cajon, CA · San Diego County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
50%
Serious cites
0

Victoria Post Acute Care runs 120 certified beds in El Cajon under corporate ownership, and its staffing sits modestly above the national average at 4.03 nurse hours per resident day. Weekend coverage, though, drops roughly 7% below what the home staffs on weekdays, and annual turnover of 49.6% is a few points higher than the national 45.8%, worth asking about if continuity of care matters to you. The inspection record shows 41 deficiencies, including one at the harm level and two tied to abuse, which is a lot to carry even with a recent January 2026 inspection and strong marks on quality measures.

B

82/100

Coleman Healthcare Center

Coleman, TX · Coleman County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
44%
Serious cites
0

Coleman Healthcare Center runs 54 certified beds under corporate for-profit ownership, and its staffing sits right at the national line, 3.83 nurse hours per resident day against a 3.86 average, with weekends roughly 10% thinner than weekdays. Turnover runs 43.9%, a touch better than the 45.8% norm, which matters because consistent caregivers tend to know residents' routines. The inspection record shows 13 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. A March 2026 inspection is recent, and the four-star marks on health inspections and quality measures carry the home past its middling staffing score.

B

82/100

Arbor Hills Rehabilitation And Healthcare Center

Eagle Lake, TX · Colorado County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
28%
Serious cites
0

Arbor Hills runs leaner than the typical American nursing home on nursing hours, 3.30 per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday staffing. What stands out in the other direction is retention: 27.8% turnover is well below the 45.8% national figure, meaning the aides and nurses you'd see most days tend to stick around, which usually matters more to daily care than a raw staffing number does. The inspection record supports that, 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related, from a June 2024 survey. Corporate-owned, 80 beds, mid-range quality and staffing marks.

B

81.5/100

Keller Landing

Tuscumbia, AL · Colbert County

CMS 5/5 109 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

Keller Landing runs about 3.27 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That dip matters, it's when many families visit and when care gaps can show. Turnover sits at 46.3%, essentially in line with the national 45.8%, so this isn't a home bleeding staff faster than average. On the record side, it looks solid: a 5/5 inspection rating with only 3 deficiencies, none at harm or jeopardy level and none abuse-related. The catch is timing: the last inspection was February 2022, so that clean record is nearly three years old.

B

81.5/100

Diversicare Of Boaz

Boaz, AL · Marshall County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
52%
Serious cites
0

Diversicare Of Boaz runs about 2.96 nurse hours per resident each day, roughly a quarter below the national average, and weekends dip another 16% under its own weekday numbers. That staffing gap matters more than the 51.8% turnover rate, which runs several points above the national figure. Eleven deficiencies sit on the current record with none at harm level, but five are abuse-related, a pattern worth asking about directly. The most recent inspection was July 2025, so the picture is fairly current. Quality and staffing measures both score well, though the health inspection side lags at two stars.

B

81.5/100

Park Place

Selma, AL · Dallas County

CMS 3/5 103 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
28%
Serious cites
0

Park Place runs 103 beds in Selma under corporate for-profit ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 16% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 28.4% against a national 45.8%, meaning aides and nurses here stick around longer than at the typical home. The tradeoff shows up in oversight, 11 deficiencies on record, one tied to abuse, and the last full inspection was April 2022, so that record is aging.

B

81.5/100

Florence Nursing And Rehabilitation Ctr, Llc

Florence, AL · Lauderdale County

CMS 3/5 147 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
36%
Serious cites
0

Florence Nursing and Rehabilitation Center runs 147 certified beds under individual for-profit ownership, and its staffing sits at 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 18% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is 36%, better than the 45.8% national figure, which suggests a relatively stable workforce. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, but the last inspection was January 2020, over four years ago, so that clean record is aging.

B

81.5/100

Jackson Health Care Facility

Jackson, AL · Clarke County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
30%
Serious cites
0

Jackson Health Care Facility runs on more nurse hours than most homes, 4.32 per resident day against a national average of 3.86, and its staff stick around: 29.7% turnover versus 45.8% nationally. Those two numbers matter more than most families realize, because consistent caregivers know the residents. The catch is weekends, when staffing drops about 20% below its own weekday level. Nine deficiencies sit on the record, none at harm or jeopardy level and none abuse-related, which is a relatively clean sheet. Two things deserve a closer look. The quality measure rating is 1 out of 5, suggesting clinical outcomes lag despite the staffing. And the last inspection was March 2021, more than three years ago, so you're relying on dated information.

B

81.5/100

Fairhope Health & Rehab

Fairhope, AL · Baldwin County

CMS 2/5 131 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
35%
Serious cites
0

Fairhope Health & Rehab runs a nonprofit operation with 131 beds, and the staffing numbers are its strongest hand. At 4.00 nurse hours per resident day, it clears the national average of 3.86 by about 4%, and its staff turnover of 35.1% sits well under the 45.8% national figure, a real advantage in a field where turnover drives worse care. Weekends, though, run about 17% leaner than weekdays, so ask how that gap gets covered. The inspection record is mixed: 9 deficiencies, none at harm or jeopardy level and none abuse-related, but the last full inspection was February 2022, which is a long stretch without a fresh look.

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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