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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 2941–2960 of 10,187, best-graded first.

B

79/100

Martinsburg Healthcare Center

Martinsburg, WV · Berkeley County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
48%
Serious cites
0

Martinsburg Healthcare Center runs 120 certified beds under corporate for-profit ownership, and the staffing picture is thinner than average: 3.65 total nurse hours per resident day against a national figure of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters because care doesn't pause on Saturdays. Turnover sits at 48.4%, above the national 45.8%, so the people showing up are often still learning the building. Inspections in June 2025 turned up 48 deficiencies, six tied to abuse, though none rose to actual harm or jeopardy. The strong quality measure stars and thinner staffing stars tell you where the tradeoff lands.

B

79/100

Moundsville Healthcare Center

Moundsville, WV · Marshall County

CMS 3/5 129 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
31%
Serious cites
0

Moundsville Healthcare Center runs 129 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 8% thinner than weekdays, so coverage dips when families tend to visit. Turnover is the bright spot: 30.6% against a national 45.8%, meaning aides and nurses here tend to stay put. Then there's the inspection record. Fifty-one deficiencies on file, two of them serious enough to involve harm or jeopardy, plus one abuse-related finding, and $38,448 in fines across two penalties. The last inspection was December 2025, so the picture is current. Steady staff, but a paper trail worth asking about directly.

B

79/100

Delavan Health Services

Delavan, WI · Walworth County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
34%
Serious cites
0

Delavan Health Services runs lean on nursing hours, 3.21 per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. The 12 deficiencies on record include one at the harm level and one tied to abuse, which is the kind of finding families should ask about directly. What offsets that somewhat is stability: turnover sits at 34.2%, well under the 45.8% national figure, and the home's last inspection was recent, in December 2024. It's a for-profit LLC with 50 beds, so ask how the weekend staffing gap gets covered when your family member needs help on a Saturday.

B

79/100

Lancaster Health Services

Lancaster, WI · Grant County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
28%
Serious cites
0

Lancaster Health Services runs 50 certified beds under for-profit LLC ownership, and its staffing sits at 3.62 nurse hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when oversight is lightest. Turnover is the bright spot: 28% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record is where the concern lives, 18 deficiencies, including four tied to abuse and one at the harm level, with a 2/5 health inspection rating. The most recent survey was August 2025, so that record is current. Ask about the abuse citations directly.

B

79/100

Sheboygan Health Services

Sheboygan, WI · Sheboygan County

CMS 3/5 64 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
27%
Serious cites
0

Sheboygan Health Services runs 64 certified beds under corporate ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21 percent under the national average of 3.86. Weekend coverage dips about 8 percent below its own weekday numbers, so the hours get thinnest exactly when families tend to visit. Turnover is the bright spot: 26.7 percent against a national 45.8 percent, meaning the people who do show up tend to stay. The inspection record shows 21 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent survey was March 2026. Ask about weekend coverage and those abuse-related citations specifically.

B

79/100

Whispering Pines Nursing And Rehab, Llc

Ripon, WI · Fond Du Lac County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
40%
Serious cites
0

Whispering Pines runs 4.11 nurse hours per resident day, about 6% above the national average, and its staff turnover of 39.5% beats the 45.8% national figure, people tend to stay here longer than at the typical home. Weekends are thinner, though, with staffing dropping roughly 9% below its own weekday level. The inspection record is where the picture darkens: 12 deficiencies on file, including 2 at the harm or jeopardy level and 5 tied to abuse, plus one fine of $12,649. The most recent inspection was in January 2025, and its quality measure rating sits at 4 out of 5.

B

79/100

St Francis Home

Fond Du Lac, WI · Fond Du Lac County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
54%
Serious cites
0

St Francis Home runs on thinner nurse coverage than most places, 3.57 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday pace. Turnover sits at 54.1%, well above the 45.8% national figure, so the staff you meet may not be there in a year. The inspection record shows 29 deficiencies with none at the harm level, though seven are abuse-related, which is worth asking about directly. The last inspection was April 1, 2026. As a nonprofit, it answers to a board rather than shareholders, and quality measures score better than its staffing does.

B

79/100

Westview Health Care Center

Sheridan, WY · Sheridan County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
52%
Serious cites
0

Westview runs about 3.50 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.5%, higher than the 45.8% national figure. The inspection history is mixed: a recent February 2025 survey, a 4-star health inspection rating, and strong quality measures, but 10 deficiencies on record, including one at the harm level and one tied to abuse. It's corporate-owned and licensed for 102 beds.

B

79/100

Vineland Post Acute

North Hollywood, CA · Los Angeles County

CMS 3/5 49 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
48%
Serious cites
0

Vineland Post Acute runs 49 beds in North Hollywood under for-profit, limited-liability ownership, and its overall nurse staffing of 4.54 hours per resident day sits about 18% above the national average of 3.86. The catch is how thin weekends get, roughly 12% below the home's own weekday coverage, and turnover at 48.3%, which is higher than the 45.8% national figure, so the extra hours don't come from a stable crew. The inspection record shows 57 deficiencies, none flagged at harm or jeopardy level, though three are abuse-related. CMS rated staffing 2 out of 5 and quality measures 4 out of 5, with a December 2025 inspection.

B

79/100

Almond View Care Center

Williams, CA · Colusa County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
49%
Serious cites
0

Almond View Care Center runs 99 certified beds in Williams under for-profit LLC ownership, and the staffing numbers are a mixed bag. Total nurse coverage sits at 4.15 hours per resident day, about 7% above the national average, but weekends drop roughly 9% below what the home staffs on weekdays, and annual turnover hits 49.1%, a bit worse than the 45.8% national figure. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, though three are abuse-related, and the most recent inspection was November 2024. A 4/5 on health inspections and quality measures offsets a 3/5 on staffing.

B

79/100

Mayflower Care Center

El Monte, CA · Los Angeles County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
36%
Serious cites
0

Mayflower Care Center runs 59 beds in El Monte under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so care is thinner on Saturdays and Sundays. Staff turnover is 35.9%, notably better than the 45.8% national figure, which suggests less churn than many homes. The current record shows 40 deficiencies, but none at harm or jeopardy level and none abuse-related. Its last inspection was June 27, 2025, so the picture is recent. Quality measure scores run low at 2 out of 5 stars, which is worth asking about directly.

B

79/100

Blythe Post Acute Llc

Blythe, CA · Riverside County

CMS 2/5 48 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
37%
Serious cites
0

Blythe Post Acute runs 48 beds in Riverside County under for-profit LLC ownership, and its staffing numbers are essentially dead even with the national average, 3.87 nurse hours per resident day against 3.86. But that average hides a weekend gap: coverage drops roughly 9% below its own weekday level, which matters in a small building where there's less slack to absorb an absence. Turnover sits at 36.5%, better than the 45.8% national figure, so the people who are there tend to stay. The trouble is the inspection record: 67 deficiencies, including one at harm or jeopardy level and six tied to abuse, with the last inspection in February 2026. Two stars each on health inspections and quality measures tell you where the problems cluster.

B

79/100

Hayward Post Acute

Hayward, CA · Alameda County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
50%
Serious cites
0

Hayward Post Acute runs 99 certified beds under for-profit LLC ownership, and its recent inspection history is the strongest part of the picture, a December 2025 survey with 32 deficiencies on record but none at the harm or jeopardy level and nothing abuse-related. Staffing is where it slips: 3.78 nurse hours per resident day sits just under the national average of 3.86, weekends run about 6% lighter than weekdays, and turnover hits 50% against a national 45.8%. So you have a home that inspects well and measures decently on quality, but churns staff faster than average and thins out on weekends. Worth asking how they cover Saturday and Sunday.

B

79/100

Indian Canyon Post Acute

Yucca Valley, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Indian Canyon Post Acute runs 99 certified beds in Yucca Valley under for-profit LLC ownership, and its inspection record is the strongest part of the picture: 35 deficiencies on file but none at the harm or jeopardy level, plus a recent inspection in December 2025. Staffing is thinner, 3.75 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% below its own weekday levels. Annual turnover sits at 44%, a touch under the 45.8% national figure. One abuse-related deficiency appears in the record, worth asking about directly. The B reflects solid inspections held back by staffing that doesn't quite keep pace.

B

79/100

Alhambra Hospital Med Ctr Dp/Snf

Alhambra, CA · Los Angeles County

CMS 4/5 26 beds For-profit Medicaid
Nurse hours
7.39 /day
Staff turnover
30%
Serious cites
0

Alhambra Hospital Med Ctr Dp/Snf runs a small 26-bed operation, and its nurse staffing sits at 7.39 hours per resident day, roughly double the national average of 3.86. Weekend coverage dips only slightly below its own weekday level, and staff turnover of 29.5% is well under the national 45.8%, so the people caring for residents tend to stick around. The tradeoff is a longer paper trail: 26 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related. A July 2025 inspection is recent, and the for-profit partnership structure is worth knowing. Families weighing this home should ask what those deficiencies were and how they've been addressed.

B

79/100

Peninsula Post-Acute

Burlingame, CA · San Mateo County

CMS 4/5 62 beds For-profit
Nurse hours
4.71 /day
Staff turnover
37%
Serious cites
0

Peninsula Post-Acute runs nurse staffing at 4.71 hours per resident day, about 22% above the national average, and its 36.9% turnover is better than the 45.8% norm. Those numbers look strong on paper. The catch is what shows up on the record: 42 deficiencies, including one at the harm level and three tied to abuse, plus a 2/5 CMS staffing star despite the high hours, and weekend coverage that drops roughly 13% below weekdays. The most recent inspection was March 2026. A for-profit LLC operation with that deficiency history is worth asking about directly before you commit.

B

79/100

Alta Healthcare Center Of Camarillo

Camarillo, CA · Ventura County

CMS 4/5 45 beds For-profit
Nurse hours
5.32 /day
Staff turnover
43%
Serious cites
0

Alta Healthcare Center of Camarillo runs 45 certified beds under a for-profit limited liability company, and the staffing picture is genuinely strong: 5.32 total nurse hours per resident day, roughly 38% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, and turnover sits at 42.9%, slightly better than the 45.8% national figure. The concerning part is the inspection record, 22 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $43,407 fine. The most recent inspection was May 2025, so that record is current, not stale. Strong daily staffing and a recent serious deficiency can both be true at once; ask what that harm-level finding involved.

B

79/100

Avir At Pasadena

Pasadena, TX · Harris County

CMS 4/5 131 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
26%
Serious cites
0

Avir At Pasadena runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is genuinely better than average at 25.7%, meaning the caregivers who are there tend to stay. What pulls the record down is the inspection side: 13 deficiencies, four serious enough to put residents at risk of harm, one tied to abuse, and two fines totaling $30,361. The current owner took over within the last year, so this record reflects a mix of old and new management. Worth asking which deficiencies were corrected and when.

B

79/100

Garden Terrace Healthcare Center Of Fort Worth

Fort Worth, TX · Tarrant County

CMS 4/5 120 beds For-profit
Nurse hours
4.26 /day
Staff turnover
46%
Serious cites
0

Garden Terrace Healthcare Center Of Fort Worth runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, and staff turnover lands at 45.5%, essentially matching the national rate. The 22 deficiencies on its current record are what hold it back: three at harm or jeopardy level and two tied to abuse. One fine totaling $34,405 is on file, and the last inspection was February 2026. Quality measures score well, but the inspection history and those abuse-related findings are the part worth asking about directly.

B

79/100

Windflower Health Center

Amarillo, TX · Potter County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
54%
Serious cites
0

Windflower Health Center runs on thin staffing. At 3.68 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so the coverage your relative gets on a Saturday won't match a Tuesday. Annual turnover of 53.9% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related, with $4,922 in fines across two penalties. A recent April 2025 inspection and solid quality measures count for something, but the staffing pattern is the part worth asking about directly.

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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