ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 2441–2460 of 10,187, best-graded first.

B

80/100

Brickyard Healthcare - Elkhart Care Center

Elkhart, IN · Elkhart County

CMS 1/5 175 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
33%
Serious cites
0

Brickyard Healthcare's Elkhart Care Center runs 175 certified beds as a for-profit corporation, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage slips another 13% below its own weekday levels. The health inspection record is the real concern: a 1-out-of-5 star rating, 40 deficiencies, including one at the harm or jeopardy level and four tied to abuse. Staff turnover lands at 33.3%, better than the 45.8% national average, and the quality measure rating reaches 4 stars, which helps explain why the overall numbers aren't worse. But with that inspection history and thin staffing, ask direct questions about who's on the floor at night and on weekends before you decide.

B

80/100

Greenleaf Health Campus

Elkhart, IN · Elkhart County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
35%
Serious cites
0

Greenleaf Health Campus runs 60 beds in Elkhart under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 6% under the national average, with weekends about 8% thinner than weekdays. Turnover is 34.8%, well below the national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in oversight: a 2/5 inspection rating, 24 deficiencies on record including one abuse-related citation, though none rose to harm or jeopardy level. That inspection happened in September 2025, so it's recent. Families weighing this one should ask how the abuse finding was resolved and what weekend coverage actually looks like on the floor.

B

80/100

Bridgewater Healthcare Center

Carmel, IN · Hamilton County

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

Bridgewater Healthcare Center runs about 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 41.7%, a bit better than the 45.8% national figure, which suggests decent retention even if the raw hours are light. The 17 deficiencies on record include none tied to harm or abuse, and the most recent inspection was in May 2026. Quality measures score well above average, but those staffing numbers are the tradeoff worth weighing.

B

80/100

Cedar Creek Health Campus

Lowell, IN · Lake County

CMS 4/5 58 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
27%
Serious cites
0

Cedar Creek Health Campus runs 58 beds in Lowell under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, with weekends dropping about 15% below its own weekday levels. Turnover is the bright spot: 27.1% against a national 45.8%, so the aides and nurses who are there tend to stay. The inspection record is more mixed: 25 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, and a single fine of $8,021. The most recent inspection was May 2026. Quality measures score well; staffing and inspections land in the middle.

B

80/100

Cumberland Trace Health & Living Community

Plainfield, IN · Hendricks County

CMS 3/5 104 beds Government Medicaid
Nurse hours
3.85 /day
Staff turnover
43%
Serious cites
0

Cumberland Trace runs on county money, which usually means stable funding but not always sharp management. Staffing sits right at the national average, 3.85 nurse hours per resident day, and turnover at 43.4% is actually a bit better than the typical home, though weekends run about 13% leaner than weekdays, so your Saturday visit may look different from a Tuesday one. The real trouble is the inspection record: 19 deficiencies with 3 at harm or jeopardy level, and a $33,579 fine, all fairly recent as of May 2025. Resident care measures look strong, but that gap between quality scores and survey findings is worth asking about directly.

B

80/100

Belltower Health & Rehabilitation Center

Granger, IN · St. Joseph County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
31%
Serious cites
0

Belltower runs leaner on nursing hours than most homes, 3.35 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, so a Saturday shift isn't the time to expect the fullest floor. What stands out in the other direction is retention: 30.5% turnover is well below the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. The inspection history is recent and mostly clean at the serious end: 22 deficiencies on record, none at harm or jeopardy level, though one is abuse-related and fines total $6,293.

B

80/100

Red Oak Rehab And Care Center

Red Oak, IA · Montgomery County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
45%
Serious cites
0

Red Oak Rehab And Care Center runs 58 certified beds under for-profit LLC ownership, and its staffing sits about 8% under the national average at 3.54 nurse hours per resident day. Weekends dip roughly 4% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 44.8%, essentially tracking the national rate. The current inspection record shows 20 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, worth asking about directly, given the most recent survey was September 2025. Quality measure scores are on the low side while staffing scores hold up better, a split that says the hands are there more than the outcomes show it.

B

80/100

Southridge Specialty Care

Marshalltown, IA · Marshall County

CMS 2/5 82 beds Non-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
29%
Serious cites
0

Southridge Specialty Care runs on a nonprofit model with 82 certified beds, and its staffing tells a mixed story. At 3.65 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. What stands out is retention: 29.2% turnover against a 45.8% national average means caregivers here tend to stay, which matters for consistency of care. The inspection record is where the concern sits. Twenty-five deficiencies, two at harm or jeopardy level, and two tied to abuse, with a $45,406 fine on file from a May 2025 inspection. Quality and staffing star ratings both land at 4, but the health inspection rating is 2, that gap between good numbers on paper and problems found in person is worth asking about directly.

B

80/100

Corydon Specialty Care

Corydon, IA · Wayne County

CMS 4/5 71 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
35%
Serious cites
0

Corydon Specialty Care runs about 3.52 nurse hours per resident each day, which is roughly 9% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. Turnover sits at 35.1%, better than the 45.8% national figure, and the home carries 14 deficiencies on its current record, one of them serious enough to involve harm or jeopardy, though none tied to abuse. Its last inspection was in January 2026. The non-profit ownership and four-star inspection and quality ratings suggest a stable operation, but the thin weekday staffing and the weekend drop are the numbers worth asking about directly.

B

80/100

Centerville Specialty Care

Centerville, IA · Appanoose County

CMS 3/5 46 beds Non-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
34%
Serious cites
0

Centerville Specialty Care runs 46 certified beds as a nonprofit corporation, and its last full health inspection came in December 2025 with 15 deficiencies on record, none of them at the harm or jeopardy level, and no abuse findings. Staffing sits at 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends drop about 13% below the home's own weekday coverage. Turnover is the bright spot: 34.1% against a national average of 45.8%, which suggests people stay. The lower weekday-to-weekend staffing gap and the clean harm record are what keep this one in solid territory despite the thin hours.

B

80/100

Rehabilitation Center Of Des Moines

Des Moines, IA · Polk County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
36%
Serious cites
0

The Rehabilitation Center of Des Moines runs 74 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, barely a nose above the national average of 3.86. Weekends thin out about 13% from weekday coverage, so the care you'd see on a Saturday looks lighter than midweek. Turnover is 35.9%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is inspection history: 34 deficiencies on file, including one at harm or jeopardy level and three tied to abuse, with the last survey dated September 2025. The quality measure score of 5 out of 5 contrasts sharply with a 2 out of 5 on both staffing and health inspections, worth asking about directly before deciding.

B

80/100

Oakwood Care Center

Clear Lake, IA · Cerro Gordo County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
40%
Serious cites
0

Oakwood Care Center runs 76 certified beds in Clear Lake under corporate ownership, and the staffing numbers are the main thing to know. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 40.3%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The health inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with a survey completed at the end of 2025. Quality measures score well; staffing is the softer spot.

B

80/100

Rehabilitation Center Of Belmond

Belmond, IA · Wright County

CMS 5/5 44 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Rehabilitation Center of Belmond runs lean on direct care. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover is 47.2% a year, slightly above the national 45.8%, which means aides and nurses cycle through fairly often. What keeps this home in decent shape is its record: 11 deficiencies on file, none at the harm level and none abuse-related, with an inspection dated April 2026. The clinical quality measures score at the top of CMS's scale, and inspections hold up well too. It's a for-profit LLC with 44 beds. Ask about weekday-versus-weekend staffing before you decide.

B

80/100

Accura Healthcare Of Pomeroy, Llc

Pomeroy, IA · Calhoun County

CMS 3/5 30 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

Accura Healthcare of Pomeroy runs 30 beds in Calhoun County under for-profit LLC ownership, and its staffing is the clearest strength here: 4.39 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 12% below its own weekday level, though, so coverage isn't perfectly even across the week. Turnover sits at 45.2%, essentially matching the national rate. The inspection record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality measure scores are the weak spot at 2 out of 5 stars, which pulls against otherwise solid staffing numbers.

B

80/100

Valley View Village

Des Moines, IA · Polk County

CMS 3/5 79 beds Non-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
50%
Serious cites
0

Valley View Village is a nonprofit home in Des Moines with 79 beds, and its staffing is genuinely its strong point, 4.46 nurse hours per resident day, about 16% above the national average. Weekend coverage dips roughly 9% below weekday levels, which is common but worth knowing if you're visiting on a Saturday. The harder numbers sit elsewhere: staff turnover of 50% runs above the 45.8% national average, and the current record carries 23 deficiencies, including two at the harm or jeopardy level. The last inspection was in May 2025, and one fine totaling $9,110 has been levied. Consistent nursing hours are a real plus, but the inspection history and turnover suggest asking pointed questions about consistency of care.

B

80/100

Prairie Gate

Council Bluffs, IA · Pottawattamie County

CMS 2/5 72 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
48%
Serious cites
0

Prairie Gate runs a nonprofit shop with 72 beds, and the staffing numbers are the strongest part of the picture, 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 10% below its own weekday levels. That staffing strength is offset by a health inspection record that produced 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $27,630; the most recent inspection was July 2025. Staff turnover sits at 47.5%, slightly above the national 45.8%. The quality measure rating of 4/5 suggests clinical outcomes look better than the inspection history would imply.

B

80/100

Medicalodges Wichita

Wichita, KS · Sedgwick County

CMS 3/5 55 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
54%
Serious cites
0

Medicalodges Wichita runs a 55-bed for-profit home where the nurse staffing works out to 3.90 hours per resident day, barely a whisker above the national average of 3.86. That staffing star rating of 4 is the strongest thing the place has going for it, though weekends drop about 15% below weekday coverage, so a Saturday shift looks different from a Tuesday one. What tempers the picture is turnover at 53.8%, well above the 45.8% national average, and 19 deficiencies on the current record, none at harm or jeopardy level, none abuse-related, but a volume worth asking about. The most recent inspection was November 2025, so the record is current.

B

80/100

Onaga Operator, Llc

Onaga, KS · Pottawatomie County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
33%
Serious cites
0

Onaga Operator runs 45 certified beds as a for-profit LLC, and its nurse staffing sits at 3.90 hours per resident day, just barely over the national average of 3.86, roughly a 1% edge. The bigger staffing concern is weekends, which run about 15% below what the home covers on weekdays. Turnover comes in at 33.3%, notably better than the 45.8% national figure, so workers are staying longer than at the typical home. What drags the record down is inspections: 18 deficiencies, including 4 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $51,274. The most recent inspection was April 30, 2026.

B

80/100

Botkin Care And Rehab

Wellington, KS · Sumner County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
44%
Serious cites
0

Botkin Care and Rehab runs 45 certified beds in Wellington under corporate for-profit ownership, and its clinical record is genuinely strong, a four-out-of-five on health inspections and a perfect quality measure score, with a February 2025 inspection that found 10 deficiencies but nothing rising to harm or jeopardy and no abuse citations. The staffing side tells a different story. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage. Turnover, at 43.9%, is slightly better than the 45.8% national figure. Good care when inspectors look, thinner coverage day to day.

B

80/100

Williamsburg Health & Rehabilitation Center

Williamsburg, KY · Whitley County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
38%
Serious cites
0

Williamsburg Health & Rehabilitation Center runs on a for-profit, individually owned model with 125 certified beds, and its strongest number is staffing: 4.99 nurse hours per resident day, roughly 29% above the national average. Weekend coverage dips about 9% below its own weekday level, a gap worth asking about, and annual turnover sits at 38.2%, better than the 45.8% national figure, though still meaning more than a third of staff leaving each year. The inspection record shows 8 deficiencies, none at harm or jeopardy level, but one is abuse-related, which families should ask about directly. Quality measures score 1 out of 5, and the last inspection was December 2025.

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.

Before you shortlist