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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 2341–2360 of 10,187, best-graded first.

B

80.5/100

Scottish Pines Rehabilitation And Nursing Center

Laurinburg, NC · Scotland County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
29%
Serious cites
0

Scottish Pines runs about 3.87 nursing hours per resident per day, essentially matching the national average of 3.86, though weekends drop roughly 17% below weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. Staff turnover sits at 28.8%, well under the national 45.8%, which suggests people tend to stay. The home carries five deficiencies on its current record, none involving harm, jeopardy, or abuse, and its last inspection was in December 2025. It's a for-profit corporation with 149 certified beds, holding a 4-star health inspection rating alongside 3 stars each for quality measures and staffing.

B

80.5/100

Smp Health - Maryhill

Enderlin, ND · Ransom County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
31%
Serious cites
0

Maryhill in Enderlin runs a tight ship on the things you'd notice day to day: nurse staffing sits at 4.11 hours per resident, noticeably above the national figure, and only about a third of its caregivers leave each year compared to nearly half elsewhere. The tradeoff shows up in the clinical numbers, a two-out-of-five quality measure rating and fourteen deficiencies on the current record, one serious enough to involve harm or jeopardy. Inspectors were last in the building in November 2025 and logged a single fine just over $10,000. Weekend coverage drops roughly 18% from weekday levels, so ask how that plays out on a Saturday.

B

80.5/100

Flint Ridge Nrsg & Rehab Ctr

Newark, OH · Licking County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
43%
Serious cites
0

Flint Ridge runs a for-profit LLC operation with 99 certified beds in Newark, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average. That headline number has some slack in it, though: weekends drop about 15% below the home's own weekday coverage, so the help you get depends on when you visit. Turnover lands at 43%, a touch better than the 45.8% national figure, and the current record shows 57 deficiencies, two of them serious enough to involve harm or jeopardy. No abuse findings. The last inspection was in May 2025. Quality measures score well, but the inspection history is where the real story sits.

B

80.5/100

Parkside Health Care Center

Columbiana, OH · Columbiana County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
30%
Serious cites
0

Parkside runs leaner on nursing hours than most homes, 3.37 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly a fifth below its own weekday staffing. What stands out in the other direction is retention: turnover at 29.6% is well below the 45.8% national figure, which suggests people tend to stay. The inspection record shows 30 deficiencies, none rising to actual harm or jeopardy, but five tied to abuse, a category worth asking about directly. State inspectors were last in during August 2025, so the picture is current.

B

80.5/100

Vancrest Health Care Center Of Eaton

Eaton, OH · Preble County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
32%
Serious cites
0

Vancrest Health Care Center of Eaton runs on 4.09 nurse hours per resident per day, roughly 6% above the national average of 3.86, and its staff turnover of 32.1% sits well below the 45.8% national figure, a sign people stick around here more than they do at the typical home. The tradeoff shows up on weekends, when staffing drops about 18% below its own weekday level. Twelve deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 26, 2026. A 3/5 on inspections and 4/5 on quality measures rounds out a record that's steady rather than spotless.

B

80.5/100

Otterbein At Granville

Granville, OH · Licking County

CMS 5/5 22 beds Non-profit
Nurse hours
4.46 /day
Staff turnover
56%
Serious cites
0

Otterbein At Granville is small, 22 certified beds, and it's run by a nonprofit corporation, which tends to mean steadier oversight than you'd get at a for-profit chain. Nurse staffing sits at 4.46 hours per resident day, about 16 percent above the national average of 3.86, and both its health inspection and quality measure ratings come back perfect from CMS. The catch is turnover: 55.6 percent annually against a national average of 45.8, and weekend staffing drops roughly 19 percent below its own weekday level. Six deficiencies are on record with none at the harm level, though one is abuse-related. The inspection is recent, dated April 2026.

B

80.5/100

Windridge Nursing And Rehabilitation Center

Miami, OK · Ottawa County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
—
Serious cites
0

Windridge runs a fairly typical for-profit limited-liability setup, and the numbers tell a mixed story. The health inspection record is clean where it matters most, 17 deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related, with the most recent survey from December 2025. Quality measures also score well. The soft spot is staffing: 3.47 nurse hours per resident day sits about 10% under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Families should ask how that thinning plays out on Saturday afternoons.

B

80.5/100

Osage Nursing Home, Llc

Nowata, OK · Nowata County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
41%
Serious cites
0

Osage Nursing Home runs a 50-bed for-profit operation in Nowata, and the staffing picture is its strongest card: 4.24 nurse hours per resident day, roughly 10% above the national average of 3.86. That said, weekends run about 15% leaner than weekdays, so coverage isn't perfectly even across the week. Turnover sits at 40.9%, a bit better than the 45.8% national figure. The tradeoff shows up elsewhere. Inspectors logged 19 deficiencies on the current record, none at harm or jeopardy level, none abuse-related, and the last visit was February 2025. Quality measures score low, and the inspection history lands mid-range. Solid hands-on care, softer marks on clinical outcomes.

B

80.5/100

Concordia At Rebecca Residence

Allison Park, PA · Allegheny County

CMS 4/5 60 beds Non-profit
Nurse hours
3.74 /day
Staff turnover
44%
Serious cites
0

Concordia At Rebecca Residence runs 60 certified beds in Allegheny County under nonprofit corporate ownership. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average of 3.86, and weekends run roughly 20% thinner than weekdays, worth knowing if your visits fall on Saturdays or Sundays. Turnover is 43.5%, slightly better than the national 45.8%. The inspection record shows 28 deficiencies, none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. A March 2025 inspection means the record is current. Quality measures score well; staffing and inspections sit in the middle.

B

80.5/100

Rock Hill Post Acute Care Center

Rock Hill, SC · York County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
47%
Serious cites
0

Rock Hill Post Acute Care Center runs 99 certified beds as a for-profit LLC, and its recent inspection record is genuinely solid: seven deficiencies on file, none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 17% below the home's own weekday coverage. Annual turnover of 47.1% edges past the national figure of 45.8%, which matters most on weekends when fewer familiar hands are on the floor. The most recent inspection was September 2025, so the picture is current.

B

80.5/100

Compass Post Acute Rehabilitation

Conway, SC · Horry County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
45%
Serious cites
0

Compass Post Acute Rehabilitation in Conway runs about 3.34 nurse hours per resident per day, roughly 13 percent under the national average of 3.86, and weekend staffing drops another 15 percent below its own weekday levels. That thinner weekend coverage is worth asking about directly, especially if your family member needs more help on Saturdays and Sundays. Turnover sits at 44.9 percent, essentially matching the national rate, so staffing stability isn't the standout problem here, raw hours are. The inspection record is cleaner than most: three deficiencies on file, none involving harm or abuse, with the most recent survey in April 2025. Quality measures score well; staffing is the weakest of the three federal ratings.

B

80.5/100

Nhc Healthcare, Sequatchie

Dunlap, TN · Sequatchie County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Nhc Healthcare, Sequatchie runs 110 certified beds in Dunlap under corporate for-profit ownership, and its strongest numbers are on the clinical side, the federal quality measures come in at the top of the scale. Nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86, though weekends drop about 17% below the home's own weekday coverage, so the care floor thins out on Saturdays and Sundays. Staff turnover lands at 46.6%, right in line with the national 45.8%, meaning nearly half the workforce turns over in a year. Seven deficiencies sit on the current record with none at harm level and no abuse findings, and the most recent inspection was April 2026.

B

80.5/100

Life Care Center Of Cleveland

Cleveland, TN · Bradley County

CMS 2/5 142 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
33%
Serious cites
0

Life Care Center of Cleveland runs 142 certified beds under corporate for-profit ownership, and its staffing sits at 3.73 nurse hours per resident day, about 3% under the national average of 3.86. Weekends drop roughly 15% below its own weekday coverage, so if you're planning visits or checking in on care, that gap is worth knowing about. The good news on retention: turnover here is 32.9%, well below the 45.8% national figure, which suggests a steadier crew than many homes manage. State inspectors logged 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025.

B

80.5/100

Diversicare Of Martin

Martin, TN · Weakley County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
43%
Serious cites
0

Diversicare Of Martin runs 150 beds under corporate ownership, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating with eight deficiencies on file, none of them serious enough to cause harm or jeopardy. One abuse-related citation is there, which is worth asking about directly. The weaker spot is staffing. At 3.52 nurse hours per resident day, it sits roughly 9% under the national average, and weekends drop about 19% below its own weekday coverage, so a Saturday shift looks noticeably thinner than a Tuesday. Turnover at 42.9% is slightly better than the 45.8% national figure, and the last inspection was April 2025, so the picture is current.

B

80.5/100

Signature Healthcare Of Ridgely Rehab&Wellness Ctr

Ridgely, TN · Lake County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
39%
Serious cites
0

Signature Healthcare of Ridgely runs about 3.55 nurse hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 17% below its own weekday coverage. That thinner weekend staffing matters most for a 100-bed home, since that's when families often visit and when needs don't pause. Turnover sits at 39.1%, better than the 45.8% national figure. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2023, a fairly long gap since the state was last inside. The 2/5 inspection rating reflects that citation history, while the 5/5 quality measure score comes from clinical data the home reports.

B

80.5/100

Shoreline Health And Rehabilitation

Seattle, WA · King County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
35%
Serious cites
0

Shoreline Health And Rehabilitation runs 114 beds in Seattle under corporate ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.96 hours per resident day, a hair above the national average, though weekends drop about 16% below the home's own weekday levels, worth asking about if your family visits on Saturdays and Sundays. Staff turnover is 35.1%, noticeably better than the 45.8% national figure, which suggests people stick around. The home carries 38 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was recent, in March 2026.

B

80.5/100

Rainier Rehabilitation

Puyallup, WA · Pierce County

CMS 5/5 117 beds For-profit Medicaid
Nurse hours
5.30 /day
Staff turnover
21%
Serious cites
0

Rainier Rehabilitation runs lean on trouble and heavy on staff. At 5.30 nurse hours per resident day, it's well above the national average, and its 21.1% turnover is less than half the national figure, a sign people tend to stay. Five deficiencies on record, none causing harm and none abuse-related, with an inspection as recent as August 2025. The catch is weekends, when staffing drops about 16% below the weekday level. That dip likely explains why CMS rates staffing only 3 out of 5 while inspection and quality measures both hit 5. If your family member needs steady weekday care, this home looks solid; ask specifically who's on the floor Saturday and Sunday.

B

80.5/100

Regency Wenatchee Rehabiliation & Nursing Center

Wenatchee, WA · Chelan County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
46%
Serious cites
0

Regency Wenatchee is a for-profit LLC home with 55 beds, and it has earned a 5-star health inspection rating from CMS. That matters, because a five-star inspection score with 33 deficiencies on record, one of them at the harm or jeopardy level, three tied to abuse, tells you inspectors found real problems here but the home corrected them well enough to keep their top marks. Staffing sits at 4.46 nurse hours per resident day, about 15% above the national average, though weekends run roughly 20% leaner than weekdays. Turnover is 46%, essentially the national norm, and the home has paid one fine of $10,358.

B

80.5/100

South Hill Rehabilitation And Care Center

Spokane, WA · Spokane County

CMS 5/5 113 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
64%
Serious cites
0

South Hill runs a leaner ship than most on weekdays, 4.63 nurse hours per resident day, roughly a fifth more than the national average, but that cushion thins out on weekends, when staffing drops about 21% below its own weekday pace. It's a for-profit LLC, and 63.5% of its nursing staff turned over in the past year, well above the 45.8% national figure. Inspectors were last in on June 18, 2025, and the home carries 30 deficiencies, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Strong marks on quality measures and inspections sit alongside the turnover and weekend dip, worth asking about directly.

B

80.5/100

Wayne Healthcare Center

Wayne, WV · Wayne County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
33%
Serious cites
0

Wayne Healthcare Center runs 3.79 nurse staffing hours per resident day, a bit under the national average of 3.86, and weekends dip about 16% below its own weekday coverage. Turnover sits at 33.3%, well below the national 45.8%, so the people who are there tend to stay. The tradeoff shows in its record: 24 deficiencies, one abuse-related and none at the harm or jeopardy level, alongside a five-star health inspection and four-star quality measures. A for-profit corporation operates the 60-bed home, and its last inspection was May 2026.

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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