ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 281 to 300 of 10,187, best-graded first.

A

92/100

Claremont Manor Care Center

Claremont, CA · Los Angeles County

CMS 3/559 bedsNon-profitMedicaid
Nurse hours
5.22 /day
Staff turnover
23%
Serious cites
0

Claremont Manor runs high on staffing: 5.22 nurse hours per resident day, about 35% above the national average, and it holds onto workers far better than most, 22.5% turnover against a national 45.8%. Weekend coverage dips roughly 12% below its own weekday level, which matters if your visits fall on Saturdays or Sundays. The inspection record is the caution flag. The home carries 55 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. Its last inspection was March 2026. A nonprofit with strong staffing and steady retention, but that deficiency list is where I'd focus your questions before touring.

A

92/100

St. John's Hospital Camarillo D/P Snf

Camarillo, CA · Ventura County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
8.83 /day
Staff turnover
23%
Serious cites
0

St. John's Hospital Camarillo runs a 99-bed skilled nursing unit, and the staffing numbers stand out: 8.83 nurse hours per resident per day, roughly 129% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 23.2%, about half the national rate, which matters for whether you see the same faces. The inspection record shows 22 deficiencies, none at the harm level, though two are abuse-related, and the most recent inspection was in April 2025. It's a for-profit corporate operation, so worth asking who's actually on the floor day to day.

A

92/100

Anberry Nursing And Rehabilitation Center

Atwater, CA · Merced County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
29%
Serious cites
0

Anberry runs about 3.48 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. Turnover sits at 28.6% against a national average of 45.8%, so the crew here is steadier than most, even if there are fewer hands on a Saturday. Inspections in January 2026 turned up 19 deficiencies, none at the harm level, one tied to abuse. The limited liability company structure means profits go to owners, not back into the building. Fewer staff hours and a thinner weekend schedule are the tradeoff for that steadiness.

A

92/100

University Post-Acute Rehab

Sacramento, CA · Sacramento County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
32%
Serious cites
0

University Post-Acute Rehab runs 4.55 nurse hours per resident per day, roughly 18% above the national average, and its weekend coverage holds within about 7% of weekdays, a gap that tends to matter more than the raw total. Staff turnover sits at 31.9%, well under the 45.8% national figure, which suggests a steadier crew than most corporate-owned homes manage. The tradeoff is a longer deficiency record: 26 findings on the current record, including two tied to abuse, though none reached harm or jeopardy level. Inspectors were last on site in May 2025.

A

92/100

Citrus Heights Post Acute

Citrus Heights, CA · Sacramento County

CMS 4/5162 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
34%
Serious cites
0

Citrus Heights Post Acute runs 162 beds under limited-liability, for-profit ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 10% below what the home staffs on weekdays, so ask how that gap gets covered. Turnover lands at 33.8%, well under the 45.8% national figure, which matters for whether you see the same faces on repeat visits. The inspection record shows 34 deficiencies, none at harm or jeopardy level and none abuse-related; the most recent inspection was April 2026. Federal ratings put quality measures at 5 and staffing at 4, with health inspections at 3.

A

92/100

Villa Gardens Health Care Unit

Pasadena, CA · Los Angeles County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
22%
Serious cites
0

Villa Gardens runs 5.06 nursing hours per resident day, roughly a third more than the national average, and its staff turnover sits at 21.8 percent against a national 45.8, that kind of retention usually means residents see the same faces month to month. Weekend coverage dips about 11 percent below its own weekday level, so ask how that plays out on Saturdays. The 31 deficiencies on record include nothing at the harm level and nothing abuse-related, which matters more than the raw count, though a 3/5 inspection rating suggests some of those findings weren't trivial. The last survey was December 2025, so the picture is current.

A

92/100

Victoria Care Center

Ventura, CA · Ventura County

CMS 5/5188 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
30%
Serious cites
0

Victoria Care Center in Ventura runs 4.53 nurse staffing hours per resident day, roughly 17% above the national average of 3.86, and weekend coverage dips only about 10% below its own weekday level. Staff turnover sits at 30.1%, well under the 45.8% national figure, which matters for residents who depend on consistent caregivers. The tradeoff shows up in its record: 24 deficiencies, including 2 abuse-related, though none at the harm or jeopardy level, and the most recent inspection was February 27, 2025. Under for-profit LLC ownership, you're looking at a home that's well-staffed on paper but has accumulated some compliance issues worth asking about directly.

A

92/100

Leisure Court Nursing Center

Anaheim, CA · Orange County

CMS 3/5115 bedsFor-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
28%
Serious cites
0

Leisure Court runs on a for-profit individual owner in Anaheim, and the numbers here are mostly working in residents' favor. Nurse staffing sits at 4.50 hours per resident day, about 17% above the national average, and the 28.2% annual turnover is well below the 45.8% national figure, that kind of stability matters more than people realize, since aides who stay learn the residents. The tradeoff shows up in the inspection record: 46 deficiencies, none at harm or jeopardy level but two tied to abuse, and the last full inspection was January 2025. Weekend staffing dips roughly 8% from weekdays, so ask how coverage looks on Saturdays and Sundays.

A

92/100

Driftwood Healthcare Center - Hayward

Hayward, CA · Alameda County

CMS 3/588 bedsFor-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
30%
Serious cites
0

Driftwood Healthcare Center runs on more nursing hours than most homes, 4.93 per resident day against a national average of 3.86, and staff tend to stay, with turnover at 30.3% versus 45.8% nationally. Weekend coverage slips only slightly below weekday levels. The trouble sits on the inspection side: 39 deficiencies on the current record, including one at the harm level and two tied to abuse, plus five fines totaling $24,666 and a two-star health inspection rating. That last inspection was August 2024, so the record is fairly recent. Quality measures score well, but the enforcement history is the part worth asking about directly.

A

92/100

Parkside Health And Wellness Center

El Cajon, CA · San Diego County

CMS 5/552 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
23%
Serious cites
0

Parkside runs 4.20 nurse hours per resident day, roughly 9% above the national average of 3.86, and its staff turnover sits at 22.6%, about half the national rate of 45.8%. That combination matters more than any single number, since consistent caregivers tend to know residents' routines and catch changes early. Weekend staffing drops about 13% below the home's own weekday level, worth asking about if you're planning visits or worrying about Saturday coverage. The inspection record shows 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related. With a 5/5 health inspection rating and a May 2025 survey, this is a for-profit corporate home that has stayed clean on the measures that usually predict trouble.

A

92/100

Woodside Healthcare Center

Sacramento, CA · Sacramento County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
24%
Serious cites
0

Woodside Healthcare Center runs about 4.42 nurse hours per resident day, which is roughly 14% above the national average of 3.86. Weekend staffing dips about 8% below its own weekday level, a gap worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Staff turnover is 23.8%, well under the national 45.8%, so the people caring for residents tend to stay. The home carries 21 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was in November 2024, and it's a for-profit corporation operating 58 certified beds.

A

92/100

Canyon Oaks Nursing And Rehabilitation Center

Canoga Park, CA · Los Angeles County

CMS 3/5185 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
24%
Serious cites
0

Canyon Oaks runs a 185-bed for-profit home in Canoga Park, and the staffing numbers are its strongest card. At 4.25 nurse hours per resident day, it sits about 10% above the national average, and turnover of 24.1% is roughly half the national rate, that kind of retention matters more than any single inspection score. Weekends dip about 9% below weekday coverage, worth asking about directly. The health inspection record is thinner: 64 deficiencies on file, four tied to abuse, though none at the harm or jeopardy level, and the last inspection was recent. Quality measures score well. The mixed picture is real, so ask about those four abuse deficiencies specifically.

A

92/100

Lamun-Lusk-Sanchez Texas State Veterans Home

Big Spring, TX · Howard County

CMS 5/5160 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
34%
Serious cites
0

Lamun-Lusk-Sanchez Texas State Veterans Home runs 160 certified beds in Big Spring under for-profit corporate ownership. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Staff turnover is 33.6%, which is meaningfully better than the 45.8% national figure, though the inspection record carries 20 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $21,252 fine. The most recent inspection was July 11, 2024. CMS rates quality measures and staffing at 5 stars each, but health inspections at 3, and that gap between strong day-to-day metrics and a longer-than-ideal deficiency history is what pulls the overall picture down.

A

92/100

The Arbour At Westminster Manor

Austin, TX · Travis County

CMS 5/590 bedsNon-profit
Nurse hours
4.96 /day
Staff turnover
40%
Serious cites
0

The Arbour at Westminster Manor runs about 4.96 nurse staffing hours per resident day, roughly 29 percent above the national average, and its 40.4 percent turnover sits below the national 45.8 percent, meaningful stability for a 90-bed nonprofit in Austin. Weekend staffing dips about 10 percent below its own weekday level, so coverage isn't perfectly even. The inspection record is where it gets complicated: 8 deficiencies, one at harm or jeopardy level and one abuse-related, plus a single $29,085 fine, with the most recent inspection in December 2025. Strong staffing and quality marks don't erase a harm-level finding, so ask specifically what happened and what changed since.

A

91.5/100

Traylor Retirement Community

Roanoke, AL · Randolph County

CMS 4/5123 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
41%
Serious cites
0

Traylor Retirement Community runs 4.14 nurse hours per resident day, roughly 7% above the national average, and its turnover sits below the national figure at 40.8%. Weekend staffing, though, drops about 18% below its own weekday level, so coverage thins out on Saturdays and Sundays. The 10 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in December 2025, so the picture is current rather than stale. Corporate for-profit ownership and a 2/5 inspection rating are the weaker spots, while the quality and staffing ratings both come in at 5/5.

A

91.5/100

Willowbrooke Court At Indian River Estates

Vero Beach, FL · Indian River County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.56 /day
Staff turnover
n/a
Serious cites
0

Willowbrooke Court is a small nonprofit home, just 20 certified beds, and the numbers behind it are strong. Nurse staffing runs 4.56 hours per resident day, about 18% above the national average, though weekend coverage dips roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows three deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine of $18,330. Its last inspection was April 2026, so the picture is current. With 20 beds, you're looking at a place where staff likely know every resident by name, a real advantage at this size, and one that shows in the ratings.

A

91.5/100

Leahi Hospital

Honolulu, HI · Honolulu County

CMS 5/5155 bedsGovernmentMedicaid
Nurse hours
4.55 /day
Staff turnover
18%
Serious cites
0

Leahi Hospital is state-run, and that shows in the numbers that matter most: turnover sits at 17.7% against a national average of 45.8%, so the people caring for residents tend to stay. Nurse staffing runs 4.55 hours per resident day, roughly 18% above the national figure, though weekends drop about 20% below the home's own weekday level, worth asking about if your family visits on Saturdays. Eighteen deficiencies are on the current record, four tied to abuse, but none rose to harm or jeopardy, and the last inspection was recent, in July 2025.

A

91.5/100

Prairie Vista Village

Altoona, IA · Polk County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
37%
Serious cites
0

Prairie Vista Village runs on 4.47 nurse hours per resident day, roughly 16% above the national average, and its weekend staffing holds about 16% below its own weekday level, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.3%, better than the 45.8% national figure, which matters for whether your parent sees the same faces month to month. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a for-profit LLC with 46 beds, small enough that you can reasonably expect the administrator to know your mother's name.

A

91.5/100

The Commons Skilled Nursing & Rehabilitation

Lincoln, MA · Middlesex County

CMS 5/532 bedsNon-profit
Nurse hours
5.99 /day
Staff turnover
17%
Serious cites
0

The Commons runs on 5.99 nurse hours per resident per day, roughly 55 percent above the national average, and its staff turnover of 17.1 percent is well under the national 45.8 percent, a sign people stay. Weekend staffing dips about 16 percent below its own weekday level, so ask how that plays out on a Sunday. Inspectors were last in on November 26, 2025, and found 15 deficiencies, none at the harm level, though two were abuse-related and worth asking about directly. With 32 beds, it's small enough that you can get real answers from the people in charge.

A

91.5/100

Corewell Health Rehabilitation & Nursing Center -

Grand Rapids, MI · Kent County

CMS 5/5165 bedsNon-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
41%
Serious cites
0

Corewell Health Rehabilitation & Nursing Center runs on 5.15 nurse staffing hours per resident day, roughly a third more than the national average of 3.86, and turnover sits at 41.1 percent against a national 45.8 percent. Weekend coverage drops about 15 percent from weekday levels, so ask how that plays out on a Saturday. The home carries 21 deficiencies on its current record with none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Its last inspection was September 10, 2025, and it's a nonprofit corporation with 165 certified beds.

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.

Before you shortlist