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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 2541–2560 of 10,187, best-graded first.

B

80/100

Little Neck Care Center

Little Neck, NY · Queens County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
17%
Serious cites
0

Little Neck Care Center runs on a paradox: its staff stick around. Turnover is 16.9% against a national average of 45.8%, which is genuinely rare and usually means people want to be there. But the record around them is the problem. The most recent inspection, in August 2024, left 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse. That's a lot of citations for a 120-bed home. Staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends drop another 7% below its own weekdays, so coverage thins out exactly when families visit. Consistent caregivers matter, but they can't offset an inspection record like this.

B

80/100

Cypress Garden Center For Nursing And Rehabilitati

Flushing, NY · Queens County

CMS 5/5 278 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
25%
Serious cites
0

Cypress Garden Center runs about 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday level. That thin coverage lines up with a 2-out-of-5 staffing rating from CMS, though turnover is a genuine bright spot: 25.4% versus a national average of 45.8%, so the aides who are there tend to stay. The record shows 13 deficiencies with none at harm level, including one abuse-related citation, and the last inspection came in September 2024. Quality measures score 5 out of 5 and inspections 4 out of 5, so the care outcomes look better than the hours suggest, families should still ask how weekend coverage is actually staffed.

B

80/100

Newfane Rehab & Health Care Center

Newfane, NY · Niagara County

CMS 2/5 165 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
31%
Serious cites
0

Newfane Rehab runs 165 beds under for-profit LLC ownership, and its nurse staffing sits at 2.87 hours per resident day, roughly 26% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts are predictable. Turnover is 31.4%, which is actually better than the 45.8% national figure, and the quality measure rating of 4/5 is a real strength. But the inspection record is middling at 2/5, with 22 deficiencies including 3 tied to abuse, none at harm or jeopardy level. The last inspection was June 5, 2025.

B

80/100

Bensonhurst Center For Rehabilitation & Healthcare

Brooklyn, NY · Kings County

CMS 5/5 200 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
19%
Serious cites
0

Bensonhurst Center runs 200 beds in Brooklyn under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86, and weekends run about 11% thinner than weekdays, that's the kind of gap families notice when they visit on a Sunday. The good news: staff turnover is just 18.7% against a national average of 45.8%, which means the people caring for residents tend to stay. Inspections back that up, 16 deficiencies on record, none at harm or jeopardy level, none abuse-related, and the most recent visit was January 2025. Quality measures score well; staffing is the weaker link.

B

80/100

Absolut Center For Nursing And Rehabilitation At A

Allegany, NY · Cattaraugus County

CMS 5/5 37 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
38%
Serious cites
0

Absolut Center For Nursing And Rehabilitation At A is a small for-profit home in Allegany run by a limited liability company, and its inspection record is genuinely strong, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and the most recent inspection done in March 2024. The catch is staffing: 3.28 nurse hours per resident day sits about 15 percent under the national average, weekends run roughly 6 percent thinner than weekdays, and CMS gives it only two stars there. Turnover is 37.9 percent, actually better than the 45.8 percent national figure, which matters in a 37-bed building where you know the aides by name. Two abuse-related deficiencies appear on the current record, worth asking about directly.

B

80/100

Gowanda Rehabilitation And Nursing Center

Gowanda, NY · Cattaraugus County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
30%
Serious cites
0

Gowanda Rehabilitation and Nursing Center runs 160 beds under for-profit LLC ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15 percent under the national average of 3.86. Weekends dip about 15 percent below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the brighter spot at 29.9 percent, well below the 45.8 percent national figure, which suggests less churn in who's actually at the bedside. Against that, the current record carries 15 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $61,162 fine. The last inspection was May 2025.

B

80/100

Autumn View Health Care Facility L L C

Hamburg, NY · Erie County

CMS 5/5 230 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
45%
Serious cites
0

Autumn View runs 230 beds in Hamburg under corporate ownership, and the numbers tell a split story. Its inspection and quality ratings both come in at the top of CMS's scale, with seven deficiencies on record and none involving harm, jeopardy, or abuse, a clean record by any reasonable measure. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, weekend coverage dips roughly 13% below its own weekday level, and turnover lands at 44.7%, essentially tracking the national rate. A recent inspection in March 2026 supports the strong survey history, but the thin staffing numbers mean care depends heavily on how well shifts are covered.

B

80/100

Sapphire Nursing And Rehab At Goshen

Goshen, NY · Orange County

CMS 5/5 24 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
27%
Serious cites
0

Sapphire Nursing and Rehab at Goshen is a small place, just 24 certified beds, individually owned for profit, and its inspection record is genuinely clean: 17 deficiencies on file, none of them at the harm or jeopardy level, none abuse-related, with a survey completed in April 2025. Nurse staffing sits slightly under the national average at 3.81 hours per resident day, and weekends run about 11% leaner than weekdays, so ask how coverage holds up on a Saturday. The standout number is turnover at 27.3%, well below the 45.8% national average, which suggests a steadier crew than most. Quality measures score 5/5; staffing scores 3/5.

B

80/100

Hamilton Park Nursing And Rehabilitation Center

Brooklyn, NY · Kings County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
24%
Serious cites
0

Hamilton Park runs on a for-profit partnership model with 200 certified beds, and the numbers suggest steady, unremarkable care rather than crisis. Nurse staffing sits at 3.88 hours per resident day, barely above the national average, but weekend coverage drops about 11% below its own weekday level, a gap families should ask about directly. Staff turnover is 23.9%, roughly half the national rate, which matters for continuity of care. The home carries 14 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, with a February 2025 inspection. Quality measures score 5/5, inspections 3/5. Nothing here screams danger, and nothing suggests a standout either.

B

80/100

Huntington Hills Center For Health And Rehabilitat

Melville, NY · Suffolk County

CMS 4/5 320 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
22%
Serious cites
0

Huntington Hills runs 320 certified beds in Melville under corporate ownership, and the staffing picture is mixed. Nurses provide 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 11% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 22.4% against a national average of 45.8%, meaning aides and nurses here tend to stay. The current record shows 16 deficiencies, none at harm or jeopardy level, but one is abuse-related, which is worth asking about directly. State inspectors were last in on November 15, 2024. Quality measures score well; staffing and inspections sit in the middle.

B

80/100

Cypress Pointe Rehabilitation Center

Wilmington, NC · New Hanover County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
47%
Serious cites
0

Cypress Pointe Rehab runs a tight ship on inspections, a five-star health inspection rating, just three deficiencies on the current record, none at the harm level and none abuse-related. The last survey wrapped in May 2026, so the record is current. Where it gives ground is staffing. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekend coverage dips slightly below its own weekday level. Turnover lands at 47%, a touch above the 45.8% national figure, which for a 90-bed for-profit home owned by an individual is worth asking about directly. The care record looks strong; the question is whether the floor has enough hands to keep it that way.

B

80/100

Ridgewood Living & Rehabilitation Center

Washington, NC · Beaufort County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
38%
Serious cites
0

Ridgewood runs 3.47 nursing hours per resident day, roughly 10 percent under the national figure, and weekends dip about 9 percent below what the home staffs on weekdays. The 128-bed for-profit has 30 deficiencies on its current record, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,868. Turnover sits at 38.2 percent, better than the 45.8 percent national average, and its last inspection was September 2025. The numbers behind its grade are a mixed picture: above-average marks on quality measures and staffing from CMS, but a 2/5 inspection rating and a deficiency record worth reading in full before you decide.

B

80/100

Sanford Health & Rehabilitation Co

Sanford, NC · Lee County

CMS 4/5 131 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
25%
Serious cites
0

Sanford Health & Rehabilitation runs 131 beds under for-profit LLC ownership, and its staffing sits just a hair under the national average, 3.82 nurse hours per resident day against 3.86. That gap is small, but weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the real bright spot: 24.7% against a national 45.8% means aides and nurses are staying put, which matters for consistency of care. The tradeoff shows up in the inspection record, 31 deficiencies, three of them serious enough to risk harm, though none abuse-related, and a single fine of $10,527. The most recent inspection was April 2025, so the picture is current.

B

80/100

Autumn Care Of Fayetteville

Fayetteville, NC · Cumberland County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
39%
Serious cites
0

Autumn Care of Fayetteville runs about 3.50 nurse hours per resident each day, roughly 9% under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. Those thin weekend shifts are worth asking about directly, since that's when families often visit and when problems tend to surface. The inspection record is short and clean: three deficiencies, none involving harm or jeopardy, nothing abuse-related, and a survey as recent as April 2026. Staff turnover sits at 38.8%, better than the 45.8% national figure, which suggests less churn than many corporate-owned homes. Quality measures score at the top. The weak spot is staffing, and it's the one number here that touches daily life most.

B

80/100

Schoenbrunn Healthcare

New Philadelphia, OH · Tuscarawas County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
32%
Serious cites
0

Schoenbrunn Healthcare runs 95 beds in New Philadelphia under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.33 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays. That shortfall sits behind a CMS staffing rating of 2 out of 5. What stands out is the inspection record, 42 deficiencies, one at harm or jeopardy level and four abuse-related, with a health inspection rating of 1 out of 5. Staff turnover is 32.1%, better than the national 45.8%, so people tend to stay. Ask about the abuse citations and weekend coverage before deciding.

B

80/100

Logan Elm Health Care Center

Circleville, OH · Pickaway County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
35%
Serious cites
0

Logan Elm runs 3.93 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.1% is well below the typical 45.8%, people tend to stay here. The catch is weekends, when coverage drops about 14% below weekday levels, and the staffing star comes in at 3 out of 5. Inspections are a genuine strength: a 5/5 health inspection star, a recent survey in March 2026, and 8 deficiencies with none at harm level. Worth noting, though, that 3 of those are abuse-related, which is worth a direct question to the administrator before you decide.

B

80/100

Otterbein Lebanon Retirement Community

Lebanon, OH · Warren County

CMS 5/5 154 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
40%
Serious cites
0

Otterbein Lebanon runs on more nursing hours than most homes, about 4.00 per resident day against a national average near 3.86. Weekend coverage dips roughly 7% below its own weekday level, which is typical but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 39.8%, better than the 45.8% national figure. The record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. Inspectors were last on site in September 2025, and the health inspection rating came back 4 out of 5 stars, with quality measures at 5. It's a nonprofit corporation with 154 certified beds.

B

80/100

Omni Manor Nursing Home

Youngstown, OH · Mahoning County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
35%
Serious cites
0

Omni Manor runs on leaner nurse staffing than most homes, 3.34 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels, so coverage thins out right when families tend to visit. The tradeoff is stability: 35.4% turnover beats the 45.8% national figure, meaning the aides and nurses who are there tend to stay. What keeps this home from a stronger position is its inspection record: 33 deficiencies, including one at the harm level and three tied to abuse, with the most recent inspection in August 2024. Strong quality scores and steady staff can't cancel that out, but they do suggest the problems aren't the whole story.

B

80/100

Chillicothe Post Acute

Chillicothe, OH · Ross County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
35%
Serious cites
0

Chillicothe Post Acute runs about 3.23 nurse hours per resident day, roughly 16% under the national average, and weekend staffing drops another 14% below its own weekday pace, so the thinnest coverage lands when families tend to visit. Turnover sits at 34.7%, which is actually better than the 45.8% national figure, and the quality measure rating is a perfect 5/5. The tension is in the inspection record: a 2/5 health inspection rating, 39 deficiencies, two of them abuse-related, with the most recent inspection dated March 10, 2026. None of the deficiencies rise to harm or jeopardy level. Under a for-profit LLC, the clinical quality numbers look strong while the staffing and inspection numbers tell a more cautious story.

B

80/100

Laurels Of New London The

New London, OH · Huron County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
20%
Serious cites
0

The Laurels of New London runs lean on nurse hours, 3.52 per resident day against a national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, so the dips families worry about most do show up here. What offsets that is consistency in the workforce: turnover of 19.6% is less than half the national rate, which matters more than raw hours in a 50-bed building where residents know their aides. Inspections are recent and clean at the harm level, with one abuse-related citation among the eight on record.

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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