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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 2841–2860 of 10,187, best-graded first.

B

79/100

Ebenezer Integrated Care & Rehab

Saint Paul, MN · Ramsey County

CMS 4/5 62 beds Non-profit Medicaid
Nurse hours
5.35 /day
Staff turnover
37%
Serious cites
0

Ebenezer Integrated Care & Rehab sits in Saint Paul with 62 certified beds under nonprofit ownership. Staffing is the strength here, 5.35 nurse hours per resident day, well above the national average, with turnover at 37.4% against a national 45.8%. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Sundays. What pulls the record down is the inspection side: 20 deficiencies on file, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $31,360. The most recent inspection was April 2026. Strong staffing, but the compliance history is worth asking about directly.

B

79/100

St Gertrudes Health & Rehabilitation Center

Shakopee, MN · Scott County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
34%
Serious cites
0

St. Gertrudes runs a leaner ship than most on the staffing side, 4.16 nurse hours per resident day, roughly 8% above the national average, and its 34.2% turnover is well below the 45.8% norm, which matters for consistency of care. Weekends dip about 7% below weekday coverage, so ask how that plays out on the floor. The trouble sits elsewhere: 32 deficiencies on record, 2 at harm or jeopardy level, 4 tied to abuse, and $29,260 in fines. A January 2026 inspection is recent, but two stars each on health inspections and quality measures tells you the clinical record hasn't kept pace with the staffing.

B

79/100

Copiah Living Center

Crystal Springs, MS · Copiah County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
43%
Serious cites
0

Copiah Living Center runs 60 beds in Crystal Springs under corporate ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday levels, though, so the weekday numbers tell a slightly better story than Saturdays and Sundays do. Staff turnover is 43.4%, a touch under the national 45.8%. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the most recent inspection was in May 2025. Quality measure scores come in at 2 out of 5 stars, which is where the weaker numbers cluster.

B

79/100

Delhaven Manor

Saint Louis, MO · St. Louis City County

CMS 3/5 156 beds For-profit Medicaid
Nurse hours
7.18 /day
Staff turnover
—
Serious cites
0

Delhaven Manor runs 7.18 nurse hours per resident day, roughly 86% above the national average, and that staffing earns a 4-star CMS rating. The catch is the weekend drop: hours fall about 18% below the home's own weekday level, so coverage is thinner exactly when inspections are less frequent. The health inspection record is the weak point, 48 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, plus a $73,048 fine. Quality measures score 5 out of 5, and the last inspection was November 2024. Corporate for-profit ownership, 156 beds. Strong daily staffing and good clinical measures, but a recent, documented history of serious compliance problems.

B

79/100

Parkview Health Care Facility

Bolivar, MO · Polk County

CMS 4/5 78 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
47%
Serious cites
0

Parkview Health Care Facility runs on thinner nurse coverage than most homes, 3.79 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday numbers, which is where gaps tend to show up. Staff turnover sits at 47.1%, slightly above the national figure of 45.8%, so this is a place where you'll want to ask how long the current crew has actually been there. The positives are real: a clean inspection record with nine deficiencies, none at the harm level and none tied to abuse, a recent November 2024 survey, and solid marks for both inspections and quality measures. Nonprofit ownership under a corporation, 78 beds.

B

79/100

Clearview Nursing Center

Sikeston, MO · Scott County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
41%
Serious cites
0

Clearview Nursing Center runs 90 certified beds in Sikeston under corporate ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day, roughly 4% above the national average, with turnover at 41% against a national 45.8%. Weekend coverage does dip about 13% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 5, 2026, recent enough to trust. Where this home separates from itself is quality measures, which sit at 2 out of 5 stars even as staffing and inspections hold at 4. Ask what specifically is driving that gap.

B

79/100

Sunterra Springs Independence

Independence, MO · Jackson County

CMS 5/5 38 beds For-profit
Nurse hours
4.11 /day
Staff turnover
65%
Serious cites
0

Sunterra Springs Independence runs a small 38-bed operation under for-profit LLC ownership, and the raw staffing number looks decent, 4.11 nurse hours per resident day, roughly 7% above the national average. But that average hides two things: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 65.4% against a national 45.8%. When nearly two-thirds of your nursing staff leaves each year, consistent care gets hard to sustain. The 22 deficiencies on record include 4 tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was February 2025. Strong quality measure scores and a 4-star inspection rating are real, but the staffing picture is shakier than the headline number suggests.

B

79/100

Norterre

Liberty, MO · Clay County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
56%
Serious cites
0

Norterre runs a corporate-owned, 60-bed home in Liberty, and the numbers behind its B are mostly about staffing. It reports 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, though weekends dip about 13% below its own weekday level, so coverage isn't perfectly even across the week. Annual turnover sits at 55.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in January 2025. The quality measure rating is the strongest of its three CMS scores; staffing and health inspection both land in the middle.

B

79/100

Elkhorn Healthcare And Rehabilitation

Clancy, MT · Jefferson County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
2.73 /day
Staff turnover
41%
Serious cites
0

Elkhorn Healthcare and Rehabilitation runs 70 certified beds in Clancy under corporate ownership, and its nurse staffing sits at 2.73 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 41.3% is slightly better than the 45.8% national figure, and the 26 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level. The last inspection was February 2026.

B

79/100

Crest Nursing Home

Butte, MT · Silver Bow County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
53%
Serious cites
0

Crest Nursing Home sits in Butte with 103 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from May 2026. But look at the staffing numbers and a different picture shows up. At 3.33 nurse hours per resident day, it runs about 14% under the national average, weekends drop roughly 8% below its own weekday level, and turnover hits 53.2% against a national 45.8%. Eleven deficiencies sit on the current record, one abuse-related. Strong survey results, thinner hands on deck.

B

79/100

Canyon Vista Post Acute

Las Vegas, NV · Clark County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
45%
Serious cites
0

Canyon Vista Post Acute runs a for-profit limited liability operation with 120 certified beds in Las Vegas. The nurse staffing number is the strongest part of the picture: 4.97 hours per resident day against a national average of 3.86, which is real coverage, though weekends run about 13% thinner than weekdays. Turnover sits at 44.9%, essentially at the national average. The health inspection side is where it gets concerning, 26 deficiencies currently on record, including one at the harm or jeopardy level and one that's abuse-related, plus a $35,016 fine in the CMS file. The last inspection was April 10, 2026. Strong daily staffing and strong quality scores don't erase a deficiency record like that, and families should ask directly about both incidents.

B

79/100

Careone At Somerset Valley

Bound Brook, NJ · Somerset County

CMS 4/5 64 beds For-profit
Nurse hours
4.37 /day
Staff turnover
39%
Serious cites
0

Careone at Somerset Valley runs on a corporate for-profit model with 64 certified beds, and its staffing sits at 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. That's a real cushion, though weekend coverage drops about 12% below what the home provides on weekdays, so the weekday numbers tell a rosier story than a Saturday visit might. Staff turnover lands at 38.9%, better than the national 45.8%, which matters for residents who need consistent caregivers. The current inspection record shows nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in November 2024. Quality measures score well; inspection and staffing both land mid-range.

B

79/100

Lawrence Rehabilitation Hospital

Lawrenceville, NJ · Mercer County

CMS 2/5 56 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
37%
Serious cites
0

The numbers at Lawrence Rehabilitation Hospital don't tell one story, they tell two. Nurse staffing runs 4.65 hours per resident day, roughly 20% above the national average, and turnover sits at 37% against a national 45.8%, which matters because stable staff learn residents' routines. Weekend coverage dips about 13% below weekday levels, so care can thin out when families visit. Then there's the inspection record: 38 deficiencies, including two tied to abuse, and a 1-star health inspection rating against a 5-star quality measure score. The last inspection was January 30, 2026. A for-profit LLC operating 56 beds, this home appears to invest in direct care while struggling with survey compliance.

B

79/100

Family Of Caring Healthcare At Tenafly, Llc

Tenafly, NJ · Bergen County

CMS 3/5 69 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
31%
Serious cites
0

Family Of Caring Healthcare at Tenafly runs 69 beds under for-profit LLC ownership, and its staffing sits just under the national average, 3.79 nurse hours per resident day against 3.86, with weekends about 9% thinner than weekdays. What stands out more is retention: 30.6% turnover against a national 45.8%, meaning caregivers here tend to stay, which matters for familiarity and consistency of care. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $4,938 and an inspection as recent as June 2025. Staffing and quality measures both land at 3 out of 5 stars, staffing at 4.

B

79/100

Complete Care At Hamilton, Llc

Passaic, NJ · Passaic County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
28%
Serious cites
0

Complete Care At Hamilton runs on 3.50 nurse hours per resident day, roughly 9% under the national average, and weekend coverage dips another 6% below its own weekday pace. That's the tension here: CMS gives the home 5 stars for staffing, yet the raw hours sit below average and thin out further on weekends. Turnover is genuinely low at 28% against a 45.8% national figure, so the crew that's there tends to stay. What pulls the record down is the inspection history, 24 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus $25,313 in fines. The most recent inspection came in September 2025.

B

79/100

Crestwood Manor

Whiting, NJ · Ocean County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
48%
Serious cites
0

Crestwood Manor runs a tight operation on the inspection side, a perfect health inspection rating and a recent survey with nine deficiencies, none of which rose to the level of harm or jeopardy, and no abuse citations at all. That's a clean record. Where it gives ground is staffing: 3.76 nurse hours per resident day sits just under the national average, and weekends drop roughly 11% below its own weekday coverage. Turnover at 48.3% edges past the national figure. For a 64-bed nonprofit in Ocean County, the care is safely delivered, but ask how they hold the line on weekend shifts before you decide.

B

79/100

Forest Hills Center For Rehabilitation And Healing

Newark, NJ · Essex County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
32%
Serious cites
0

Forest Hills Center runs 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 5% below its own weekday pace. Turnover sits at 32%, which is actually better than the 45.8% national figure, so the home holds onto staff. The problem is the inspection record: 30 deficiencies, including one at the harm level, and a single $37,580 fine. Ownership is for-profit, through a limited liability company. Its last inspection was August 5, 2025.

B

79/100

Mystic Meadows Rehabilitation And Nursing Center

Little Egg Harbor Tw, NJ · Ocean County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

Mystic Meadows runs 130 certified beds in Little Egg Harbor, under for-profit LLC ownership. Nurse staffing comes in at 3.98 hours per resident day, a bit above the national average, but weekends drop roughly 9% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 43.5%, slightly better than the national figure, which matters for whether your parent sees the same faces month to month. The current inspection record shows 16 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the last inspection was in December 2025.

B

79/100

Stonebridge At Montgomery Health Care Center

Skillman, NJ · Somerset County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
47%
Serious cites
0

Stonebridge at Montgomery runs on strong staffing numbers, 4.55 nurse hours per resident day, well above the national average, and a five-star CMS staffing rating to match. Weekend coverage dips slightly below its own weekday level, but the bigger concerns sit elsewhere: a two-star health inspection rating, 15 deficiencies on the current record including three at harm or jeopardy level and four abuse-related, plus a $133,000 fine. Staff turnover at 47.3% is roughly in line with the national average of 45.8%, so retention isn't the outlier here, the inspection record is. The most recent survey was June 2025, so that picture is current.

B

79/100

Coronado Care Center

Portales, NM · Roosevelt County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
37%
Serious cites
0

Coronado Care Center runs 80 certified beds in Portales under for-profit LLC ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 15% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 37.1% against a national 45.8%, so the aides and nurses here tend to stick around longer than elsewhere. The record shows 28 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the last inspection was June 13, 2025. Inspection history rates well; day-to-day staffing depth is where it thins out.

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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