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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 2301–2320 of 10,187, best-graded first.

B

80.5/100

Arbor Lake Health And Rehab

Auburn, AL · Lee County

CMS 3/5 87 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
52%
Serious cites
0

Arbor Lake runs on thinner nurse coverage than most homes, 3.62 hours per resident day against a national average of 3.86, and weekends dip about 22% below its own weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover sits at 51.7%, well above the 45.8% national figure, which matters because aides who know the residents are the ones who catch small problems early. The good news: seven deficiencies on record with none at harm or jeopardy level, no abuse findings, and a 5/5 on quality measures. The catch is that last inspection was August 2023, and a 2/5 inspection rating means past surveys weren't clean.

B

80.5/100

The Springs Jonesboro

Jonesboro, AR · Craighead County

CMS 4/5 136 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

The Springs Jonesboro runs 136 beds as a for-profit LLC, and its nurse staffing sits at 3.98 hours per resident day, about 3% above the national average. That edge shrinks on weekends, when coverage drops roughly 19% below its own weekday level, so the floor is thinner exactly when families tend to visit. Staff turnover lands at 43.5%, a touch better than the 45.8% national figure, and the home's 15 deficiencies include no harm-or-jeopardy citations, though one is abuse-related. Its last inspection was June 13, 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 4 of 5.

B

80.5/100

The Springs Of Fairfield Bay

Fairfield Bay, AR · Van Buren County

CMS 3/5 55 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
64%
Serious cites
0

The Springs of Fairfield Bay sits about even with the national average on nurse staffing hours per resident day, but that average hides a gap: weekends run roughly 15 percent thinner than weekdays, so the coverage your family member gets depends on which day it is. Staff turnover is the bigger concern at 63.6 percent, well above the 45.8 percent national average, which means caregivers are cycling through faster than most homes. On the plus side, the inspection record is clean where it matters most: nine deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent February 2026 inspection and a four-star health inspection rating. The quality measures are strong at five stars. If you're weighing this home, ask specifically about weekend coverage and how they keep consistent caregivers.

B

80.5/100

The Springs Of Mine Creek

Nashville, AR · Howard County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
52%
Serious cites
0

The Springs of Mine Creek sits in Nashville, Arkansas with 78 certified beds, run by a for-profit limited liability company. Its inspection record is the strongest part of the picture: a five-star health inspection rating, eight total deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent inspection done in February 2026. Staffing is where it slips. At 3.79 nurse hours per resident day, it runs about 2% under the national average of 3.86, and weekends drop roughly 18% below its own weekday levels. Annual turnover of 52.1% is well above the 45.8% national figure, so even with good survey results and quality measures, the people providing daily care are changing often.

B

80.5/100

Cabot Health And Rehab, Llc

Cabot, AR · Lonoke County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
49%
Serious cites
0

Cabot Health and Rehab runs 89 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average. That headline number comes with a catch: weekends run about 17% leaner than weekdays, so coverage depends on when you visit. Staff turnover is 48.9%, a few points above the national 45.8%, meaning faces change fairly often. The inspection record shows 27 deficiencies, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2026. Quality measures score well; the health inspection side is more mixed.

B

80.5/100

Lonoke Health And Rehab Center, Llc

Lonoke, AR · Lonoke County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
60%
Serious cites
0

Lonoke Health and Rehab runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. That headline number comes with a catch: weekends run about 16% below the home's own weekday staffing, so coverage thins out when families tend to visit. Annual turnover hits 60.2% against a national 45.8%, meaning a large share of the people caring for residents are still new to the building. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026.

B

80.5/100

Timberlane Health & Rehabilitation

El Dorado, AR · Union County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
43%
Serious cites
0

Timberlane runs 4.06 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 16% below its own weekday staffing. Turnover sits at 42.9%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The inspection record shows 12 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the last survey was recent, February 2026, so the 4-star health inspection rating reflects current conditions rather than an old, stale review. A for-profit limited liability company operates the 106-bed home. The staffing star rating comes in at 3 of 5, which is the number worth watching given that weekend dip.

B

80.5/100

Katherine's Place At Wedington

Fayetteville, AR · Washington County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
50%
Serious cites
0

Katherine's Place At Wedington runs a 119-bed for-profit operation, and its staffing sits at 4.13 nurse hours per resident day, roughly 7% above the national average. That cushion narrows on weekends, though, when hours drop about 16% below the home's own weekday pace, and half the staff turned over in the past year, a bit worse than the 45.8% national figure. The inspection record shows 22 deficiencies with none at the harm or jeopardy level, though two are abuse-related, and the most recent survey came in September 2025. Quality measures score at the top of CMS's scale while inspections and staffing land mid-range, a home where care processes look strong but consistency and past compliance are the open questions.

B

80.5/100

Parkview Healthcare Center

Anaheim, CA · Orange County

CMS 4/5 41 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
—
Serious cites
0

Parkview Healthcare Center is a 41-bed for-profit home in Anaheim, and the numbers tell a mixed story. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, though weekends run roughly 6% lighter than weekdays, worth asking about if your family visits on Saturdays or Sundays. The inspection record shows 65 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. CMS gives it 5 stars for quality measures but only 2 for staffing, and the company is a limited liability entity, which can limit what's recoverable in a dispute.

B

80.5/100

Centinela Skilled Nursing & Wellness Centre West

Inglewood, CA · Los Angeles County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
—
Serious cites
0

Centinela Skilled Nursing & Wellness Centre West is a 59-bed for-profit home in Inglewood, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, a clean recent survey in November 2025, and 32 deficiencies on file with none rising to harm or jeopardy. One abuse-related deficiency is worth asking about directly, since those tend to say more about a building's culture than raw counts do. Where the picture gets more mixed is staffing. Overall nurse hours run slightly above the national average, but weekends drop roughly 8 percent below this home's own weekday coverage, and the staffing rating sits at 2 out of 5. That gap is the thing to press on: who's actually in the building on a Saturday, and how many residents per aide.

B

80.5/100

Bay Marina Post Acute

Oakland, CA · Alameda County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
—
Serious cites
0

Bay Marina runs 4.02 nurse hours per resident day, a bit above the national average of 3.86, but weekends drop about 7% below its own weekday coverage. That gap matters less than the inspection record: 53 deficiencies on file, including 8 tied to abuse, with three fines totaling $22,584. None of those deficiencies rose to harm or jeopardy level, and the most recent inspection was in March 2025, so the picture is current. The quality measure score is strong, staffing is middling, and the health inspection side is where the trouble sits. A for-profit LLC operating 94 beds in Oakland.

B

80.5/100

The Healthcare Resort Of Colorado Springs

Colorado Springs, CO · El Paso County

CMS 3/5 97 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
54%
Serious cites
0

The Healthcare Resort Of Colorado Springs runs 97 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.80 hours per resident day, roughly 24% above the national average of 3.86. That's a real cushion, though weekends dip about 17% below the home's own weekday levels, so coverage isn't perfectly even across the week. The harder numbers are on the inspection side: 21 deficiencies on the current record, including one at harm or jeopardy level and four tied to abuse. A $79,098 fine stands against that, and the last inspection was June 26, 2025. Staff turnover runs 54.3% against a national 45.8%, which means a lot of the people providing that above-average staffing are relatively new. Quality measures score well; the inspection history is what pulls the overall picture down.

B

80.5/100

Hillside Health And Rehabilitation Center

Zephyrhills, FL · Pasco County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
—
Serious cites
0

Hillside runs about 3.54 nurse staffing hours per resident day, roughly 8% under the national average of 3.86, and weekends dip another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 28 deficiencies on record include nothing flagged at the harm or jeopardy level and nothing abuse-related, which matters, and the one fine totals $3,728. Its quality measure score is perfect while the health inspection and staffing ratings sit at 2 out of 5 each, a split worth noticing: the home reports strong clinical outcomes even as its last inspection, in August 2025, and its day-to-day staffing tell a more mixed story. Individual for-profit ownership, 120 beds.

B

80.5/100

Silvercrest Health And Rehabilitation Center

Crestview, FL · Okaloosa County

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

Silvercrest runs a tight ship on the clinical side, a four-out-of-five inspection rating and a perfect five on quality measures, with seven deficiencies on record and none of them serious enough to cause harm or involve abuse. The catch is staffing. At 3.73 nurse hours per resident day, it sits just under the national average of 3.86, and weekend coverage drops about 12% below what the home staffs on weekdays. That dip matters most when something goes wrong on a Saturday. A for-profit LLC operates the 60-bed building, and its last full inspection was in April 2025, so the record is current. If your family member needs steady weekday attention and skilled clinical care, the numbers look reasonable; if you'll be visiting mainly on weekends, ask how that gap gets covered.

B

80.5/100

Chautauqua Springs Health Center

Defuniak Springs, FL · Walton County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
—
Serious cites
0

Chautauqua Springs runs 180 certified beds under for-profit LLC ownership in Defuniak Springs, and its inspection record is genuinely clean, seven deficiencies on file, none at the harm or jeopardy level, nothing abuse-related, and a survey as recent as March 2025. Quality measures score at the top of CMS's scale, so the clinical outcomes it reports look strong. Where it gives ground is staffing: 3.56 total nurse hours per resident day sits roughly 8% under the national average, and weekends run about 9% thinner than its own weekdays. A place can post good numbers and still feel stretched on a Sunday. If you're considering it, ask how coverage holds up on weekends.

B

80.5/100

Osprey Point Nursing Center

Bushnell, FL · Sumter County

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

Osprey Point runs a 60-bed for-profit home in Bushnell, and the numbers tell a fairly steady story. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 8% below the home's own weekday coverage, worth asking about if your family visits or calls mostly on Saturdays and Sundays. The good news is the care record: 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a fresh inspection in March 2025 and strong marks on quality measures. Limited liability ownership means you'll want to know who's actually running day-to-day operations before you decide.

B

80.5/100

Pruitthealth - Blue Ridge

Blue Ridge, GA · Fannin County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
41%
Serious cites
0

Pruitthealth - Blue Ridge runs 101 certified beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends drop about 15% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 41.3%, a bit better than the 45.8% national figure, and the inspection record is clean where it matters most: 22 deficiencies, but none at the harm or jeopardy level and none abuse-related. A recent July 2025 inspection and strong marks on quality measures round out a home that's decent on care outcomes, lighter on daily staffing consistency.

B

80.5/100

Pruitthealth - Seaside

Port Wentworth, GA · Chatham County

CMS 3/5 101 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
34%
Serious cites
0

Pruitthealth - Seaside runs 101 certified beds in Port Wentworth under corporate for-profit ownership, and its staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 20% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover, though, is a genuine bright spot at 33.9% against a national 45.8%, and the inspection record shows 14 deficiencies with none at harm or jeopardy level and nothing abuse-related. The last inspection was September 2025. Quality measures score well; staffing and inspections are middle of the pack.

B

80.5/100

Miller's Merry Manor

Plymouth, IN · Marshall County

CMS 4/5 131 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
56%
Serious cites
0

Miller's Merry Manor in Plymouth runs 131 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. That cushion narrows on weekends, when hours drop about 16% below the home's own weekday level. Staff turnover is the sharper concern: 56% annually against a 45.8% national figure, meaning more than half the nursing staff turns over in a year. The current record shows 20 deficiencies, none at harm or jeopardy level, though 2 are abuse-related. Its last inspection was February 2025. Quality measures score well; health inspections are middling.

B

80.5/100

Harbour Manor Health & Living Community

Noblesville, IN · Hamilton County

CMS 4/5 129 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
41%
Serious cites
0

Harbour Manor runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, with weekends staffing about 18 percent below its own weekday level. That matters most on Saturdays and Sundays, when needs don't drop just because the schedule does. Turnover sits at 41.1 percent, a bit better than the national 45.8, so the staff who are there tend to stay. The 17 deficiencies on record include one at the harm level and four tied to abuse, which is the number to ask about directly. The most recent inspection was in December 2025, so the picture is current. Quality measures look strong; daily coverage and that abuse history are where the questions are.

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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