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 3201–3220 of 10,187, best-graded first.

B

78/100

Statesman Health & Rehabilitation Center

Levittown, PA · Bucks County

CMS 4/5 101 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
32%
Serious cites
0

Statesman Health & Rehabilitation Center runs 101 certified beds in Levittown under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.49 nurse hours per resident day, it sits about 10% under the national average, with weekends running roughly 7% lighter than weekdays, that's when care usually gets stretched thinnest. Turnover is the bright spot: 32.1% against a national 45.8%, which suggests a more stable crew than most. The inspection record shows 30 deficiencies with none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. Quality measures score well; staffing is where this home lags.

B

78/100

Townview Health And Rehabilitation Center

Canonsburg, PA · Washington County

CMS 3/5 118 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
39%
Serious cites
0

Townview runs about 3.56 nurse hours per resident per day, roughly 8% under the national average, and weekends drop further, about 6% below its own weekday staffing. Turnover sits at 38.8%, better than the 45.8% national figure, so the same faces are more likely to stick around, though the current record carries 16 deficiencies, including four tied to abuse and one serious enough to put a resident in harm's way. Inspectors last visited in October 2024. The staffing star comes in at 4 out of 5, but state inspectors gave it 3s on health inspections and quality measures.

B

78/100

Sanatoga Center

Pottstown, PA · Montgomery County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
45%
Serious cites
0

Sanatoga Center runs 130 beds in Pottstown under corporate ownership, and its last inspection was recent, July 2025, with 13 deficiencies on record, none of them rising to harm or jeopardy and none abuse-related. That's a decent inspection picture, and the four-star ratings on health inspections and quality measures back it up. Where the numbers get thinner is staffing: 3.34 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly 11% below the home's own weekday level. Turnover of 45.2% is essentially the national rate, so continuity isn't unusually bad or good. The staffing rating of three stars tells you CMS sees the same gap the raw hours do.

B

78/100

Transitions Healthcare Allens Cove

Duncannon, PA · Perry County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
56%
Serious cites
0

Transitions Healthcare Allens Cove runs 3.69 nurse hours per resident day, a bit under the national figure, and weekend coverage drops about 8% below what the home staffs on weekdays. Turnover sits at 56.3%, well above the national 45.8%, that's more than half the nursing staff leaving in a year, which matters for how well residents' routines and preferences get known. The 34 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in March 2026. Families should ask how the home covers weekends and what it's doing to hold onto aides.

B

78/100

Avalon Springs Care Center

Mercer, PA · Mercer County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
50%
Serious cites
0

Avalon Springs runs a 100-bed for-profit operation, and its staffing numbers sit below what you'd typically see elsewhere, 3.23 nurse hours per resident day against a national average of 3.86. Weekend coverage dips further, about 12% under its own weekday levels, which matters if your visits tend to fall on Saturdays and Sundays. Annual turnover hits 50%, slightly above the national figure, so you may see unfamiliar faces across shifts. The positives are real: five deficiencies on record, none involving harm or abuse, and a recent inspection. Quality and inspection scores hold up; staffing is the softer spot. Worth asking how they cover weekends before you decide.

B

78/100

Northampton Post Acute

Easton, PA · Northampton County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
31%
Serious cites
0

Northampton Post Acute runs lean on bedside staffing, 3.30 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday levels. That thin coverage is the main thing pulling its numbers down. What offsets it: turnover sits at 31.4%, well under the 45.8% national figure, so the aides and nurses who are there tend to stay. The home also scores 5/5 on CMS quality measures and 4/5 on health inspections, with 15 deficiencies on record and none involving harm, jeopardy, or abuse. For-profit, LLC-owned, 180 beds, inspected in May 2026. The pattern is a well-run building stretched a bit thin on staff hours.

B

78/100

Quality Life Services - Westmont

Johnstown, PA · Cambria County

CMS 3/5 41 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
38%
Serious cites
0

Quality Life Services - Westmont runs 41 beds in Johnstown under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average, with weekends about 13% thinner than weekdays. Staff turnover of 38.2% actually beats the national 45.8%, so the people who stay tend to stay, even if there aren't quite enough of them. The record shows 31 deficiencies, none at harm or jeopardy level, though four are abuse-related, which is worth asking about directly. Inspectors were last on site in March 2026. All three CMS star ratings land at 3 out of 5.

B

78/100

Mount St Rita Health Centre

Cumberland, RI · Providence County

CMS 2/5 98 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
39%
Serious cites
0

Mount St Rita Health Centre runs about 3.99 nurse hours per resident day, a bit above the national average, and its weekend staffing holds within roughly 8% of weekday levels. Staff turnover sits at 39%, lower than the 45.8% national figure. The trouble is the inspection record: 27 deficiencies, three at harm or jeopardy level and one abuse-related, with five fines totaling $274,749. The most recent inspection was December 2025, so the findings are current. Stronger staffing and steadier retention are real positives here, but the harm-level citations and the fine total are what pull the overall picture down to a middling grade. Ask about the abuse-related deficiency and the plan to fix it.

B

78/100

Nhc-Maury Regional Transitional Care Center

Columbia, TN · Maury County

CMS 5/5 112 beds For-profit
Nurse hours
4.10 /day
Staff turnover
56%
Serious cites
0

Nhc-Maury Regional runs a clean shop on the things inspectors can see. Seven deficiencies on the current record with none causing harm or jeopardy, and a five-star inspection rating backed by a September 2023 survey, that combination usually means a building where the basics get done. The staffing picture is more mixed. At 4.10 nurse hours per resident day, it sits about 6% above the national average, but weekends run roughly 11% thinner than weekdays, and turnover hits 55.9% against a national 45.8%. That churn is worth asking about directly. Corporate for-profit ownership, 112 beds. The care numbers look solid. The question is whether the people delivering them stick around.

B

78/100

The Waters Of Clinton, Llc

Clinton, TN · Anderson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
32%
Serious cites
0

The Waters of Clinton runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 10% below its own weekday level. That thin coverage is what CMS's 2-out-of-5 staffing rating reflects, even though the home's quality measure score is perfect and turnover (32.4%) actually beats the national 45.8%. The 14 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was September 2025. So this is a for-profit LLC where outcomes look good on paper and staff tend to stay, but day-to-day hands-on time is well short of average, worth asking how the floor is covered on a Saturday.

B

78/100

Life Care Center Of Crossville

Crossville, TN · Cumberland County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
41%
Serious cites
0

Life Care Center Of Crossville runs 122 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. The inspection record shows 17 deficiencies, including one at the harm or jeopardy level and three tied to abuse; the state fined the home $8,824. Turnover at 41.3% is slightly better than the 45.8% national figure, and the quality measure rating is strong, but that harm-level and abuse-related history is what you'd want to press administrators on directly.

B

78/100

Lynchburg Nursing Center

Lynchburg, TN · Moore County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
24%
Serious cites
0

Lynchburg Nursing Center runs 88 certified beds under for-profit LLC ownership, and the staffing picture is where your attention should go first. Total nurse hours sit at 3.75 per resident day, a bit under the national average, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit and when fewer administrators are around. What offsets that is unusually low turnover at 24.2%, well under the national figure, which suggests the aides and nurses who are there tend to stay. The inspection record is clean where it counts: six deficiencies, none at harm or jeopardy level, none abuse-related, with a recent survey in December 2025. Staffing is the soft spot; consistency is the strength.

B

78/100

The Waters Of Roan Highlands,Llc

Roan Mountain, TN · Carter County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
29%
Serious cites
0

The Waters of Roan Highlands runs lean on direct care: 3.32 nurse hours per resident day, roughly 14 percent under the national average, and weekends get thinner still, dropping another 14 percent below the home's own weekday level. That gap is what pulls its staffing rating down to 2 out of 5. What offsets it is a clean inspection record, zero deficiencies on the current books, none at harm level, none abuse-related, with a survey completed in May 2026, and quality measures scoring 5 out of 5. Staff turnover sits at 29.2 percent, well below the 45.8 percent national figure, so the people who are there tend to stay.

B

78/100

Asbury Place Kingsport

Kingsport, TN · Sullivan County

CMS 5/5 67 beds For-profit
Nurse hours
3.48 /day
Staff turnover
35%
Serious cites
0

Asbury Place Kingsport runs a lean nursing floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 8% below its own weekday coverage. That's worth asking about if your family member needs help on Saturdays and Sundays. The tradeoff is consistency, 34.5% annual turnover is well below the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. Ten deficiencies sit on the current record, none at harm level, one tied to abuse, with five fines totaling $23,604. A for-profit LLC operates the 67-bed home, and its last inspection was April 2026.

B

78/100

Nhc Healthcare, Tullahoma

Tullahoma, TN · Coffee County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
53%
Serious cites
0

Nhc Healthcare, Tullahoma runs 90 certified beds under for-profit LLC ownership, and the nurse staffing number lands at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 13% below the home's own weekday level. Staff turnover sits at 52.6%, noticeably higher than the 45.8% national figure, so continuity of caregivers is a fair question to raise. The current inspection record shows 13 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was June 11, 2025, so the picture is recent. CMS rates staffing and quality measures 4 out of 5, health inspections 3.

B

78/100

Grand Terrace Rehabilitation And Healthcare

Mcallen, TX · Hidalgo County

CMS 5/5 93 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
26%
Serious cites
0

Grand Terrace runs a tight ship on the clinical side, perfect marks on both health inspections and quality measures, with 14 deficiencies on record and none of them rising to harm or jeopardy. That's a clean inspection history, and the state visited recently enough that the findings are current. The staffing picture is where it gets uneven: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so care thins out when families tend to visit. Turnover at 25.8% is well below the national 45.8%, which suggests a stable crew. Corporate-owned, and that one abuse-related deficiency is worth asking about directly.

B

78/100

Heritage Park Rehabilitation And Skilled Nursing C

Austin, TX · Travis County

CMS 2/5 197 beds Government Medicaid
Nurse hours
3.34 /day
Staff turnover
34%
Serious cites
0

Heritage Park is a hospital-district home in Austin with 197 beds, and the numbers pull in opposite directions. Its quality measure score is perfect, but the health inspection side is where the trouble sits: 49 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse, with $56,007 in fines across five penalties and a February 2026 inspection that keeps those findings current. Nurse staffing runs 3.34 hours per resident day, about 13 percent under the national average, and weekends drop roughly 14 percent below the home's own weekday coverage. Turnover is 33.6 percent, which actually beats the 45.8 percent national figure, one real bright spot, though steady staff can't offset inspection findings this serious.

B

78/100

Avir At Corpus Christi

Corpus Christi, TX · Nueces County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
37%
Serious cites
0

Avir At Corpus Christi runs on 3.01 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 11% below its own weekday level. That thin staffing shows up in its 2/5 staffing rating, and the inspection record carries 25 deficiencies, including one at the harm level and three tied to abuse. Turnover is 36.5%, actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical metrics look strong. But with a for-profit LLC structure, a recent September 2025 inspection, and a $14,069 fine on record, the numbers point to a home where the care numbers and the people delivering them don't quite match up.

B

78/100

Pearsall Nursing And Rehabilitation Center

Pearsall, TX · Frio County

CMS 4/5 150 beds Non-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
27%
Serious cites
0

Pearsall Nursing and Rehabilitation Center runs 150 certified beds under nonprofit corporate ownership, and its strongest numbers are in inspections and quality measures, both rated 4 out of 5 by CMS, with the most recent inspection completed in May 2025. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, though one fine totaling $14,255 has been assessed. Where the home gives ground is staffing: 3.29 nurse hours per resident day sits roughly 15% under the national average, and weekends run about 11% thinner than its own weekdays. Staff turnover, at 27.2%, is well below the national 45.8%, people tend to stay here.

B

78/100

Avir At Jacksboro

Jacksboro, TX · Jack County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
57%
Serious cites
0

Avir At Jacksboro runs on thinner nurse coverage than most homes, 3.53 hours per resident per day against a national average of 3.86, with weekends about 9% leaner than weekdays. That staffing level earned the home two stars from CMS, and it comes alongside a 57.1% annual turnover rate, well above the 45.8% national figure. Turnover that high means aides and nurses are constantly new to residents and to each other, which matters most on weekends when the schedule is thinnest. The inspection record is recent, January 2026, and includes 19 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involved abuse. A single fine of $23,813 is on file. Quality measures score well, but strong chart numbers don't staff a night shift.

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