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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 2081–2100 of 10,187, best-graded first.

B

81.5/100

Diversicare Of Greensboro

Greensboro, AL · Hale County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
32%
Serious cites
0

Diversicare of Greensboro runs 97 certified beds under corporate for-profit ownership, and its staffing numbers are the first thing to notice: 2.84 nurse hours per resident day, about 26% below the national average of 3.86. Weekend staffing drops roughly 19% below its own weekday level, so a Saturday shift is noticeably thinner than a Tuesday. On the other side, turnover is 32.1%, well under the national 45.8%, which suggests a steadier crew than many homes manage. Nine deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, and the last inspection was February 2024. Quality measures score high; daily staffing coverage is where the gaps show.

B

81.5/100

Roanoke Rehabilitation & Healthcare Center

Roanoke, AL · Randolph County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
19%
Serious cites
0

Roanoke Rehabilitation & Healthcare Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends are where it thins out most, with staffing roughly 23% below its own weekday level, though the 18.9% annual turnover is well under the 45.8% national figure, which suggests a steadier crew than most. The health inspection side is the weak spot: a 2/5 star rating and 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in September 2023. Quality measures rate 4/5.

B

81.5/100

Gulf Coast Health And Rehabilitation, Llc

Mobile, AL · Mobile County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
51%
Serious cites
0

Gulf Coast Health and Rehabilitation runs 100 beds in Mobile under corporate ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86. That margin is thin, and weekends dip about 17% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Staff turnover is 50.9% against a national 45.8%, meaning roughly half the nursing staff turns over in a year. The current record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, though the last inspection was January 2020, over five years ago, so that clean harm record is aging.

B

81.5/100

Villa Maria Post Acute And Rehabilitation

Tucson, AZ · Pima County

CMS 3/5 83 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
42%
Serious cites
0

Villa Maria Post Acute runs 83 certified beds under for-profit LLC ownership, and its nursing hours sit at 3.51 per resident day, roughly 9% under the national average of 3.86. Weekends thin out further, about 19% below the home's own weekday coverage, which matters when a fall or infection doesn't wait for Monday. The inspection record shows 25 deficiencies, including two at harm or jeopardy level and one abuse-related, with an $8,018 fine; the last survey was January 2026. Turnover is 41.8%, a bit better than the 45.8% national figure. Family surveys look strong, but staffing and inspection ratings sit at 2 out of 5. Ask about weekend nurse coverage and how that abuse deficiency was resolved.

B

81.5/100

The Crossing At Riverside Health And Rehabilitatio

Searcy, AR · White County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
51%
Serious cites
0

The Crossing at Riverside is a 138-bed for-profit home in Searcy, and the numbers are mostly solid. Nurse staffing runs about 4.31 hours per resident day, roughly 12% above the national average, which is the kind of figure that actually matters for daily care. But that staffing thins out on weekends, about 16% below its own weekday level, and annual turnover sits at 50.7%, higher than the national 45.8%, so the people caring for residents keep changing. Inspections are a genuine strength: a 5/5 star rating, last visit in November 2025, and only 8 deficiencies on record with none at the harm level and none abuse-related. The weak spot is consistency, not safety.

B

81.5/100

Crestpark Forrest City, Llc

Forrest City, AR · St. Francis County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
42%
Serious cites
0

Crestpark Forrest City runs a 100-bed for-profit operation where the nurse staffing comes in at 4.03 hours per resident day, modestly above the national average, though weekends run about 17 percent thinner than weekdays, which is worth knowing if your visits fall on a Saturday or Sunday. The record shows 21 deficiencies, none at the harm or jeopardy level, but three tied to abuse, and staff turnover sits at 41.5 percent, slightly better than the national figure. The most recent inspection was in December 2025, so the picture is current. Nothing here is alarming on its face, but the abuse-related citations and the weekend staffing dip are the two things I'd ask about directly.

B

81.5/100

Bailey Creek Health And Rehab

Texarkana, AR · Miller County

CMS 2/5 74 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
50%
Serious cites
0

Bailey Creek runs 74 beds in Texarkana under corporate for-profit ownership, and its nursing hours come in around 3.53 per resident day, roughly 9% under the national average of 3.86. Weekends drop about 20% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover sits at 50%, above the 45.8% national figure, meaning you'll likely see new faces on the floor from one month to the next. The inspection record shows 19 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was April 2026. Its quality measure score is strong; the inspection side is where the record looks thinner.

B

81.5/100

The Springs Of El Dorado

El Dorado, AR · Union County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
55%
Serious cites
0

The Springs of El Dorado runs a for-profit operation with 122 certified beds, and its staffing numbers sit slightly under the national average, 3.78 nurse hours per resident day against 3.86 nationally. Weekends thin out further, running about 15% below the home's own weekday coverage, which matters when falls and illnesses don't check the calendar. Annual turnover of 54.5% is well above the 45.8% national figure, so residents see a lot of new faces. The current inspection record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent inspection was May 2025, so the picture is reasonably current. Quality measures score well; consistent staffing is the weaker spot.

B

81.5/100

Paris Health And Rehabilitation Center

Paris, AR · Logan County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
50%
Serious cites
0

Paris Health and Rehabilitation Center runs 140 certified beds under for-profit limited liability ownership, and its inspection record is the strongest part of the picture: a recent survey in March 2026 with 20 deficiencies on file, none of them involving harm, jeopardy, or abuse. Nursing hours tell a different story. At 3.52 per resident day, staffing sits about 9% under the national average of 3.86, and weekends drop roughly 16% below what the building staffs during the week, worth asking about if your family member needs help on Saturdays and Sundays. Annual turnover runs 50%, above the 45.8% national figure, so expect some churn among the aides providing daily care.

B

81.5/100

Beebe Retirement Center, Inc.

Beebe, AR · White County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
55%
Serious cites
0

Beebe Retirement Center runs 105 beds as a for-profit corporation, and its recent inspection history is genuinely solid, 15 deficiencies on record, none at the harm or jeopardy level, none abuse-related, with a health inspection survey completed in September 2025. Nurse staffing sits at 3.82 hours per resident day, roughly 1% under the national average, but the weekend gap tells a bigger story: coverage drops about 17% below weekday levels, which is when families tend to visit and notice. Annual turnover of 54.7% runs well above the 45.8% national figure, meaning aides and nurses cycle through faster than average. Good inspection results, steady weekday care, the question is who's actually there on Saturday.

B

81.5/100

Eaglecrest Nursing And Rehab

Ash Flat, AR · Sharp County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
40%
Serious cites
0

Eaglecrest runs a tight ship on inspections, a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is the hardest thing for a nursing home to earn. Nurse staffing sits at 3.89 hours per resident day, just barely over the national average, though weekends drop about 17% below weekdays, so coverage thins when families tend to visit. Staff turnover at 40% is better than the 45.8% national figure, meaning fewer unfamiliar faces than you'd expect at a for-profit corporate home. Twelve deficiencies on record is a real number worth reading through, but none of them rose to actual harm.

B

81.5/100

Covington Court Health And Rehabilitation Center

Fort Smith, AR · Sebastian County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Covington Court runs a 140-bed for-profit operation in Fort Smith, and the staffing numbers are the strongest part of the picture: 4.01 nurse hours per resident day, slightly ahead of the national average. The catch is weekends, when coverage drops about 18% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover sits at 44.1%, essentially in line with the national rate, so it's not an outlier in either direction. The inspection record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none related to abuse. The most recent inspection was March 2026, so the record is current.

B

81.5/100

Seaview Rehabilitation & Wellness Center, Lp

Eureka, CA · Humboldt County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
—
Serious cites
0

Seaview Rehabilitation & Wellness Center runs 99 certified beds in Eureka under corporate for-profit ownership, and its nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average of 3.86. That's a real cushion, though weekends dip about 11% below the home's own weekday levels, so coverage isn't perfectly even. The current record carries 50 deficiencies, including one at the harm or jeopardy level and six tied to abuse. State inspectors were last on site in November 2025. Federal stars put health inspections and quality measures at 4 out of 5, staffing at 3. Ask directly how the abuse-related findings were resolved and what weekend coverage looks like on the evening shift.

B

81.5/100

West Melbourne Health & Rehabilitation Center

West Melbourne, FL · Brevard County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
47%
Serious cites
0

West Melbourne Health & Rehabilitation Center runs 180 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average. Weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 47.4%, a touch above the national 45.8%. The inspection history shows 37 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey dated December 2025. Quality and staffing measures both score well, but the inspection rating does not.

B

81.5/100

Surrey Place Nursing Center

Live Oak, FL · Suwannee County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
—
Serious cites
0

Surrey Place runs 19 deficiencies on its current record, and three of those rose to the harm or jeopardy level, one tied to abuse. That's the number I'd want to understand before anything else, since serious deficiencies mean a surveyor found actual risk to residents, not paperwork problems. The inspection itself is recent, from October 2025, and the 4/5 health inspection and quality measure ratings suggest the home has largely corrected what was cited. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays. That gap matters most on Saturday and Sunday afternoons when families typically visit.

B

81.5/100

Pavilion At Brandon Wilde

Evans, GA · Columbia County

CMS 2/5 65 beds For-profit
Nurse hours
4.45 /day
Staff turnover
44%
Serious cites
0

Pavilion at Brandon Wilde runs about 4.45 nursing hours per resident per day, roughly 15% above the national average, and that shows up in a 4-out-of-5 staffing rating. The catch is weekends, when hours drop about 18% below the home's own weekday level. Staff turnover sits at 43.6%, a touch better than the 45.8% national figure but still a lot of churn. Inspections are the weak spot: 21 deficiencies on record, including one abuse-related citation, with no harm-level findings. Ownership is for-profit through an LLC, and the last inspection was in April 2026. The people are there; the oversight record is uneven.

B

81.5/100

Pruitthealth - Jasper

Jasper, GA · Pickens County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
35%
Serious cites
0

Pruitthealth - Jasper runs a 60-bed for-profit home in Pickens County with a recent inspection on the books, and the record shows 16 deficiencies with none rising to harm or jeopardy and nothing abuse-related. Nurse staffing sits at 3.77 hours per resident day, a hair under the national 3.86, but weekends drop roughly 23% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover of 34.7% actually beats the 45.8% national average, which matters for whether your parent sees the same faces month to month. Quality measures score well; the inspection history has real findings but nothing serious.

B

81.5/100

Cove Of Cascadia, The

Bellevue, ID · Blaine County

CMS 4/5 32 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
40%
Serious cites
0

Cove Of Cascadia runs 32 beds in Bellevue under for-profit LLC ownership, and its staffing is the strongest part of the picture, 4.46 nurse hours per resident day, roughly 15% above the national average, with a 4-out-of-5 staffing rating. Weekend coverage dips about 16% below weekday levels, so ask how that plays out on Saturdays. Turnover sits at 39.5%, better than the 45.8% national figure. The tradeoff is its record: 18 deficiencies, including one at the harm level and one tied to abuse. Inspectors were last in on November 21, 2025, and the 4-out-of-5 inspection rating suggests the state found the problems manageable rather than systemic.

B

81.5/100

Danville Regional Rehabilitation

Danville, IN · Hendricks County

CMS 5/5 110 beds Government Medicaid
Nurse hours
3.58 /day
Staff turnover
25%
Serious cites
0

Danville Regional Rehabilitation is county-owned, and that shows up in the staffing numbers in a good way: turnover runs 24.7%, well below the national 45.8%. Nurses give about 3.58 hours per resident per day, roughly 7% under the national average of 3.86, and weekends are about 16% thinner than weekdays. Inspections are current, the last was June 23, 2025, with 16 deficiencies on record, none at the harm or jeopardy level and none abuse-related, which is the more meaningful detail than the raw count. Quality measures score near the top; the staffing rating sits in the middle.

B

81.5/100

Accura Healthcare Of Stanton

Stanton, IA · Montgomery County

CMS 3/5 46 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
25%
Serious cites
0

Accura Healthcare of Stanton runs 46 certified beds in Montgomery County under for-profit LLC ownership. Nurse staffing sits at 3.79 hours per resident day, below the national average of 3.86, and weekend coverage drops roughly 17% below weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover is the bright spot: 25%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up elsewhere. The current record carries 27 deficiencies, two of them abuse-related, and the quality measure rating is 1 out of 5, even as staffing earns top marks. Last inspection was June 19, 2025.

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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