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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 3221–3240 of 10,187, best-graded first.

B

78/100

Windsor Nursing And Rehabilitation Center Of Harli

Harlingen, TX · Cameron County

CMS 5/5 154 beds Non-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
23%
Serious cites
0

Windsor Nursing and Rehabilitation Center of Harlingen runs on a non-profit corporate model with 154 certified beds, and its inspection record is solid, a 4/5 health inspection rating with a recent June 2025 survey and no deficiencies at the harm or jeopardy level. That's meaningful. But the staffing picture is thinner than it looks: 3.29 nurse hours per resident day sits roughly 15% below the national average, weekends run about 11% below the home's own weekday coverage, and CMS gives it just 2/5 for staffing. The one abuse-related deficiency on record is worth asking about directly. Turnover at 23.1% is notably better than the national 45.8%, which suggests some stability in the workforce even if raw hours are low.

B

78/100

Life Care Center Of Plano

Plano, TX · Collin County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
43%
Serious cites
0

Life Care Center Of Plano runs on 3.76 nurse hours per resident day, a bit under the national average, and weekends drop about 11% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover sits at 42.5%, slightly better than the typical home but hardly stable. The inspection record shows 21 deficiencies, one of them serious enough to put a resident in harm's way, and a single fine of $8,281, with the most recent state visit in April 2025. What lifts this home is its quality measures, where it scores at the top of the federal scale, the day-to-day care metrics look strong even as the safety and staffing picture stays merely adequate.

B

78/100

Shore Health & Rehab Center

Parksley, VA · Accomack County

CMS 4/5 136 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
28%
Serious cites
0

Shore Health & Rehab runs lean on nursing hours, 3.28 per resident day, roughly 15% under the national average, and weekends dip about 9% below its own weekday coverage. That thin staffing is the main thing pulling its profile down. The flip side: turnover sits at 28.1% against a national 45.8%, so the aides and nurses who are there tend to stay, which matters for residents who need consistent faces. Its inspection record shows 34 deficiencies but none at harm or jeopardy level and nothing abuse-related, with the last survey in July 2024. Quality measures score well; staffing is where it lags.

B

78/100

Belmont Bay Rehabilitation And Healthcare Center

Woodbridge, VA · Prince William County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
25%
Serious cites
0

Belmont Bay runs lean on nursing hours, 3.42 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 54 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $12,834; the last inspection was June 2024. Staff turnover of 25.3% is well below the national 45.8%, so the people caring for residents tend to stay. The quality measures look strong on paper while the inspection and staffing ratings sit at two stars each.

B

78/100

Valley View Skilled Nursing And Rehabilitation

Renton, WA · King County

CMS 3/5 136 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
38%
Serious cites
0

Valley View runs 4.19 nursing hours per resident day, roughly 9% more than the national average, and its staff turnover of 38% sits below the 45.8% national figure, both signs of a stable floor. Weekends thin out, though, running about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The record shows 59 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was March 2026. With 136 beds under for-profit LLC ownership, the staffing is the stronger story here; the inspection history is the one worth reading closely.

B

78/100

Avamere Rehabilitation At Park West

Seattle, WA · King County

CMS 2/5 137 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
54%
Serious cites
0

Avamere Rehabilitation at Park West runs 137 beds as a for-profit limited liability company, and its staffing numbers look decent on paper, 4.07 nurse hours per resident day, a bit above the national average. But look closer and the picture shifts: weekends run roughly 9% thinner than weekdays, and annual turnover hits 53.5% against a national 45.8%, meaning the people caring for residents keep changing. The inspection record is where the real concern sits. CMS gives the health inspection side 2 out of 5 stars, with 58 deficiencies on file, including two at the harm level and two tied to abuse. A $29,820 fine and a July 2025 inspection round out the record. Quality and staffing stars read well, but those don't offset what surveyors actually found.

B

78/100

Salem Center

Salem, WV · Harrison County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
31%
Serious cites
0

Salem Center runs 2.95 nursing hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. That shortfall shows up in the staffing star rating, which sits at 2 out of 5, while the quality measure rating is a 5, the clinical outcomes look good even though the day-to-day coverage is thin. Turnover is 31%, better than the 45.8% national figure, so the aides and nurses who are there tend to stay. The 37 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in June 2025. For-profit corporate ownership, 112 beds.

B

78/100

Bridgeport Healthcare Center

Bridgeport, WV · Harrison County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
39%
Serious cites
0

Bridgeport Healthcare Center runs on thinner nursing coverage than most homes nationally, 3.44 hours per resident day against a 3.86 average, and weekends drop roughly 13% below what the home itself staffs on weekdays. That matters for a 60-bed building where a fall or an infection doesn't wait for Monday. Turnover sits at 39.3%, better than the 45.8% national figure, so the same faces tend to stay. The record shows 24 deficiencies, including one at harm level and one tied to abuse, with a single $8,021 fine; inspectors were last in on April 9, 2026. Quality scores look strong, but the staffing star tells the harder story.

B

78/100

St Francis Health Services

Saint Francis, WI · Milwaukee County

CMS 3/5 34 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
29%
Serious cites
0

St Francis Health Services runs 34 beds in Milwaukee, and the numbers tell a mixed story. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 4% below the home's own weekday level. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse. On the other side, staff turnover is 28.6%, well below the national 45.8%, which suggests people stay. The last inspection was recent, February 2026, and the for-profit corporate owner holds middle ratings across health, quality, and staffing.

B

78/100

Complete Care At Glendale West

Glendale, WI · Milwaukee County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
63%
Serious cites
0

Complete Care At Glendale West runs a for-profit LLC operation with 94 certified beds, and its nurse staffing sits at 4.38 hours per resident day, about 13% above the national average. That's the strongest thing going for it, though weekends dip roughly 8% below the home's own weekday levels, and annual turnover of 62.9% is well above the 45.8% national figure, meaning the people providing that care keep changing. Inspections are another matter: 38 deficiencies on the current record, including two at harm or jeopardy level and one abuse-related, with a $11,180 fine and a 2/5 health inspection rating. The state last visited in May 2025. Strong quality scores don't erase a citation record like that.

B

78/100

Northern Lights Hcc

Washburn, WI · Bayfield County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
50%
Serious cites
0

Northern Lights Hcc runs on a nonprofit model with 50 certified beds in Washburn, and the staffing numbers are a mixed bag. Nurse coverage sits at 3.71 hours per resident day, roughly 4% under the national average, and weekends dip about 6% below what the home staffs on weekdays, so the thinnest coverage lands when families often visit. Annual turnover hits 50%, above the national 45.8%, which means the people caring for residents are frequently new. The inspection record is the bigger concern: 35 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus one fine of $10,364. The most recent inspection was July 2025.

B

78/100

Little Chute Health Services

Little Chute, WI · Outagamie County

CMS 1/5 50 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
46%
Serious cites
0

Little Chute Health Services has real staffing strengths that its inspection record undercuts. Nurse coverage runs 4.20 hours per resident day, about 9% above the national average, and weekend staffing dips only modestly below weekdays. Turnover sits at 45.7%, essentially identical to the national rate. The problem is the inspection history: 18 deficiencies on the current record, four of them at the harm or jeopardy level and two tied to abuse, with a single fine of $8,827. That's a lot of serious findings for a 50-bed home, and it's why the health inspection rating sits at 1 out of 5 despite 4-star marks for staffing and quality measures. The last inspection was May 2026.

B

78/100

Meadowbrook At Chetek

Chetek, WI · Barron County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
51%
Serious cites
0

Meadowbrook At Chetek runs a for-profit operation with 97 certified beds, and the staffing picture is roughly average on paper, 3.82 nurse hours per resident day against a national 3.86, but that average hides a real gap: weekends run about 10% thinner than weekdays, which is when families tend to visit and notice. Staff turnover sits at 50.7%, above the 45.8% national figure, so the people caring for residents change often. The inspection record is the bigger concern: 33 deficiencies, including one at the harm level and three tied to abuse, with a 2-out-of-5 health inspection rating. Quality measures score well, but that reflects resident outcomes, not how safely the place is run.

B

78/100

Playa Del Rey Center

Playa Del Rey, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
38%
Serious cites
0

Playa Del Rey Center runs 99 certified beds under for-profit LLC ownership, and its staffing numbers are genuinely above average: 4.05 nurse hours per resident day, roughly 5% over the national figure, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 6% below its own weekday level, and the last inspection was June 2025, so the record is current. What pulls the grade down is the inspection history, 106 deficiencies on file, five at harm or jeopardy level and five tied to abuse, plus two fines totaling $154,742. Staffing and quality measures look decent on paper; the survey record is where the trouble sits.

B

78/100

Fireside Health Care Center

Santa Monica, CA · Los Angeles County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
34%
Serious cites
0

Fireside Health Care Center runs 4.26 nurse hours per resident day, about 10% above the national average of 3.86, and its staff turnover of 34.3% is meaningfully better than the 45.8% national figure, a sign the workforce here is more stable than at many homes. The catch is consistency: weekend staffing drops roughly 10% below its own weekday level, and the record shows 61 deficiencies, including four tied to abuse, though none reached the harm or jeopardy level. A single fine of $97,670 is on file, and the most recent inspection was January 23, 2026. For-profit corporate ownership. Strong quality measure scores and solid staffing hours, but the inspection history has real weight.

B

78/100

Kei-Ai South Bay Healthcare Center

Gardena, CA · Los Angeles County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
29%
Serious cites
0

Kei-Ai South Bay runs 4.14 nurse hours per resident per day, roughly 7% above the national average, and its staff turnover of 28.8% is well below the 45.8% national figure, that kind of retention matters for consistency of care. But the inspection record tells a different story: 63 deficiencies on file, including one at the harm level and four tied to abuse, with a $17,088 fine and a two-star health inspection rating. Weekend staffing drops about 10% below weekday levels, so coverage thins when families tend to visit. The most recent inspection was in January 2026, so the record is current. Ownership is for-profit through a limited liability company.

B

78/100

Villa Health Care Center

Riverside, CA · Riverside County

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

Villa Health Care Center runs about 4.27 nurse hours per resident per day, roughly 11% above the national average, and its quality measure rating sits at the top of CMS's scale. The catch is consistency: weekend staffing drops about 9% below its own weekday level, and annual turnover hits 58.7% against a national 45.8%, so the people delivering that above-average care keep changing. The inspection record is current, last survey June 2025, with 35 deficiencies total, none at harm or jeopardy level, though one is abuse-related. For a 59-bed for-profit home, the clinical numbers look solid; the questions worth asking on a tour are about weekend coverage and how long the current staff have actually been there.

B

78/100

Arcadia Care Center

Arcadia, CA · Los Angeles County

CMS 2/5 164 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
29%
Serious cites
0

Arcadia Care Center runs 164 certified beds under a for-profit limited liability company, and its staffing is the clearest strength: 4.46 nurse hours per resident day, roughly 16% above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 29.1% against a national 45.8%. That stability matters, though weekend coverage dips about 9% below its own weekday level. The concerns sit elsewhere. Inspections in July 2025 left 67 deficiencies on record, including one at the harm or jeopardy level and two tied to abuse, and its health inspection and quality measure ratings both sit at 2 out of 5.

B

78/100

Berkley East Healthcare Center

Santa Monica, CA · Los Angeles County

CMS 2/5 207 beds For-profit
Nurse hours
4.80 /day
Staff turnover
44%
Serious cites
0

Berkley East Healthcare Center runs 207 certified beds in Santa Monica under for-profit LLC ownership, and the staffing numbers are genuinely above average, 4.80 nurse hours per resident day against a national 3.86. That's the good news, and it's real. The rest is harder to square: 112 deficiencies on the current record, including 7 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $58,205. A 1-out-of-5 inspection rating sits alongside a 5-out-of-5 quality measure score, which tells you the two systems are measuring very different things. Staff turnover, at 44.1%, is roughly in line with the national 45.8%. Weekend staffing dips about 6% below weekday levels.

B

78/100

Palomar Heights Post Acute

Escondido, CA · San Diego County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
42%
Serious cites
0

Palomar Heights runs a for-profit operation with 98 certified beds, and its nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekends drop about 12% below its own weekday level. Staff turnover lands at 42.3%, slightly better than the national rate. What pulls this home down is its inspection record: 55 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,176 fine on file. The health inspection rating reflects that, even as the quality measure score reads strong. It was last inspected May 30, 2025, so the record is reasonably current. Worth asking about those abuse-related findings 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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