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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 2901–2920 of 10,187, best-graded first.

B

79/100

Bradford Village Healthcare Center

Edmond, OK · Oklahoma County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
40%
Serious cites
0

Bradford Village runs on better-than-average nurse coverage, 4.01 hours per resident day against a national mark of 3.86, and its staff turnover of 40.4% sits below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off is weekends, when staffing drops roughly 13% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. State inspectors last visited in February 2025 and logged 12 deficiencies, none involving harm or jeopardy, though one was abuse-related. At 122 beds under for-profit partnership ownership, this is a decent choice with a couple of specific questions worth asking.

B

79/100

The Regency Skilled Nursing And Therapy

Shawnee, OK · Pottawatomie County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
43%
Serious cites
0

The Regency runs a five-star health inspection record, which is the piece that matters most when you're deciding whether a place is safe. Fifteen deficiencies sounds like a lot until you see none of them rose to harm or jeopardy, and nothing was abuse-related. Nurse staffing sits right at the national average, though weekends drop about 14% below what the home provides on weekdays, worth asking how coverage looks on a Saturday. Staff turnover is 43.2%, slightly better than the typical nursing home. The quality measure score is the soft spot at 3 out of 5. Inspected in May 2025, so the record is current.

B

79/100

Mitchell Care & Rehab Center

Mcalester, OK · Pittsburg County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
49%
Serious cites
0

Mitchell Care & Rehab Center runs on 4.42 nurse hours per resident day, which is genuinely above the national average of 3.86, that's the strongest thing in its file. Weekends tell a slightly different story, dipping about 13% below weekday coverage, and turnover sits at 49.3%, a bit worse than the 45.8% national figure. The inspection history is recent (March 2025) and clean of any harm-level findings, but 14 deficiencies are on record, three tied to abuse. For-profit, LLC-owned, 100 beds. Nothing here suggests danger; the staffing number is real, and the tradeoff is that consistency and staff retention aren't quite keeping pace.

B

79/100

Mt Angel Health And Rehabilitation

Mount Angel, OR · Marion County

CMS 4/5 93 beds For-profit Medicaid
Nurse hours
5.23 /day
Staff turnover
60%
Serious cites
0

Mt Angel Health and Rehabilitation runs on a for-profit corporate model with 93 certified beds, and the staffing numbers are genuinely strong: 5.23 nurse hours per resident day, roughly 35% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 10% below its own weekday level, and annual turnover sits at 60.4% against a national average of 45.8%, meaning the people providing that care are cycling through faster than most. The current record carries 22 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus two fines totaling $27,967. A recent inspection in June 2026 and solid marks across health, quality, and staffing stars suggest the home is being watched closely and meeting most standards, but the abuse-related citations and high turnover are worth asking about directly.

B

79/100

Avamere Rehabilitation Of Eugene

Eugene, OR · Lane County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
37%
Serious cites
0

Avamere Rehabilitation of Eugene runs a 92-bed for-profit operation, and the staffing numbers are its clearest strength: 5.09 nurse hours per resident day, roughly a third more than the national average, with turnover at 36.5% against a 45.8% national figure. Weekends dip about 11% below its own weekday coverage, so care thinness is a real but modest concern. The inspection record is where the story turns, a 1-out-of-5 health inspection rating, 54 deficiencies on file including one at harm or jeopardy level and six tied to abuse, plus a $36,472 fine. A recent January 2026 inspection means the record is current, not stale. Strong staffing is doing real work here, but it is carrying a lot of regulatory weight.

B

79/100

Rose Haven Nursing Center

Roseburg, OR · Douglas County

CMS 4/5 193 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
42%
Serious cites
0

Rose Haven runs 193 certified beds in Roseburg under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 4.59 hours per resident day, roughly 19 percent above the national average of 3.86, though weekends drop about 11 percent below the home's own weekday levels. Turnover is 41.5 percent, a bit better than the 45.8 percent national figure. The harder reading comes from inspections: 35 deficiencies on record, two at harm or jeopardy level, plus two fines totaling $85,105, and a February 2025 inspection that produced a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, so the care-planning data looks strong while the survey history does not.

B

79/100

Marquis Piedmont Post Acute Rehab

Portland, OR · Multnomah County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
6.20 /day
Staff turnover
60%
Serious cites
0

Marquis Piedmont runs 6.2 nurse hours per resident per day, well above the 3.86 national average, and weekends dip only about 11% below weekdays, so coverage holds up reasonably well. The catch is turnover: 60.4% annually against a national 45.8%, meaning roughly six in ten staff leave each year, which matters for residents who rely on familiar faces. Inspections look solid at 4 of 5 stars with no harm-level deficiencies, though 18 total deficiencies and one abuse-related finding are worth asking about directly. Quality measures sit at 2 of 5 stars, the weakest part of the record. Corporate for-profit ownership, 70 beds, most recent inspection April 2026.

B

79/100

Rivers Edge Rehabilitation And Care

Sheridan, OR · Yamhill County

CMS 2/5 51 beds For-profit Medicaid
Nurse hours
5.79 /day
Staff turnover
69%
Serious cites
0

Rivers Edge runs a leaner ship than most on paper, 5.79 nurse hours per resident day is roughly half again the national average, and the quality measures hold up well. But two things stand out. First, 68.5% annual staff turnover means more than two-thirds of the nursing team leaves every year, which is a lot of new faces for 51 residents to get used to, and weekend coverage already drops about 12% below weekday levels. Second, the current inspection record carries 42 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The last full inspection was in March 2025, so the picture is reasonably current. Corporate-owned and for-profit, it's a place where the numbers cut both ways.

B

79/100

Oxford Health Center

Oxford, PA · Chester County

CMS 4/5 90 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
50%
Serious cites
0

Oxford Health Center runs on a nonprofit model with 90 certified beds, and its inspection record is genuinely solid, nine deficiencies total, none rising to harm or jeopardy, though two are abuse-related, which is worth asking about directly. The tradeoff shows up in staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends dip another 6% below the home's own weekday coverage, and turnover hits 50% against a national 45.8%. Inspections and quality measures both rate well; staffing rates middle. A recent inspection in March 2026 means the picture is current. Ask about weekend coverage and what those abuse deficiencies involved.

B

79/100

Muncy Place

Muncy, PA · Lycoming County

CMS 3/5 138 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
58%
Serious cites
0

Muncy Place runs on decent staffing numbers, 4.41 nurse hours per resident day, roughly 14 percent above the national average, but the weekend tells a different story, dropping about 12 percent below its own weekday level. That matters, because staff turnover sits at 58.2 percent against a national average of 45.8 percent, so the people covering those thinner weekend shifts are often the newest hires. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey done in July 2025. As a nonprofit with 138 beds, it isn't chasing margins, but the gap between its quality scores and its actual compliance record is worth asking about directly.

B

79/100

Quadrangle

Haverford, PA · Delaware County

CMS 3/5 78 beds For-profit
Nurse hours
5.34 /day
Staff turnover
66%
Serious cites
0

Quadrangle runs 5.34 nurse hours per resident day, about 38% above the national average, and that staffing shows up in its four-star staffing rating. The catch is turnover: 65.7% of staff leave each year, well above the 45.8% norm, so the people delivering that care keep changing, and weekend coverage drops roughly 10% below weekday levels. The inspection record is where it gets harder to defend, 36 deficiencies, including one at the harm level and three tied to abuse, with a two-star health inspection rating and a $8,278 fine. Its quality measures score four stars, but persistent turnover and a recent April 2025 inspection citing harm-level problems are the things to ask about directly.

B

79/100

Willow Grove Post Acute

Hatboro, PA · Montgomery County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
45%
Serious cites
0

Willow Grove Post Acute runs about 3.5 nurse hours per resident per day, roughly 9% under the national average, and weekends dip another 6% below its own weekday coverage. The 1-out-of-5 health inspection rating is the number that matters most: 66 deficiencies on the current record, three of them abuse-related, none flagged at harm or jeopardy level. Quality measures score well, but that's largely self-reported data, and it sits oddly beside the inspection history. Turnover of 44.9% is a hair under the national average, which means this isn't a retention crisis, it's a staffing-depth problem layered on top of a troubled survey record. For-profit LLC ownership. The last inspection was May 2025, so the record is current.

B

79/100

Whitestone Care Center

Stroudsburg, PA · Monroe County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
48%
Serious cites
0

Whitestone Care Center is a 90-bed for-profit home in Stroudsburg, and its numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends dip roughly 7% below its own weekday coverage, so the hours aren't evenly spread across the week. Staff turnover runs 48.1%, a bit above the 45.8% national figure. The inspection record is where the concern concentrates: 24 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, with $23,257 in fines across two penalties. The last inspection was December 5, 2025, so the record is current. Its quality measure score is strong at 5/5, but that's self-reported data. The staffing and inspection numbers are the ones worth weighing.

B

79/100

Vibra Rehabilitation Center

Mechanicsburg, PA · Cumberland County

CMS 3/5 48 beds For-profit
Nurse hours
3.84 /day
Staff turnover
68%
Serious cites
0

Vibra Rehabilitation Center runs 48 certified beds in Mechanicsburg under for-profit LLC ownership. Nurse staffing sits at 3.84 hours per resident day, roughly a hair under the national average, but the bigger concern is who's actually there on weekends, coverage drops about 9% below its own weekday level. Staff turnover is 67.5%, well above the national 45.8%, which means nearly seven in ten caregivers cycled out in a year. The current record carries 32 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited in August 2025 and rated health inspections 2 out of 5. Quality measures score well, but that gap between measured care and actual conditions is worth asking about directly.

B

79/100

Kent Regency Center

Warwick, RI · Kent County

CMS 4/5 153 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
29%
Serious cites
0

Kent Regency Center runs 153 certified beds in Warwick under corporate ownership, and the numbers suggest a home that inspects well but runs lean on the floor. State surveyors gave it four stars for health inspections and quality measures, with 20 deficiencies on record and none rising to harm or jeopardy. Staffing tells a different story: 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 11% below its own weekday pace. The encouraging piece is turnover at 28.8%, well under the 45.8% national figure, meaning the people who are there tend to stay. Its last inspection was September 2025.

B

79/100

Nhc Healthcare - Clinton

Clinton, SC · Laurens County

CMS 5/5 131 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
54%
Serious cites
0

Nhc Healthcare - Clinton runs on thinner staffing than most homes its size. At 3.54 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 13% below its own weekday coverage, so the days families visit most are the days with the least help on hand. Staff turnover of 54.2% is nearly nine points above the national figure, which means aides and nurses cycle through faster than residents can get used to them. The record itself is cleaner: five deficiencies, none causing harm, none tied to abuse, and a recent inspection. Quality scores look strong, but those depend on the people who keep leaving.

B

79/100

Nhc Healthcare - Greenville

Greer, SC · Greenville County

CMS 5/5 132 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
42%
Serious cites
0

Nhc Healthcare - Greenville runs 132 beds in Greer under for-profit, limited-liability ownership, and its inspection record is genuinely clean: three deficiencies on file, none causing harm or jeopardy, none abuse-related, with a survey completed in September 2025. Staffing is where the picture narrows. At 3.77 nurse hours per resident day, it sits slightly under the national average, and weekends drop roughly 14% below its own weekday coverage, so a Saturday shift looks different from a Tuesday. Annual turnover of 41.7% is better than the national figure, meaning the crew is comparatively stable. The tradeoff is thinner daily coverage rather than regulatory trouble.

B

79/100

Nhc Healthcare, Oakwood

Lewisburg, TN · Marshall County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
49%
Serious cites
0

Nhc Healthcare, Oakwood runs 60 certified beds in Lewisburg under corporate for-profit ownership, and its strongest showing is in resident outcomes, the federal quality measure rating sits at 5 out of 5. Staffing is thinner than it looks on paper: 3.23 nurse hours per resident day, roughly 16 percent below the national average of 3.86, and weekends drop about 10 percent below the home's own weekday coverage. Annual turnover of 49.1 percent exceeds the 45.8 percent national figure, so the faces change often. Inspections earn 3 of 5 stars, with 12 deficiencies on record, none at the harm or jeopardy level, and none abuse-related. The most recent inspection was January 22, 2026, so the picture is current.

B

79/100

Nhc Healthcare, Knoxville

Knoxville, TN · Knox County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
58%
Serious cites
0

Nhc Healthcare, Knoxville runs 127 certified beds under for-profit limited liability ownership, and its staffing sits right at the national line, 3.84 nurse hours per resident day against a 3.86 average, with weekends dropping roughly 14% below its own weekday coverage. Annual turnover is 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 16 deficiencies, including one at the harm or jeopardy level and three tied to abuse, from a last survey dated March 15, 2023. Quality and staffing measures look strong on paper, but the inspection history and weekend gaps are where families should focus their questions.

B

79/100

Nhc Healthcare, Athens

Athens, TN · Mc Minn County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
51%
Serious cites
0

Nhc Healthcare, Athens runs on 4.07 nurse hours per resident day, about 5% above the national average, though weekends drop roughly 14% below its own weekday staffing. Annual turnover sits at 50.8%, higher than the 45.8% national figure. The home carries a for-profit LLC ownership structure and eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. Its last inspection was August 24, 2023, and it holds 4 out of 5 stars in each CMS category, health inspections, quality measures, and staffing. The numbers point to a decently staffed home with solid inspection history, held back somewhat by turnover and thinner weekend coverage.

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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