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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 2401–2420 of 10,187, best-graded first.

B

80/100

Vernon Rehabilitation And Healthcare Center

Vernon, CT · Capitol County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
50%
Serious cites
0

Vernon Rehabilitation and Healthcare Center runs 120 certified beds under corporate for-profit ownership, and its recent inspection record is genuinely strong: a five-star health inspection rating, five stars on quality measures, and no deficiencies at the harm or jeopardy level. That one abuse-related citation on the books is worth asking about directly. Staffing tells a more mixed story. At 4.13 nurse hours per resident day, the home sits about 7% above the national average, but the staffing star rating lands at three, and weekends run roughly 9% thinner than weekdays. Annual turnover of 49.6% exceeds the national rate of 45.8%, meaning nearly half the nursing staff leaves each year. Inspectors last visited in October 2024.

B

80/100

Fresh River Healthcare

East Windsor, CT · Capitol County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
23%
Serious cites
0

Fresh River Healthcare runs lean on direct care: 3.00 nurse hours per resident day, about 22 percent under the national average, and weekends dip roughly 8 percent below its own weekday staffing. That's the main tension here, since the inspection record is comparatively clean, a June 2025 survey, 25 deficiencies with none at harm or jeopardy level, though four are abuse-related and worth asking about directly. Staff retention is a genuine bright spot at 23.2 percent turnover, half the national rate, which suggests people stay. For-profit LLC ownership, 140 beds. If your family member needs heavy daily hands-on help, ask how the aide-to-resident ratio actually looks on a Saturday.

B

80/100

Touchpoints At Chestnut

East Windsor, CT · Capitol County

CMS 3/5 57 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
51%
Serious cites
0

Touchpoints At Chestnut runs 57 beds in East Windsor under corporate for-profit ownership, and its last health inspection came in April 2025. The record shows 30 deficiencies, none of them at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, and weekends drop about 14% below its own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. Staff turnover is 50.9%, above the national 45.8%, meaning roughly half the caregivers change over in a year.

B

80/100

Aviata At The Sea - Pompano Beach

Pompano Beach, FL · Broward County

CMS 2/5 83 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
37%
Serious cites
0

Aviata At The Sea runs 83 certified beds in Pompano Beach under for-profit LLC ownership, and its staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends drop about 9 percent below the home's own weekday coverage, and annual turnover is 37.3 percent, which is actually better than the 45.8 percent national figure. What stands out most is the split in its record: a 5/5 quality measure rating and no abuse or harm-level deficiencies, but a 1/5 inspection rating with 41 total deficiencies and a recent April 2025 inspection. The clinical numbers look steady; the survey history is where the problems live.

B

80/100

Westlake Nursing And Rehab Center

Dania Beach, FL · Broward County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
33%
Serious cites
0

Westlake runs lean on nurse hours, 3.28 per resident day against a national average of 3.86, and weekends dip about 4 percent below its own weekday coverage, so the thin stretches get thinner when families tend to visit. What offsets that is workforce stability: turnover of 32.9 percent sits well under the 45.8 percent national figure, which matters because consistent caregivers know the residents. The 20 deficiencies on record include nothing at the harm level and nothing abuse-related, and the last inspection in January 2025 was recent enough to reflect current conditions. Corporate-owned and licensed for 88 beds.

B

80/100

Oak Haven Rehab And Nursing Center

Auburndale, FL · Polk County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
45%
Serious cites
0

Oak Haven runs 3.72 nurse hours per resident per day, a bit under the 3.86 national average, and weekends drop roughly 11% below its own weekday staffing. The bigger split is between the quality scores and the inspection record: 33 deficiencies on file, though none at harm or jeopardy level and none abuse-related, three fines totaling $12,051, and a one-star health inspection rating. Staff turnover at 44.7% actually lands just under the national rate. Corporate-owned, 120 beds, last inspected July 2024.

B

80/100

Treasure Isle Care Center

North Bay Village, FL · Miami-Dade County

CMS 2/5 176 beds Non-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
23%
Serious cites
0

Treasure Isle Care Center runs 176 certified beds in North Bay Village, and the staffing line is the one worth pausing on: 3.26 nurse hours per resident day sits about 16% under the national average, and weekends dip another 7% below the home's own weekday levels. Turnover is where it flips, 23.2% against a national average near 46%, so the aides and nurses who are there tend to stay. The health inspection record shows 37 deficiencies, none at harm or jeopardy level, one tied to abuse, with the most recent inspection in October 2025. Quality measures score well; the inspection side is what holds this home back.

B

80/100

First Coast Health And Rehabilitation Center

Jacksonville, FL · Duval County

CMS 4/5 100 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
49%
Serious cites
0

First Coast Health and Rehabilitation Center runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident per day against a national average of 3.86, and weekends dip roughly 5% below what the building staffs on weekdays. Turnover sits near 49%, a few points above the national figure, so the people caring for residents change often. What keeps this nonprofit's record relatively clean is that its 12 deficiencies include nothing at the harm or jeopardy level and no abuse findings, and its last inspection was recent, in January 2026. If your family member needs steady hands-on help, ask how the lower weekday-to-weekend staffing plays out on the shifts you'd actually visit.

B

80/100

Vivo Healthcare Clewiston

Clewiston, FL · Hendry County

CMS 3/5 155 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at this Clewiston home runs about 3.47 hours per resident day, roughly 10% under the national average, and weekends drop another 7% below its own weekday levels. Turnover sits at 33.3%, which is meaningfully better than the 45.8% national figure. The inspection record is where the concern lies: 16 deficiencies, two of them at harm or jeopardy level and one abuse-related, plus a $33,248 fine, with the last inspection on April 11, 2024. For-profit corporate ownership. The quality and staffing star ratings look solid on paper, but those 16 deficiencies deserve a direct conversation with the administrator before you decide.

B

80/100

Claridge House Nursing And Rehabilitation Center

North Miami, FL · Miami-Dade County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
23%
Serious cites
0

Claridge House runs 3.47 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday staffing. The trade-off shows up in retention: 23.2% turnover is about half the national rate, so the same caregivers tend to stay. What pulls the record down is oversight, 31 deficiencies, two serious enough to involve harm or jeopardy, and a $24,850 fine, with the most recent inspection in March 2026. For-profit, LLC-owned, 240 beds. Ask about weekend coverage and how those two harm-level issues were resolved.

B

80/100

Palm Garden Of Ocala

Ocala, FL · Marion County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

Palm Garden of Ocala runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 51.9%, well above the 45.8% national figure, which matters because replacements cost familiarity. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, and fines total $8,512. The last full inspection was June 12, 2025, so the picture is current. Quality measures score well; the staffing and inspection numbers are where the caution sits.

B

80/100

Palm Garden Of West Palm Beach

West Palm Beach, FL · Palm Beach County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
38%
Serious cites
0

Palm Garden Of West Palm Beach runs 176 certified beds under for-profit limited liability ownership, and its nursing hours come in at 3.53 per resident day, roughly 9% under the national average of 3.86. Weekend staffing dips about 9% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 38%, which is actually better than the 45.8% national figure, and there are no abuse-related deficiencies on record. But the current inspection history shows 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $16,153. The last inspection was April 18, 2024.

B

80/100

Northdale Rehabilitation Center

Tampa, FL · Hillsborough County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
42%
Serious cites
0

Northdale Rehabilitation Center is a 120-bed for-profit run by a corporation, and the numbers suggest a home that's decent but not exceptional on the care side. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 11% leaner than weekdays, so if your family visits on a Saturday, expect a thinner floor than midweek. Turnover at 41.8% is slightly better than the national 45.8%, which matters for whether you see the same faces. The inspection record shows 15 deficiencies with none at the harm level and none abuse-related, and the last survey was in May 2024. Quality measures rate well; staffing and inspections land in the middle.

B

80/100

Arbor Trail Rehab And Skilled Nursing Center

Inverness, FL · Citrus County

CMS 5/5 116 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
42%
Serious cites
0

Arbor Trail runs 3.50 nurse hours per resident day, roughly 9% under the 3.86 national average, and weekends dip about 8% below its own weekday staffing. That thinner weekend coverage is worth asking about directly, since it's when families often visit and when problems can surface. Turnover sits at 42.3%, a bit better than the 45.8% national figure. The inspection record is clean where it counts: 13 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in April 2025. Quality measures score well, and the for-profit limited liability ownership means you'll want to know who's actually running day-to-day care.

B

80/100

Solaris Healthcare Osceola

Saint Cloud, FL · Osceola County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
39%
Serious cites
0

Solaris Healthcare Osceola sits in Saint Cloud with 120 certified beds under for-profit LLC ownership. The nursing hours tell a mixed story: 3.54 per resident day runs about 8% under the national 3.86 average, and weekends dip roughly 12% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot at 38.8%, meaningfully better than the 45.8% national figure, which suggests staff tend to stay. Inspections look solid at 4 stars with a recent November 2024 visit, but five deficiencies remain on record, including one at the harm level, plus two fines totaling $19,036.

B

80/100

Tiffany Hall Nursing And Rehab Center

Port Saint Lucie, FL · St. Lucie County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
30%
Serious cites
0

Tiffany Hall runs 120 beds in Port St. Lucie under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 30% against a national 45.8% means aides and nurses here tend to stay. The inspection record is where the concern sits, 19 deficiencies, two at harm or jeopardy level and two tied to abuse, with a $46,976 fine and a February 2025 inspection. Quality measures score well, but that paperwork record and below-average daily staffing are the real story.

B

80/100

Atlantic Shores Nursing And Rehab Center

Melbourne, FL · Brevard County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Atlantic Shores runs 120 beds in Melbourne under corporate ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so a Saturday shift isn't quite the same as a Tuesday. Turnover lands at 41.6%, a bit better than the 45.8% national figure, which matters because fewer departures usually means more consistent caregivers. The inspection record is the steadiest part: 15 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the last survey in September 2024 and four-star ratings on both health inspections and quality measures.

B

80/100

Villa Healthcare & Rehabilitation Center

Deland, FL · Volusia County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
39%
Serious cites
0

Villa Healthcare & Rehabilitation Center runs 3.42 nurse staffing hours per resident day, about 12 percent under the national average, and weekends dip roughly 6 percent below its own weekdays. Turnover sits at 38.9 percent, better than the 45.8 percent national figure, and the record shows 13 deficiencies with none at harm or jeopardy level and none abuse-related. The most recent inspection was September 2025, and the 4-star health inspection and 5-star quality measure ratings stand out against a middling 3-star staffing score. It's a for-profit, individually owned 120-bed home in Deland, and the pattern reads as a place that's generally clean on care quality but runs leaner on direct nursing hours than average.

B

80/100

Isle Healthcare & Rehabilitation Center

Orange Park, FL · Clay County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
39%
Serious cites
0

Isle Healthcare runs 108 beds in Orange Park under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, about 6% under the national average of 3.86, with weekends roughly 8% thinner than weekdays. Turnover is 38.9%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspections in May 2025 turned up 10 deficiencies, one serious enough to reach harm or jeopardy, and a single fine of $43,664. Quality measures score well, but the staffing and that harm-level citation are what pull the overall picture down. Worth asking about weekend coverage and what changed after the last survey.

B

80/100

Hawthorne Center For Rehab & Healing Of Sarasota

Sarasota, FL · Sarasota County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
24%
Serious cites
0

Hawthorne Center runs on leaner weekday nurse coverage than the typical U.S. nursing home, and weekends dip about 8% below its own weekday level, so the quietest shifts get the thinnest staffing. What stands out more is retention: 23.8% annual turnover is roughly half the national rate, which matters because consistent caregivers tend to know residents' baselines. The inspection record is strong, with a 5/5 health inspection rating and the most recent survey completed in May 2026, though the current file still carries 8 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $8,512. For-profit LLC ownership.

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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