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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 3281–3300 of 10,187, best-graded first.

B

77.5/100

Pruitthealth - Crestwood, Llc

Valdosta, GA · Lowndes County

CMS 4/5 79 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
28%
Serious cites
0

Pruitthealth - Crestwood runs 79 certified beds in Valdosta under for-profit LLC ownership, and its last inspection was June 26, 2025, recent enough that the record reflects current conditions. The staffing picture cuts both ways: 3.53 nurse hours per resident day sits about 9% under the national average, and weekends drop roughly 19% below the home's own weekday level, but annual turnover of 27.9% is well below the 45.8% national figure, meaning the people who are there tend to stay. Six deficiencies appear on the current record, none at harm or jeopardy level, though two are abuse-related, and one fine totaling $17,456 has been levied.

B

77.5/100

Cumming Operating Company Llc

Cumming, GA · Forsyth County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
67%
Serious cites
0

Cumming Operating Company, a for-profit LLC with 99 beds, scores well on quality measures and recent inspections, five stars and four stars, with only eight deficiencies on record and none involving harm, jeopardy, or abuse. The problem sits in staffing, where the home earns one star out of five. Annual turnover runs at 66.9%, well above the national average of 45.8%, meaning roughly two-thirds of the caregiving workforce leaves each year. That combination matters: strong clinical outcomes can be real, but they're being delivered by a team that's constantly rebuilding itself.

B

77.5/100

Camellia Gardens Of Life Care

Thomasville, GA · Thomas County

CMS 3/5 83 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
38%
Serious cites
0

Camellia Gardens runs 83 beds in Thomasville under individual for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends drop roughly 16% below the home's own weekday coverage, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover is 37.9%, which is actually better than the 45.8% national figure, so the crew here is more stable than most. The inspection record shows 11 deficiencies with none at harm level and no abuse findings, plus a single $7,020 fine. The last inspection was May 2025, so the picture is reasonably current.

B

77.5/100

Pruitthealth - Laurel Park, Llc

Stockbridge, GA · Henry County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
35%
Serious cites
0

Pruitthealth - Laurel Park sits in Stockbridge with 89 certified beds under for-profit LLC ownership. Nurse staffing runs 3.91 hours per resident day, just above the national average of 3.86, but weekends dip about 19% below the home's own weekday coverage, so the daily average hides a real gap. Turnover is 35.4%, well under the national 45.8%, which matters for whether caregivers know the residents. The inspection record shows six deficiencies, none at harm level and none abuse-related, with the most recent survey in July 2025. State surveyors have cited relatively little, and what they found wasn't serious.

B

77.5/100

Life Care Center Of Boise

Boise, ID · Ada County

CMS 5/5 153 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
52%
Serious cites
0

Life Care Center of Boise runs about 153 certified beds under for-profit LLC ownership, and its staffing numbers are the main story here. Nurses provide 3.53 hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. Annual turnover sits at 52%, higher than the 45.8% national figure. The inspection record shows 22 deficiencies, including two at the harm or jeopardy level and two tied to abuse. On the plus side, the most recent inspection was July 2025, and CMS rates the home's quality measures at 5 out of 5 stars, with inspections at 4. Staffing, though, lands at 3.

B

77.5/100

Pearl At The Tillers

Oswego, IL · Kendall County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
42%
Serious cites
0

Pearl At The Tillers runs lean on nursing hours, 3.59 per resident day against a national average of 3.86, and weekends drop roughly 15% below what the home staffs during the week. That pattern matters because it shapes how quickly call lights get answered on a Saturday, when families tend to visit. Turnover sits at 42.4%, a touch better than the 45.8% national figure, so the crew is relatively stable even if it's small. Inspections are current, from March 2025, and the 27 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level. Quality measures scored well; staffing is where the home lags.

B

77.5/100

Mason Health Care Center

Warsaw, IN · Kosciusko County

CMS 2/5 105 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
44%
Serious cites
0

Mason Health Care Center runs on thinner nursing hours than most homes, about 3.13 per resident day against a national average near 3.86, and weekends are staffed roughly 17 percent below its own weekday coverage. Turnover sits at 44.3 percent, close to the national figure, so the concern isn't churn but how few hands are present at any given time. The inspection record is the harder read: 32 deficiencies on file, three tied to abuse, and the most recent state visit came in August 2025. None of those citations reached the level of actual harm, which matters, but a single-star inspection rating alongside that count suggests problems that keep recurring rather than a one-time lapse.

B

77.5/100

North Capitol Nursing & Rehabilitation Center

Indianapolis, IN · Marion County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
45%
Serious cites
0

North Capitol runs 4.27 nurse hours per resident per day, roughly 11 percent above the national figure, and turnover at 45.1% is basically the national rate. The catch is weekends, when staffing drops about 15% below the home's own weekday level, and the staffing star sits at 2 of 5 despite the decent overall hours. The inspection record is the real story: 34 deficiencies, including one abuse-related citation, with the most recent inspection in July 2025. None were flagged at harm or jeopardy level, which matters, but 34 findings is a lot to carry. Quality measures score 5 of 5, a bright spot in a for-profit corporate home that's been inspected recently and still has plenty to answer for.

B

77.5/100

Eastgate Manor Nursing And Rehabilitation

Washington, IN · Daviess County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
35%
Serious cites
0

Eastgate Manor runs a tight ship on the clinical side. Its last inspection came in May 2025 with no deficiencies at the harm or jeopardy level and nothing abuse-related, and the federal government gives it top marks for both health inspections and quality measures. The catch is staffing: 3.49 nurse hours per resident day sits about 10 percent under the national average, and weekends run roughly 18 percent thinner than weekdays, so coverage gets stretched when it matters. Turnover of 35.3 percent is meaningfully better than the 45.8 percent national figure, which suggests workers tend to stay. On balance, a well-run home where you'll still want to ask how they staff Saturday and Sunday.

B

77.5/100

Bethel Pointe Health And Rehab

Muncie, IN · Delaware County

CMS 3/5 114 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
47%
Serious cites
0

Bethel Pointe runs a nonprofit home with 114 beds in Muncie, and the numbers tell a fairly steady story. State inspectors visited recently, in February 2026, and found eleven deficiencies, none causing harm or jeopardy and none tied to abuse, a record that supports the four-out-of-five inspection rating. Nurse staffing sits at 3.64 hours per resident day, about six percent under the national average, and weekends run roughly eighteen percent leaner than weekdays, which is worth asking about if your family visits on Saturdays or Sundays. Annual turnover of 46.9% edges just past the national 45.8%. Quality measures score five out of five; staffing earns three.

B

77.5/100

Harrison Terrace

Indianapolis, IN · Marion County

CMS 2/5 110 beds Government Medicaid
Nurse hours
3.60 /day
Staff turnover
51%
Serious cites
0

Harrison Terrace is county-owned, licensed for 110 beds, and its most recent inspection came in September 2025, recent enough that the record reflects current conditions. That record shows 18 deficiencies, but none at the harm or jeopardy level and none tied to abuse, which matters more than the raw count suggests. Where the numbers get thinner is staffing: 3.60 nurse hours per resident day runs about 7% under the national average, weekend coverage dips roughly 15% below its own weekday level, and turnover sits at 50.7% against a national 45.8%. The quality measure rating holds at 4 of 5, but the inspection and staffing ratings both land at 2. If you're weighing this one, ask how the weekend shift is actually covered.

B

77.5/100

Riveroaks Health Campus

Princeton, IN · Gibson County

CMS 4/5 68 beds Government Medicaid
Nurse hours
3.27 /day
Staff turnover
36%
Serious cites
0

Riveroaks runs on 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends are thinner still, about 19% below its own weekday coverage. That's the trade-off behind a middle-tier staffing picture. Two things offset it: turnover sits at 36.4%, well below the 45.8% national figure, so the aides showing up have generally stayed, and the quality measure score is perfect at 5/5. The 20 deficiencies on record include nothing at the harm level and nothing abuse-related, and the county last inspected in December 2025. County ownership means public accountability, but also budgets set by people who don't work the floor.

B

77.5/100

Fairway Village

Indianapolis, IN · Marion County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
47%
Serious cites
0

Fairway Village runs a tight ship on the things inspectors can see. Zero deficiencies on its current record, none at the harm level, and a clean five-star inspection history backed by a March 2026 visit means the state hasn't found problems worth citing. Quality measures also come in at five stars, so residents' clinical outcomes look solid. The soft spot is staffing. At 3.90 nurse hours per resident day, it sits barely above the national average of 3.86, and weekends run about 17% thinner than weekdays. Turnover is 46.5%, a touch worse than the 45.8% national figure. That combination, good outcomes, adequate but not generous coverage, is what keeps this home in the B range rather than higher.

B

77.5/100

Good Samaritan - Red Oak

Red Oak, IA · Montgomery County

CMS 1/5 53 beds Non-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
18%
Serious cites
0

Good Samaritan - Red Oak runs on a stable, non-profit operation with unusually low turnover, 17.9% against a national average near 46%, and weekday nurse staffing that earns a solid federal rating. The problem sits squarely in its inspection history: 34 deficiencies on the current record, including three at the harm or jeopardy level and four tied to abuse, plus a $29,894 fine. Weekend coverage drops roughly 21% below weekday levels, and overall nurse hours per resident sit about 15% under the national average. The last inspection closed in April 2026. Staff consistency is a real strength here, but the harm-level and abuse findings are the kind of thing families should ask about directly before deciding.

B

77.5/100

Kingsley Specialty Care

Kingsley, IA · Plymouth County

CMS 1/5 43 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
42%
Serious cites
0

Kingsley Specialty Care is a 43-bed nonprofit home in Plymouth County with a staffing picture that looks better on paper than it does on weekends. Its 3.63 nurse hours per resident day sit about 6% under the national average, and weekend coverage drops roughly 17% below what the home staffs during the week. Turnover runs 42.4%, a bit 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: 38 deficiencies on file, including one at the harm level and one abuse-related, plus a $27,378 fine, with the most recent inspection in August 2025.

B

77.5/100

West Bend Health And Rehabilitation

West Bend, IA · Palo Alto County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
—
Serious cites
0

West Bend Health and Rehabilitation runs 45 certified beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed May 1, 2025. CMS rates its quality measures 5 out of 5, which reflects good clinical outcomes on paper, but the staffing and inspection scores land at 3. If you're weighing this one, ask how the weekend schedule actually gets covered.

B

77.5/100

Good Samaritan - Decatur County

Oberlin, KS · Decatur County

CMS 2/5 45 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
61%
Serious cites
0

Good Samaritan Society in Oberlin runs a tight ship on paper with 4.35 nursing hours per resident each day, about 13% above the national average. But that staffing edge erodes on weekends, which run roughly 17% below weekday levels, and annual turnover sits at 60.9%, well above the 45.8% national figure, meaning the faces your family member sees may change often. The inspection record is the harder read here: 32 deficiencies, including three at harm or jeopardy level and five tied to abuse. With one fine of $20,207 and a November 2025 inspection, the home has recent oversight. For a 45-bed nonprofit in rural Kansas, the care hours are there; the consistency and safety record are what a family should ask about directly.

B

77.5/100

The Healthcare Resort Of Olathe

Olathe, KS · Johnson County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
—
Serious cites
0

The Healthcare Resort Of Olathe runs 70 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.99 hours per resident day, a little above the national average of 3.86, though weekends drop roughly 12% below its own weekday coverage. Where the record gets harder to overlook is inspections: 58 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with $37,417 in fines across three cases. The most recent inspection was April 16, 2025. Strong quality measure scores don't cancel out that inspection history, and the staffing edge is thin enough that a weekend dip matters.

B

77.5/100

The Healthcare Resort Of Leawood - Iron Horse Hlth

Leawood, KS · Johnson County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
—
Serious cites
0

The Healthcare Resort of Leawood runs a for-profit operation with 70 certified beds, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. But weekend coverage drops roughly 7% below its own weekday levels, so care thins out when families tend to visit. The bigger concern is the inspection record: 36 deficiencies on file, one serious enough to reach harm or jeopardy level, plus a $19,105 fine. A 2/5 inspection rating against 4/5 marks for both quality measures and staffing tells you the clinical numbers look better than the survey history. The most recent inspection was August 2025, so that record is current, not stale.

B

77.5/100

Valley Health Care Center

Valley Falls, KS · Jefferson County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Valley Health Care Center in Valley Falls is a 40-bed for-profit partnership, and the numbers tell a split story. On inspections and quality measures it looks strong, a 4 out of 5 on health inspections, a perfect 5 on quality measures, and no deficiencies at the harm level or tied to abuse. What drags it down is staffing, which scores just 1 out of 5, meaning the people caring for residents here are stretched noticeably thinner than at the average American nursing home. Its last inspection was recent, in April 2025, so that picture is current. Good clinical outcomes paired with weak staffing is worth asking about directly: how many aides are on the floor at night, and what does turnover look like?

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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