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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 2381–2400 of 10,187, best-graded first.

B

80/100

San Luis Care Center

Newman, CA · Stanislaus County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
38%
Serious cites
0

San Luis Care Center runs 71 certified beds in Newman under for-profit LLC ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially dead even with the national average of 3.86. Weekend coverage dips about 8% below its own weekday levels, so the hours aren't distributed evenly across the week. Staff turnover comes in at 37.5%, meaningfully better than the 45.8% national figure, which suggests the workforce here is more stable than at many homes. The inspection record is where the picture darkens: 42 deficiencies on file, four at the harm or jeopardy level, one tied to abuse, and a $46,118 fine. The most recent inspection was March 6, 2026. Strong quality measure scores don't offset that history.

B

80/100

Leisure Glen Post Acute Care Center

Glendale, CA · Los Angeles County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
28%
Serious cites
0

Leisure Glen runs about 4.15 nurse hours per resident per day, roughly 7% above the national average, and weekend staffing dips only about 6% below its own weekday level. Staff turnover sits at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The tradeoff is its inspection history: 43 deficiencies on the current record, including two flagged as abuse-related, though none rose to harm or jeopardy level. Its last inspection was in June 2025, so the picture is recent. This is a for-profit limited liability company with 108 certified beds in Glendale.

B

80/100

Redwood Cove Healthcare Center

Ukiah, CA · Mendocino County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
43%
Serious cites
0

Redwood Cove runs on thinner staffing than most homes, 3.52 nurse hours per resident day against a national average of 3.86, with weekends dipping about 13% below its own weekday levels. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Turnover sits at 42.9%, slightly better than the 45.8% national figure, so the crew is comparatively stable even if it's small. The inspection record shows 36 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent survey was in December 2025. Quality measures score well; the staffing and inspection side of things is where the weaker numbers live.

B

80/100

Plum Tree Care Center

San Jose, CA · Santa Clara County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
43%
Serious cites
0

Plum Tree Care Center runs 4.53 nurse staffing hours per resident per day, about 17 percent above the national average, and its 42.6% turnover is slightly better than the 45.8% norm. That said, weekend staffing drops roughly 8% below its own weekday levels. The 33 deficiencies on record, including one at the harm level and one abuse-related, plus an $8,018 fine, are worth asking about directly. The last inspection was March 2025, so the record is reasonably current. A for-profit LLC with 76 beds, it earns solid marks on quality measures and inspections but middling on staffing.

B

80/100

Coastal Post Acute

Salinas, CA · Monterey County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
40%
Serious cites
0

Coastal Post Acute runs 80 beds in Salinas under corporate for-profit ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally, though weekends dip about 7% below its own weekday coverage, which matters if your family visits or calls on Saturdays. Staff turnover is 39.7%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than at the typical home. What pulls the record down is the inspection history: 40 deficiencies, including one at the harm level and one tied to abuse, plus a $63,850 fine. The most recent inspection was March 2025.

B

80/100

National City Post Acute

National City, CA · San Diego County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

National City Post Acute runs 98 beds under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 10% below its own weekday levels. Staff turnover is 44.3%, slightly better than the 45.8% national figure. What stands out is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $15,652 and a 2-out-of-5 health inspection rating, though the most recent inspection was December 2025. Quality measures rate 5 out of 5, so the clinical numbers look strong even as the survey history tells a rougher story.

B

80/100

Eden Healthcare Center

Hayward, CA · Alameda County

CMS 2/5 121 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
28%
Serious cites
0

Eden Healthcare Center runs 121 certified beds in Hayward under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.91 nurse hours per resident day against 3.86. The more telling number is turnover: 27.6% versus a national average of 45.8%, meaning workers here tend to stay. But the inspection record is where the picture darkens. Fifty-six deficiencies are on file, including two at the harm or jeopardy level and five tied to abuse, with one fine of $30,870. The most recent inspection was October 2024. Strong retention and decent quality scores don't erase that many serious findings.

B

80/100

Sacramento Post-Acute

Sacramento, CA · Sacramento County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
42%
Serious cites
0

Sacramento Post-Acute runs 4.65 nurse hours per resident day, roughly 20% above the national average, and its staff turnover of 42.3% is slightly better than the typical 45.8%. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family member needs care on Saturdays and Sundays. The current record shows 33 deficiencies, none at the harm or jeopardy level, though three are abuse-related. A February 2026 inspection is recent, and the 5/5 quality measure rating stands out against a 2/5 staffing rating and 3/5 inspections. Corporate-owned, 99 beds.

B

80/100

Huntington Park Nursing Center

Huntington Park, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
30%
Serious cites
0

Huntington Park Nursing Center runs 99 beds under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 8% below the home's own weekday levels, so families should ask how that gap gets filled. Staff turnover is 30.1%, well under the national 45.8%, which suggests workers tend to stay. The current record shows 54 deficiencies, none at harm or jeopardy level, though one is abuse-related. Inspections were last done in May 2025, and the health inspection rating is 2 out of 5 while quality measures score 4 out of 5.

B

80/100

Solano Post Acute

Vallejo, CA · Solano County

CMS 2/5 166 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
37%
Serious cites
0

Solano Post Acute has 166 beds and runs a for-profit operation under an LLC, and its staffing sits slightly above the national average at 3.93 nurse hours per resident day, though weekends drop about 5% below its own weekday level. Turnover is 37%, better than the 45.8% national figure. The problem isn't the day-to-day care numbers; it's the inspection record. Seventy-eight deficiencies, four at harm or jeopardy level, twelve abuse-related, and $73,177 in fines. The most recent inspection was December 2025. Quality measures score well, but that record of harm-level and abuse citations is what a family should weigh hardest before deciding.

B

80/100

Golden Pavilion Healthcare

Daly City, CA · San Mateo County

CMS 2/5 239 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
40%
Serious cites
0

Golden Pavilion Healthcare runs 239 certified beds in Daly City under corporate, for-profit ownership. Its nurse staffing sits right at the national average of 3.86 hours per resident day, though weekends drop about 7% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 39.6%, better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is where things get heavier: 67 deficiencies on file, including 2 at the harm or jeopardy level and 9 tied to abuse, with two fines totaling $14,048 and a survey completed in May 2025.

B

80/100

San Francisco Post Acute

San Francisco, CA · San Francisco County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
36%
Serious cites
0

San Francisco Post Acute runs about 4.35 nursing hours per resident per day, roughly 13% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, people tend to stay here longer than at the typical home. The catch is how thin weekends get: staffing drops about 9% below the home's own weekday level, which matters if your family visits or calls on a Saturday. Twenty-four deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the last inspection was December 2024. Ownership is a for-profit limited liability company.

B

80/100

Boulder Post Acute

Boulder, CO · Boulder County

CMS 4/5 162 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
60%
Serious cites
0

Boulder Post Acute runs 162 beds under limited-liability, for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, and annual turnover hits 59.5% against a 45.8% national figure, which means the people at the bedside keep changing. The current inspection record carries 30 deficiencies, including three at the harm or jeopardy level and five tied to abuse; one fine totaling $9,113 has been assessed, with the last inspection dated February 19, 2026. Resident outcome measures look strong, but inspection findings and retention are the parts worth pressing on when you visit.

B

80/100

Englewood Post Acute And Rehabilitation

Englewood, CO · Arapahoe County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
32%
Serious cites
0

Englewood Post Acute runs leaner than the typical American nursing home, 3.13 nurse hours per resident day against a national 3.86, and weekends thin out further, dropping roughly 14% below what the building staffs Monday through Friday. The corporate owner has kept turnover at 32.3%, well under the 45.8% national figure, and the last inspection in November 2024 landed a 4-out-of-5 health rating. What that record also carries: 16 deficiencies, three serious enough to cause harm or jeopardy, one tied to abuse. Quality measures score 4 out of 5, staffing 3 out of 5. If your family member needs consistent weekday coverage, the numbers look steadier than the weekend picture does.

B

80/100

Gardens, The

Colorado Springs, CO · El Paso County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
56%
Serious cites
0

Gardens, The runs 45 beds in Colorado Springs under for-profit LLC ownership, and its inspection record is genuinely strong, a 5/5 health inspection rating, just three deficiencies on file with none reaching harm or jeopardy level, and a survey as recent as December 2025. The catch is staffing. At 3.04 nurse hours per resident day, it sits about 21% under the national average, weekends run roughly 13% lighter than weekdays, and annual turnover hits 56.1% against a national 45.8%. One abuse-related deficiency also appears on the record. Read those two sides together: the care processes look well-managed when inspectors show up, but the people delivering that care turn over fast and thin out on weekends.

B

80/100

Winding Trails Post Acute

Boulder, CO · Boulder County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
31%
Serious cites
0

Winding Trails Post Acute runs 150 beds in Boulder under for-profit, limited-liability ownership, and its numbers pull in two directions. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86, and weekends run about 6% thinner than weekdays, so coverage is lightest when families tend to visit. Turnover is the bright spot at 31% against a national 45.8%, and the quality measure rating is strong. But the inspection record is the counterweight: 69 deficiencies, 12 at harm or jeopardy level, six abuse-related, plus a $90,659 fine, with the most recent inspection in November 2024.

B

80/100

Life Care Center Of Stonegate

Parker, CO · Douglas County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
57%
Serious cites
0

Life Care Center of Stonegate runs 120 beds in Parker under corporate for-profit ownership, and the staffing math is genuinely better than most: 4.78 nurse hours per resident day against a national average of 3.86. Weekends dip about 12% below weekdays, so coverage thins out when families tend to visit. The tradeoffs show up elsewhere. Staff turnover sits at 57%, well above the 45.8% national figure, and 19 deficiencies on record include two at harm or jeopardy level and one tied to abuse. A single fine of $17,342 has been levied, and the last inspection was October 2024. Strong quality measure scores and low staffing stars don't cancel out a two-star inspection record.

B

80/100

Pines At Bristol For Nursing & Rehabilitation, The

Bristol, CT · Naugatuck Vly County

CMS 4/5 132 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
40%
Serious cites
0

The Pines at Bristol runs on thinner nurse coverage than most homes, 3.65 hours per resident day against a national average of 3.86, and weekends drop about 10% below what it manages on weekdays. Its quality measure scores are strong, but that measure reflects resident outcomes, not the hands available to respond when someone needs help at 2 a.m. Turnover at 39.8% is actually better than the 45.8% national figure, which matters for consistency of care. The current inspection record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related. Corporate for-profit ownership, a March 2025 inspection, and a mid-range inspection history round out the picture.

B

80/100

Parkville Care Center

Hartford, CT · Capitol County

CMS 3/5 145 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
31%
Serious cites
0

Parkville Care Center runs on thin staffing: 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 11% below its own weekday level. Turnover is where it stands out, 30.8% against a national average of 45.8%, which means more of the same faces stick around. The tradeoff shows up in its record: 34 deficiencies, four of them abuse-related, though none rose to actual harm or jeopardy, and the last inspection was in April 2025. Inspections and quality measures both rate well; staffing does not. A for-profit LLC with 150 beds, it looks steady on care outcomes and stretched on daily coverage.

B

80/100

Manchester Rehabilitation And Healthcare Center

Manchester, CT · Capitol County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
42%
Serious cites
0

Manchester Rehabilitation and Healthcare Center runs 126 certified beds as a for-profit corporation, and its staffing sits at 3.84 nurse hours per resident day, just under the national average of 3.86. That small gap matters less than the schedule itself: weekends run about 12% thinner than weekdays, so coverage depends on when you visit. Staff turnover lands at 42.4%, a touch better than the 45.8% national figure. The inspection record is where the real questions sit. There are 25 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $12,735. The last inspection was March 16, 2026. Quality measures score well, but that record deserves a direct conversation before you decide.

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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