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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 2501–2520 of 10,187, best-graded first.

B

80/100

Avera Sunrise Manor

Tyler, MN · Lincoln County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
44%
Serious cites
0

Avera Sunrise Manor runs on 4.25 nurse hours per resident day, roughly 10 percent more than the national average, and it shows in a four-star staffing rating. Turnover sits at 43.9 percent, a hair better than the national 45.8 percent, though weekend coverage drops about 12 percent below weekday levels. The catch is quality: a one-star rating on CMS quality measures, and 14 deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy. A recent April 2025 inspection and four-star health inspection rating help. Church-affiliated nonprofit ownership is a steadying factor. Families should ask what the quality measure gap reflects and how weekend staffing is managed.

B

80/100

Ecumen North Branch

North Branch, MN · Chisago County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
63%
Serious cites
0

Ecumen North Branch runs a nonprofit home of 50 beds in Chisago County, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average of 3.86. That's a real margin in a field where aides and nurses are the whole job. The catch is turnover: 62.7% of staff leave each year, well above the 45.8% national figure, and weekend coverage drops about 11% below the home's own weekday level. Its last inspection was July 2025, with 14 deficiencies on record, none at the harm level, none abuse-related, and mid-range three-star marks for health inspections and quality measures.

B

80/100

Lakeshore Rehabilitation Center Llc

Waseca, MN · Waseca County

CMS 2/5 52 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
46%
Serious cites
0

Lakeshore Rehabilitation Center runs 52 certified beds in Waseca under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86, and weekends run about 9% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover of 46.3% is essentially at the national average, meaning the workforce churns as much as anywhere else. On the plus side, the current record shows 13 deficiencies with none at the harm level and none abuse-related, and the most recent inspection was in March 2025.

B

80/100

The Estates At Lynnhurst Llc

Saint Paul, MN · Ramsey County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
53%
Serious cites
0

The Estates at Lynnhurst is a for-profit home in Saint Paul with 70 certified beds, and its staffing numbers deserve a close look. Total nurse coverage runs 3.01 hours per resident day, roughly 22 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 52.9 percent against a national 45.8 percent, meaning more than half the nursing staff turns over each year. The current inspection record carries 43 deficiencies, including three tied to abuse, though none reached harm or jeopardy level. The most recent inspection was in April 2025.

B

80/100

Good Samaritan Society - Battle Lake

Battle Lake, MN · Otter Tail County

CMS 5/5 51 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
56%
Serious cites
0

Good Samaritan Society - Battle Lake is a small nonprofit home, 51 beds, in Otter Tail County, and its inspection record is the strongest thing it has going. Four deficiencies on file, none at the harm level, none abuse-related, and a fresh inspection from November 2025. Where it slips is staffing: 3.62 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 15% lighter than the home's own weekdays, which is worth asking about if your family tends to visit Saturday or Sunday. Annual turnover of 55.6% is well above the 45.8% national figure and tells you aides and nurses cycle through here faster than average.

B

80/100

The North Shore Estates Llc

Duluth, MN · St. Louis County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
32%
Serious cites
0

North Shore Estates runs lean on nurse hours, about 3.15 per resident day against a national average near 3.86, and weekends get thinner still, roughly 10% below its own weekday coverage. What keeps the place from looking worse on paper is retention: 32.1% turnover beats the 45.8% national figure by a wide margin, so the aides and nurses you'd meet have likely been there a while. The trade-off shows up in the inspection record: 24 deficiencies, one tied to abuse, though none rose to actual harm or jeopardy, and the last state visit was in February 2026. Quality measures land middling, which fits a home that's stable but stretched.

B

80/100

Natchez Rehabilitation And Healthcare Center

Natchez, MS · Adams County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
39%
Serious cites
0

Natchez Rehabilitation and Healthcare Center runs 58 certified beds under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 38.6% against a national 45.8%, meaning aides and nurses stick around longer here than at the typical home, which matters for residents who need consistent hands. The tradeoff shows up in the inspection record, 11 deficiencies, one serious enough to involve harm or jeopardy, plus a $12,740 fine. Nothing abuse-related, and the most recent inspection was November 2025.

B

80/100

Windham House Of Hattiesburg

Hattiesburg, MS · Forrest County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
48%
Serious cites
0

Windham House Of Hattiesburg runs 60 certified beds as a for-profit, individually owned home, and its inspection record is the strongest part of the story: a five-star health inspection rating, nine deficiencies on the current record with none at the harm or jeopardy level and none abuse-related, and a survey completed in January 2026. Staffing is thinner than it looks at first glance. At 3.75 nurse hours per resident day, it sits just under the national average of 3.86, and weekends run about 14% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 47.7% edges past the national 45.8%.

B

80/100

Carrington, Llc D/B/A The Carrington

Starkville, MS · Oktibbeha County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
46%
Serious cites
0

The Carrington runs lean on nurse staffing, 3.79 hours per resident day, just under the national average, and weekends drop about 13% below its own weekday levels, so coverage thins out when families tend to visit. Staff turnover sits at 46.2%, essentially matching the national rate, which means the faces around residents change about as often here as anywhere else. What stands out is the inspection record: seven deficiencies on file, none involving harm or abuse, and a survey completed in December 2025, so the picture is current. The tradeoff is quality measures, where the home scores lower than its inspection and staffing marks suggest. It's a for-profit corporation operating 60 beds in Starkville.

B

80/100

Lutheran Senior Services At Breeze Park

Saint Charles, MO · St. Charles County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
38%
Serious cites
0

Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.

B

80/100

Libby Care Center

Libby, MT · Lincoln County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
36%
Serious cites
0

Libby Care Center runs lean on nursing hours: 3.01 per resident day, roughly 22% under the national average of 3.86, and weekends drop about another 9% below its own weekday coverage. That's the number to watch if your family member needs help with daily tasks or monitoring. Turnover, though, sits at 35.7%, better than the national 45.8%, so the staff who are there tend to stay. The inspection record is mixed, a 4-star health inspection rating and a recent survey in mid-2025, but 18 deficiencies on file, two of them harm-level and one abuse-related, plus a $22,720 fine. Quality measures score well; staffing is where the gaps show.

B

80/100

Saint Joseph Transitional Rehabilitation Center

Las Vegas, NV · Clark County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
39%
Serious cites
0

Saint Joseph Transitional Rehabilitation Center runs 100 certified beds in Las Vegas under for-profit LLC ownership, and its staffing sits just under the national mark, 3.82 nurse hours per resident day against 3.86, with weekends running roughly 4% thinner than weekdays. Turnover is the better story here: 39.2% against a national average of 45.8% means fewer caregivers walking out the door than at the typical home. Inspections tell a mixed tale. The last visit was September 2025, and the current record holds 24 deficiencies, none at the harm or jeopardy level, though one is abuse-related. CMS gives it 5 stars for quality measures but only 2 for staffing, so the clinical outcomes look stronger than the hours behind them.

B

80/100

Laconia Rehabilitation Center

Laconia, NH · Belknap County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
28%
Serious cites
0

Laconia Rehabilitation Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.65 hours per resident day, roughly 6% under the national average, and weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 28.4% against a national 45.8% means aides and nurses here tend to stay. The inspection record is more uneven: 21 deficiencies on file, including one at the harm level and one tied to abuse, plus a single $7,901 fine. The most recent inspection was May 2025, so the picture is current.

B

80/100

Warde Health Center

Windham, NH · Rockingham County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Warde Health Center is a small nonprofit home in Windham, 32 beds, and its inspection record is the strongest thing it has going. Three deficiencies on file, none of them causing harm or involving abuse, and a five-star health inspection rating from CMS. Staffing sits at 4.42 nurse hours per resident day, roughly 14% above the national average, though weekends run about 8% thinner than weekdays, so ask how that gap gets covered. Turnover is 46.7%, just a hair above the national 45.8%, not alarming, but worth asking about. Quality measures land mid-range at three stars. With a March 2026 inspection, the record is recent.

B

80/100

Merwick Post Acute

Plainsboro, NJ · Middlesex County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
30%
Serious cites
0

Merwick runs about 3.05 nurse hours per resident day, well under the national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekend coverage dips about 8% below what the building manages on weekdays, so the thinnest shifts are the ones families often visit. Turnover is genuinely low at 29.7% against a 45.8% national rate, which suggests less churn in who's actually at the bedside. The health inspection record is the weak spot: 31 deficiencies, one tied to abuse, and a two-star inspection rating, though none rose to harm or jeopardy. The five-star quality measures and a recent April 2025 inspection round out a mixed picture.

B

80/100

Arbor Glen Center

Cedar Grove, NJ · Essex County

CMS 2/5 122 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
13%
Serious cites
0

Arbor Glen Center runs on a stable crew, 12.5% turnover against a national average near 46% means aides and nurses here tend to stay, and that continuity matters for daily care. The trade-off shows up in hours: 3.41 nurse staffing hours per resident day sits about 12% under the national average, and weekends dip roughly 8% below the home's own weekday coverage, so hands are thinner exactly when families visit and doctor coverage is spotty. The inspection record is the harder read, 32 deficiencies, including one at harm level and one tied to abuse, with a $8,281 fine and a December 2025 survey. For-profit LLC ownership, 122 beds. Ask about weekend coverage and how that abuse finding was resolved.

B

80/100

Complete Care At Summit Ridge

West Orange, NJ · Essex County

CMS 4/5 152 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
39%
Serious cites
0

Complete Care At Summit Ridge runs 152 certified beds in West Orange under for-profit LLC ownership. Nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86, and weekends dip roughly 9% below the home's own weekday coverage, so the thinnest hours land when families tend to visit. Turnover is the brighter spot, 38.8% against a national 45.8%, meaning aides and nurses stick around longer than is typical. The inspection record shows 26 deficiencies, none at harm or jeopardy level but one tied to abuse; the most recent state visit was May 27, 2025, so the picture is current rather than stale. Quality measures score well; staffing and inspections sit in the middle.

B

80/100

Our Ladys Center For Rehabilitation & Healthcare

Pleasantville, NJ · Atlantic County

CMS 4/5 214 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
34%
Serious cites
0

Our Lady's Center runs 214 certified beds in Pleasantville under for-profit LLC ownership, and its staffing sits about 11% under the national average at 3.43 nurse hours per resident day. Weekends drop roughly another 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.8% against a national 45.8%. Twenty-six deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection closing out 2024. Clinical quality measures score well; the inspection and staffing ratings land in the middle. If you're weighing this one, ask specifically how weekend coverage is handled.

B

80/100

Complete Care At Mercerville Llc

Hamilton Township, NJ · Mercer County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
39%
Serious cites
0

Complete Care At Mercerville runs 114 certified beds in Hamilton Township, and the staffing picture is the weak spot: 3.39 nurse hours per resident day, roughly 12% under the national average, with weekends dipping about 7% below its own weekday level. Turnover sits at 39.3%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. On the record itself, 19 deficiencies show up, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. Quality measures score well; the daily coverage is where the tradeoff lives.

B

80/100

Clover Meadows Healthcare And Rehabilitation Cente

Lawrenceville, NJ · Mercer County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
37%
Serious cites
0

Clover Meadows runs lean on nursing hours, 3.47 per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage. That pattern matters more than the annual number, since families tend to visit on Saturdays and Sundays. Turnover sits at 36.5%, better than the 45.8% national figure, so the staff who are there tend to stay. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. A January 2025 inspection is recent enough to trust. For-profit LLC ownership. The quality measure score is perfect; the staffing score is average. Ask about weekend coverage 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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