ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 2621–2640 of 10,187, best-graded first.

B

80/100

Mcclure Post Acute

Oakland, CA · Alameda County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
35%
Serious cites
0

McClure Post Acute sits at 60 beds in Oakland, run by a for-profit limited liability company. The nursing hours here run about 4.51 per resident day, roughly 17 percent above the national average, and weekend coverage dips only slightly below weekday levels. Staff turnover is 35.2 percent, which is lower than the national 45.8 percent, a meaningful difference when you're thinking about who's actually at the bedside month to month. The current record shows 20 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Inspections are recent, and the quality measure score is strong even as the staffing star sits at three. Ask about that abuse deficiency and what changed after it.

B

80/100

Vineyard Post Acute

Petaluma, CA · Sonoma County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
37%
Serious cites
0

Vineyard Post Acute sits in Petaluma with 99 certified beds under for-profit LLC ownership, and its staffing runs slightly ahead of the national average, about 3.99 nurse hours per resident day, roughly 3% above the norm. Staff turnover is 37.2%, better than the 45.8% national figure, though weekend coverage drops about 11% below the home's own weekday level. The harder numbers are on the inspection side: 47 deficiencies on the current record, three at harm or jeopardy level and two tied to abuse, plus three fines totaling $63,135. The last inspection was December 2025. Quality measure scores look strong, but a two-star health inspection rating with that deficiency history is what pulls the overall picture down.

B

80/100

San Bruno Skilled Nursing

San Bruno, CA · San Mateo County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
37%
Serious cites
0

San Bruno Skilled Nursing runs 4.42 nurse hours per resident per day, well above the national average of 3.86, and its 37% turnover beats the typical 45.8%. Those are the numbers behind a B. But look closer: weekends drop about 8% below the home's own weekday staffing, and CMS gives it only 2 of 5 stars on staffing despite the high raw hours. The record shows 36 deficiencies, three tied to abuse, though none rose to harm or jeopardy. It was inspected in December 2025, so the picture is current. The 5/5 quality measure score reflects charted care, not hands on the floor. For-profit, limited liability ownership.

B

80/100

Clearwater Healthcare Center

Stockton, CA · San Joaquin County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
42%
Serious cites
0

Clearwater Healthcare Center sits on the north side of Stockton with 120 certified beds, run by an individual for-profit owner. The staffing numbers look decent at first glance, 4.20 nurse hours per resident day, about 9% above the national average, but that average hides a 9% drop on weekends, and the 42% annual turnover means the faces change often, even if it's slightly better than the 45.8% national rate. What pulls this home down is its inspection record: 72 deficiencies, including four abuse-related citations and one at the harm or jeopardy level, with the last state visit in March 2025. Strong quality scores don't cancel out that kind of history.

B

80/100

Sundance Creek Post Acute

Banning, CA · Riverside County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
34%
Serious cites
0

Sundance Creek Post Acute runs 132 certified beds in Banning under for-profit LLC ownership, and its staffing story is mixed. At 3.95 nurse hours per resident day it sits just above the national average of 3.86, but weekends drop roughly 8% below its own weekday coverage, worth asking about if your family visits then. Turnover at 33.9% is meaningfully better than the 45.8% national figure, which suggests less churn among the people actually providing care. The concerning number is 71 deficiencies on the current record, including six tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on November 24, 2025.

B

80/100

Fountain Valley Post Acute

Fountain Valley, CA · Orange County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

Fountain Valley Post Acute runs 151 beds under corporate for-profit ownership, and the staffing picture is genuinely better than average: 4.14 nurse hours per resident day against a national 3.86, with turnover at 37.7% versus 45.8% nationally. Weekends dip about 8% below weekdays, so ask how that plays out on a Sunday. The inspection record is the harder part, 77 deficiencies on file, including 6 tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection came in January 2026. Quality measures score well; inspections don't. That split is worth weighing against what your family actually needs.

B

80/100

North Starr Postacute Care

Turlock, CA · Stanislaus County

CMS 4/5 31 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
38%
Serious cites
0

North Starr Postacute Care runs 31 certified beds in Turlock, and the nursing hours come in at 3.94 per resident day, a bit above the national average, though weekends dip roughly 4% below what the home staffs on weekdays. Staff turnover sits at 38.2%, which is meaningfully better than the 45.8% national figure, so people tend to stick around here more than at the typical home. The catch is the inspection record: 23 deficiencies, including one at the harm or jeopardy level and two flagged as abuse-related, with the most recent inspection in May 2026. For-profit corporate ownership, and a four-star health inspection rating alongside a three-star quality measure score.

B

80/100

Stonebrook Post Acute

Concord, CA · Contra Costa County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
32%
Serious cites
0

Stonebrook Post Acute runs 120 certified beds in Concord under corporate for-profit ownership, and its nurse staffing sits at 4.71 hours per resident day, about 22% above the national average of 3.86. That's a real margin, though weekends dip roughly 10% below the home's own weekday coverage, so the weekday numbers aren't the whole picture. Turnover is 32.2% against a national average of 45.8%, which matters for whether caregivers stick around long enough to know residents. The tradeoff shows up in the record: 27 deficiencies, including one at the harm level and one abuse-related, plus a single $12,735 fine. The last inspection was March 2025.

B

80/100

The Orchards Post-Acute

Bakersfield, CA · Kern County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
34%
Serious cites
0

The Orchards Post-Acute runs 150 beds in Bakersfield under for-profit LLC ownership, and its staffing sits just above the national average at 3.92 nurse hours per resident day, though weekends drop about 6% below its own weekday coverage. Turnover is where it stands out: 34.4% against a national 45.8%, meaning fewer caregivers cycling through than at a typical home. The trouble is the inspection record. A 1-out-of-5 health inspection rating, 88 deficiencies on file including two at harm or jeopardy level and five abuse-related, plus $23,603 in fines, and that most recent inspection only dates to March 2025, recent enough that little has had time to change.

B

80/100

Morgan Hill Healthcare Center

Morgan Hill, CA · Santa Clara County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
29%
Serious cites
0

Morgan Hill Healthcare Center runs 52 certified beds as a for-profit LLC, with nursing hours at 3.81 per resident day, just under the national average of 3.86, and weekends about 3% leaner than weekdays. The standout number is staff turnover at 28.6%, well below the national 45.8%, which suggests a steadier crew than most places. But the inspection record gives pause: 47 deficiencies, two at harm or jeopardy level, and $17,261 in fines. The most recent inspection came in April 2025, so the picture is current. Quality measures score well; the compliance history is where the trouble sits.

B

80/100

Park View Nursing And Subacute

Reseda, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
20%
Serious cites
0

Park View runs a for-profit shop in Reseda with 99 beds, and the numbers pull in two directions. Nurse staffing sits at 4.63 hours per resident day, roughly 20 percent above the national average, and turnover is genuinely low at 19.8 percent against a national 45.8 percent, that kind of retention usually means people stay because the place works for them. But the inspection record is the counterweight: 71 deficiencies on file, one tied to abuse, and a 2-out-of-5 inspection rating, even though nothing reached harm or jeopardy and the most recent survey came in May 2025. Weekend coverage dips about 6 percent below weekday levels, which is worth asking about if your family visits Saturdays.

B

80/100

Lompoc Skilled Nursing & Rehabilitation Center

Lompoc, CA · Santa Barbara County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
32%
Serious cites
0

Lompoc Skilled Nursing & Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are its clearest strength: 4.11 nurse hours per resident day, roughly 6% above the national average, with a 4/5 staffing star to match. Turnover sits at 32.4% against a national average of 45.8%, which matters for whether the same aides keep showing up. Weekends run about 10% leaner than weekdays, so ask how coverage holds on Sundays. The inspection record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $4,893, modest money. Its last inspection was February 2025, so the record is current, not stale.

B

80/100

The Springs Health And Rehabilitation Center

Murrieta, CA · Riverside County

CMS 4/5 170 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
33%
Serious cites
0

The Springs in Murrieta runs a for-profit partnership with 170 certified beds, and its nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average of 3.86. Weekends dip about 13% below its own weekday coverage, and staff turnover lands at 33.3%, well under the national 45.8%, which suggests people tend to stay. Inspections were recent, December 2025, with 4 out of 5 stars on both health inspections and quality measures. The caution is in the deficiency record: 33 total, including one at harm or jeopardy level and four abuse-related, plus a $26,918 fine. Strong staffing and inspection scores, but that deficiency history is worth asking about directly.

B

80/100

Temecula Healthcare Center

Temecula, CA · Riverside County

CMS 2/5 115 beds For-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
34%
Serious cites
0

Temecula Healthcare Center runs 115 certified beds under for-profit LLC ownership, and the staffing numbers are where it stands out. At 4.86 nurse hours per resident day, it's roughly 26% above the national average of 3.86, and turnover sits at 34.2% against a national 45.8%, both genuinely good signs. Weekends dip about 14% below the home's own weekday staffing, so coverage isn't perfectly even. The inspection record is the counterweight. A 2/5 health inspection rating, 36 deficiencies on file including one at harm or jeopardy level and three abuse-related, plus a $17,765 fine. The most recent inspection was April 2025, so the record is current. Strong staffing, weaker survey history, that tension is worth asking about directly.

B

80/100

Avir At Haskell

Haskell, TX · Haskell County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Avir At Haskell runs lean on nurse hours, 3.23 per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Turnover sits at 39.4%, better than the 45.8% national figure, so the crew here is steadier than most. Eighteen deficiencies appear on the current record, though none rise to harm or jeopardy, and none involve abuse, with the last inspection in July 2025. Corporate for-profit ownership, 68 beds, and strong marks on quality measures round out a picture of a home that's safe and well-observed but thinly staffed.

B

80/100

Midwestern Healthcare Center

Wichita Falls, TX · Wichita County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
45%
Serious cites
0

Midwestern Healthcare Center runs 121 certified beds in Wichita Falls under corporate for-profit ownership. Its nurse staffing sits at 3.86 hours per resident day, which is roughly the national average, but weekends run about 13% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.9%, close to the national 45.8%, meaning nearly half the workforce is replaced each year. The inspection record is the real concern: 23 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus one fine totaling $29,884. The most recent inspection was August 28, 2025. Quality measure scores look strong, but the health inspection side tells a different story.

B

80/100

Fairview Healthcare Residence

Fairfield, TX · Freestone County

CMS 4/5 84 beds Government Medicaid
Nurse hours
3.13 /day
Staff turnover
44%
Serious cites
0

Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.

B

80/100

Beacon Hill

Denison, TX · Grayson County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
35%
Serious cites
0

Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.

B

80/100

Avir At Grand Saline

Grand Saline, TX · Van Zandt County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
42%
Serious cites
0

Avir At Grand Saline runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, with weekends dipping about 8% below its own weekday coverage. That thin margin shows up in a 2-star staffing rating, even though turnover at 42% is actually a bit better than the 45.8% national figure. The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. A 4-star quality measure score and a February 2026 inspection round out a mixed picture: adequate clinical metrics, but real gaps in daily staffing and past safety findings worth asking about directly.

B

80/100

Avir At Knox City

Knox City, TX · Knox County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
39%
Serious cites
0

Avir At Knox City runs on 3.24 nurse hours per resident per day, about 16% under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who do stay tend to stick around. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a single $8,018 fine. The last inspection was December 18, 2025, so the picture is recent. For-profit corporate ownership, 66 certified beds, and a quality measure score that outpaces its staffing and inspection results.

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.

Before you shortlist