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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 3381–3400 of 10,187, best-graded first.

B

77/100

Crystal Cove Care Center

Newport Beach, CA · Orange County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
50%
Serious cites
0

Crystal Cove Care Center runs 96 beds in Newport Beach under for-profit LLC ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86. That thin margin matters less than what happens on weekends, when coverage drops about 8% below the home's own weekday levels. Staff turnover is 50.4%, higher than the 45.8% national figure, and CMS gives the home just 2 of 5 stars for staffing. Inspections tell a mixed story: 78 deficiencies on record, none at harm or jeopardy level, but two tied to abuse, with the last inspection in February 2025. Quality measures score 5 of 5, a real strength worth asking about directly.

B

77/100

Balboa Nursing & Rehabilitation Center

San Diego, CA · San Diego County

CMS 4/5 194 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
37%
Serious cites
0

Balboa runs 194 beds in San Diego under for-profit LLC ownership, and its nursing hours land at 3.79 per resident day, just under the national average, with weekends dropping roughly 9% below its own weekday staffing. Turnover is 37.2%, better than the 45.8% national figure, so the same faces stick around more than at a typical home. The inspection record is the hard part: 44 deficiencies, one at harm or jeopardy level, two tied to abuse, and a 2/5 health inspection rating, though the 5/5 quality measures and a May 2025 inspection suggest clinical outcomes and recent oversight look steadier than that history implies.

B

77/100

Western Slope Health Center

Placerville, CA · El Dorado County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
54%
Serious cites
0

Western Slope Health Center sits in Placerville with 99 certified beds, run by a for-profit limited liability company. The raw staffing number looks fine, 3.95 nurse hours per resident day, just above the national average, but that average hides two problems: weekends run about 10% thinner than weekdays, and annual turnover is 53.8%, well above the national 45.8%. High turnover means the people caring for your family member are often new and still learning the building. Inspections tell a mixed story: a recent 4-out-of-5 health inspection rating, yet 31 deficiencies on the current record, including one at the harm level and two tied to abuse. One fine totaling $8,412 rounds out the picture.

B

77/100

Cerritos Vista Healthcare Center

Bellflower, CA · Los Angeles County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
45%
Serious cites
0

Cerritos Vista runs 140 beds in Bellflower under corporate ownership, and its staffing sits at 3.78 nurse hours per resident day, just under the national average of 3.86, with weekends running about 7% thinner than weekdays. Turnover lands at 45%, roughly in line with the national figure, so retention isn't the standout issue here. What is: 85 deficiencies on the current record, including six tied to abuse, against a one-star health inspection rating. Zero of those were cited at harm or jeopardy level, and the most recent inspection was February 2026, so the record is current. The quality measure score is strong at four stars, but that reflects resident outcomes on paper, not the inspection findings.

B

77/100

Cypress Ridge Care Center

Monterey, CA · Monterey County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
45%
Serious cites
0

Cypress Ridge runs about 4.42 nurse hours per resident day, roughly 14% above the national average, and weekend coverage dips only slightly below weekdays, which matters because short-staffed weekends are where problems tend to surface. Staff turnover sits at 45.4%, essentially in line with the national figure, so retention isn't the issue here. What stands out is the inspection record: 44 deficiencies, including one at the harm level and one abuse-related, despite a recent May 2025 survey. The staffing star lands at 2 out of 5 even with those hours, and a 5/5 on quality measures doesn't offset the survey history under corporate ownership.

B

77/100

Eastland Subacute And Rehabilitation Center

El Monte, CA · Los Angeles County

CMS 2/5 139 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
29%
Serious cites
0

Eastland Subacute runs 4.56 nurse hours per resident day, roughly 18% above the national average, and its staff turnover of 29.1% is well below the 45.8% typical elsewhere, that combination usually signals a stable, adequately covered floor. The catch is what inspections keep finding: 54 deficiencies on the current record, including one at the harm level and three tied to abuse, with two fines totaling $56,394. Weekend staffing also dips about 6% below its own weekday level. A recent July 2025 inspection means the picture is current, not stale. For-profit LLC ownership rounds it out. Strong staffing numbers sit on top of a real compliance problem here.

B

77/100

Hampden Hills Post Acute

Aurora, CO · Arapahoe County

CMS 2/5 218 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
23%
Serious cites
0

Hampden Hills runs 3.17 nurse hours per resident per day against a national average of 3.86, roughly 18% leaner, with weekends about 7% thinner than weekdays. The trade-off is retention: 22.6% annual turnover looks good next to the 45.8% national figure, so whoever is on the floor tends to stay. The current record carries 42 deficiencies, one abuse-related, none flagged at harm or jeopardy level, and the last inspection was January 2025, recent enough to trust. Ownership is a for-profit corporation, so margin pressure is a fair thing to keep in mind.

B

77/100

Wheatridge Care Center

Wheat Ridge, CO · Jefferson County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
50%
Serious cites
0

Wheatridge Care Center is a 65-bed for-profit home in Jefferson County, and its numbers pull in different directions. The clinical quality measures look strong, but staffing tells a harder story: 3.34 nurse hours per resident day is about 13% under the national average, weekend coverage drops roughly 7% below its own weekday level, and half the nursing staff turned over in a year, worse than the 45.8% national rate. Inspections back that up, a 2-star health inspection rating, 21 deficiencies on record including one at the harm level and two tied to abuse, and $20,616 in fines across two penalties. The most recent inspection was June 12, 2025. A limited liability company owns it. Good quality scores, thin and turnover-heavy staffing, and a rough inspection history.

B

77/100

Life Care Center Of Westminster

Westminster, CO · Adams County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
52%
Serious cites
0

Life Care Center of Westminster runs about 120 certified beds under corporate for-profit ownership, and its nurse staffing sits essentially at the national average, 3.87 hours per resident day against 3.86 nationally. The catch is weekends, when coverage drops roughly 13% below what the building staffs on weekdays, and annual turnover of 52.3% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record is where the real weight sits: 29 deficiencies, four of them at harm or jeopardy level, three tied to abuse, plus three fines totaling $47,398. The last inspection was May 2025, so that picture is current, not stale. Quality measures score well, but strong chart numbers don't offset harm-level findings or thin weekend coverage.

B

77/100

Lakewood Villa

Lakewood, CO · Jefferson County

CMS 4/5 57 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
46%
Serious cites
0

Lakewood Villa runs 3.10 nurse hours per resident day, about 20 percent under the national average of 3.86, and weekend coverage drops roughly 6 percent below its own weekday level. The 21 deficiencies on record include five at the harm or jeopardy level and five tied to abuse, with $40,006 in fines and a December 2024 inspection behind them. The quality measure score comes in at the top of the range, but that number reflects resident health outcomes, not the hands available to deliver care. Staff turnover sits at 46.3 percent, essentially matching the national rate, so continuity isn't unusually bad here, the gap is raw hours per resident. Ask about weekend coverage specifically.

B

77/100

The Center At Cordera

Colorado Springs, CO · El Paso County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
68%
Serious cites
0

Nurse staffing at The Center At Cordera runs about 4.8 hours per resident day, roughly a quarter above the national average, but weekends drop about 13 percent below its own weekday level, so coverage isn't evenly spread across the week. Annual turnover sits at 68 percent against a national 45.8 percent, most of the people caring for your family member will be new to the building within a year or so. The health inspection record shows 35 deficiencies, two of them serious enough to put a resident in harm's way, plus one fine of $8,600. Quality measures score well, but staffing consistency and the inspection history are what pull the overall picture down.

B

77/100

Evergreen Center For Health & Rehabilitation

Stafford Springs, CT · Capitol County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
45%
Serious cites
0

Evergreen Center has 180 certified beds and runs on 3.55 total nurse staffing hours per resident per day, roughly 8% under the national average of 3.86, with weekend coverage dipping about 8% below its own weekday levels. That thin daily margin sits alongside a health inspection record showing 44 deficiencies, including one at the harm or jeopardy level and five tied to abuse, on a survey completed in November 2024. The 5/5 quality measure score may look reassuring, but it's largely built from reported clinical metrics, while the inspection findings and below-average staffing tell the fuller story. Turnover at 45.2% tracks close to the national 45.8%, so retention isn't the outlier here.

B

77/100

Suffield House Rehabilitation And Healthcare Cente

Suffield, CT · Capitol County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
38%
Serious cites
0

Suffield House runs a 128-bed for-profit operation, and its inspection record is the standout: a 5-star health inspection rating with the most recent survey in January 2025, and none of its 17 deficiencies rose to the level of actual harm or jeopardy. Two abuse-related citations are on the record, though, so ask to see how those were resolved. Staffing is the softer spot, 3.73 nurse hours per resident day sits about 3% under the national average, weekend coverage dips roughly 6% below weekdays, and a 3-star staffing rating reflects that. Turnover of 37.9% actually beats the national 45.8%, which matters for consistency of care.

B

77/100

Maefair Center For Health & Rehabilitation

Trumbull, CT · Greater Bridgeport County

CMS 3/5 134 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
31%
Serious cites
0

Maefair runs 134 beds under corporate ownership, and its nurse staffing sits about 5% below the national average at 3.69 hours per resident day. Weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. What stands out is the turnover picture: 30.8% annually against a national average of 45.8%, which suggests a more stable crew than most places. The tradeoff shows up in the inspection record, 31 deficiencies, two at harm or jeopardy level and two abuse-related, with $25,366 in fines. The most recent inspection was April 30, 2025, so that record is current.

B

77/100

Seaford Center

Seaford, DE · Sussex County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
37%
Serious cites
0

Seaford Center runs 124 beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 4% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the one number that looks better than average: 37.2% against a national 45.8%, meaning aides and nurses stick around longer than at most homes. But the inspection record is where things get heavy, 55 deficiencies on file, including three at harm or jeopardy level and three tied to abuse, with two fines totaling $192,384. The most recent inspection was September 2025.

B

77/100

Excelcare At Newark Llc

Newark, DE · New Castle County

CMS 2/5 101 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
39%
Serious cites
0

Excelcare At Newark runs 101 certified beds under for-profit LLC ownership, and its staffing sits at 3.82 nurse hours per resident day, just under the national average of 3.86, with weekends running about 8% thinner than weekdays. Staff turnover of 39.4% actually beats the national 45.8%, and the quality measure rating is high, but the inspection record is where this home struggles: 41 deficiencies on the current record, including 3 at harm or jeopardy level and 4 abuse-related, plus two fines totaling $29,309. The most recent inspection was April 1, 2026. Strong numbers on one side, serious findings on the other, that split is what drives the grade here.

B

77/100

Complete Care At Brackenville Llc

Hockessin, DE · New Castle County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
52%
Serious cites
0

Complete Care at Brackenville runs 104 certified beds in Hockessin under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. That headline number hides a wrinkle: weekends run about 8% thinner than weekdays, so the coverage your family member gets on a Saturday won't quite match a Tuesday. Staff turnover is 51.9%, well above the 45.8% national figure, which matters for anyone hoping for consistent caregivers. The current inspection record shows 41 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus one fine of $16,801. The last inspection was February 2025.

B

77/100

Beachside Center For Rehabilitation And Nursing

New Smyrna Beach, FL · Volusia County

CMS 5/5 239 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
48%
Serious cites
0

Beachside Center runs 239 beds in New Smyrna Beach under for-profit LLC ownership, and its inspection record is genuinely solid, four out of five stars, last surveyed in February 2026, with seven deficiencies on file and none reaching harm or jeopardy level. One abuse-related citation is there, though, and that's worth asking about directly. The bigger caveat is staffing: 3.39 nurse hours per resident day sits about 12% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and turnover runs slightly above the national rate at 47.5%. Quality measures score well, but those depend on consistent hands-on care. Ask how they cover weekend shifts and what that abuse citation involved.

B

77/100

Melbourne Healthcare And Rehabilitation Center

Melbourne, FL · Brevard County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
41%
Serious cites
0

Melbourne Healthcare and Rehabilitation Center runs 138 certified beds under individual for-profit ownership, and its last health inspection in March 2025 turned up 22 deficiencies, including two at the harm or jeopardy level and two tied to abuse. That inspection record is what pulls its CMS health inspection rating down to 1 out of 5, and it carries one fine totaling $40,132. Nurse staffing sits at 3.43 hours per resident day, roughly 11 percent under the national average, and weekends drop another 4 percent below its own weekday coverage. Turnover, at 40.9 percent, is actually a little better than the 45.8 percent national figure, but it doesn't offset the inspection findings.

B

77/100

Rockledge Healthcare & Rehabilitation Center

Rockledge, FL · Brevard County

CMS 2/5 107 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
39%
Serious cites
0

Rockledge Healthcare & Rehabilitation Center runs 107 certified beds under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, about 7% under the national average. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.9%, which is actually better than the 45.8% national figure, meaning the staff who are there tend to stay. The 32 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level. A recent April 2025 inspection and a 4/5 quality measure score help, but the 2/5 staffing and inspection ratings show where the gaps are.

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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