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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 2361–2380 of 10,187, best-graded first.

B

80.5/100

Lincoln Healthcare Center

Hamlin, WV · Lincoln County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
39%
Serious cites
0

Lincoln Healthcare Center runs a tight ship on inspections, a perfect five stars in both health inspection and quality measures, with 18 deficiencies on record but none that caused harm or involved abuse. That's a clean record. Where it gives ground is staffing: 3.52 nurse hours per resident day, roughly 9% under the national average, and weekends drop about 17% below the home's own weekday coverage. Turnover sits at 39.3%, better than the national 45.8%, which suggests people stay. Sixty beds, corporate-owned, last inspected June 2025. The care quality and compliance side looks strong; the question is whether nurse coverage holds up when weekday staff go home.

B

80.5/100

Braxton Healthcare Center

Sutton, WV · Braxton County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
38%
Serious cites
0

Braxton Healthcare Center sits right at the national average for nurse staffing, about 3.85 hours per resident day, but weekends run roughly 15% leaner than weekdays, worth asking about if your family visits on Saturdays or Sundays. The inspection record is the strong part: a 5/5 health inspection rating with a visit as recent as April 2025, and none of the 25 deficiencies on file rose to harm or jeopardy level. Staff turnover of 38.2% beats the national 45.8%, which matters for continuity of care. One abuse-related deficiency is on the record, so ask directly how it was resolved. Corporate for-profit ownership, 65 beds.

B

80.5/100

Summersville Healthcare Center

Summersville, WV · Nicholas County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
39%
Serious cites
0

Summersville Healthcare Center runs 90 certified beds under corporate ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. The bigger issue is consistency: weekends run about 16% leaner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover at 39.1% is actually better than the 45.8% national figure, which matters for continuity of care. Against that, the home carries 23 deficiencies, including two at harm or jeopardy level and one abuse-related, plus $58,780 in fines across two penalties. The most recent inspection was April 2026. Quality measures score well; the inspection record is where the concerns concentrate.

B

80.5/100

Crystal Ridge Care Center

Grass Valley, CA · Nevada County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
47%
Serious cites
0

Crystal Ridge runs 99 certified beds in Grass Valley under for-profit LLC ownership, and its staffing is the weak spot in an otherwise decent record. Nurses provide 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 18% below what the home staffs on weekdays. Turnover sits at 46.5%, essentially matching the national rate. The survey history is the real concern: 45 deficiencies on the current record, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Quality measures score well, but the staffing and inspection numbers tell you to ask hard questions about who's actually on the floor on a Sunday.

B

80.5/100

Delta Healthcare & Wellness Center, Lp

Visalia, CA · Tulare County

CMS 5/5 44 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
—
Serious cites
0

Delta Healthcare & Wellness Center runs 4.33 nurse hours per resident day, roughly 12% above the national average of 3.86, that's the strongest thing in its file. Weekends dip about 11% below its own weekday staffing, so coverage thins out when families tend to visit. The 29 deficiencies on record sound like a lot, but none rose to harm or jeopardy level and none involved abuse, and the most recent inspection was in May 2025, so the picture is current. Quality measures score high and inspections look solid; staffing stars sit low, which usually reflects retention and turnover rather than raw hours. It's a for-profit partnership, 44 beds, and the numbers hold up.

B

80.5/100

Meadow Lake Health Center

Tyler, TX · Smith County

CMS 5/5 20 beds Non-profit
Nurse hours
4.01 /day
Staff turnover
56%
Serious cites
0

Meadow Lake runs a tight 20-bed operation in Tyler, and the clinical numbers are genuinely strong, perfect marks on health inspections and quality measures, with only four deficiencies on record and none at the harm level. Staffing sits slightly above the national average at 4.01 nurse hours per resident day, which matters in a small home where there's nowhere to hide. Two things pull against that: weekend coverage drops about 16% below weekday levels, and annual turnover of 56.3% runs well past the national 45.8%, so the faces around a resident change often. The abuse-related deficiencies are worth asking about directly. A recent inspection in September 2025 helps.

B

80/100

Lineville Health And Rehabilitation, Llc

Lineville, AL · Clay County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
55%
Serious cites
0

Lineville Health And Rehabilitation runs 101 certified beds under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.99 nurse hours per resident day. That margin is thin, though, and weekends drop about 14% below the home's own weekday coverage. Annual turnover hits 54.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with five total deficiencies, none at harm or jeopardy level and none abuse-related. The tradeoff is timing, that last inspection was July 2021, so the clean record is now several years old.

B

80/100

Luverne Health And Rehabilitation, Llc

Luverne, AL · Crenshaw County

CMS 4/5 151 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
52%
Serious cites
0

Luverne Health and Rehabilitation runs 151 certified beds under corporate ownership, and its staffing numbers are the main thing to know. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the coverage gap widens exactly when families tend to visit. Annual turnover of 51.8% tops the national 45.8%, which means aides and nurses cycle through faster than average. The inspection record is cleaner: 8 deficiencies, none at harm or jeopardy level, none abuse-related, and a 4-out-of-5 health inspection rating. But that last inspection was July 2021, so the record is aging.

B

80/100

Charlton Place Rehab And Healthcare Center

Deatsville, AL · Elmore County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
53%
Serious cites
0

Charlton Place Rehab And Healthcare Center runs 65 certified beds in Deatsville under corporate for-profit ownership. Its nurse staffing of 3.89 hours per resident day sits just barely above the national average of 3.86, roughly 1%, and weekends drop about 7% below what the home staffs on weekdays, so coverage thins out when families tend to visit. Annual turnover is 53%, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. The inspection record is the strong part: a 5/5 health inspection rating with only 2 deficiencies on file, none at harm or jeopardy level and none abuse-related. The tradeoff is that the last inspection was December 2020, so that clean record is getting old.

B

80/100

Mission Palms Post Acute

Mesa, AZ · Maricopa County

CMS 5/5 160 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
37%
Serious cites
0

Mission Palms Post Acute runs leaner than the typical U.S. nursing home, 3.54 nurse hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. Turnover sits at 37.1%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 16 deficiencies, none at harm or jeopardy level, though 5 are abuse-related, a category worth asking about directly. Maricopa County's last survey was in February 2026, so the record is recent. For-profit LLC ownership and 160 beds round out the picture.

B

80/100

The Springs Of Mt Vista

Harrison, AR · Boone County

CMS 5/5 154 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
43%
Serious cites
0

The Springs of Mt Vista runs 154 certified beds under corporate ownership in Harrison, and its staffing sits at 3.62 nurse hours per resident day, about 6% under the national average of 3.86. Weekends run roughly 14% leaner than weekdays, which matters if your family tends to visit Saturday or Sunday. Turnover is 42.7%, slightly better than the 45.8% national figure, so the crew here is a bit more stable than most. Inspections look strong: a 4-star health inspection rating, 5 stars on quality measures, and 17 deficiencies on record with none at the harm or jeopardy level and nothing abuse-related. One fine totaling $32,965. The most recent inspection was April 30, 2026.

B

80/100

The Pines Nursing And Rehabilitation Center

Hot Springs, AR · Garland County

CMS 4/5 125 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
48%
Serious cites
0

The Pines runs 4.04 nurse hours per resident day, roughly 5% above the national average, and weekends dip about 10% below its own weekday staffing, so the coverage you'd want on a Saturday is thinner than the weekday numbers suggest. Staff turnover sits at 48.4%, a bit higher than the national 45.8%. The 15 deficiencies on record include one at the harm level, with $13,863 in fines, and the most recent inspection was April 2025. Quality scores look strong; the inspection and staffing picture is more uneven, which is what pulls the overall standing down to middling.

B

80/100

Corning Therapy And Living Center

Corning, AR · Clay County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
50%
Serious cites
0

Corning Therapy And Living Center sits in Clay County with 84 certified beds, run by a for-profit corporation, and its inspection record is genuinely strong, a five-star health inspection rating and a recent survey dated December 2025. The catch is in the day-to-day numbers. Nurse staffing runs 3.80 hours per resident day, slightly under the national average, and weekends drop roughly 9% below what the home staffs on weekdays. Half the nursing staff turns over each year, above the national rate of 45.8%. Seven deficiencies are on record, one serious enough to involve harm or jeopardy, plus an $8,021 fine. Good inspections, thinner coverage when it matters.

B

80/100

Brooken Hill Health And Rehab, Llc

Fort Smith, AR · Sebastian County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
5.80 /day
Staff turnover
—
Serious cites
0

Brooken Hill Health and Rehab runs 125 beds in Fort Smith under for-profit LLC ownership, and its nurse staffing sits at 5.80 hours per resident day, roughly half again the national average of 3.86. That's the strongest number here. The catch is weekends, when coverage drops about 17% below the home's own weekday pace, so the daily experience depends on when you visit. Its record shows nine deficiencies, none serious enough to reach harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was April 2026, so the picture is current. High staffing, moderate inspection results, and a weekend dip, that's the honest shape of this place.

B

80/100

Lemon Grove Care And Rehabilitation Center

Lemon Grove, CA · San Diego County

CMS 3/5 158 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
48%
Serious cites
0

Lemon Grove Care and Rehabilitation Center runs 158 certified beds under corporate for-profit ownership, and its staffing sits at 3.92 nurse hours per resident day, roughly 2% above the national average of 3.86. Weekends drop about 6% below the home's own weekday coverage, and annual turnover is 47.7% against a national 45.8%, thin margins either way. The bigger concern is the inspection record: 60 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a 2/5 health inspection star rating. Quality measures score 5/5 and staffing 3/5, but those numbers don't offset a citation history that recent. The last inspection was December 18, 2025.

B

80/100

Victoria Healthcare And Rehabilitation Center

Costa Mesa, CA · Orange County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
18%
Serious cites
0

Victoria Healthcare and Rehabilitation Center runs 79 certified beds in Costa Mesa under corporate for-profit ownership, and the numbers that stand out most are its people. Nurse staffing sits at 4.22 hours per resident day, about 9% above the national average, though weekend coverage dips roughly 8% below its own weekday level. Annual turnover is 17.9%, well under the national 45.8%, which means the aides and nurses around your family member are more likely to still be there next year. Inspections are current as of July 2025 and clean where it matters most: 27 deficiencies on record, but none at the harm or jeopardy level and none abuse-related. The federal staffing star lands at 3 of 5, a reminder that averages hide the weekend gap.

B

80/100

University Care Center

San Diego, CA · San Diego County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
36%
Serious cites
0

University Care Center runs on 4.04 nurse hours per resident day, about 5% above the national average, and weekend staffing dips roughly 8% below its own weekday level, a small gap, but one to ask about if your family visits Saturdays. The 42 deficiencies on record sound like a lot until you see none reached harm or jeopardy and none involved abuse, and the most recent inspection was in May 2025. Turnover sits at 36.4%, meaningfully better than the 45.8% national figure. Corporate for-profit ownership, 87 beds, with quality measures scoring well above its staffing marks.

B

80/100

The Villas At Saratoga Skilled Nsg & Assisted Lvg

Saratoga, CA · Santa Clara County

CMS 1/5 86 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
22%
Serious cites
0

The Villas At Saratoga runs on a for-profit LLC model with 86 certified beds, and its staffing is genuinely better than most: 4.39 nurse hours per resident day against a national average of 3.86. Turnover sits at 21.5%, well under the 45.8% national figure, though weekend coverage dips about 7% below weekday levels. Where it gets harder to defend is the inspection record: 60 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $40,323 in fines across two events. The most recent inspection was December 2024. Strong day-to-day staffing, but a compliance history that a family should read closely before deciding.

B

80/100

Buena Vista Care Center

Anaheim, CA · Orange County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
32%
Serious cites
0

Buena Vista runs 99 certified beds in Anaheim under corporate for-profit ownership, and its nurse staffing sits at 3.88 hours per resident day, basically level with the national average of 3.86, though weekends dip about 5% below its own weekday coverage. Turnover is the standout: 32% against a national 45.8%, meaning workers here tend to stay longer than at the typical home. The tradeoff shows up in its record: 70 deficiencies, four tied to abuse, with zero at the harm or jeopardy level, and a December 2025 inspection that's recent enough to trust. Quality measures score well; inspections land in the middle.

B

80/100

Woodlands Healthcare Center

Los Gatos, CA · Santa Clara County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Woodlands Healthcare Center in Los Gatos runs 4.14 nurse hours per resident day, roughly 7% above the national average, though weekends dip about 11% below its own weekday staffing. Turnover sits at 46.5%, essentially the national rate, so expect some churn among caregivers. The 5/5 inspection rating is the strongest part of the picture, helped by a recent February 2025 survey, but 26 deficiencies are on record, one abuse-related, none at the harm or jeopardy level. Quality measures land at 3/5, and at 65 beds this for-profit LLC is small enough that a single bad stretch of staffing can show up fast.

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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