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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 2521–2540 of 10,187, best-graded first.

B

80/100

Woodcliff Lake Health & Rehabilitation Center

Woodcliff Lake, NJ · Bergen County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
27%
Serious cites
0

Woodcliff Lake Health & Rehabilitation Center runs on thin staffing margins: 3.81 nurse hours per resident day, just under the national average, with weekends about 8% leaner than weekdays. What stands out instead is retention, 27.3% turnover against a national 45.8% means the aides and nurses here tend to stay, which matters more for daily care than a marginal staffing gap. Inspections look strong: a 5/5 health inspection rating with no deficiencies at the harm level, though one abuse-related citation appears on the record and the last survey dates to May 2025. The 114-bed for-profit, individually owned home earns top marks on quality measures, but its low staffing rating and seven total deficiencies are why it lands short of the top tier.

B

80/100

Oakland Rehabilitation And Healthcare Center

Oakland, NJ · Bergen County

CMS 3/5 215 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
44%
Serious cites
0

Oakland Rehabilitation and Healthcare Center runs 215 beds under individual for-profit ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins out right when families tend to visit. The inspection record is the bigger concern: 32 deficiencies, including one at the harm level and three tied to abuse, plus a $28,444 fine. Turnover at 44.1% is essentially in line with the national 45.8%, so that's not the outlier here. A 5/5 quality measure score and a May 2025 inspection are worth noting, but 32 deficiencies is a lot to weigh against them.

B

80/100

Echelon Care & Rehab

Voorhees, NJ · Camden County

CMS 4/5 240 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
41%
Serious cites
0

Echelon Care & Rehab is a 240-bed for-profit in Voorhees, and the numbers tell a mixed story. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, and weekends run about 7% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 40.9%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 25 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was June 2025, so the picture is recent. Quality measures score well; staffing and inspections land in the middle.

B

80/100

Aristacare At Parkside

Linden, NJ · Union County

CMS 5/5 240 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
35%
Serious cites
0

Aristacare at Parkside runs 240 beds in Linden under for-profit LLC ownership, and its nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national figure of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the quietest shifts get the thinnest attention. Turnover at 35.4% actually beats the national 45.8%, which matters for consistency of care. What pulls the record down is the inspection side: 23 deficiencies on file, one serious enough to reach harm or jeopardy level, with the last state visit in March 2025. Quality measures score well, but quality scores come from the facility's own reporting, while inspections are what surveyors found in person.

B

80/100

Canterbury At Cedar Grove

Cedar Grove, NJ · Essex County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
39%
Serious cites
0

Canterbury At Cedar Grove is a 180-bed for-profit home in Essex County, and its numbers pull in different directions. The health inspection side is where the trouble sits: 45 deficiencies on the current record, including two tied to abuse, and a one-out-of-five inspection rating despite a recent visit in December 2025. Nurse staffing runs about 3.22 hours per resident day, roughly 17% under the national average, and weekends dip about 6% below its own weekday level. What keeps it from looking worse is turnover at 39.1%, better than the 45.8% national figure, and strong quality measures. The state fined it once, for $9,661.

B

80/100

Hunterdon Care Center Llc

Flemington, NJ · Hunterdon County

CMS 4/5 185 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
37%
Serious cites
0

Hunterdon Care Center runs 185 beds under for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover is 37.1%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is where the concern concentrates: 24 deficiencies, including one at harm or jeopardy level and three tied to abuse, with the most recent inspection in March 2025. Federal quality measures score well, but that sits alongside a 2/5 inspection rating.

B

80/100

Careone At Cresskill

Cresskill, NJ · Bergen County

CMS 4/5 113 beds For-profit
Nurse hours
4.00 /day
Staff turnover
24%
Serious cites
0

Careone At Cresskill runs 113 certified beds under for-profit LLC ownership, and its staffing sits at 4.00 nurse hours per resident day, about 4% above the national average of 3.86. The number worth noticing is turnover: 23.7% against a national average of 45.8%, meaning aides and nurses here tend to stay. Weekend staffing drops roughly 9% below weekday levels, which is typical but still worth asking about if your family visits mainly on Saturdays and Sundays. The current inspection record shows 29 deficiencies, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was March 2026, so the picture is current.

B

80/100

Complete Care At Fair Lawn Edge

Paterson, NJ · Passaic County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
40%
Serious cites
0

Complete Care At Fair Lawn Edge runs 180 beds in Paterson under for-profit, limited-liability ownership. The staffing numbers are the main thing to know: 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86, and weekends drop about 10 percent below the home's own weekday level. Turnover sits at 40 percent, a bit better than the 45.8 percent national figure. Inspections turned up 26 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related, and the home has paid one fine of $10,036. Its last inspection was August 18, 2025. Quality measures score well; staffing and inspection results are where the concerns are.

B

80/100

Excel Care At Dover

Dover, NJ · Morris County

CMS 2/5 155 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
44%
Serious cites
0

Excel Care At Dover runs 155 certified beds under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends dipping about 4% below its own weekday levels. Turnover lands at 43.7%, slightly better than the national 45.8%, but that's where the good news mostly stops. The inspection record shows 36 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse, plus a single $139,113 fine. Its last inspection was May 2024. The quality measure score looks strong on paper, yet the staffing and inspection picture is what a family should weigh hardest here.

B

80/100

Careone At Valley

Westwood, NJ · Bergen County

CMS 5/5 98 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
24%
Serious cites
0

Careone At Valley sits in Westwood with 98 certified beds, run by a for-profit corporation. The inspection record is the strong part: a five-star health inspection rating, last surveyed in September 2025, with eight deficiencies on the books and none at the harm or jeopardy level. Same for quality measures, five stars there too. Where it thins out is staffing, which CMS rates two stars. Total nurse coverage runs 3.88 hours per resident day, barely at the national average of 3.86, and weekends drop about 7% below the home's own weekday level. Turnover, though, is genuinely low at 23.6% against a national 45.8%, so the people who are there tend to stay.

B

80/100

Careone At Parsippany

Parsippany Troy Hill, NJ · Morris County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
17%
Serious cites
0

Careone at Parsippany runs on fewer nursing hours than most homes, about 3.14 per resident per day against a national average near 3.86, and weekends dip roughly 10% below what the building staffs during the week. What stands out in the other direction is retention: turnover sits at 16.7%, well under the national figure of about 46%, so the aides and nurses you'd meet are more likely to still be there next year. Twenty deficiencies appear on the current record, none involving harm or abuse, and the most recent inspection was in December 2025. The quality measure stars look strong; the staffing and inspection scores are middling.

B

80/100

Advanced Subacute Rehabilitation Center At Sewell

Sewell, NJ · Gloucester County

CMS 2/5 139 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
37%
Serious cites
0

Advanced Subacute Rehabilitation Center At Sewell runs 139 beds under individual for-profit ownership, and its staffing numbers are one of the few bright spots: 4.05 nurse hours per resident day, about 5% above the national average, with turnover at 37.1% versus 45.8% nationally. Weekends still run roughly 10% thinner than weekdays, so coverage isn't even across the week. The inspection record is the real concern, a 1-out-of-5 health inspection rating, 20 deficiencies including one at the harm or jeopardy level and two tied to abuse, plus a $34,398 fine. The most recent inspection was March 2025. Strong quality scores and decent staffing don't cancel out that citation history.

B

80/100

Socorro Wellness & Rehabilitation

Socorro, NM · Socorro County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
51%
Serious cites
0

Socorro Wellness & Rehabilitation runs 66 certified beds under individual for-profit ownership. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts come when backup is hardest to find. Staff turnover is 50.7%, above the 45.8% national figure. The inspection record shows 42 deficiencies with none at the harm or jeopardy level, but 8 are abuse-related, which is worth asking about directly. The most recent inspection was December 16, 2025. Quality measures score well; staffing and health inspection each land mid-range.

B

80/100

Manzano Del Sol By Purehealth

Albuquerque, NM · Bernalillo County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
51%
Serious cites
0

Manzano Del Sol is a for-profit home in Albuquerque with 117 beds, and its numbers pull in two directions. Nurse staffing runs about 4.09 hours per resident day, roughly 6% above the national average, though weekends dip about 10% below its own weekday coverage, and staff turnover sits at 50.6% against a national 45.8%. The trouble is the inspection record: a 1-out-of-5 health inspection rating, 33 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, plus two fines totaling $25,935. That gap between decent staffing and a rough regulatory history is the whole story here, and it's worth asking administrators directly how they're closing it.

B

80/100

Desert Springs Health Care Llc

Hobbs, NM · Lea County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
52%
Serious cites
0

Desert Springs runs 80 beds in Hobbs under corporate ownership, and its inspection record is doing a lot of the work here: 34 deficiencies on file, two of them serious enough to involve actual harm or jeopardy, plus one fine of $17,215. That's a meaningful amount of regulatory attention for a building this size, though the most recent inspection came in January 2026, so the current picture is fresher than most. Where it slips is staffing, 3.57 nurse hours per resident day against a national average of 3.86, with weekends running about 14% thinner than weekdays and turnover at 51.6% versus 45.8% nationally. Ask how they cover Saturday and Sunday.

B

80/100

West Village Rehabilitation And Nursing Center

New York, NY · New York County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
32%
Serious cites
0

West Village Rehabilitation and Nursing Center runs on 4.36 nurse hours per resident per day, roughly 13 percent above the national average, which matters more than most families realize. Turnover sits at 31.6 percent against a national 45.8 percent, staff here tend to stay. The tradeoffs show up on weekends, when hours drop about 9 percent below the facility's own weekday level, and in the staffing star rating, which lands at 3 of 5 despite the strong overall numbers. Inspection history is clean where it counts: four deficiencies on record, none causing harm, none abuse-related, with $5,300 in total fines and a survey as recent as August 2024.

B

80/100

Excel At Woodbury For Rehabilitation And Nursing,

Woodbury, NY · Nassau County

CMS 5/5 123 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
23%
Serious cites
0

Excel At Woodbury runs a tight ship on the clinical side. Its last inspection was in July 2025, and the record shows 13 deficiencies with none rising to harm or jeopardy level, a clean sheet by federal standards, though two abuse-related citations are worth asking about directly. Nurse staffing sits at 3.96 hours per resident day, slightly above the national average, but weekend coverage drops about 13% below weekdays, so ask how that gap gets filled. Staff turnover is the standout: 22.8% against a national average near 46%, meaning caregivers tend to stay. For a for-profit LLC with 123 beds, that retention is doing real work.

B

80/100

Waterview Hills Rehabilitation And Nursing Center

Purdy Station, NY · Westchester County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
25%
Serious cites
0

Waterview Hills runs on thinner nurse coverage than most homes, 3.22 hours per resident day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. What offsets that is consistency: turnover sits at 24.7%, well under the 45.8% national figure, so the aides and nurses showing up are more likely to know the residents. The inspection record is recent (October 2024) and clean at the harm level, though 11 deficiencies and two abuse-related citations are worth asking about directly. Owned by a for-profit LLC, this is a home where you'll want to visit on a weekend.

B

80/100

The Chateau At Brooklyn Rehabilitation And Nursing

Brooklyn, NY · Kings County

CMS 5/5 189 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
32%
Serious cites
0

The Chateau at Brooklyn Rehab and Nursing Center runs lean on nurses: 2.97 hours per resident day, roughly a quarter below the national average, with weekends about 9% thinner than weekdays already are. That's the main tension here, because turnover sits at 31.6% against a national 45.8%, a steadier crew than most, and the 4/5 inspection rating and 5/5 quality measures suggest care itself holds up. The catch is the record: 13 deficiencies, two tied to abuse, though none reached harm or jeopardy. Last inspected June 2024. For-profit, LLC-owned, 189 beds. Staffing is the question to press on when you visit.

B

80/100

Margaret Tietz Center For Nursing Care Inc

Jamaica, NY · Queens County

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

Margaret Tietz Center runs about 3.42 nursing hours per resident day, roughly 11% under the national average of 3.86, and weekends drop another 7% below its own weekday level. So the day-to-day coverage is thinner than average, and thinnest when families tend to visit. What stands out instead is turnover: 29.5% against a national 45.8%, meaning aides and nurses here tend to stay. Inspections back that up, a five-star health inspection rating, five deficiencies on record with one at the harm level, no abuse citations, and a single $8,512 fine, with the last survey in September 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.

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