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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 2481–2500 of 10,187, best-graded first.

B

80/100

Chestnut Hill Health And Rehabilitation Center Llc

East Longmeadow, MA · Hampden County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
25%
Serious cites
0

Chestnut Hill runs 135 beds in East Longmeadow under corporate for-profit ownership, and its last state inspection was in May 2025, recent enough that the record reflects current conditions. The 27 deficiencies on file include none at the harm or jeopardy level and none tied to abuse, which matters more than the raw count. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends run roughly 11% thinner than weekdays, worth asking about if your family visits on Saturdays. Staff turnover of 25.3% is well below the 45.8% national figure, suggesting a steadier workforce than most.

B

80/100

Care One At Peabody

Peabody, MA · Essex County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
22%
Serious cites
0

Care One At Peabody runs 150 certified beds under corporate ownership, and its inspection record is the standout: a five-star health inspection rating with 16 deficiencies on file, none rising to harm or jeopardy level and none abuse-related. That last inspection was recent, March 2026. Staffing tells a more mixed story, 3.81 nurse hours per resident day sits just under the national average of 3.86, and weekends dip about 12% below the home's own weekday coverage, so ask how weekend shifts are actually covered. The genuinely strong number is turnover at 21.7%, less than half the national 45.8%, which suggests aides and nurses tend to stay.

B

80/100

Oaks, The

New Bedford, MA · Bristol County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
29%
Serious cites
0

The Oaks runs 122 beds in New Bedford under for-profit LLC ownership, and its staffing sits at 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so your visit timing matters. What stands out is turnover at 28.7%, well under the national 45.8%, which suggests a steadier crew than most. Fourteen deficiencies are on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2026. Federal ratings put health inspections and quality measures at 4 of 5 stars each, staffing at 3.

B

80/100

Penacook Place, Inc

Haverhill, MA · Essex County

CMS 4/5 160 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
39%
Serious cites
0

Penacook Place runs on 3.76 nurse hours per resident day, a bit under the national average, and weekend coverage slips about 4% below its weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 39%, better than the 45.8% national figure, which matters for whether your parent sees the same faces month to month. The tradeoff shows up in the inspection record: 26 deficiencies, including one at the harm level and four tied to abuse, plus $33,677 in fines across four penalties. The most recent inspection was June 2025, so the picture is current.

B

80/100

Maristhill Nursing & Rehabilitation Center

Waltham, MA · Middlesex County

CMS 3/5 123 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
15%
Serious cites
0

Maristhill runs a lean, stable nursing crew: 3.90 nurse hours per resident day, just above the national mark, with weekend coverage dipping about 8% below weekdays. That consistency shows up in turnover, 15.3% against a national average near 46%, which matters because familiar aides tend to notice changes in a resident sooner. The trouble sits on the inspection side, where 43 deficiencies include one at the harm level and four tied to abuse, and the last survey came in late 2025. Staffing is the strength here; the survey record is what a family should ask about directly before deciding.

B

80/100

Briarwood Rehabilitation & Healthcare Center

Needham, MA · Norfolk County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
23%
Serious cites
0

Briarwood runs 3.99 nurse hours per resident day, a bit above the national average, but that edge narrows on weekends, when staffing drops roughly 11% below its own weekday level. Turnover sits at 23.2%, about half the national rate, which matters for consistency of care. The inspection record is mixed: 23 deficiencies, including one at the harm level and two tied to abuse, plus a single fine of $8,788. The most recent inspection was August 2025, so the picture is current. One hundred twenty beds under for-profit LLC ownership in Needham. The staffing numbers and low turnover are genuine strengths; the deficiency count, especially the harm and abuse citations, is where the caution lies.

B

80/100

Care One At Weymouth

Weymouth, MA · Norfolk County

CMS 2/5 154 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
34%
Serious cites
0

Care One At Weymouth runs 154 certified beds under for-profit LLC ownership, and the direct-care hours tell you something the marketing won't: 3.44 nurse staffing hours per resident day, roughly 11 percent under the national average, with weekends dipping about 12 percent below its own weekday level. Turnover sits at 33.6 percent, which is actually better than the 45.8 percent national figure, that's a real point in its favor, since stable staff tend to know residents' routines. The inspection record is the weaker side: 30 deficiencies, a 2/5 health inspection rating, though none reached harm or jeopardy level and none were abuse-related. Its most recent inspection was January 13, 2026. Quality measures score 4/5, so clinical outcomes look better than the staffing and inspection numbers suggest.

B

80/100

Life Care Center Of Raynham

Raynham, MA · Bristol County

CMS 4/5 154 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
24%
Serious cites
0

Life Care Center of Raynham runs 154 certified beds under corporate ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the quietest shifts get the thinnest numbers. What stands out favorably is turnover: 24.3% against a national average of 45.8%, which suggests a steadier crew than most. The record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated March 2026. Staffing and quality measures both earned 4 stars from CMS; staffing landed at 3.

B

80/100

Harbor House Nursing & Rehabilitation Center

Hingham, MA · Plymouth County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
32%
Serious cites
0

Harbor House runs 142 certified beds in Hingham under for-profit LLC ownership, and its numbers are decent without being remarkable. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86, and weekends slip another 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Where it stands out is retention: 32.4% annual turnover against a national average of 45.8% suggests people stay, which matters for consistency of care. The current record shows 22 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Its last inspection was in November 2025, so the picture is recent.

B

80/100

Hillcrest Commons Nursing & Rehabilitation Center

Pittsfield, MA · Berkshire County

CMS 3/5 265 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
35%
Serious cites
0

Hillcrest Commons runs 265 beds in Pittsfield as a nonprofit, and its staffing sits at 3.75 nurse hours per resident day, slightly under the national 3.86, with weekends about 13% thinner than weekdays, so coverage dips when families tend to visit. The bigger concern is the inspection record: 52 deficiencies, including one at the harm level and one abuse-related, which is why CMS gave it a single star for health inspections despite solid marks on quality measures and staffing. Turnover at 34.5% beats the national 45.8%, and the last inspection was March 2025, so the record is current.

B

80/100

Hancock Park Rehabiliation And Nursing Center

Quincy, MA · Norfolk County

CMS 2/5 142 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
35%
Serious cites
0

Hancock Park runs 142 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.75 hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 35.3% against a national 45.8%, meaning caregivers here tend to stay longer than at the typical home. What tempers that is the inspection record, 23 deficiencies, including one at harm or jeopardy level and one tied to abuse, with the most recent inspection in December 2025. The quality measure rating of 4 out of 5 shows clinical care can score well even when the survey history is crowded.

B

80/100

Dimondale Nursing Care Center

Dimondale, MI · Eaton County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
37%
Serious cites
0

Dimondale Nursing Care Center runs 150 certified beds under corporate for-profit ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86. Weekend coverage drops roughly 10% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover is 37.2%, which is actually better than the 45.8% national figure. What pulls the record down is inspection history: 30 deficiencies, four at harm or jeopardy level, four abuse-related, and one fine of $35,282. The last inspection was July 8, 2025. Ask about those harm-level findings and how weekends are covered before deciding.

B

80/100

Adrian Bay Rehabilitation And Nursing Center

Adrian, MI · Lenawee County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
32%
Serious cites
0

Adrian Bay runs 3.42 nurse staffing hours per resident day, about 12% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels, so the thinnest coverage tends to land when families visit. Turnover sits at 31.8%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The inspection record is where it gets harder: 40 deficiencies, three at harm or jeopardy level, one abuse-related, and a $201,851 fine, with the most recent inspection in June 2025. That combination, decent retention, lighter staffing, and a serious deficiency history, is what holds this one back.

B

80/100

Hillcrest Nursing And Rehabilitation Community

North Muskegon, MI · Muskegon County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
52%
Serious cites
0

Hillcrest runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly 10% below its own weekday numbers, so the quietest shifts are also the thinnest. Staff turnover sits at 52% against a national 45.8%, which matters for a 39-bed home where residents see the same faces or don't. The inspection record shows 18 deficiencies with two at harm or jeopardy level, though none abuse-related, and the most recent inspection was in December 2025. Quality measures score well; the weaker staffing picture is what pulls the overall result down to a solid-but-not-strong B.

B

80/100

Mission Point Health Campus Of Jackson

Jackson, MI · Jackson County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
62%
Serious cites
0

Mission Point Health Campus Of Jackson runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average of 3.86. That cushion thins on weekends, when coverage drops about 10% below the home's own weekday level, and turnover runs 61.9% against a national 45.8%, so the faces change often. The inspection record is the harder read: 47 deficiencies, including one at the harm level and three tied to abuse, with the most recent inspection dated March 4, 2026. Quality measures score well, but a one-star health inspection rating against that deficiency history is what a family should weigh first.

B

80/100

Wellbridge Of Brighton

Howell, MI · Livingston County

CMS 3/5 88 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
52%
Serious cites
0

Wellbridge of Brighton runs 88 certified beds in Howell, and the nurse staffing sits slightly above the national average, 3.92 hours per resident day against 3.86, though weekends drop about 14% below what the home staffs on weekdays, which is when families tend to visit and notice. Turnover is the bigger number: 52.4% of staff leaving annually against a national 45.8%, and with 26 deficiencies on record, including 3 at harm or jeopardy level and 5 abuse-related, plus a $26,686 fine, the inspection history carries more weight than the four-star quality and staffing marks. The last inspection was January 2026, so the record is recent.

B

80/100

Good Samaritan Society - Stillwater

Stillwater, MN · Washington County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
51%
Serious cites
0

Good Samaritan Society - Stillwater runs a nonprofit shop with 50 beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. That's the strongest part of the picture, though weekend coverage drops about 12% below its own weekday level, and annual turnover hits 51.2% against a national 45.8%, so the people delivering that care keep changing. The current record carries 28 deficiencies, one serious enough to involve harm or jeopardy, with no abuse findings. The last inspection came in February 2026, so the state's look is recent. Quality measure scores land at 2 out of 5 stars, which is where the lower grade comes from, decent hands-on hours, weaker measured outcomes.

B

80/100

The Estates At Chateau Llc

Minneapolis, MN · Hennepin County

CMS 2/5 69 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
37%
Serious cites
0

The Estates at Chateau has a staffing paradox worth understanding. Its CMS staffing star is 5/5, yet the actual hours, 3.09 per resident day, sit about 20% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays. Turnover at 36.7% is better than the 45.8% national figure, so leadership is retaining workers. The problem is the inspection record: 50 deficiencies, one at harm or jeopardy level, six tied to abuse, and a $35,565 fine. A single star on health inspections against three on quality measures tells you the care processes look adequate on paper while the survey history says otherwise.

B

80/100

Sleepy Eye Rehabilitati Center

Sleepy Eye, MN · Brown County

CMS 4/5 61 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
56%
Serious cites
0

Sleepy Eye Rehabilitation Center runs 61 certified beds as a for-profit corporation, and its recent inspection history is the strongest thing it has going. The last survey was in January 2026 and turned up 17 deficiencies, but only one at the harm or jeopardy level and none related to abuse, a record that supports its 4-star health inspection rating. Staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, though weekends drop about 12% below the home's own weekday level. The number worth pausing on is turnover: 56.4% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn is what keeps this home a step short of the top tier, despite solid inspections.

B

80/100

Heartwood

Crosby, MN · Crow Wing County

CMS 5/5 54 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
46%
Serious cites
0

Heartwood runs a tight ship on the staffing side, 4.30 nurse hours per resident day, roughly 11% above the national average, and that shows in a five-star staffing rating. The catch is weekends, when coverage drops about 12% below what the home provides on weekdays. Turnover sits at 46.3%, essentially matching the national rate, so continuity is neither a strength nor a glaring weakness here. Seven deficiencies on record, none involving harm, jeopardy, or abuse, and the most recent inspection was July 2025. Where the home gives ground is quality measures, at two stars, which drags an otherwise solid picture down to a B.

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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