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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 2581–2600 of 10,187, best-graded first.

B

80/100

St. Ann's Skilled Nursing And Therapy

Oklahoma City, OK · Oklahoma County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
48%
Serious cites
0

St. Ann's runs a 120-bed for-profit partnership home in Oklahoma City with a solid inspection record, 22 deficiencies, none at the harm level, though one is abuse-related. The 4-star health inspection rating backs that up, and the last survey was in May 2024, so the picture is current. Where it slips is staffing: 3.60 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 9% below its own weekday level, and turnover at 48.3% runs slightly above the national rate of 45.8%. That mix, clean inspections, thinner and less stable staffing, is what separates this home from the top tier.

B

80/100

Laurelhurst Post Acute & Rehabilitation

Portland, OR · Multnomah County

CMS 1/5 159 beds For-profit Medicaid
Nurse hours
4.91 /day
Staff turnover
47%
Serious cites
0

Laurelhurst runs 4.91 nurse hours per resident day, about 27% above the national average, and weekends dip only modestly below weekdays. That staffing is the home's real strength. The inspection record is the counterweight: 43 deficiencies on file, three serious enough to put residents in harm's way, four tied to abuse, and a $33,319 fine. Staff turnover of 47.1% sits slightly above the national figure, and the building changed owners within the past year. Last inspection was March 2025. If you're considering it, ask how the current operator is addressing those abuse-related findings and what weekend coverage actually looks like in practice.

B

80/100

Marquis Mill Park

Portland, OR · Multnomah County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
5.19 /day
Staff turnover
43%
Serious cites
0

Marquis Mill Park runs a 77-bed for-profit operation in Portland with a genuinely strong staffing picture: 5.19 nurse hours per resident day, roughly a third more than the national average, and a 42.9% turnover rate that's actually a touch better than the 45.8% norm. Weekends dip about 13% below weekday coverage, which is common but worth knowing if you're visiting Saturday or Sunday. Where the record gets harder to read is inspections, a 2-out-of-5 health inspection rating, 17 deficiencies on file, two of them at the harm or jeopardy level and one tied to abuse, plus a $17,345 fine. Staffing can't paper over that. Ask directly what changed since the April 2026 inspection.

B

80/100

Salem Transitional Care

Salem, OR · Marion County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
45%
Serious cites
0

Salem Transitional Care runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, so the floor gets thinner when families tend to visit. Staff turnover lands at 44.8%, essentially at the national average of 45.8%. The harder reading is in the inspection record: 30 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $22,523 and a survey completed April 15, 2025. Quality measures score well; the health inspection side is where the concerns concentrate.

B

80/100

Cedar Crossings

Portland, OR · Multnomah County

CMS 3/5 89 beds For-profit Medicaid
Nurse hours
5.24 /day
Staff turnover
65%
Serious cites
0

Cedar Crossings runs on a for-profit LLC out of Portland, and its bedside hours look strong at first, 5.24 per resident day, well above the national average of 3.86. But the people providing that care don't stay: turnover sits at 64.5%, against a national 45.8%, and weekend staffing drops about 11% below its own weekday level. The inspection record is where the picture darkens. Fifty-seven deficiencies, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings, two fines totaling $32,383, and a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, but that's self-reported data, the surveyor findings tell a different story.

B

80/100

Riverton Rehabilitation And Healthcare Center

Allentown, PA · Lehigh County

CMS 4/5 111 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
26%
Serious cites
0

Riverton Rehabilitation has 111 certified beds and is owned by an individual for-profit operator. Its staffing sits at 3.48 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover is the interesting part: 26.3% against a national average near 46%, which suggests a steadier crew than most places even if there aren't quite enough of them. Inspections back that up, 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2025.

B

80/100

Scenery Hills Rehabilitation And Healthcare Center

Indiana, PA · Indiana County

CMS 3/5 56 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
24%
Serious cites
0

Scenery Hills runs 4.03 nurse hours per resident day, a bit above the national average, and its staff turnover of 24.1% is roughly half the national rate, unusual stability for a for-profit limited liability company. The catch is on the health inspection side: 23 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 2026. Weekend staffing also drops about 11% below its own weekday level. Consistent caregivers matter, but a harm-level finding and an abuse citation are the kind of record a family should read closely before deciding.

B

80/100

Claremont Nursing & Rehabilitation Center

Carlisle, PA · Cumberland County

CMS 3/5 282 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
44%
Serious cites
0

Claremont runs 282 certified beds in Carlisle under for-profit LLC ownership, and the staffing numbers are where the story sits: 3.62 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 11% below its own weekday coverage. That thinner weekend presence matters most when families visit and when residents need help between shifts. Turnover at 43.8% is slightly better than the national 45.8%, so retention isn't the main worry here. The inspection record shows 37 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the most recent survey dates to November 2025.

B

80/100

Suburban Woods Health & Reha

Norristown, PA · Montgomery County

CMS 5/5 119 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
41%
Serious cites
0

Suburban Woods runs on a for-profit LLC structure with 119 certified beds in Norristown, and its staffing is the weak spot: 3.38 nurse hours per resident day, roughly 13% under the national average, with weekends about 10% thinner than weekdays. Turnover sits at 40.7%, slightly better than the 45.8% national figure, so the problem looks more like thin coverage than a churning workforce. Inspections are recent, and the record shows 20 deficiencies with none at harm or jeopardy level, though two are abuse-related. Quality measures score well. If your family member needs a lot of hands-on help, ask specifically how weekend shifts are staffed.

B

80/100

Terrace Health & Rehab Center

Uniontown, PA · Fayette County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
44%
Serious cites
0

Terrace Health & Rehab Center runs 119 beds in Uniontown under corporate, for-profit ownership, and its numbers split in two directions. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 8% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 44%, actually tracks slightly under the national figure. The current record shows 21 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the most recent inspection dates to August 2025. Strong quality measures coexist with a two-star inspection history.

B

80/100

Park Lane Post Acute Llc

West Chester, PA · Chester County

CMS 5/5 68 beds For-profit
Nurse hours
3.88 /day
Staff turnover
43%
Serious cites
0

Park Lane Post Acute runs a 68-bed for-profit home in West Chester, and the numbers show a place that's mostly steady but not exceptional. Nurse staffing sits at 3.88 hours per resident day, barely above the national average, with weekends running about 4% thinner than weekdays, a small dip, but worth knowing if your family visits on Saturdays. Staff turnover of 42.9% is slightly better than the national figure, though still means roughly two in five caregivers left over a year. Inspections look strong: a 4-out-of-5 health rating, no deficiencies at the harm level, and a recent survey. The 25 total deficiencies and 2 abuse-related findings are the parts to ask about directly.

B

80/100

Manna Post Acute

Pickens, SC · Pickens County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
22%
Serious cites
0

Manna Post Acute runs 130 beds in Pickens under corporate for-profit ownership, and its nurse staffing sits at 3.45 hours per resident day, about 11% under the national average of 3.86. Weekends dip roughly 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the genuine bright spot: 22% 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, though one is abuse-related. The last inspection was May 2026, so the picture is recent. Quality measures score well; staffing and inspection results are more middle-of-the-road.

B

80/100

Nhc Healthcare - Garden City

Garden City, SC · Horry County

CMS 4/5 148 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
39%
Serious cites
0

Nhc Healthcare - Garden City runs 148 certified beds under for-profit limited liability ownership, and the staffing numbers are the first thing to notice. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 15% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover at 39.2% is better than the 45.8% national figure, which matters for continuity of care. The current record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,147. A recent inspection and 4/5 ratings on both health inspections and quality measures round out a record that's solid on safety and weaker on daily staffing depth.

B

80/100

Walworth County Care Center, Inc

Selby, SD · Walworth County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
27%
Serious cites
0

Walworth County Care Center runs on leaner nurse staffing than most homes, about 3.03 hours per resident day against a national average near 3.86, and weekends dip roughly 14% below its own weekday coverage. The tradeoff shows up in stability: turnover sits at 27.3%, well under the 45.8% national figure, which matters when you're trying to keep familiar faces on the floor. Its inspection record is genuinely strong, a five-star rating with five total deficiencies and none at the harm or jeopardy level, though one is abuse-related. A recent inspection in April 2026 keeps that picture current. If your family member needs consistent caregivers more than maximum daily nursing hours, this one is worth a look.

B

80/100

Nhc Healthcare, Ft Sanders

Knoxville, TN · Knox County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
50%
Serious cites
0

Nhc Healthcare, Ft Sanders runs 160 certified beds as a for-profit corporation, and its nurse staffing sits just above the national average, 3.98 hours per resident day against 3.86. That edge softens on weekends, when coverage drops about 7% below its own weekday level. Staff turnover is the number worth pausing on: 50.4% a year, higher than the national 45.8%. The current record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $9,770. Health inspections earned 2 out of 5 stars, while quality measures scored 5 and staffing 4, a split that suggests the day-to-day care metrics look better than the inspection history does. The last survey was January 22, 2026.

B

80/100

Nhc Healthcare, Cookeville

Cookeville, TN · Putnam County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
40%
Serious cites
0

Nhc Healthcare, Cookeville runs on a corporate for-profit model with 104 certified beds, and the numbers are mostly steady. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, though weekends drop roughly 15% below what the home provides during the week, a gap worth asking about if your family member needs consistent weekend coverage. Staff turnover is 40%, slightly better than the 45.8% national figure. Six deficiencies appear on the current record, none at the harm level and none abuse-related, and the last inspection was February 2025. That combination, recent inspection, no serious citations, solid quality scores, explains why this home grades out reasonably well despite average staffing marks.

B

80/100

Wood Village

Sweetwater, TN · Monroe County

CMS 4/5 89 beds Non-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
28%
Serious cites
0

Wood Village runs lean on daily nursing hours, 3.48 per resident, roughly 10 percent under the national average, and weekends dip another 9 percent below its own weekday pace. What stands out instead is retention: 27.9 percent turnover against a national average of 45.8 percent means the aides and nurses here tend to stay, which matters more for daily care than a staffing ratio on paper. The inspection record backs that up, with a 5/5 health inspection rating, only two deficiencies on file, none involving harm or abuse, and a recent May 2025 survey. Nonprofit ownership and a 4/5 quality measure rating round out a home that's stable rather than flush.

B

80/100

White Settlement Nursing Center

White Settlement, TX · Tarrant County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
43%
Serious cites
0

White Settlement Nursing Center runs 108 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 4% under the national average of 3.86, with weekends running about 8% thinner than weekdays. Staff turnover lands at 42.9%, a touch better than the 45.8% national figure, so retention isn't the main concern here. The inspection record is: 33 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $23,010 and a 2-out-of-5 health inspection rating, though the most recent inspection was May 2025. Quality measures score well; the trouble sits in the hands-on care and compliance side.

B

80/100

Christian Care Communities And Services Mesquite

Mesquite, TX · Dallas County

CMS 4/5 180 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
52%
Serious cites
0

Nurse staffing at this Mesquite nonprofit runs 3.99 hours per resident day, slightly above the national average of 3.86, and weekends dip about 4% below its own weekday levels, a small drop, but worth asking about. The bigger concerns sit elsewhere: annual turnover is 52% against a national 45.8%, and the current record carries 15 deficiencies, four at harm or jeopardy level and one abuse-related, plus two fines totaling $28,941. The 5/5 quality measure score stands out, but that's largely self-reported data, while the 3/5 inspection rating reflects what surveyors actually found when they visited in March 2025.

B

80/100

Cleveland Health Care Center

Cleveland, TX · Liberty County

CMS 4/5 142 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Cleveland Health Care Center runs 142 certified beds as a nonprofit corporation, and its last inspection was April 30, 2025. Nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86, but weekends drop about 12% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 39.4%, better than the 45.8% national figure, which suggests some stability in the workforce. What pulls the record down is the inspection history: 12 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus two fines totaling $30,198. No abuse citations appear. The day-to-day care measures and inspection scores look decent on their own; the harm-level findings are the part worth asking about directly.

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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