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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 2321–2340 of 10,187, best-graded first.

B

80.5/100

Saint Anthony Rehab And Nursing Center

Lafayette, IN · Tippecanoe County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
35%
Serious cites
0

Saint Anthony Rehab And Nursing Center runs 120 certified beds in Lafayette under corporate, for-profit ownership, and its inspection record is genuinely solid: a four-star health inspection rating with nine total deficiencies, none at the harm or jeopardy level. The one abuse-related citation is worth asking about directly. Staffing is the weaker spot, 3.66 nurse hours per resident day sits about 5% under the national average, and weekends run roughly 16% lighter than weekdays, so coverage can thin out when families visit. Turnover, though, is a real bright spot at 35% against a national average near 46%, which suggests a more stable crew than most. The last inspection was September 2025, so the picture is current.

B

80.5/100

New Hampton Nursing & Rehab Center

New Hampton, IA · Chickasaw County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
28%
Serious cites
0

New Hampton Nursing & Rehab runs 46 beds as a for-profit corporation, and its staffing sits at 3.32 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, about 17% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Turnover is the bright spot: 27.6% against a national 45.8%, which suggests aides and nurses tend to stay. But the current inspection record includes five deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in July 2025. Staff retention helps; the survey history is what a family should ask about directly.

B

80.5/100

Accura Healthcare Of Ogden, Llc

Ogden, IA · Boone County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
29%
Serious cites
0

Accura Healthcare of Ogden runs 46 beds under corporate ownership, and its state inspection record sits at two stars, with 22 deficiencies logged. None of those reached the harm or jeopardy level, and none involved abuse, worth knowing, since "22 deficiencies" can sound worse than it is. Staffing is the interesting part: 3.21 nurse hours per resident day is roughly 17% under the national average, and weekends drop about 19% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover, though, is 29% against a national 45.8%, meaning the people who are there tend to stay. The last inspection was September 2025.

B

80.5/100

Wakefield Care And Rehab

Wakefield, KS · Clay County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
32%
Serious cites
0

Wakefield Care and Rehab runs 45 certified beds under corporate ownership, and its staffing picture is genuinely better than most: 4.01 nurse hours per resident day, roughly 4% above the national average, with turnover at 32.4% against a national 45.8%. That's a workforce that stays put more than the typical home. Weekends tell a different story, though, coverage drops about 18% below the facility's own weekday level. The inspection record is current, dated September 2025, with 12 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $15,593. Quality measures score low even as staffing scores high, so the numbers don't move in the same direction.

B

80.5/100

Baton Rouge Health Care Center

Baton Rouge, LA · E. Baton Rouge County

CMS 5/5 145 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
43%
Serious cites
0

Baton Rouge Health Care Center runs more nurse hours per resident than most homes, 4.45 a day against a national average of 3.86, but the coverage thins out on weekends, dropping about 20% below its own weekday level. The inspection record is the real concern: 17 deficiencies, five of them serious enough to put residents at risk of harm, and two fines adding up to $63,663, with the most recent inspection in October 2025. Staff turnover sits at 43.2%, slightly better than the 45.8% national figure, and the nonprofit corporate owner doesn't change any of that. The strong quality scores and above-average staffing are real, but the harm-level deficiencies are what a family should ask about directly.

B

80.5/100

Landmark Of Acadiana

Saint Martinville, LA · St. Martin County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
37%
Serious cites
0

Landmark of Acadiana runs 124 beds under for-profit LLC ownership, and its recent inspection history is genuinely clean, 16 deficiencies on the current record, none at the harm or jeopardy level and none related to abuse. The tradeoffs show up in staffing. At 3.74 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 22% below its own weekday coverage, which matters most when families visit. Staff turnover of 36.8% is better than the national 45.8%, so the people who stay tend to stay. Last inspected February 2026.

B

80.5/100

Medilodge Of Midland

Midand, MI · Midland County

CMS 5/5 107 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
44%
Serious cites
0

Medilodge of Midland runs 107 certified beds as a for-profit corporation, and its staffing sits right on the national average, 3.85 nurse hours per resident day against 3.86 nationally. The catch is weekends, when hours drop roughly 17% below what the home staffs during the week. Staff turnover lands at 44.1%, a touch under the 45.8% national figure, so retention isn't the problem here. Inspections tell a clean story: 12 deficiencies on record, none at harm or jeopardy level, none abuse-related, with the most recent visit in August 2025. Quality measures score near the top of CMS's scale while staffing rates middle-of-the-road, a home getting good clinical outcomes without especially deep nurse coverage.

B

80.5/100

Medilodge Of Shoreline

Sterling Heights, MI · Macomb County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
35%
Serious cites
0

Medilodge Of Shoreline runs on thinner nurse coverage than most homes, 3.58 hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The good news sits in the inspection record: 26 deficiencies, but none at the harm or jeopardy level and none tied to abuse, with a survey done in January 2026. Staff turnover of 34.5% is meaningfully better than the 45.8% national figure, which suggests less churn in who's actually at the bedside.

B

80.5/100

Rivergate Terrace

Riverview, MI · Wayne County

CMS 3/5 288 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
35%
Serious cites
0

Rivergate Terrace runs 288 certified beds under for-profit LLC ownership in Riverview, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86. Weekends get thinner still, running about 16% below the home's own weekday coverage, so families should ask who's actually on the floor on a Sunday. Turnover is the bright spot: 34.5% against a national 45.8%, which suggests a more stable crew than most. The record is mixed elsewhere, 37 deficiencies, including one at harm or jeopardy level and two tied to abuse, with the most recent inspection in March 2026.

B

80.5/100

Medilodge Of Campus Area

East Lansing, MI · Ingham County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
46%
Serious cites
0

Medilodge Of Campus Area runs 102 beds in East Lansing under corporate ownership, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86 nationwide. That headline number hides a real gap, though: weekends run about 17 percent thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover is 45.8 percent, identical to the national figure, which tells you retention here is neither better nor worse than the typical home. The record shows 42 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in April 2026.

B

80.5/100

Southview Acres Healthcare Center

West Saint Paul, MN · Dakota County

CMS 2/5 210 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
—
Serious cites
0

Southview Acres runs on 4.27 nurse hours per resident day, about 11% above the national average, and its staffing and quality measure ratings both come in at 4 out of 5, so the day-to-day care numbers look solid. The problem sits in the inspection record: 43 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $41,555 fine. Weekend staffing drops roughly 11% below weekday levels, which matters if your family visits or needs help on Saturdays and Sundays. For-profit corporate ownership, 210 beds, and a 2 out of 5 inspection rating mean the compliance side has been the weak spot, even while staffing holds up.

B

80.5/100

Meadville Convalescent Home

Meadville, MS · Franklin County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
34%
Serious cites
0

Meadville Convalescent Home, a for-profit LLC in Franklin County, runs 60 certified beds and staffs nurses at 4.94 hours per resident day, roughly 28% above the national average of 3.86. That staffing strength is undercut by two things: weekends run about 24% leaner than weekdays, and the quality measure rating sits at 1 out of 5. Staff turnover is 34%, better than the national 45.8%, and the most recent health inspection was August 21, 2025, so the record is current. Eighteen deficiencies are on file, none at the harm or jeopardy level, though one is abuse-related. The staffing star of 5 and inspection star of 3 are doing the heavy lifting here; the quality measures are the weak point.

B

80.5/100

River Place Nursing Center

Amory, MS · Monroe County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
25%
Serious cites
0

River Place runs lean on nurse hours, 3.65 per resident day against a national average of 3.86, and weekends get thinner still, with staffing dropping roughly 19% below weekday levels. That weekend gap matters more than the small overall shortfall, since it's when families tend to visit and when problems can go unnoticed. What stands out in the other direction is turnover: 25% annually, well under the national 45.8%, meaning the people caring for residents tend to stick around. The inspection record is current, from December 2025, with 12 deficiencies and none rising to harm or jeopardy, though two are abuse-related and worth asking about directly.

B

80.5/100

Valle Vista Rehabilitation And Nursing Llc

Lewistown, MT · Fergus County

CMS 4/5 101 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
43%
Serious cites
0

Valle Vista runs lean on nursing hours, 3.15 per resident day against a national average of 3.86, and weekends drop about 22% below its own weekday coverage. That's the pattern families notice when a call button goes unanswered on a Sunday. Turnover sits at 42.5%, slightly better than the 45.8% national figure, and the health inspection record is strong: 16 deficiencies on file, none at the harm level, though two are abuse-related. The last full inspection was May 2025, so the picture is recent. For-profit LLC ownership out of Lewistown, 101 beds. The low-harm record and high quality scores are real; the thin weekend staffing is the thing to ask about directly.

B

80.5/100

Ridgewood Rehabilitation & Care Center

Seward, NE · Seward County

CMS 4/5 82 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
31%
Serious cites
0

Ridgewood runs a tight ship on the staffing side. Its 4.19 nurse hours per resident day sit about 9% above the national average, and an annual turnover rate of 31.3% is well under the 45.8% national figure, which suggests people tend to stick around. Weekend coverage dips roughly 18% from its weekday level, so that's worth asking about if your family member needs care on Saturdays and Sundays. The inspection record shows 11 deficiencies but none at the harm level and none abuse-related, and the last survey was in January 2025. Quality measure scores come in at 2 stars, lower than the staffing picture would suggest, so ask what's driving those numbers.

B

80.5/100

Henry J. Carter Skilled Nursing Facility

Manhattan, NY · New York County

CMS 4/5 164 beds Government Medicaid
Nurse hours
6.09 /day
Staff turnover
30%
Serious cites
0

Henry J. Carter is a city-run home in Manhattan with 164 beds, and its staffing is the headline: 6.09 nurse hours per resident day, roughly 58% above the national average, with weekend coverage dipping about 18% below its own weekday levels. Turnover sits at 30% against a national 45.8%, which suggests people tend to stay. The trade-off shows up in its record, nine deficiencies, including one at the harm level and one tied to abuse, plus a $17,345 fine, with the most recent inspection in October 2025. Strong staffing and stable retention, but a survey history worth asking about directly.

B

80.5/100

Absolut Center For Nursing And Rehabilitation At A

East Aurora, NY · Erie County

CMS 3/5 320 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
42%
Serious cites
0

Absolut Center for Nursing and Rehabilitation at A runs 320 certified beds in East Aurora under for-profit LLC ownership, and its staffing sits about 13% under the national average at 3.37 nurse hours per resident day. Weekends thin out further, roughly 17% below the home's own weekday coverage, so the gap families notice most is the one on Saturdays and Sundays. The 42.2% annual turnover is slightly better than the 45.8% national figure, and the current record shows 14 deficiencies with none at harm level, though one is abuse-related. Its last inspection came in December 2024.

B

80.5/100

Oasis Rehabilitation And Nursing, Llc

Center Moriches, NY · Suffolk County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
29%
Serious cites
0

Oasis Rehabilitation and Nursing runs 100 beds in Center Moriches under for-profit LLC ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends run about 17% thinner than weekdays, worth asking about if your family visits or needs coverage on Saturdays and Sundays. What stands out is retention: 28.6% annual turnover against a national average of 45.8%, which suggests a more stable crew than most places. The inspection record is clean where it matters, 8 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in February 2026. Quality and inspection measures both rate at the top of CMS's scale; staffing lands in the middle.

B

80.5/100

Lockport Rehab & Health Care Center

Lockport, NY · Niagara County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
40%
Serious cites
0

Lockport Rehab & Health Care Center runs 82 beds under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating and a March 2026 survey, with no deficiencies at the harm or jeopardy level. Two abuse-related citations still sit on the current record, which is worth asking about directly. Nurse staffing lands at 3.74 hours per resident day, a bit under the national average, and weekends run roughly 16 percent thinner than weekdays. Turnover of 40.3 percent is better than the 45.8 percent national figure. Ask how coverage holds up on Saturday and Sunday.

B

80.5/100

Grace Heights Health & Rehabilitation

Morganton, NC · Burke County

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

Grace Heights runs 120 certified beds in Morganton under for-profit LLC ownership, and its inspection record is genuinely clean: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with a survey completed in January 2026. Federal quality measures also score 5 out of 5, and total nurse staffing sits at 3.88 hours per resident day, roughly a hair above the national average of 3.86. The catch is how thin that margin is and where it thins further, weekend staffing drops about 11% below the home's own weekday level, and CMS rates staffing just 2 out of 5. Inspections and outcomes look strong here; the daily coverage underneath them is the part worth asking about.

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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