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 2221–2240 of 10,187, best-graded first.

B

81/100

Mountain View Of Cascadia

Eureka, MT · Lincoln County

CMS 4/5 49 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
53%
Serious cites
0

Mountain View Of Cascadia runs 49 certified beds in Eureka under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 26% under the national average, and weekends dip about 12% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover of 53.3% tops the national rate of 45.8%, though the inspection record is cleaner than that might suggest: 13 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures score well; direct care hours are where the gap shows.

B

81/100

Good Samaritan Society - Hastings Village

Hastings, NE · Adams County

CMS 2/5 108 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
45%
Serious cites
0

Good Samaritan Society - Hastings Village is a 108-bed nonprofit in Adams County, and its numbers tell two different stories. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends drop roughly 13% below the home's own weekday coverage, a pattern worth asking about, since falls and infections don't take Saturdays off. Staff turnover, at 44.9%, is actually a hair better than the national rate. The bigger concern is the inspection record: 21 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $39,704. The most recent inspection was in March 2025, so the picture is current, not stale. Quality and staffing measures both rate well; the health inspection side is where this home keeps getting caught.

B

81/100

The Heights Of Summerlin, Llc

Las Vegas, NV · Clark County

CMS 2/5 190 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
42%
Serious cites
0

The Heights of Summerlin runs 190 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekend coverage drops another 9% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover at 41.6% is actually a bit better than the 45.8% national figure, and the 40 deficiencies on record include none at the harm or jeopardy level, though 2 are abuse-related. Its last inspection was in March 2026.

B

81/100

Jersey Shore Post Acute Rehabilitation And Nursing

Neptune, NJ · Monmouth County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
42%
Serious cites
0

Jersey Shore Post Acute runs 105 beds in Neptune under for-profit LLC ownership, and its last full health inspection was in March 2025, so the record you're looking at is recent. Nine deficiencies sit on that record, including one at the harm or jeopardy level and one tied to abuse, the kind of findings that matter more than a star rating. Nurse staffing comes in at 3.36 hours per resident day, about 13 percent under the national average, and weekends run roughly 9 percent thinner than weekdays. Turnover at 41.7 percent is actually a little better than the 45.8 percent national figure, which suggests some stability in who's showing up. The clinical quality measures score well. The staffing hours don't.

B

81/100

Careone At Wellington

Hackensack, NJ · Bergen County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
27%
Serious cites
0

Nurse staffing at Careone At Wellington runs about 9% under the national average, and weekends dip roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is the bigger concern: 28 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $18,431 and a two-star health inspection rating. What works in its favor is retention, turnover of 26.8% is well below the national 45.8%, and a five-star quality measure rating. The last inspection was in January 2025, so the record is current.

B

81/100

Careone At Evesham

Marlton, NJ · Burlington County

CMS 4/5 144 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
42%
Serious cites
0

Careone At Evesham runs 144 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover comes in at 42.1%, a bit better than the 45.8% national figure, and the current record shows 17 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The last inspection was September 12, 2025, with 4 out of 5 stars across health inspections, quality measures, and staffing.

B

81/100

Paloma Springs Healthcare Llc

T Or C, NM · Sierra County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
30%
Serious cites
0

Paloma Springs runs lean on nursing hours, 3.11 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels. That thinner weekend coverage matters because the home carries 40 deficiencies on its current record, including one at the harm level and three tied to abuse, plus a single fine of $19,971. On the other side, staff turnover sits at 30% versus 45.8% nationally, so the people who are there tend to stay, and the 5/5 quality measure rating shows good clinical outcomes on paper. The last inspection was April 28, 2025, so the record is fairly current. For-profit corporate ownership, 94 beds.

B

81/100

Independence Care Center For Nursing And Rehabilit

Riverdale, NY · Bronx County

CMS 3/5 190 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
34%
Serious cites
0

Independence Care Center sits on 190 certified beds in Riverdale, run by a for-profit limited liability company. Staffing is the strong point: 4.07 nurse hours per resident day, a bit above the national average, and turnover at 33.9% is well below the 45.8% norm, that kind of retention usually means steadier care. Weekends run about 13% thinner than weekdays, so ask what coverage looks like on a Sunday. The inspection record is where it gets harder to talk around: 33 deficiencies, one at harm or jeopardy level and four tied to abuse, plus a $66,859 fine. The last inspection was April 2024.

B

81/100

Rockville Skilled Nursing & Rehabilitation Center,

Rockville Center, NY · Nassau County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
33%
Serious cites
0

Rockville Skilled Nursing runs 66 beds under for-profit LLC ownership, and its inspection record is genuinely clean, 10 deficiencies on file, none involving harm or jeopardy, none abuse-related, with the most recent state visit in June 2025. Where it gives ground is daily care capacity. Nurse staffing sits at 3.61 hours per resident day, roughly 6% under the national average, and weekends dip about 4% below the home's own weekday numbers, a gap families should ask about directly. The counterweight is retention: 33.3% turnover against a 45.8% national average means caregivers here tend to stay, which matters for consistency even when raw hours run light. Strong quality marks, thinner staffing.

B

81/100

St Vincent Depaul Residence

Bronx, NY · Bronx County

CMS 3/5 200 beds Non-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
46%
Serious cites
0

St Vincent Depaul Residence runs 200 beds in the Bronx as a nonprofit, and its record is a mixed bag. Nurse staffing sits at 3.40 hours per resident day, about 12% under the national average, and weekends drop roughly 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 45.9%, essentially identical to the national figure. The inspection history carries more weight: 21 deficiencies on record, including 2 tied to abuse, though none reached harm or jeopardy level. A January 2025 inspection is recent, and the 5/5 quality measure rating contrasts with a 2/5 on health inspections.

B

81/100

Franklin Oaks Nursing And Rehabilitation Center

Louisburg, NC · Franklin County

CMS 3/5 166 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
29%
Serious cites
0

Franklin Oaks runs leaner on nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 4% below its own weekday numbers, so families should ask how coverage holds up on Saturdays and Sundays. The good news sits in retention: 28.6% turnover is well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Eighteen deficiencies on record, one serious enough to involve harm or jeopardy, but none tied to abuse. That inspection was in May 2025, so the record is current, not stale.

B

81/100

Wilson Rehabilitation And Nursing Center

Wilson, NC · Wilson County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
—
Serious cites
0

Wilson Rehabilitation And Nursing Center runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national average of 3.86. That headline number comes with a caveat: weekend staffing drops about 20% below the home's own weekday level, so coverage isn't evenly spread across the week. The inspection record is the stronger part of the picture. Three deficiencies total, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Owned by a for-profit limited liability company, the home earns middle marks on CMS staffing and quality measures while its health inspection rating reaches 4 out of 5.

B

81/100

Croasdaile Village

Durham, NC · Durham County

CMS 4/5 102 beds Non-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
43%
Serious cites
0

Croasdaile Village is a nonprofit continuing care community in Durham with 102 certified beds, and its staffing is the strongest card it holds: 5.32 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on time than most homes. Weekend coverage dips about 8% below its own weekday level, but that's a modest drop, and turnover at 42.7% actually runs slightly under the national rate. The caution is in the inspection record, six deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $25,275. The most recent inspection was August 2025, so the picture is current. Solid staffing, a recent serious finding worth asking about directly.

B

81/100

Homestead Hills

Winston-Salem, NC · Forsyth County

CMS 2/5 40 beds For-profit Medicaid
Nurse hours
5.60 /day
Staff turnover
59%
Serious cites
0

Homestead Hills runs 5.60 nurse hours per resident day, about 45% above the national average, that's the number families should care most about, and it's why the staffing picture here starts strong. The catch is turnover: 59.3% of staff leave each year, well above the 45.8% national figure, and weekend coverage dips about 8% below weekdays. A recent inspection in May 2025 found six deficiencies, none causing harm, though one was abuse-related. The 40-bed for-profit home earned strong marks across inspections, quality measures, and staffing. With that much caregiver time per resident, the gaps are consistency and retention, not raw hours.

B

81/100

Good Samaritan Society Miller Pointe A Prospera Co

Mandan, ND · Morton County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
22%
Serious cites
0

Miller Pointe runs on unusually steady staff. Aide and nurse turnover sits at 21.9% against a national average of 45.8%, and total nurse staffing of 4.34 hours per resident day clears the national figure by roughly 12%, though weekend coverage thins out about 9% below the home's own weekday level. The trouble is everything else. Sixteen deficiencies sit on the current record, two of them at harm or jeopardy level and one tied to abuse, with a $35,535 fine and a December 2025 inspection that produced a 2-star health inspection rating. Good staffing can't offset a survey history like that, which is why the overall picture lands closer to average than the 5-star staffing number suggests.

B

81/100

Mayfair Village Nursing Care Center

Columbus, OH · Franklin County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
40%
Serious cites
0

Mayfair Village runs about 99 beds under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends thin out further, running about 9% below the home's own weekday coverage, so the quietest shifts are the leanest ones. Turnover lands at 39.8%, which is actually better than the 45.8% national figure, meaning fewer caregivers cycling out than at a typical home. The current record shows 65 deficiencies, none at harm or jeopardy level but five tied to abuse; the last inspection was April 2026. Quality measures score well, though inspection results drag the overall picture down.

B

81/100

Ohio Living Swan Creek

Toledo, OH · Lucas County

CMS 4/5 34 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
46%
Serious cites
0

Ohio Living Swan Creek runs 34 certified beds in Toledo, and the nursing hours look solid on paper: 4.02 per resident day, roughly 4% above the national average. But that average hides a dip, weekends run about 13% thinner than weekdays, which is when families tend to visit and notice. Staff turnover sits at 45.7%, essentially matching the national rate, so retention isn't the problem here. The inspection record is: 25 deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $34,873 fine. A 5/5 on quality measures and 4/5 on staffing sit alongside a 2/5 inspection rating and a recent April 2026 survey. The care metrics look strong; the compliance history is what pulls this down.

B

81/100

Aventura At Humility House

Austintown, OH · Mahoning County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
54%
Serious cites
0

Aventura at Humility House runs 70 certified beds in Austintown under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, about 12 percent under the national average, with weekends running roughly 8 percent lighter than weekdays. Annual turnover is 53.7 percent against a 45.8 percent national rate, so the aides and nurses at the bedside are cycling through faster than is typical. The inspection record is where the picture darkens. Thirty-seven deficiencies are on file, including four at the harm or jeopardy level and one tied to abuse. The last inspection closed in April 2025, and quality and staffing measures both score relatively well, but a two-star health inspection rating with that many serious findings is the part a family needs to weigh.

B

81/100

Kingston Health Center Of Sylvania

Sylvania, OH · Lucas County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
52%
Serious cites
0

Kingston Health Center Of Sylvania runs 127 beds under for-profit LLC ownership, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average of 3.86. That's a real edge, though weekends dip about 12% below the home's own weekday coverage, so care may thin out when families visit. The harder numbers are elsewhere: 51.7% annual turnover against a 45.8% national average, and 37 deficiencies on the current record, including one at harm or jeopardy level and five tied to abuse. A 5/5 quality measure rating and a recent January 2026 inspection offset some of that, but the inspection history carries weight.

B

81/100

Avalon By Otterbein At Perrysburg

Perrysburg, OH · Wood County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
48%
Serious cites
0

Avalon By Otterbein runs about 4.73 nursing hours per resident each day, roughly a quarter more than the national average of 3.86, which is the strongest thing in its file. Weekend coverage dips about 6% below its own weekday level, and staff turnover sits at 47.5% against a national 45.8%, so the people delivering that care keep changing. Inspectors found 39 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the most recent visit was in August 2025. Quality measures score well; the inspection and staffing stars land in the middle. The nonprofit ownership is a point in its favor, but the deficiency count is what holds this one back.

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