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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 261 to 280 of 10,187, best-graded first.

A

92/100

The Oaks At Battle Creek

Battle Creek, MI · Calhoun County

CMS 5/577 bedsFor-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
23%
Serious cites
0

The Oaks At Battle Creek runs on a for-profit corporate model with 77 certified beds, and its staffing numbers are the first thing worth noticing: 4.17 nurse hours per resident day, roughly 8% above the national average. Weekend coverage dips about 6% below its own weekday level, which is common but worth knowing if your family visits primarily on Saturdays and Sundays. Turnover sits at 23.1%, well under the national 45.8%, that kind of stability usually means familiar faces and consistent care. The 20 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2025. Quality measures score 5/5, staffing 4/5, inspections 3/5.

A

92/100

Fenton Healthcare

Fenton, MI · Genesee County

CMS 4/592 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
28%
Serious cites
0

Fenton Healthcare runs leaner on nursing hours than most homes, 3.45 per resident day against a national average of 3.86, and weekends dip roughly 13% below its own weekday staffing. That's the pattern worth watching if your family member needs help on a Saturday. What sets this one apart is retention: 27.7% turnover against a 45.8% national average means the aides and nurses are more likely to still be there next year, which matters more than a slightly thin schedule. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last survey was in December 2025. For-profit, individually owned, 92 beds.

A

92/100

Regency At Grand Blanc

Grand Blanc, MI · Genesee County

CMS 5/5138 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
28%
Serious cites
0

Regency At Grand Blanc runs 3.94 nurse hours per resident day, a bit above the national average, and its weekend staffing dips only around 12% below weekdays, a smaller drop than many homes show. The bigger signal is turnover: 27.9% annually against a national average of 45.8%, which suggests caregivers tend to stay. Inspections are current as of June 2025, and while the home carries 25 deficiencies, just one rose to harm or jeopardy level and none involved abuse. Quality and staffing measures both rate strongly, though the three-star health inspection score reflects that survey history. This is a for-profit, LLC-owned home with 138 beds whose numbers mostly hold up.

A

92/100

The Willows At Okemos

Okemos, MI · Ingham County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
33%
Serious cites
0

The Willows At Okemos runs a tight ship on staffing: 3.99 nurse hours per resident day puts it just above the national average, and a 32.8% turnover rate is meaningfully better than the 45.8% typical elsewhere, which matters because consistent caregivers know residents' routines. Weekend coverage drops about 7% from weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection record is a mixed bag, 22 deficiencies, one serious enough to involve harm or jeopardy, though nothing abuse-related and the most recent inspection was April 2026. The low turnover and 4-out-of-5 inspection rating suggest a home that's generally managed well, with one incident worth asking about directly.

A

92/100

The Oaks At Belmont

Belmont, MI · Kent County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
23%
Serious cites
0

The Oaks at Belmont runs 4.37 nurse hours per resident day, about 13% above the national average, and its staff turnover of 22.6% is roughly half the national rate, that retention matters more than any single inspection score. The trade-off is weekends, when staffing drops about 12% below its own weekday level, so coverage isn't perfectly even across the week. The inspection record shows seven deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. That one higher-level finding is the main thing keeping this from a cleaner record. With the most recent inspection in January 2026 and a 60-bed for-profit corporate owner, the picture is a well-staffed home with one incident worth asking about directly.

A

92/100

Karlstad Healthcare Center Inc

Karlstad, MN · Kittson County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
17%
Serious cites
0

Karlstad Healthcare Center runs on a steady crew. Nurse staffing sits at 3.95 hours per resident day, a bit above the national average, and the 17.2% turnover rate is far below the 45.8% most homes average, that kind of retention usually shows up in how consistently residents see familiar faces. Inspections back it up: a five-star health inspection rating, with just five deficiencies on record and none at the harm or jeopardy level, though one is abuse-related. Weekend staffing dips about 12% below weekdays, worth asking about. The last inspection was May 2026, so the record is current.

A

92/100

Doctors Subacute Healthcare, Llc

Paterson, NJ · Passaic County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
24%
Serious cites
0

Doctors Subacute Healthcare runs 54 beds in Paterson under individual for-profit ownership, and its inspection record is genuinely clean where it counts: 16 deficiencies on file, but none at the harm or jeopardy level. The two abuse-related citations are worth asking about directly. Nurse staffing sits at 3.78 hours per resident day, about 2% under the national figure, and weekends run roughly 13% thinner than weekdays, so coverage dips when families tend to visit. The standout number is turnover at 24.4%, nearly half the national average, which suggests a steadier crew than most homes manage. Its last inspection was recent, December 2025.

A

92/100

Rose Mountain Care Center

New Brunswick, NJ · Middlesex County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
25%
Serious cites
0

Rose Mountain Care Center runs on numbers that don't all point the same direction. The 112-bed for-profit partnership in New Brunswick keeps its staff remarkably well, 25.3% turnover against a national average of 45.8%, and CMS gives it top marks for staffing and quality measures. But nurse hours per resident sit at 3.72, about 4% under the national figure, with weekends running roughly 5% leaner than weekdays. The inspection record is the real outlier: 39 deficiencies, including three tied to abuse, and a one-star health inspection rating. Nothing on the current record reached harm or jeopardy level, and the most recent inspection was December 2024, so the picture is recent. Strong retention and thin weekend coverage can coexist, worth asking how.

A

92/100

Continuing Care At Lantern Hill

New Providence, NJ · Union County

CMS 3/540 bedsNon-profit
Nurse hours
5.55 /day
Staff turnover
24%
Serious cites
0

Continuing Care At Lantern Hill runs lean on inspection results even though its staffing numbers look strong. At 5.55 nurse hours per resident day, it beats the national average by roughly 44%, and turnover sits at 23.9%, about half the national figure. Those are real strengths. But the health inspection side is a different story: a 2-out-of-5 star rating, six deficiencies on record including one at the harm level, and a $21,645 fine. The last inspection was January 2026, so the record is current. Weekends also run about 9% below weekday staffing, which matters in a 40-bed home where coverage gaps show up fast. Strong hands on deck, weaker compliance history.

A

92/100

Brookside Multicare Nursing Center

Smithtown, NY · Suffolk County

CMS 5/5353 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
22%
Serious cites
0

Brookside Multicare runs 353 certified beds in Smithtown under for-profit LLC ownership, and the numbers mostly hold up. Nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, so this isn't a home running rich on direct care, and weekend coverage drops about 12% below its own weekday level. What stands out is retention: 21.9% annual turnover against a national average of 45.8%, meaning far fewer caregivers cycling through than at the typical home. Fifteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a single $3,145 fine and an inspection as recent as November 2025.

A

92/100

Ohio Living Mount Pleasant

Monroe, OH · Butler County

CMS 4/532 bedsNon-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
30%
Serious cites
0

Ohio Living Mount Pleasant runs a small 32-bed nonprofit home in Monroe, and the numbers behind its grade start with staffing: 4.08 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 6% below its own weekday level, which is worth asking about. Staff turnover sits at 30%, well under the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its inspection record, 11 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. Its last inspection was in January 2026, recent enough to trust. Strong quality measures and steady staffing carry this one; the deficiency history is what to weigh.

A

92/100

Westerwood Rehabilitation

Columbus, OH · Franklin County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
31%
Serious cites
0

Westerwood Rehabilitation sits at 75 certified beds in Columbus, run by a for-profit corporation. The numbers that stand out: nurse staffing at 4.32 hours per resident day, roughly 12% above the national average, and staff turnover near 31% against a national figure closer to 46%, a meaningful gap when consistent caregivers matter to families. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about. The home carries 19 deficiencies on its current record, none at the harm level, though one is abuse-related. Its last inspection was February 2026, so the picture is recent.

A

92/100

Marjorie P Lee Retirement Community

Cincinnati, OH · Hamilton County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
36%
Serious cites
0

Marjorie P Lee Retirement Community runs on unusually heavy nurse staffing for a nursing home, 5.30 hours per resident day, roughly a third more than the national figure. Weekend coverage dips only slightly from weekday levels, and turnover sits well under the national rate, which matters because stable caregivers tend to know residents' routines. The trade-off is a recent record with four deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. Inspectors were last in on January 29, 2026, so the picture is current, not stale. As a nonprofit with 88 beds, it isn't chasing volume; the numbers suggest a home placing real weight on direct care, with one inspection finding worth asking about directly.

A

92/100

River Valley Skilled Nursing And Therapy

Clinton, OK · Custer County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
30%
Serious cites
0

River Valley runs about 3.54 nurse hours per resident each day, roughly 8% under the national average of 3.86, and weekends dip another 6% below its own weekday numbers, so ask how coverage holds up on a Saturday. What offsets that: turnover sits at 30% against a national 45.8%, meaning aides and nurses tend to stay, and staff who know residents matter more than a marginal hour. Five deficiencies on record, none at harm level, none abuse-related, with an inspection dated March 2026. One hundred beds under for-profit partnership ownership. Good numbers, thinner staffing than average, worth a visit.

A

92/100

West Hills Health & Rehabilitation

Portland, OR · Multnomah County

CMS 4/5180 bedsFor-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
42%
Serious cites
0

West Hills runs nurse staffing at 5.03 hours per resident day, roughly 30 percent above the national average, and its weekend coverage dips about 13 percent below its own weekday numbers. Staff turnover sits at 41.5 percent, a bit better than the 45.8 percent national figure. The tradeoff shows up in inspections: 26 deficiencies on the current record, including one at the harm or jeopardy level, and a single fine of $12,659, with the most recent visit in April 2025. That mix, strong staffing and quality measures against a middling inspection history, is what separates the numbers here from a clean record.

A

92/100

Normandie Ridge

York, PA · York County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
33%
Serious cites
0

Normandie Ridge runs about 4.17 nurse hours per resident each day, roughly 8% above the national average, though weekends dip close to 10% below its own weekday staffing. Staff turnover sits at 32.8%, well under the national 45.8%, which matters over time, fewer unfamiliar faces at the bedside. The 16 deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection came in September 2025, so the picture is current rather than stale. Nonprofit ownership under a corporation is worth noting, since it tends to mean the budget isn't stretched to satisfy shareholders.

A

92/100

White Oak Manor - Lancaster

Lancaster, SC · Lancaster County

CMS 5/5132 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
33%
Serious cites
0

White Oak Manor sits in Lancaster with 132 certified beds and a corporate for-profit owner. Staffing runs 4.13 nurse hours per resident per day, roughly 7% above the national average, and turnover is 32.8% against a national 45.8%, meaning fewer caregivers are walking out the door than at the typical home. Weekend coverage dips about 15% below weekday levels, which is common but still worth asking about. Six deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. The quality measure score is perfect and the staffing score is strong; the health inspection score is the middling one.

A

92/100

Nhc Healthcare, Kingsport

Kingsport, TN · Sullivan County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
34%
Serious cites
0

Nhc Healthcare, Kingsport runs on 4.53 nurse hours per resident per day, roughly 17% above the national average, and its weekend coverage dips only about 9% below its own weekday level, a gap that tends to matter when families visit and notice who's actually on the floor. Annual turnover sits at 34.1%, well under the 45.8% national figure, meaning the aides and nurses here are more likely to be people who've stayed. The current inspection record shows three deficiencies, none at the harm level and none abuse-related, with the most recent survey dated May 2026. It's a for-profit limited liability company, so weigh that against the numbers rather than instead of them.

A

92/100

Care & Rehab - Ladysmith 2

Ladysmith, WI · Rusk County

CMS 5/530 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
15%
Serious cites
0

Care & Rehab - Ladysmith 2 runs about 4.46 nurse hours per resident each day, roughly 16 percent above the national average, and its staff turnover sits at 15.4 percent against a national 45.8, that combination is uncommon and it shows up in consistent care rather than churn. Weekend coverage dips only about 8 percent below weekdays, so the drop is modest. The home carries just three deficiencies on its current record, none at the harm level and none abuse-related, with its most recent inspection in March 2025. It's a for-profit corporation operating a small 30-bed building in Rusk County, and the numbers suggest the size isn't costing residents attention.

A

92/100

Long Beach Post Acute

Long Beach, CA · Los Angeles County

CMS 5/578 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
29%
Serious cites
0

Long Beach Post Acute runs on more nursing hours than most homes in the country, 4.30 per resident day against a national average of 3.86, and its weekend coverage dips only slightly below its own weekday level, which matters because short-staffed weekends are where problems tend to surface. Staff turnover sits at 29.2%, well under the national 45.8%, so the people caring for residents here are more likely to still be around next year. The 26 deficiencies on record include none involving harm or jeopardy to residents, and the most recent inspection was in January 2026.

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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