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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 3101–3120 of 10,187, best-graded first.

B

78/100

Majestic Care Of Sheridan

Sheridan, IN · Hamilton County

CMS 5/5 80 beds Government Medicaid
Nurse hours
3.24 /day
Staff turnover
20%
Serious cites
0

Majestic Care of Sheridan runs on thin staffing, 3.24 nurse hours per resident day, roughly 16% under the national average, and weekends dip about 10% below its own weekday levels. That's the weakest part of the picture, and it's why the federal staffing rating sits at 2 out of 5. What offsets it: turnover is remarkably low at 19.6% against a national average near 46%, which means the aides and nurses who are there tend to stay, and continuity matters when hours are scarce. The county-owned home carries eight deficiencies on its current record, none at the harm level and none abuse-related, with a recent April 2026 inspection. Quality measures score 5 out of 5 and inspections 4 out of 5. Ask about weekend coverage specifically.

B

78/100

Hoosier Village

Indianapolis, IN · Marion County

CMS 4/5 24 beds Non-profit
Nurse hours
5.88 /day
Staff turnover
91%
Serious cites
0

Hoosier Village in Indianapolis runs a small 24-bed unit under nonprofit ownership, and the raw staffing number looks strong, 5.88 nurse hours per resident day, well above the national average. What that average hides is turnover of 90.9%, roughly double the national rate, which means the people providing that care are constantly changing. Weekend hours also drop about 31% below weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is clean where it matters most: 15 deficiencies on file, none at harm or jeopardy level, none abuse-related, with the most recent inspection in May 2025.

B

78/100

Hickory Creek At Huntington

Huntington, IN · Huntington County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
24%
Serious cites
0

Hickory Creek At Huntington runs 36 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. The health inspection record is decent, a 4/5 inspection rating, with the most recent survey in March 2026, and eight deficiencies total, none of which rose to harm or jeopardy level, though one is abuse-related. Where this home stands out is turnover: 24% annually against a national average of 45.8%, meaning the caregivers here tend to stay. Staffing hours tell the opposite story, at 3.27 per resident day, roughly 15% below the national average, and weekend coverage dips about 6% below its own weekday baseline. The quality measures look strong, but the staffing rating sits at 2/5, so weigh consistency of care against how thin the daily coverage actually runs.

B

78/100

Aperion Care Summerfield

Cloverdale, IN · Putnam County

CMS 5/5 43 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
23%
Serious cites
0

Aperion Care Summerfield runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below its own weekday levels. That thin staffing is the main drag on an otherwise solid record: a 4-star health inspection and a 5-star quality measure score, with 12 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Staff turnover sits at 23.1%, well under the 45.8% national average, which suggests some consistency in who's actually showing up. For a 43-bed for-profit home last inspected in May 2025, the question worth asking is whether low turnover makes up for fewer hands per resident.

B

78/100

Ashford Place Health Campus

Shelbyville, IN · Shelby County

CMS 4/5 68 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
22%
Serious cites
0

Ashford Place runs a lean nursing floor, 3.72 hours of nurse staffing per resident day, a bit under the national average, and weekends get thinner still, dropping about 7% from weekday levels, which is when families tend to visit and notice. What stands out is retention: 22.4% turnover against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The inspection record is more mixed: 26 deficiencies on file, including two at the harm level and two tied to abuse, though the most recent inspection was in August 2025 and quality measures score at the top of the range.

B

78/100

West River Health Campus

Evansville, IN · Vanderburgh County

CMS 4/5 61 beds Government Medicaid
Nurse hours
4.14 /day
Staff turnover
46%
Serious cites
0

West River Health Campus is county-owned and sits at 61 certified beds in Evansville. Nurse staffing averages 4.14 hours per resident day, roughly 7% above the national average, though weekends run about 3% lighter than weekdays. Staff turnover comes in at 46.2%, which lands almost exactly on the national rate of 45.8%, no real advantage there either way. The inspection record shows 18 deficiencies, 2 of them serious enough to involve harm or jeopardy, with one fine of $18,655. Quality measures score well and the most recent inspection was August 2025, so the picture is current. Solid care metrics, but the harm-level citations and average turnover are the parts worth asking about directly.

B

78/100

Allisonville Meadows

Fishers, IN · Hamilton County

CMS 3/5 161 beds Non-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
45%
Serious cites
0

Allisonville Meadows runs 3.56 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 14% below its own weekday coverage. That staffing pattern matters more than the 45% turnover rate, which actually sits just under the national figure. What stands out is the inspection record: 32 deficiencies, three at harm or jeopardy level, one abuse-related, plus a $11,190 fine. The health inspection rating is 2 out of 5, though quality measures score 5 out of 5, a split worth asking about, since strong clinical numbers can coexist with serious compliance problems. The most recent inspection was April 15, 2026, so the record is current. Nonprofit ownership doesn't erase any of this.

B

78/100

Retreat At The Stratford, The

Carmel, IN · Hamilton County

CMS 4/5 18 beds For-profit
Nurse hours
6.50 /day
Staff turnover
77%
Serious cites
0

The Retreat at The Stratford runs 18 certified beds in Carmel under for-profit corporate ownership, and its nurse staffing sits at 6.50 hours per resident day, roughly 68% above the national average of 3.86. That's a real number, not a rounding trick, though weekend coverage dips about 7% below its own weekday level. Turnover is the concern: 76.5% annually against a national average of 45.8%, meaning most of the people providing that generous staffing are relatively new. The current record shows 12 deficiencies, none at harm or jeopardy level, but one abuse-related. The last inspection was February 2026, and the 4/5 health inspection rating backs up that recency.

B

78/100

Villages At Oak Ridge, The

Washington, IN · Daviess County

CMS 3/5 58 beds Government Medicaid
Nurse hours
3.66 /day
Staff turnover
51%
Serious cites
0

The Villages at Oak Ridge is county-owned, which usually means steadier oversight but not necessarily richer staffing, and that shows here. Nurses provide 3.66 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover sits at 50.8%, noticeably above the 45.8% national figure, so families should expect some churn in who's providing daily care. The current record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Quality measures score well; staffing and inspections land in the middle.

B

78/100

Accura Healthcare Of Lake City, Llc

Lake City, IA · Calhoun County

CMS 2/5 46 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
37%
Serious cites
0

Accura Healthcare of Lake City runs 46 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Turnover is 37%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 40 deficiencies on file, including 2 at the harm level and 3 tied to abuse, plus $38,610 in fines across two penalties. The most recent inspection was April 2026.

B

78/100

Denison Care Center

Denison, IA · Crawford County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
29%
Serious cites
0

Denison Care Center runs 46 beds under corporate for-profit ownership, and its staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends roughly 5% leaner than weekdays. What stands out is retention: 28.6% annual turnover against a national 45.8%, so the aides and nurses here tend to stay, even if there aren't quite as many of them per resident as elsewhere. The health inspection record is strong (four stars, most recent visit July 2025), but nine deficiencies are on file, one serious enough to involve harm or jeopardy. Quality measures lag at two stars, which often reflects resident outcomes like falls or antipsychotic use rather than the survey itself.

B

78/100

The Alverno Health Care Facility

Clinton, IA · Clinton County

CMS 3/5 112 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
45%
Serious cites
0

The Alverno Health Care Facility runs 112 certified beds in Clinton as a nonprofit, and its staffing sits slightly under the national mark, 3.71 total nurse hours per resident day against 3.86 nationally. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 45.4% is basically the national rate. What stands out is the inspection record: 21 deficiencies, one abuse-related, and a 2-out-of-5 health inspection rating, though none of those deficiencies reached harm or jeopardy. The last inspection was February 2026, so the picture is current. Nonprofit ownership and a 4-out-of-5 staffing rating help, but the deficiency count is the number worth asking about.

B

78/100

Parkview Manor Care Center

Reinbeck, IA · Grundy County

CMS 1/5 28 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
47%
Serious cites
0

Parkview Manor in Reinbeck runs 28 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.15 nurse hours per resident day, roughly 7% above the national average, with a four-star staffing rating to match. Weekends dip about 9% below weekday coverage, which matters in a building this small, and turnover sits at 47.1%, slightly above the national figure. The trouble is the inspection record, 31 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, plus a $23,813 fine. A one-star health inspection rating against a three-star quality score tells you the day-to-day care metrics look fine while the state's own findings say otherwise. The last inspection was August 2025.

B

78/100

Rehabilitation Center Of Lisbon

Lisbon, IA · Linn County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

The Rehabilitation Center of Lisbon runs 64 certified beds under for-profit LLC ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 13% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Annual turnover is 49.3%, a few points above the 45.8% national figure. On the plus side, its inspection record is clean: three deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 21, 2026. Quality and staffing each earned 3 of 5 stars from CMS, while inspections earned 4.

B

78/100

Grand Meadows Senior Living & Health Care

Asbury, IA · Dubuque County

CMS 2/5 32 beds For-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
—
Serious cites
0

Grand Meadows runs 32 certified beds in Asbury under corporate for-profit ownership, and the numbers are worth walking through before you tour. Twenty deficiencies sit on its current record, including one that rose to the level of actual harm or jeopardy and three tied to abuse, that combination matters more than the single $16,448 fine on file. Staffing is where this home falls furthest behind, landing at the bottom of CMS's rating scale, which means the people doing the daily hands-on care are stretched thin relative to what federal reviewers expect. The last inspection, in March 2026, is recent, so these findings reflect how the place operates now, not a fix from years ago.

B

78/100

Via Christi Village Manhattan, Inc

Manhattan, KS · Riley County

CMS 3/5 93 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
49%
Serious cites
0

Via Christi Village Manhattan runs a nonprofit home in Riley County with 93 certified beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86. That cushion thins on weekends, when coverage drops about 8% below the home's own weekday level, and annual turnover of 49% runs a few points above the national 45.8%, meaning many of the people providing that care are still new to the building. The bigger concern is the inspection record. Twenty-three deficiencies are on file, seven of them serious enough to involve harm or jeopardy, with four fines totaling $96,781. No abuse citations appear. A recent inspection, dated April 30, 2026, found those problems despite solid marks on quality measures and staffing.

B

78/100

Pratt Health And Rehab

Pratt, KS · Pratt County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
48%
Serious cites
0

Pratt Health and Rehab runs 45 beds under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.76 nurse hours per resident day. Weekends drop about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover of 47.5% means roughly half the nursing staff leaves each year, just above the 45.8% national figure. The inspection record is more reassuring: 4 of 5 stars from CMS, with the most recent survey in March 2026. But 22 deficiencies sit on the current record, including two at the harm level, and one fine of $22,925. No abuse citations. Quality measures land at 3 of 5. Steady oversight, uneven follow-through, and thin weekend coverage, that's the tradeoff here.

B

78/100

Azria Health Wichita

Wichita, KS · Sedgwick County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
68%
Serious cites
0

Azria Health Wichita runs a for-profit limited liability operation with 70 certified beds, and the staffing numbers are the real story here: 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86. That's meaningful coverage, though weekends dip about 7% below the home's own weekday levels, and staff turnover sits at 68% against a national average of 45.8%, a lot of churn for a building this size. The inspection record shows 39 deficiencies, one of them at the harm or jeopardy level and one abuse-related, with the most recent survey dated February 2026. If you're weighing this one, the bedside hours are a genuine strength; the turnover and the harm-level finding are the parts worth asking about directly.

B

78/100

Center At Waterfront Llc

Wichita, KS · Sedgwick County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
62%
Serious cites
0

Center At Waterfront in Wichita runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 5.02 hours per resident day, roughly 30% above the national average of 3.86. That's a real cushion, though weekends dip about 12% below the home's own weekday levels, and annual turnover hits 61.6% against a national 45.8%, so the people delivering those hours keep changing. The current inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy level, and a single $12,740 fine. The last inspection was January 2026. Strong quality-measure scores sit alongside middling inspection results, worth asking about directly.

B

78/100

Maysville Nursing And Rehabilitation Facility

Maysville, KY · Mason County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
34%
Serious cites
0

Maysville Nursing and Rehabilitation runs 130 certified beds under corporate ownership, and its inspection record is the strongest thing it has going: a five-star health inspection rating, four total deficiencies with none rising to harm or jeopardy, and no abuse citations. The last survey was in June 2025, so the picture is recent. Where it slips is staffing, rated two stars. Total nurse hours land at 3.88 per resident day, essentially the national average, not better, and weekends drop roughly 9% below the home's own weekday coverage. Turnover of 33.6% does beat the 45.8% national figure, which matters for consistency of care. Strong oversight, thin staffing margin, especially on weekends.

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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