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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 2721–2740 of 10,187, best-graded first.

B

79/100

Willow Pass Healthcare Center

Concord, CA · Contra Costa County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
46%
Serious cites
0

Willow Pass runs about 3.99 nurse hours per resident day, a bit above the national average of 3.86, and weekends dip roughly 7% below its own weekdays. Turnover sits at 46%, essentially the national rate of 45.8%, so continuity of care isn't unusually bad here. The harder numbers are on the inspection side: 50 deficiencies on the current record, four tied to abuse and two serious enough to reach harm or jeopardy, with a single $45,702 fine. The last inspection was October 2022, so that record has had time to age without a fresh look. Corporate-owned, 81 beds.

B

79/100

Brookside Care Center

Stockton, CA · San Joaquin County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
40%
Serious cites
0

Brookside Care Center sits in Stockton with 99 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.88 hours per resident day, right around the national average of 3.86, and weekend coverage dips about 7% below weekday levels. Staff turnover is 39.5%, better than the 45.8% national figure, which matters for continuity of care. The trouble is the inspection record: 103 deficiencies, including one at the harm or jeopardy level and ten tied to abuse. CMS gave it a single star for health inspections, though quality measures and staffing each earned three. The last inspection was January 31, 2025. That mix, decent staffing, a rough regulatory history, is what drives the middling grade.

B

79/100

Skyline Healthcare Center - San Jose

San Jose, CA · Santa Clara County

CMS 1/5 253 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Skyline Healthcare Center in San Jose runs 253 beds under for-profit partnership ownership, and its staffing numbers look better than most: 4.07 nurse hours per resident day, about 5% above the national average, with turnover at 38.9% compared to 45.8% nationally. That's the good news. The inspection record tells a different story, 91 deficiencies on file, including four tied to abuse and three serious enough to put residents in harm's way, plus a $105,089 fine. A June 2025 inspection is recent, so this isn't stale history. Staffing can be adequate and a building can still fail at the basics of protecting residents. Those abuse and harm-level findings are what tip this one down to a D.

B

79/100

The Pines At Placerville Healthcare Center

Placerville, CA · El Dorado County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
46%
Serious cites
0

The Pines At Placerville runs a 99-bed for-profit operation in El Dorado County, and its nurse staffing sits modestly above the national average at 4.09 hours per resident day. That edge narrows on weekends, though, when coverage drops roughly 11% below its own weekday pace, worth asking about if your family tends to visit Saturday or Sunday. Staff turnover lands at 46.2%, essentially matching the national rate, so continuity of caregivers is neither a strength nor a red flag here. The inspection record shows 54 deficiencies, none at the harm or jeopardy level, two tied to abuse. A March 2026 inspection is recent enough that the findings reflect current conditions rather than old ones.

B

79/100

St Elizabeth Healthcare Center

Fullerton, CA · Orange County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
23%
Serious cites
0

St Elizabeth Healthcare Center runs on 4.52 nurse hours per resident day, about 17% above the national average, and its staff turnover of 23% is roughly half the national rate, that kind of retention is uncommon and usually shows up in how consistently residents are cared for. Weekend staffing dips about 9% below weekdays, so ask how that plays out on Sundays. The trade-off is in the inspection record: 58 deficiencies on file, four of them abuse-related, though none reached harm or jeopardy level, and the most recent inspection was in March 2026. For-profit corporate ownership, 59 beds.

B

79/100

Pacific Haven Subacute And Healthcare Center

Garden Grove, CA · Orange County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
5.23 /day
Staff turnover
42%
Serious cites
0

Pacific Haven runs 5.23 nurse hours per resident day, about a third more than the national average, and its clinical quality measures come in at the top of CMS's scale. That's the good news. The rest of the record is harder to square: 35 deficiencies on file, two of them serious enough to involve harm or jeopardy, two tied to abuse, and a staffing star rating that sits at 2 out of 5 despite the raw hours. Weekend coverage dips below its own weekday level. It's owned by a for-profit limited liability company, and the most recent inspection was in May 2025, recent enough to trust, but not a clean result.

B

79/100

Visalia Post Acute

Visalia, CA · Tulare County

CMS 1/5 176 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
42%
Serious cites
0

Visalia Post Acute runs 176 beds under for-profit LLC ownership, and its inspection record is the hard part: 69 deficiencies on file, including one at the harm level and three tied to abuse. That's a lot of documented problems for a single home, and CMS's one-star health inspection rating reflects it. Staffing sits at 3.76 nurse hours per resident day, just under the national average, with weekends running about 4% lighter than weekdays. Turnover at 41.8% is actually a bit better than the 45.8% national figure. The quality measure score looks strong on paper, but that's built from resident assessment data, not from what inspectors found when they walked in.

B

79/100

The Win Post-Acute

Santa Clara, CA · Santa Clara County

CMS 5/5 133 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
46%
Serious cites
0

The Win Post-Acute runs 4.01 nurse hours per resident per day, a bit above the national average of 3.86, though weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 45.6%, essentially matching the national rate. What stands out is the inspection record: 35 deficiencies, including two at the harm level and three tied to abuse, despite a recent May 2025 inspection and strong marks on quality measures. For-profit corporate ownership rounds out the picture. The numbers suggest a home that performs well on paper measures but has real compliance issues worth asking about directly.

B

79/100

Ukiah Post Acute

Ukiah, CA · Mendocino County

CMS 4/5 57 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
52%
Serious cites
0

Ukiah Post Acute runs 4.15 nurse hours per resident day, about 7% above the national average, and 39 deficiencies sit on its record, three at the harm or jeopardy level, three tied to abuse. The inspection history is current, dated February 2026, and CMS gave it 4 stars each for health inspections and quality measures, which suggests the day-to-day care holds up better than that deficiency count implies. Staffing is the softer spot: 3 stars, with weekend hours running about 12% under weekdays and turnover at 51.6%, above the 45.8% national figure. It's a for-profit LLC with 57 beds, so ask who's actually on the floor on a Sunday.

B

79/100

Harbor Villa Care Center

Anaheim, CA · Orange County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
48%
Serious cites
0

Harbor Villa runs 99 certified beds in Anaheim under for-profit LLC ownership, and its staffing numbers are better than they look at first glance: 4.09 nurse hours per resident day sits about 6% above the national average, though weekends dip roughly 9% below the home's own weekday level. Turnover is 47.7%, slightly worse than the 45.8% national figure, so the faces change often. The bigger concern is the inspection record, 86 deficiencies, including 2 at harm or jeopardy level and 6 abuse-related, with a 2-out-of-5 health inspection rating. The most recent inspection was April 2026. Quality measures score well, but that inspection history is the thing to ask about directly.

B

79/100

Cottage Crest Post Acute

Norwalk, CA · Los Angeles County

CMS 2/5 59 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
40%
Serious cites
0

Cottage Crest Post Acute sits in Norwalk with 59 certified beds and a for-profit corporate owner. The staffing numbers are genuinely good on paper, 4.53 nurse hours per resident day, roughly 17% above the national average, with turnover at 40% compared to 45.8% nationally. But weekends run about 12% thinner than weekdays, and the inspection record tells a harder story: 61 deficiencies on file, four serious enough to cause harm or jeopardy, two tied to abuse, plus three fines totaling $66,245. The last inspection was May 5, 2026. Strong daily staffing and a four-star quality score don't cancel out that many cited problems, especially the harm-level and abuse-related ones.

B

79/100

Gilroy Healthcare Center

Gilroy, CA · Santa Clara County

CMS 2/5 134 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
52%
Serious cites
0

Gilroy Healthcare Center runs 134 certified beds under for-profit LLC ownership, and its nurse staffing sits just above the national average, 3.95 hours per resident day against 3.86, though weekends drop roughly 9% below its own weekday coverage. Turnover is the harder number: 52.2% of staff leave annually, well above the 45.8% national rate, so the people caring for your family member change often. The inspection record is the real concern: 33 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $69,735 fine and a one-star health inspection rating. Quality measures score well, but recent inspections in mid-2025 still found serious problems.

B

79/100

Sherman Oaks Health & Rehab

Sherman Oaks, CA · Los Angeles County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
42%
Serious cites
0

Sherman Oaks Health & Rehab runs 120 beds as a for-profit corporation, and its staffing sits just above the national average at 3.93 nurse hours per resident day. But weekend coverage drops roughly 8% below the home's own weekday level, and turnover runs at 41.9%. The real concern is the inspection record: 96 deficiencies, including one at the harm or jeopardy level and seven tied to abuse. That history earned a 1 out of 5 on CMS health inspections, even though quality measures came in at 3. The most recent inspection was March 2025. If you're considering this one, ask directly what changed since then.

B

79/100

Lynwood Post Acute Care Center

Lynwood, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
40%
Serious cites
0

Lynwood Post Acute Care Center runs 99 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 8% below the home's own weekday level, so the care your family member gets on a Saturday may look thinner than on a Tuesday. Staff turnover is 39.8%, better than the 45.8% national figure, which suggests some consistency in who's showing up. The harder number is 69 deficiencies on the current record, eight tied to abuse, though none rose to the harm or jeopardy level. State inspectors last visited in April 2026.

B

79/100

Cedars Healthcare Center

Lakewood, CO · Jefferson County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
27%
Serious cites
0

Cedars Healthcare Center in Lakewood runs 130 beds under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 3.18 hours per resident day, roughly 18% below the national average of 3.86, but the staff who are there tend to stay, with turnover at 26.7% against a national 45.8%. The real concern is the inspection record: 41 deficiencies, three at harm or jeopardy level, four abuse-related, and two fines totaling $55,908, with the most recent inspection in March 2024. Strong quality and staffing scores don't cancel out that history. If you're considering this home, ask directly what changed since that March inspection.

B

79/100

Fairacres Manor, Inc.

Greeley, CO · Weld County

CMS 4/5 116 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Fairacres Manor runs 116 beds in Greeley under for-profit LLC ownership, and its staffing numbers sit a bit under the national average, 3.71 nurse hours per resident day against 3.86 nationally, with weekends running about 9% thinner than weekdays. Turnover is the bright spot: 37.5% versus 45.8% nationally, which suggests people stick around longer here than at the typical home. The inspection record is where you'd want to ask questions. Seventeen deficiencies are on file, including one at the harm level and four tied to abuse, though the last inspection was recent (June 2024) and CMS gave the health inspection side 4 of 5 stars. Quality measures scored 2 of 5, worth asking the administrator what's driving that.

B

79/100

Heritage Park Care Center

Carbondale, CO · Garfield County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
44%
Serious cites
0

Heritage Park Care Center runs 90 certified beds in Carbondale under corporate for-profit ownership, and its inspection record is the part that should give you pause: 30 deficiencies on the current record, three of them serious enough to involve harm or jeopardy, plus three abuse-related citations, and one fine totaling $25,990. The most recent inspection was August 2024, so that picture is fairly current. Staffing sits at 3.66 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 13% below the home's own weekday levels. Turnover at 43.6% is slightly better than the 45.8% national figure, but it's still nearly half the nursing staff leaving in a year.

B

79/100

Cottonwood Rehabilitation And Healthcare Center

Durango, CO · La Plata County

CMS 5/5 40 beds For-profit
Nurse hours
3.67 /day
Staff turnover
42%
Serious cites
0

Cottonwood runs a bit lean on nursing hours, 3.67 per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday staffing, so a Saturday or Sunday shift may feel thinner than a Tuesday. Turnover sits at 42.1%, slightly better than the 45.8% national figure, and the inspection record shows nine deficiencies, three of them serious enough to reach harm or jeopardy level, though none tied to abuse. The last state visit was in November 2024, so the record is recent. What you're weighing here is a home with strong quality marks and a recent, mostly clean inspection against thin weekend coverage and a handful of serious findings worth asking about directly.

B

79/100

Villa At Stamford, The

Stamford, CT · Western Ct County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
54%
Serious cites
0

Villa at Stamford runs 128 beds under for-profit LLC ownership, and its record splits sharply depending on where you look. The health inspection side is solid, four stars, last surveyed in July 2024, with 23 deficiencies on file but none rising to actual harm or jeopardy, though three are abuse-related and worth asking about directly. Quality measures earn a top score too. Staffing is the problem: one star, the lowest tier, and turnover sits at 53.8% against a national average of 45.8%, meaning more than half the workforce leaves each year. That combination, good clinical numbers propped up by a constantly changing staff, is what pulls the overall picture down to a B.

B

79/100

Cadia Rehabilitation Capitol

Dover, DE · Kent County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
46%
Serious cites
0

Cadia Rehabilitation Capitol runs 120 beds in Dover under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86. That's not a cushion, it's a coin flip. Weekend coverage drops about 11% below its own weekday level, so the thinnest shifts land when families visit. Turnover is 45.8%, identical to the national figure, meaning roughly half the nursing staff turns over in a year. The inspection record shows 31 deficiencies, including two at harm or jeopardy level and five tied to abuse. One fine totaling $8,018. Last inspection: January 2026. Quality and staffing each earned 4 of 5 stars from CMS; health inspections earned 3.

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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