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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 2421–2440 of 10,187, best-graded first.

B

80/100

Joe-Anne Burgin Health And Rehabilitation

Cuthbert, GA · Randolph County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
33%
Serious cites
0

Joe-Anne Burgin runs on about 3.72 nurse hours per resident per day, a bit under the national average, and weekends drop roughly 15% below what the home staffs on weekdays, worth asking about if your family visits mainly on Saturdays or Sundays. The stronger numbers are elsewhere: staff turnover sits at 33.3%, well below the 45.8% national rate, and the home's most recent inspection in March 2026 produced nine deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. A single fine of $5,077 rounds out the enforcement history. A nonprofit with a recent clean-ish inspection record and comparatively stable staff is a real asset; the thin weekend coverage is the tradeoff to weigh.

B

80/100

Delmar Gardens Of Smyrna

Smyrna, GA · Cobb County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Delmar Gardens Of Smyrna runs 120 certified beds under corporate ownership, and the staffing numbers sit below where you'd want them. Total nurse coverage comes in at 3.67 hours per resident day against a 3.86 national average, and weekends drop roughly 12% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 41.1% is a notch better than the 45.8% national figure, which is real but modest. The bigger issue is the inspection record: 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $23,537 fine and a recent February 2026 inspection. Quality measures score well, but that sits alongside a two-star staffing and health inspection picture. Ask directly how the abuse-related citations were resolved.

B

80/100

Reserve At Fort Gaines Of Journey Llc, The

Fort Gaines, GA · Clay County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
17%
Serious cites
0

The Reserve at Fort Gaines runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends thin out further, dropping about 12% below what the home staffs during the week. That's the pattern behind its two-out-of-five staffing rating, and it matters more in a 60-bed home where there's less slack to absorb an absence. What works in its favor is retention: 16.7% annual turnover is remarkably low next to the 45.8% national figure, meaning familiar faces are likely doing the hands-on care. The 28 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 2025, so the record is current rather than stale.

B

80/100

Mccall Rehabilitation And Care Center

Mccall, ID · Valley County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
60%
Serious cites
0

McCall Rehabilitation and Care Center runs 65 certified beds under for-profit LLC ownership, and its inspection record looks solid, a recent July 2025 survey, nine deficiencies total, none at the harm level, none abuse-related, and a 4-out-of-5 inspection rating. The staffing picture is more mixed. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average, weekends drop roughly 9 percent below its own weekdays, and annual turnover hits 60 percent against a national 45.8. Quality measures score well, but the people delivering that care are stretched thinner than average and cycling out faster.

B

80/100

Shaw Mountain Of Cascadia

Boise, ID · Ada County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
51%
Serious cites
0

Shaw Mountain Of Cascadia runs 108 certified beds in Boise under corporate for-profit ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. That's a real strength, though weekend coverage drops about 11% below its own weekday levels, so care thins out on Saturdays and Sundays. The inspection record is the harder part to swallow. Thirty deficiencies are on file, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $10,839. Staff turnover runs 51.3%, above the 45.8% national average, and the most recent inspection came in May 2026.

B

80/100

Madison Carriage Cove Short Stay Rehabilitation

Rexburg, ID · Madison County

CMS 4/5 35 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
63%
Serious cites
0

Madison Carriage Cove runs 4.25 nurse hours per resident per day, roughly 10% above the national average of 3.86, that's a real strength. But the same staff is thinning out fast: turnover sits at 63.4% against a national 45.8%, and weekends run about 12% below the home's own weekday coverage. On inspections, the record shows 21 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, plus a single $11,297 fine. The last inspection was January 28, 2026. Quality measures score well; the inspection and staffing picture is more mixed. For a 35-bed for-profit home, the question is whether that turnover steadies before it shows up in care.

B

80/100

Alden Valley Ridge Rehab & Hcc

Bloomingdale, IL · Du Page County

CMS 5/5 207 beds For-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
32%
Serious cites
0

Alden Valley Ridge runs 207 beds in Bloomingdale under corporate ownership, and its strongest numbers come from inspections and clinical quality, a recent June 2025 survey, a high quality-measure score, and staff turnover at 31.9%, well below the 45.8% national average. That retention matters in a building this size. The catch is daily staffing: 2.69 nurse hours per resident, roughly 30% under the national average, with weekends about 13% thinner than weekdays. The record shows 23 deficiencies, including one at harm level and one abuse-related. Good oversight scores and stable staff don't erase thin coverage on a Saturday. Ask about weekend nurse coverage before you decide.

B

80/100

St Joseph Village Of Chicago

Chicago, IL · Cook County

CMS 5/5 54 beds Non-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
57%
Serious cites
0

St. Joseph Village has a real staffing story to tell, 4.62 nurse hours per resident day, roughly 20% above the national average, and CMS gives it 5 out of 5 stars for that. Weekends dip about 10% below its own weekday coverage, so ask how that plays out on a Saturday. The tradeoffs show up elsewhere: 57.1% annual turnover runs well past the national 45.8%, and 19 deficiencies on record include 2 at the harm level, though none involve abuse. A June 2024 inspection and 4 inspection stars suggest the building is watched closely. Church-affiliated nonprofit ownership, 54 beds.

B

80/100

Niles Nsg & Rehab Ctr

Niles, IL · Cook County

CMS 5/5 304 beds For-profit Medicaid
Nurse hours
2.65 /day
Staff turnover
18%
Serious cites
0

Niles Nsg & Rehab Ctr runs 304 beds under for-profit LLC ownership, and the numbers split in two directions. Nurse staffing sits at 2.65 hours per resident day, roughly 31 percent under the national average of 3.86, and weekends drop about 8 percent below the home's own weekday level, so the daily coverage is thin, especially Saturdays and Sundays. What offsets that is consistency: turnover at 17.8 percent is well under the national 45.8 percent, meaning the aides and nurses who are there tend to stay. Inspections back that up, with a 5-star health inspection rating, 8 deficiencies on record and just one at the harm level.

B

80/100

Pearl Of Evanston,The

Evanston, IL · Cook County

CMS 5/5 158 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
24%
Serious cites
0

Pearl of Evanston runs 158 beds as a for-profit LLC, and its staffing sits at 3.60 nurse hours per resident day, roughly 7% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 8% below the home's own weekday level, though the 23.7% annual turnover is genuinely low against a 45.8% national figure, meaning the aides and nurses who are there tend to stay. Inspections are current as of May 2025, and the 18 deficiencies on record include two at the harm or jeopardy level and two tied to abuse. Strong quality measures and recent inspection work offset some of that, but the thin weekend coverage is the thing to ask about directly.

B

80/100

Miller's At Oak Pointe

Columbia City, IN · Whitley County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
52%
Serious cites
0

Miller's At Oak Pointe runs 82 certified beds in Columbia City under corporate for-profit ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86. That's the strongest part of the picture. Weekends run about 13% leaner than weekdays, though, so coverage isn't perfectly even across the week. Staff turnover lands at 51.5%, above the 45.8% national figure, which matters for how well residents get to know their caregivers. The current record shows five deficiencies, none at the harm or jeopardy level, but one is abuse-related. The last inspection was December 22, 2025, so the findings are recent.

B

80/100

Salem Crossing

Salem, IN · Washington County

CMS 5/5 92 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
38%
Serious cites
0

Salem Crossing runs 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekend coverage drops about 13% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 37.9%, better than the 45.8% national figure, which suggests less churn than many places. The inspection record is the strong part: a 5/5 health inspection rating, last survey in June 2025, and eight deficiencies with none at harm or jeopardy level and nothing abuse-related. The tradeoff is straightforward, strong oversight and stable staff, but daily hours that run light, especially on weekends.

B

80/100

Parkview Care Center

Evansville, IN · Vanderburgh County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
40%
Serious cites
0

Parkview Care Center in Evansville runs 3.60 nursing hours per resident per day, about 7% under the national average of 3.86, and weekends dip roughly 10% below its own weekday staffing. The corporate-owned, 99-bed home does hold turnover to 40.2%, better than the 45.8% national figure. Its health inspection rating sits at 2 out of 5 with 27 deficiencies on record, none flagged at harm or jeopardy level, and none abuse-related, while quality measures score 5 out of 5. Inspectors were last on site December 11, 2025. The staffing shortfall and inspection history are the real story; the quality and turnover numbers are what keep it from being worse.

B

80/100

Life Care Center Of Rochester

Rochester, IN · Fulton County

CMS 3/5 108 beds Government Medicaid
Nurse hours
3.66 /day
Staff turnover
51%
Serious cites
0

Life Care Center of Rochester runs on county government ownership, and its current record includes 33 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, with weekends running about 12% thinner than weekdays. Annual turnover is 50.9%, above the 45.8% national figure, so the people showing up are often still learning the building. The 5/5 quality measure rating and a September 2025 inspection are the counterweights, but a 2/5 on health inspections tells you what surveyors have repeatedly found. Ask about staff retention and how weekends are covered before deciding.

B

80/100

Hickory Creek At Crawfordsville

Crawfordsville, IN · Montgomery County

CMS 3/5 36 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
35%
Serious cites
0

Hickory Creek At Crawfordsville runs 36 certified beds under corporate for-profit ownership, and its staffing numbers sit below what you'd want to see: 3.33 nurse hours per resident per day against a national average of 3.86, with weekends running about 10% thinner than weekdays. Turnover is the one place it beats the norm, 35.1% against 45.8% nationally, which matters for whether your family sees the same faces. The health inspection record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS rates its quality measures 5 out of 5 but staffing and inspections just 2 each, so the clinical outcomes look strong while the day-to-day coverage and survey history are the weaker ground.

B

80/100

Hickory Creek At Madison

Madison, IN · Jefferson County

CMS 4/5 36 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
33%
Serious cites
0

Hickory Creek At Madison runs 36 beds under corporate ownership, and its last inspection in September 2025 turned up seven deficiencies, none of them serious enough to cause harm or jeopardy, and none tied to abuse. Where this home stands out is turnover: 33.3% annually, notably better than the 45.8% national average, which suggests people tend to stick around. The catch is how few of them there are. At 2.96 nurse hours per resident day, staffing sits about 23% under the national average, and weekends run roughly 14% thinner than weekdays. Strong inspection and quality marks, thin coverage. For a small home, the question worth asking is who's actually on the floor on a Saturday night.

B

80/100

Rolling Hills Healthcare Center

New Albany, IN · Floyd County

CMS 2/5 115 beds Non-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
34%
Serious cites
0

Rolling Hills Healthcare Center runs 115 certified beds as a nonprofit corporation, and its strongest number is retention: staff turnover sits at 34.2%, well under the national 45.8%. That matters, because familiar caregivers usually mean steadier care. The tradeoff shows up in hours. At 3.09 nurse staffing hours per resident day, this home runs roughly 20% below the national average of 3.86, and weekends dip about 8% below its own weekday level, so coverage thins exactly when families tend to visit. Its record carries 40 deficiencies, three tied to abuse, though none at the harm or jeopardy level, and the last inspection was May 2025. Quality measures score well; inspections are the weaker side.

B

80/100

Ascension Living Sacred Heart Village

Avilla, IN · Noble County

CMS 3/5 133 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
40%
Serious cites
0

Ascension Living Sacred Heart Village runs 133 certified beds in Avilla under church-affiliated nonprofit ownership. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average, and weekends dip about 5% below its own weekday levels. Staff turnover is 39.6%, better than the 45.8% national figure. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related; the last inspection was January 9, 2026. Federal quality measures score 2 out of 5 while staffing scores 4, a split worth noting.

B

80/100

Persimmon Ridge Rehabilitation Centre

Portland, IN · Jay County

CMS 2/5 100 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
26%
Serious cites
0

Persimmon Ridge runs 100 beds in Jay County under nonprofit ownership, and the staffing picture is mixed. Nurse coverage sits at 3.74 hours per resident day, about 3% under the national average, and weekends dip roughly 7% below the home's own weekday levels, so families should ask who's on the floor on Saturdays and Sundays. What stands out is turnover: 26.3%, well below the 45.8% national figure, meaning the staff who are there tend to stay. The inspection record is the weak spot: 20 deficiencies, five of them abuse-related, with a 2-star health inspection rating and a survey as recent as June 2025.

B

80/100

Westside Retirement Village

Indianapolis, IN · Marion County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
40%
Serious cites
0

Westside Retirement Village runs 132 certified beds in Indianapolis under corporate for-profit ownership, and its inspection record is the number that should give you pause: 73 deficiencies on file, including one at the harm or jeopardy level and six tied to abuse. CMS gave it a single star for health inspections, and the last full look came in March 2026. Staffing sits at 3.72 nurse hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays. Turnover of 40.3% is actually better than the 45.8% national figure, and the quality measure score is strong, but those survey findings are hard to look past.

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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