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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 3441–3460 of 10,187, best-graded first.

B

77/100

Arc At Streator

Streator, IL · La Salle County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
21%
Serious cites
0

The Arc At Streator runs lean on nursing hours, 2.81 per resident day against a national average of 3.86, with weekends dipping another 6% below its own weekday levels. That's the kind of gap families notice at 2 a.m. when call lights go unanswered. The inspection record shows 22 deficiencies, three of them serious enough to cause harm, and two abuse-related citations; the last state visit was April 2025. Staff turnover sits at 21%, well below the 45.8% national figure, so the people who are there tend to stay. This for-profit LLC home performs better on quality measures than on staffing or inspections, which tells you the clinical care is decent when someone's available to deliver it. Ask about evening and weekend coverage before you decide.

B

77/100

Dobson Plaza

Evanston, IL · Cook County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
32%
Serious cites
0

Dobson Plaza runs lean on bedside staffing: 2.96 nurse hours per resident per day, roughly 23 percent under the national average of 3.86. Weekends dip a bit further, about 4 percent below the home's own weekday levels. The trade-off shows up elsewhere. Staff turnover sits at 31.7 percent, better than the national 45.8 percent, so the aides and nurses who are there tend to stay. State inspectors gave the home five stars, and its last visit was recent, in August 2025. Ten deficiencies are on the current record, none at the harm level, though three involve abuse. That mix, strong retention and inspections, thin daily coverage, is what a B reflects here.

B

77/100

Heartland Nursing & Rehab

Casey, IL · Clark County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
40%
Serious cites
0

Heartland Nursing & Rehab in Casey runs 81 certified beds under corporate ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover, at 40.4%, is actually better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection side: 37 deficiencies on file, one tied to abuse, with the most recent inspection dated December 13, 2024. No deficiency reached harm or jeopardy level, but the 2/5 health inspection and quality ratings show a pattern worth asking about directly.

B

77/100

Henry Rehab And Nursing

Henry, IL · Marshall County

CMS 5/5 81 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
39%
Serious cites
0

Henry Rehab And Nursing runs about 3.59 nurse hours per resident per day, roughly 7% under the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage is the weak spot in an otherwise strong record: 12 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a recent April 2025 inspection. Turnover of 38.5% actually beats the national 45.8%, so the problem looks more like how many staff are scheduled than whether they stay. For families weighing a corporate-owned, 81-bed home, the practical question is what weekday and weekend coverage looks like on the shifts you'll actually visit.

B

77/100

Elevate Care Abington

Glenview, IL · Cook County

CMS 4/5 192 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
24%
Serious cites
0

Elevate Care Abington runs 192 certified beds in Glenview under for-profit LLC ownership, and its last health inspection came in April 2025, recent enough that the record reflects current conditions. The 19 deficiencies on file include three at the harm or jeopardy level and one tied to abuse, which matters more than the total count. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average of 3.86, and weekends run about 13% thinner than weekdays. Staff turnover at 24.1% is roughly half the national rate of 45.8%, so the crew stays put. One fine of $10,033 is on record.

B

77/100

Citadel Of Glenview,The

Glenview, IL · Cook County

CMS 4/5 135 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at this Glenview home runs about 12 percent under the national average, and weekends dip roughly 13 percent below its own weekday coverage, a gap families often feel when they visit on Saturdays and Sundays. Turnover tells the opposite story: 28 percent against a national average near 46 percent, so the aides and nurses who are there tend to stay. Inspections back that up. The state surveyed the building in July 2025 and found 23 deficiencies, none at the harm or jeopardy level, though one was abuse-related, which is worth asking about directly. For a for-profit LLC with 135 beds, the record is steady but thinly staffed.

B

77/100

Avantara Long Grove

Long Grove, IL · Lake County

CMS 4/5 195 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
35%
Serious cites
0

Avantara Long Grove runs a 195-bed for-profit operation in Lake County, and the numbers tell two different stories. The clinical side looks solid: a 4/5 on health inspections, a 4/5 on quality measures, and 25 deficiencies on record with none at the harm level and none tied to abuse. Staffing is the weak spot. At 3.11 nurse hours per resident day, this home sits about 19% under the national average of 3.86, and weekends dip roughly 5% below its own weekday levels, so the gaps families notice are real, not imagined. Turnover of 34.6% is better than the 45.8% national figure, which helps continuity. Inspectors last visited in August 2024.

B

77/100

St Mary Healthcare Center

Lafayette, IN · Tippecanoe County

CMS 3/5 79 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
29%
Serious cites
0

St. Mary Healthcare Center runs 79 certified beds in Lafayette under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. The gap widens on weekends, when coverage drops about 14% below the home's own weekday level, so families should ask how that plays out on Saturdays and Sundays. Staff turnover is 29.2%, which is meaningfully better than the 45.8% national figure and suggests a relatively stable workforce. Inspections turned up 20 deficiencies, one abuse-related, none at the harm or jeopardy level, with the most recent visit dated March 31, 2026.

B

77/100

Brickyard Healthcare - Churchman Care Center

Indianapolis, IN · Marion County

CMS 5/5 115 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
68%
Serious cites
0

Brickyard Healthcare's Churchman Care Center runs 115 beds on Indianapolis's east side, and the staffing numbers are the first thing I'd want you to see. Nurse coverage sits around 3.67 hours per resident day, a bit under the national average, and it drops about 11% on weekends, so the hours when families tend to visit aren't the hours when the building is best staffed. Annual turnover of 68.1% is well above the national 45.8%, which means the people caring for your relative are likely to change often. The 18 deficiencies on record, including 3 at the harm level and 4 tied to abuse, are the part I'd ask about directly before a tour, along with how the corporation has responded since the November 2025 inspection.

B

77/100

Greenfield Healthcare Center

Greenfield, IN · Hancock County

CMS 5/5 163 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
46%
Serious cites
0

Greenfield Healthcare Center runs 163 beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, about 10% under the national average of 3.86. Weekend coverage drops roughly 9% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Turnover is 46.3%, essentially matching the national rate. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse; the most recent inspection was January 9, 2026. Quality measures score well, but that single harm citation and the abuse findings are the parts worth asking about directly before you decide.

B

77/100

Waters Of Sullivan Nursing Facility, The

Sullivan, IN · Sullivan County

CMS 1/5 93 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
33%
Serious cites
0

The Waters of Sullivan runs on thinner staffing than most homes, about 3.39 nurse hours per resident day against a national average of 3.86, and weekends dip below its own weekday levels. Turnover sits at 32.6%, better than the 45.8% national figure, so the people who are there tend to stay. What pulls the record down is the inspection side: a one-star health inspection rating, 37 deficiencies on file including one abuse-related citation, though none rose to harm or jeopardy. The most recent inspection was August 2025, so the picture is current. Quality measures score well, but that gap between measured care and surveyed care is the thing to ask about.

B

77/100

Waters Of Rockport Skilled Nursing Facility, The

Rockport, IN · Spencer County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
32%
Serious cites
0

Waters of Rockport runs about 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 8% under its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is the bigger concern: 41 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. Turnover sits at 32.4%, better than the 45.8% national figure, and resident quality measures rate well. But a single-star health inspection record alongside below-average staffing is what a C grade reflects here.

B

77/100

Waters Of New Castle, The

New Castle, IN · Henry County

CMS 3/5 66 beds Non-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
25%
Serious cites
0

The Waters Of New Castle runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday staffing. That thin coverage is the main thing dragging its staffing picture down. What offsets it somewhat: staff retention is unusually steady at 24.5% turnover versus 45.8% nationally, meaning fewer unfamiliar faces, and the home has a recent inspection on record with 12 deficiencies, only one at the harm level and none tied to abuse. Quality measures score well. As a nonprofit, it isn't managing to a quarterly earnings target, which tends to matter for how consistently a building staffs its floor.

B

77/100

Hickory Creek At Scottsburg

Scottsburg, IN · Scott County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
44%
Serious cites
0

Hickory Creek At Scottsburg runs a small house, 36 certified beds, under corporate for-profit ownership, and the inspection record is the strongest part of the picture. Thirteen deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related, with a survey completed in April 2025. Quality measures also score well. The catch is staffing: 3.39 nurse hours per resident day sits about 12 percent under the national average, weekend coverage drops roughly 13 percent below its own weekday level, and the 2-out-of-5 staffing rating reflects that thinness. Turnover at 44.1 percent is slightly better than the 45.8 percent national figure, but not by much. Care looks safe on paper; the daily coverage does not.

B

77/100

Kingston Health Center Of Fort Wayne

Fort Wayne, IN · Allen County

CMS 3/5 137 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
61%
Serious cites
0

Kingston Health Center Of Fort Wayne runs 137 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86. That looks good until you notice weekends drop about 11% below the home's own weekday coverage, and annual turnover hits 60.7% against a national average of 45.8%. Inspectors cited 25 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection on June 25, 2025. CMS gives it 2 of 5 stars for health inspections but 5 of 5 for quality measures. The quality scores and staffing hours carry real weight; the inspection history and churn are what pull it back.

B

77/100

Miller's Merry Manor

Garrett, IN · De Kalb County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
49%
Serious cites
0

Miller's Merry Manor in Garrett runs a clean building, three deficiencies on its current record, none at the harm level, none related to abuse, and a recent inspection. Inspectors have had little to cite. The gap shows up in daily coverage instead. At 3.57 nurse hours per resident day, this home sits about 8% under the national average of 3.86, and weekends drop roughly 15% below its own weekday staffing. Nearly half the nursing staff turned over in a year, a bit worse than the 45.8% national figure. For a 76-bed for-profit home, that mix matters: strong survey results, thinner hands on weekends.

B

77/100

Lincoln Hills Of New Albany

New Albany, IN · Floyd County

CMS 4/5 156 beds Government Medicaid
Nurse hours
3.62 /day
Staff turnover
46%
Serious cites
0

Lincoln Hills Of New Albany runs on county money, and its 156 beds are staffed at 3.62 nurse hours per resident day, about 6% under the national average of 3.86. That gap widens on weekends, when hours drop roughly 15% below the home's own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record is where the real trouble sits: 18 deficiencies, three of them serious enough to reach harm or jeopardy, with one fine totaling $12,649. A recent December 2025 inspection keeps that record current. Staff turnover at 45.6% is essentially the national rate, and the quality measures look strong, but strong chart numbers don't offset three harm-level findings.

B

77/100

White River Lodge

Bedford, IN · Lawrence County

CMS 4/5 74 beds Government Medicaid
Nurse hours
4.09 /day
Staff turnover
43%
Serious cites
0

White River Lodge is county-owned, and that shows in the numbers that matter most: nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, and turnover at 42.9% is a little better than the typical American nursing home. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about if your family visits on Saturdays. The record shows 5 deficiencies, none causing harm or jeopardy, though 1 is abuse-related, ask about that directly. Its last inspection was in March 2026, so the picture is current. Where it slips is quality measures, which lag well behind its strong inspection and staffing marks.

B

77/100

Oak Grove Christian Retirement Village

Demotte, IN · Jasper County

CMS 1/5 73 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
49%
Serious cites
0

Oak Grove Christian Retirement Village is a nonprofit home in Demotte with 73 certified beds, and the staffing numbers are genuinely better than most: 4.34 nurse hours per resident day, roughly 12% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. The bigger concern is the inspection record, 64 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a health inspection rating of 1 out of 5 despite a recent survey in September 2025. Staff turnover at 48.8% sits slightly above the national 45.8%, which matters for continuity of care.

B

77/100

Bell Trace Health And Living Center

Bloomington, IN · Monroe County

CMS 5/5 90 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
55%
Serious cites
0

Bell Trace is county-owned, which is unusual in this business, and the inspection record reflects it: four deficiencies on file, none at the level where a resident was harmed or put in immediate jeopardy, and no abuse citations. That last inspection was recent, in November 2025. The tradeoff shows up in the workforce. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and weekends run another 10 percent thinner than weekdays. Turnover is 55.3 percent against a national 45.8 percent. So you're looking at a home that gets the care basics right on paper but runs lean, especially on Saturdays and Sundays. Ask how they cover weekend shifts before you decide.

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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