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 2261–2280 of 10,187, best-graded first.

B

81/100

Sprenger Health Care Of Port Royal

Port Royal, SC · Beaufort County

CMS 1/5 65 beds For-profit
Nurse hours
3.44 /day
Staff turnover
45%
Serious cites
0

Sprenger Health Care of Port Royal runs 65 certified beds under corporate for-profit ownership, and its staffing sits at 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 12% thinner than its own weekdays. Turnover is 45.3%, essentially matching the national figure, so the instability here isn't unusual for the industry. What stands out is the inspection record: six deficiencies, one serious enough to involve harm or jeopardy, and a single $14,069 fine, with the most recent inspection dated March 12, 2026. Quality and staffing measures score well on paper, but that inspection history is the part worth asking about directly.

B

81/100

Starr Regional Health & Rehabilitation

Etowah, TN · Mc Minn County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
—
Serious cites
0

Starr Regional in Etowah runs 3.98 nurse hours per resident day, a bit above the national average of 3.86. That edge shrinks on weekends, though, when staffing drops roughly 18% below its own weekday level, worth asking about if you're planning visits or admissions around Saturdays and Sundays. The inspection record is clean where it counts: 11 deficiencies, none at harm or jeopardy level, none abuse-related, and two fines totaling $8,697. The most recent inspection was in January 2026, so the picture is current. Quality measures score well; staffing sits in the middle. Owned by a for-profit corporation.

B

81/100

Senator Ben Atchley State Veterans' Home

Knoxville, TN · Knox County

CMS 5/5 140 beds Government Medicaid
Nurse hours
4.51 /day
Staff turnover
42%
Serious cites
0

Senator Ben Atchley State Veterans' Home runs on 4.51 nursing hours per resident day, roughly 17% above the national average, and its weekend staffing dips about 11% below its own weekday level, a real gap if your family visits or calls on Saturdays. The state-run home in Knoxville holds a clean inspection record: five deficiencies total, none at harm or jeopardy level, though one is abuse-related. Turnover sits at 42.4%, slightly better than the 45.8% national figure, and its last inspection came in March 2026. The quality measure score of 2 out of 5 is the number worth asking about directly, staffing looks strong, but clinical outcomes tell a different story.

B

81/100

Life Care Center Of East Ridge

Chattanooga, TN · Hamilton County

CMS 3/5 108 beds For-profit
Nurse hours
4.43 /day
Staff turnover
48%
Serious cites
0

Life Care Center Of East Ridge runs a solid nursing floor: 4.43 nurse hours per resident per day is about 15% above the national average of 3.86, and that staffing strength is the main reason it holds a B grade. Weekend coverage dips roughly 8% below its own weekday level, which is worth asking about if your family member needs help most on Saturdays and Sundays. Turnover sits at 48%, a little above the 45.8% national average. The home has 14 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its most recent inspection was August 21, 2025, so the picture is reasonably current.

B

81/100

St. George Rehabilitation

St. George, UT · Washington County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
46%
Serious cites
0

St. George Rehabilitation runs 99 certified beds under for-profit partnership ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 14% below the home's own weekday levels, so coverage thins out right when families tend to visit. The 46% annual turnover rate is essentially the national figure, not an outlier in either direction. Inspectors logged 24 deficiencies, none at the harm or jeopardy level, though three were abuse-related, and the most recent inspection was June 7, 2024. Quality measures score well; staffing and inspection results land in the middle.

B

81/100

Coral Desert Rehabilitation And Care

St. George, UT · Washington County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
47%
Serious cites
0

Coral Desert Rehabilitation and Care sits at 60 beds in St. George, run by a for-profit corporation. The inspection side looks solid, a 4 out of 5 health inspection rating, a clean record of no abuse deficiencies and none at the harm level, and a recent survey from November 2024. Quality measures also score well. The problem is staffing: a 1 out of 5, with 47.1% annual turnover running slightly above the national 45.8%. Thirteen total deficiencies on record is a meaningful count even without any rising to actual harm. If your family member needs skilled nursing here, ask specifically about nurse and aide coverage on evenings and weekends, since that's where the weak staffing number shows up in daily life.

B

81/100

South Davis Specialty Care

Bountiful, UT · Davis County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
7.93 /day
Staff turnover
52%
Serious cites
0

South Davis Specialty Care runs 7.93 nurse staffing hours per resident per day, roughly double the national average, and that shows up in the CMS staffing rating. Weekend hours drop about 11% from weekday levels, so coverage isn't perfectly even. The 52% annual turnover is higher than the 45.8% national figure, meaning the people providing that generous staffing keep changing. The inspection record is recent and the health inspection score sits near the top, but nine deficiencies are on file, one serious enough to involve harm or jeopardy. No abuse citations appear. For-profit corporate ownership. Strong quality measure scores and heavy staffing are the real story here; the turnover and that one harm-level finding are what to ask about directly.

B

81/100

Pointe Meadows Health And Rehabilitation

Lehi, UT · Utah County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
50%
Serious cites
0

Pointe Meadows runs 99 certified beds as a for-profit corporation, and its staffing sits below the national average, 3.68 nurse hours per resident day against 3.86 nationally. Weekends drop roughly 14% below its own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. Staff turnover is 49.6%, higher than the 45.8% national figure, which means nearly half the nursing staff changes over in a year. The inspection record is clean where it matters most: 22 deficiencies on file, but none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. A B grade here reflects solid clinical quality measures and inspections against staffing you'd want to watch.

B

81/100

The Boulevard Post Acute

Fairfax, VA · Fairfax City County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
42%
Serious cites
0

The Boulevard Post Acute runs 81 beds in Fairfax under for-profit LLC ownership, and its last full health inspection was in March 2022, meaning the record you're looking at is roughly three years old. That record carries 22 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Staff turnover sits at 42%, a bit better than the 45.8% national average, and its quality measure rating is strong at 4 out of 5, though the health inspection rating is only 3. The staffing picture is steadier than most, but the inspection history is where the real questions live.

B

81/100

Alderwood Park Health And Rehab Of Cascadia

Bellingham, WA · Whatcom County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
48%
Serious cites
0

Alderwood Park runs 102 beds in Bellingham under for-profit LLC ownership, and its staffing sits at 3.98 nurse hours per resident day, modestly above the national average of 3.86. The catch is weekends, when coverage drops roughly 10% below what the home itself staffs on weekdays, and turnover lands at 48% against a national 45.8%. Inspections look solid on the surface: a January 2026 survey, 4 of 5 stars, and no deficiencies at the harm or jeopardy level. But 45 total deficiencies are on the current record, three of them abuse-related, which is worth asking about directly before you visit.

B

81/100

Avalon Health & Rehabilitation Center - Pasco

Pasco, WA · Franklin County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
48%
Serious cites
0

Avalon Health & Rehabilitation Center runs 108 beds in Pasco under corporate for-profit ownership, and its staffing sits at 3.93 nurse hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 13% below its own weekday levels. The concerning part is the inspection record: 91 deficiencies, including 3 at the harm or jeopardy level and 11 tied to abuse. Staff turnover is 47.6%, slightly worse than the 45.8% national figure. CMS gave it 1 out of 5 stars for health inspections, with a 4 out of 5 on quality measures and 3 out of 5 on staffing. The most recent inspection was May 2025.

B

81/100

Life Care Center Of Port Townsend

Port Townsend, WA · Jefferson County

CMS 5/5 94 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
54%
Serious cites
0

Life Care Center of Port Townsend runs a for-profit operation with 94 beds, and its staffing sits slightly above the national average at just under four nurse hours per resident day. That margin is thin, and weekends dip about 10% below the home's own weekday coverage, so care can feel different depending on when you visit. Staff turnover lands at 54%, noticeably higher than the 45.8% national figure, which matters for whether your parent sees the same faces. The inspection record shows 22 deficiencies, including one at the harm level and two tied to abuse, plus a $34,808 fine. Quality and inspection scores are strong, but those findings are the part worth asking about directly.

B

81/100

Life Care Center Of Puyallup

Puyallup, WA · Pierce County

CMS 2/5 102 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
36%
Serious cites
0

Life Care Center Of Puyallup runs a for-profit operation under a limited liability company, and its 102 beds are staffed at 4.47 nurse hours per resident day, roughly 16% above the national average, with a 4-out-of-5 staffing rating to match. Turnover sits at 35.5%, better than the 45.8% national figure, though weekend coverage drops about 15% below weekday levels. The trouble is on the health inspection side: a 2-out-of-5 rating, 37 deficiencies on record including one at the harm or jeopardy level and three tied to abuse. That inspection history, last updated April 2026, is what drags an otherwise solid staffing picture down.

B

81/100

Meadowbrook Acres

Charleston, WV · Kanawha County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
53%
Serious cites
0

Meadowbrook Acres runs 60 beds in Charleston under corporate ownership, and its nurse staffing sits just above the national average, 3.94 hours per resident day against 3.86. That margin is thin, and weekends drop about 12% below its own weekday levels, so coverage isn't evenly spread across the week. Annual turnover hits 52.6%, well past the 45.8% national figure, which means familiar faces are harder to count on. The current inspection record carries 56 deficiencies, five of them abuse-related, though none rise to harm or jeopardy. State inspectors were last in on April 14, 2025. Quality measures score well; the staffing and inspection numbers are where the questions sit.

B

81/100

Cabell Healthcare Center

Culloden, WV · Cabell County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
40%
Serious cites
0

Cabell Healthcare Center runs 90 beds in Culloden under LLC ownership, and the numbers behind its grade are a mixed bag worth walking through. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 13% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is the brighter spot: 39.8% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The 29 deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection was August 2025, so the picture is current. Ask about weekend coverage specifics before you decide.

B

81/100

Edenbrook Of Wisconsin Rapids

Wisconsin Rapids, WI · Wood County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
44%
Serious cites
0

Edenbrook Of Wisconsin Rapids runs a tight operation on paper. Nurse staffing sits at 3.90 hours per resident day, just a hair above the national average, though weekends dip about 10% below the home's own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover comes in at 44.1%, slightly better than the national figure, and the home's inspection record shows seven deficiencies with none rising to harm or jeopardy, though one is abuse-related. Inspectors were last on site in February 2025. Three of four CMS star categories land at 4 out of 5, which lines up with a B-grade profile: solid, not spotless.

B

81/100

Oakwood Health Services

Altoona, WI · Eau Claire County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
32%
Serious cites
0

Oakwood Health Services runs about 4.08 nurse hours per resident per day, roughly 6% above the national average, and its staff turnover of 32.1% sits well below the 45.8% national figure, a sign people tend to stay. The catch: weekend staffing drops about 13% below weekday levels, so coverage thins exactly when families visit. The current record shows 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $36,552 in fines across two penalties. That combination of steady weekday staffing and a heavy enforcement history is what pulls the grade down to a C.

B

81/100

Holton Manor

Elkhorn, WI · Walworth County

CMS 2/5 60 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
52%
Serious cites
0

Holton Manor runs on a nonprofit model with 60 beds, and its staffing sits about 12% above the national average, 4.31 nurse hours per resident day against 3.86. That extra coverage is real, though weekends dip roughly 10% below the home's own weekday level and turnover runs 51.8%, higher than the 45.8% national figure. The inspection record is strong on its face: a 5-star health inspection rating and a recent survey from November 2024. But seven deficiencies sit on the current record, including one at the harm or jeopardy level and two tied to abuse. High marks and serious citations are both true here, which is worth asking about directly.

B

81/100

Soldiers Grove Health Services

Soldiers Grove, WI · Crawford County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
9%
Serious cites
0

Soldiers Grove Health Services runs 50 certified beds under corporate for-profit ownership, and its staffing story is mixed. Nurses provide 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage dips when families tend to visit. What stands out is retention: 8.8% annual turnover against a national average near 46%, which suggests a stable crew even if the raw hours lag. The inspection record is where caution is warranted: 24 deficiencies on file, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in July 2025.

B

81/100

View Park Convalescent Center

Los Angeles, CA · Los Angeles County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
51%
Serious cites
0

View Park Convalescent Center sits in Los Angeles with 99 certified beds and corporate for-profit ownership. Nurse staffing runs 4.01 hours per resident day, about 4% above the national average, but weekends dip roughly 9% below its own weekday level, and annual turnover hits 50.9% against a 45.8% national figure, meaning the people caring for your relative are more likely than average to be new or on their way out. The inspection record is the real concern: 63 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with a $28,106 fine on file and a 2-out-of-5 inspection rating.

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