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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 2821–2840 of 10,187, best-graded first.

B

79/100

Medford Rehabilitation And Nursing Center

Medford, MA · Middlesex County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
43%
Serious cites
0

Medford Rehabilitation and Nursing Center runs 142 certified beds under for-profit LLC ownership, and its staffing sits at 3.42 nurse 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 comes in at 43%, slightly better than the 45.8% national figure. The current inspection record shows 37 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was August 2025. Its staffing star (4/5) outpaces its health inspection and quality measure stars (both 3/5), which is worth weighing against that deficiency history before you decide.

B

79/100

Sixteen Acres Health And Rehabilitation Center Llc

Springfield, MA · Hampden County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
43%
Serious cites
0

Sixteen Acres runs a bit leaner than the typical American nursing home on nurse staffing, 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 7% below what the home itself staffs during the week. Turnover sits at 43.1%, slightly better than the 45.8% national figure, so the crew here is a little more stable than most, even if there aren't quite as many hands per shift. The inspection record is the strongest part of the picture: four stars, 28 deficiencies logged with none at the harm or jeopardy level and nothing abuse-related, and the most recent survey came in December 2025, so the findings are recent.

B

79/100

Lafayette Rehabilitation & Skilled Nursing

Marblehead, MA · Essex County

CMS 5/5 65 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
53%
Serious cites
0

Lafayette Rehabilitation & Skilled Nursing runs 65 certified beds in Marblehead under for-profit LLC ownership, and its inspection record is the strongest thing it has going: a 5-star health inspection rating, nine total deficiencies on file, and none of them at the harm or jeopardy level. The staffing picture is more mixed. At 3.84 nurse hours per resident day it sits just under the national average of 3.86, and weekend coverage dips about 1% below its own weekday level. The number worth asking about is turnover: 53.1% of staff leaving annually against a national average of 45.8%. Quality measures score 2 out of 5. A recent inspection in August 2025 helps.

B

79/100

North End Rehabilitation And Healthcare Center

Boston, MA · Suffolk County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
41%
Serious cites
0

North End Rehabilitation and Healthcare Center runs 4.57 nurse hours per resident day, roughly 18 percent above the national average, and its 41.4 percent turnover sits slightly under the national figure. That's a decent staffing story on paper. The inspection record tells a different one: 18 deficiencies, three at harm or jeopardy level, one tied to abuse, and a $17,345 fine, with the most recent inspection dated April 30, 2026. Weekends thin out about 13 percent below weekday coverage, so the hours that look generous across the week aren't evenly spread. For-profit, LLC-owned, 100 beds. The quality measure score of 4 out of 5 is doing a lot of work here; the inspection score of 2 is the number I'd ask about first.

B

79/100

Mont Marie Rehabilitation & Healthcare Center

Holyoke, MA · Hampden County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
48%
Serious cites
0

Mont Marie runs on a for-profit LLC model with 84 beds, and the staffing numbers tell a mixed story. At 4.23 nurse hours per resident day, it's about 10% above the national average, which matters, but weekends dip roughly 12% below its own weekday coverage, and turnover sits at 47.6%, slightly worse than the 45.8% national figure. That churn can undercut even good staffing ratios, since familiar faces matter for care. The current inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, with $8,278 in fines and a survey completed in April 2025. Quality measures score well, but the health inspection and staffing ratings both land mid-range, which is where the real picture lives.

B

79/100

Seacoast Nursing And Rehabilitation Center

Gloucester, MA · Essex County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
42%
Serious cites
0

Seacoast runs 142 beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, with weekends running roughly another 10% thinner than weekdays. That pattern matters more than the yearly average, because weekends are when families often visit and when problems surface. Turnover at 42.2% is slightly better than the national 45.8%, which is a point in its favor, but the inspection record carries 21 deficiencies, including one at harm level and one abuse-related, plus a $34,808 fine. The last inspection was May 2025, so the record is recent. Ask about weekend coverage and how that abuse deficiency was resolved.

B

79/100

Hunt Nursing & Rehab Center

Danvers, MA · Essex County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Hunt Nursing & Rehab Center is a 120-bed nonprofit in Danvers, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, last survey in February 2026, with 21 deficiencies on file, only two of which rose to the harm level and none tied to abuse. Staffing sits just under the national average at 3.82 nurse hours per resident day, and weekends run about 10 percent thinner than weekdays, which is worth asking about if your family visits on Saturdays. Turnover at 41.2 percent actually beats the national 45.8 percent. The one fine on record, $10,517, is modest. What pulls the overall picture down is that quality measures rate only 3 out of 5, worth pressing on before you decide.

B

79/100

Continuing Care At Brooksby Village

Peabody, MA · Essex County

CMS 4/5 104 beds Non-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
50%
Serious cites
0

Brooksby Village runs a nonprofit operation in Peabody with 104 certified beds, and its biggest strength shows up in the nurse staffing numbers: 5.02 hours per resident day, roughly 30 percent above the national average of 3.86. That staffing cushion is real, though weekends dip about 9 percent below the home's own weekday level, so coverage isn't perfectly even across the week. The record has harder edges. Staff turnover sits at 50 percent, above the 45.8 percent national figure, and the current inspection history carries 17 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Add a single fine of $167,099, and the picture is a well-staffed home with some serious compliance problems worth asking about directly.

B

79/100

Saginaw Senior Care And Rehabilitation Center, Llc

Saginaw, MI · Saginaw County

CMS 4/5 71 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
47%
Serious cites
0

Saginaw Senior Care and Rehabilitation Center runs 71 certified beds as a for-profit corporation, and its numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Turnover runs 47.3%, a touch above the national 45.8%. The inspection record shows 29 deficiencies, three of them serious enough to reach harm or jeopardy level, plus two fines totaling $68,083; the most recent inspection was December 2025. CMS gives it 3 stars for health inspections but 5 for quality measures and 4 for staffing.

B

79/100

The Laurels Of Bedford

Battle Creek, MI · Calhoun County

CMS 2/5 123 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
39%
Serious cites
0

The Laurels of Bedford runs leaner than most: 3.06 nursing hours per resident per day, roughly a fifth below the national figure, and weekends drop about 12% below its own weekday staffing. The tradeoff on the workforce side is that turnover of 38.8% actually beats the national average of 45.8%, so this corporation holds onto aides better than typical. The current deficiency record carries 38 citations, three tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors last visited in November 2025. Quality measures score well at 4 stars, but the staffing star sits at 3, which is where the low hours show up.

B

79/100

Autumnwood Of Mcbain

Mcbain, MI · Missaukee County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
36%
Serious cites
0

Autumnwood of Mcbain runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 9% below what it staffs on weekdays. The inspection record is the bigger concern: 34 deficiencies, three of them serious enough to put residents at risk of harm, and one tied to abuse. A $39,000 fine and a one-star health inspection rating back that up. What's genuinely working in the numbers is retention, where its 35.9% turnover beats the 45.8% national figure, and its quality and staffing measures rate well above the inspection side. The company is a for-profit LLC with 95 beds.

B

79/100

Medilodge Of Mt. Pleasant

Mt. Pleasant, MI · Isabella County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
63%
Serious cites
0

Medilodge Of Mt. Pleasant runs 104 certified beds under for-profit limited liability ownership, and its nursing hours sit just under the national average, 3.77 per resident day against 3.86, with weekends about 15% thinner than weekdays. The bigger concern is turnover: 63.1% annually, well above the 45.8% national figure, which means familiar faces are hard to count on. Inspections turned up 21 deficiencies, one serious enough to reach harm or jeopardy level, though none involved abuse; the most recent look came in July 2025. Quality measures score well, staffing and inspections land in the middle. Families should ask how the home keeps weekend coverage steady and how it holds onto its nurses.

B

79/100

Heritage Nursing And Rehabilitation Community

Zeeland, MI · Ottawa County

CMS 4/5 39 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
44%
Serious cites
0

Heritage Nursing And Rehabilitation Community runs a 39-bed for-profit operation in Zeeland, and the numbers show a home that's careful but thinly staffed. Nurses give 3.38 hours per resident per day, roughly 12% under the national average of 3.86, and weekends dip about 8% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover sits at 43.8%, slightly better than the 45.8% national figure, and the inspection record is clean where it matters most: 16 deficiencies, none causing harm or involving abuse, with the most recent inspection in March 2026.

B

79/100

The Laurels Of Carson City

Carson City, MI · Montcalm County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
43%
Serious cites
0

The Laurels of Carson City runs on thinner nurse coverage than most homes, 3.59 hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when staffing is lightest. The inspection record is the bigger concern: 27 deficiencies, three of them serious enough to put residents in harm's way, one tied to abuse, and a $121,908 fine. A 42.5% turnover rate is slightly better than average, and the quality measure score is strong, but the last inspection was April 2025 and the health inspection rating sits at 2 out of 5.

B

79/100

Harmony River Living Center

Hutchinson, MN · Mc Leod County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
30%
Serious cites
0

Harmony River Living Center runs on 4.09 nurse hours per resident day, about 6% above the national average, and its staff turnover of 29.5% sits well below the 45.8% national figure, a sign people tend to stay. Weekend coverage dips slightly below weekday levels, though the difference is modest. The inspection record is where the picture darkens: 9 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus one fine of $13,520. The most recent inspection was April 2026. Strong staffing and unusually low turnover are real strengths; the harm-level and abuse-related findings are the part of this record a family should ask about directly.

B

79/100

The Villas At St Louis Park

Saint Louis Park, MN · Hennepin County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
36%
Serious cites
0

The Villas At St Louis Park runs 100 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 36.1%, which is actually better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is where things get harder to defend: 50 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, plus $26,153 in fines across two penalties. The most recent inspection was February 13, 2026. A 2-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you the care capacity exists but the compliance record doesn't match it.

B

79/100

Friendship Village Of Bloomington

Bloomington, MN · Hennepin County

CMS 4/5 66 beds Non-profit
Nurse hours
4.16 /day
Staff turnover
35%
Serious cites
0

Friendship Village of Bloomington runs a nonprofit home with 66 certified beds, and its staffing is the standout: 4.16 nurse hours per resident day, roughly 8% above the national average, with a 5-star CMS staffing rating. Turnover sits at 35.2%, well under the 45.8% national figure, which matters for consistency of care. The concerns are on the inspection side. There are 23 deficiencies on the current record, including one at the harm or jeopardy level and two abuse-related, plus a single $99,500 fine. The most recent inspection was May 2026, so it's recent. Strong staffing and low turnover are real strengths; the deficiency record is the reason this one doesn't grade higher.

B

79/100

Pathstone Living

Mankato, MN · Blue Earth County

CMS 2/5 69 beds Non-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
45%
Serious cites
0

Pathstone Living has real bedside coverage, 4.92 nurse hours per resident day, well above the 3.86 national average, but the weekend dips about 15% below its own weekday level, so the care you see on a Tuesday may not match a Saturday. Staff turnover at 44.9% sits basically at the national rate. The trouble is the inspection record: 39 deficiencies, three tied to abuse and three at harm or jeopardy level, plus $120,546 in fines, and a one-star health inspection rating against a five-star staffing score. The most recent survey was December 2025. Strong staffing alone doesn't offset that pattern, so ask hard questions about the abuse findings before deciding.

B

79/100

Edenbrook Of Rochester

Rochester, MN · Olmsted County

CMS 2/5 81 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
43%
Serious cites
0

Edenbrook Of Rochester is a for-profit, 81-bed home where the numbers point in two directions at once. Nurse staffing runs 3.75 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, a gap families should ask about directly. The inspection record carries 34 deficiencies, three of them at the harm or jeopardy level, with $53,260 in fines across three penalties, and its most recent inspection was February 2026. Staff turnover at 42.6% is slightly better than the national 45.8%, and its quality measure rating is strong. The trade-off is real: decent measures and steadier retention, but thin weekend coverage and a serious inspection history.

B

79/100

Benedictine Living Community Owatonna

Owatonna, MN · Steele County

CMS 1/5 79 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
50%
Serious cites
0

Benedictine Living Community Owatonna runs a nonprofit shop with 79 beds, and the nurse staffing number is genuinely better than most, 4.07 hours per resident day, roughly 5% above the national average, with a 4-star staffing rating to match. Weekends thin out about 11% below weekdays, though, and turnover sits at 50%, a few points above the national 45.8%. The trouble is the inspection record: 39 deficiencies, four serious enough to endanger residents, one tied to abuse, and two fines totaling $36,638. A recent July 2025 inspection and a 1-star health inspection rating point the same direction. Staffing alone doesn't carry a building.

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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