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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 3521–3540 of 10,187, best-graded first.

B

77/100

The Gardens At Foley Llc

Foley, MN · Benton County

CMS 2/5 78 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
56%
Serious cites
0

The Gardens at Foley runs a 78-bed for-profit home in Benton County, and the staffing numbers are the first thing worth noticing. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 14% below its own weekday level, so coverage thins out right when families tend to visit and when fewer eyes are on residents. Annual turnover of 56.4% is well above the 45.8% national figure, which usually means caregivers cycle through faster than they can learn the building and its residents. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $8,824 and a September 2025 survey.

B

77/100

Diversicare Of Tupelo

Tupelo, MS · Lee County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Diversicare Of Tupelo runs 120 beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 11% below the home's own weekday level, so the hours when families often visit are the leanest. Turnover lands at 38.8%, which is actually better than the 45.8% national figure, and CMS gives the staffing a 4 out of 5. The health inspection record is the harder read: 48 deficiencies, one at harm or jeopardy level and two abuse-related, plus four fines totaling $25,016. The last inspection was January 2026.

B

77/100

Longwood Community Living Center

Booneville, MS · Prentiss County

CMS 2/5 64 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
29%
Serious cites
0

Longwood Community Living Center runs 64 beds in Booneville under individual for-profit ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, with weekends roughly 13% thinner than weekdays. Turnover is the bright spot: 28.9% against a national 45.8%, meaning aides and nurses tend to stick around. The trouble is elsewhere. Twenty deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection came in December 2025. Quality measures score 1 out of 5, which is where families should ask questions about falls, infections, and weight loss. Staffing holds at 4 of 5; inspection history at 3.

B

77/100

Pine View Health And Rehabilitation Center

Waynesboro, MS · Wayne County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
32%
Serious cites
0

Pine View runs lean on nursing hours, 3.44 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday staffing. That's the kind of gap families notice on a Sunday afternoon. What works in its favor: turnover sits at 32.3%, well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in January 2026. The quality measure score is where it stumbles, 1 out of 5 stars, a signal worth asking about directly.

B

77/100

The Nichols Center

Madison, MS · Madison County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
49%
Serious cites
0

The Nichols Center runs 60 certified beds in Madison under for-profit LLC ownership, and its 4.57 nurse hours per resident day sit about 18% above the national average of 3.86, real coverage on paper. But weekends run roughly 10% leaner than weekdays, and annual turnover of 49.3% tops the national 45.8%, so that staffing edge depends on a workforce that keeps cycling out. The current record shows 12 deficiencies, 4 at harm or jeopardy level and 2 abuse-related, with two fines totaling $18,259; the last inspection was March 2026. Strong staffing numbers, a thinner margin on safety.

B

77/100

Washington Care Center

Greenville, MS · Washington County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
48%
Serious cites
0

Washington Care Center runs 60 certified beds in Greenville under corporate for-profit ownership. Nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average, and weekends dip about 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 48.1%, a few points above the national figure, so continuity of caregivers may be inconsistent. The inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $4,017 and a recent survey in April 2026.

B

77/100

Nhc Healthcare, St Charles

Saint Charles, MO · St. Charles County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
59%
Serious cites
0

Nhc Healthcare, St Charles runs about 3.34 nurse hours per resident each day, roughly 14% under the national average of 3.86, and weekends dip another 11% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover sits at 59% against a national 45.8%, which means many of the aides and nurses you'd meet are relatively new to the building. The inspection record is cleaner: eight deficiencies, none at the harm level, though one is abuse-related, and the last survey was in June 2024. Ownership is corporate for-profit, with 120 certified beds.

B

77/100

Republic Nursing & Rehab

Republic, MO · Greene County

CMS 5/5 127 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
51%
Serious cites
0

Republic Nursing & Rehab runs about 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. That matters more than the strong inspection and quality scores suggest, since 51% annual turnover means the aides and nurses around your relative are frequently new, and three abuse-related deficiencies sit on a record that otherwise shows no harm-level findings. Greene County families weighing this 127-bed corporate-owned home should ask how the weekend shift is actually covered before assuming the recent September 2025 inspection tells the whole story.

B

77/100

Maples Health And Rehabilitation, The

Springfield, MO · Greene County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
50%
Serious cites
0

The Maples sits at 120 beds in Springfield under individual for-profit ownership, and its last full inspection was in March 2025, recent enough that the 22 deficiencies on record, including one at the harm level and two tied to abuse, reflect how the home is running now rather than problems long since fixed. Staffing lands right at the national average of 3.86 nurse hours per resident day, but weekends run about 11% thinner than weekdays, and turnover hits 49.5% against a 45.8% national benchmark. Federal quality measures look strong at 5 out of 5 stars, which makes the inspection findings and the churn worth asking about directly.

B

77/100

Neighborhoods At Quail Creek, The

Springfield, MO · Greene County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
40%
Serious cites
0

Neighborhoods At Quail Creek runs a for-profit operation under a limited liability company, and the numbers tell a mixed story. Nurse staffing sits at 4.16 hours per resident day, about 8% above the national average, though weekends drop roughly 11% below the home's own weekday coverage. Staff turnover comes in at 40%, a bit better than the 45.8% national figure. The current inspection record shows 23 deficiencies, including 6 tied to abuse, though none reached the harm or jeopardy level, and the last inspection was in August 2024. Federal ratings place staffing at 4 out of 5 stars but quality measures at just 2, with health inspections at 3, worth asking about directly before you decide.

B

77/100

Good Samaritan Society - Millard

Omaha, NE · Douglas County

CMS 1/5 106 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
52%
Serious cites
0

Good Samaritan Society - Millard runs a nonprofit home with 106 certified beds in Omaha, and its nurse staffing sits at 4.10 hours per resident day, roughly 6% above the national average of 3.86. That edge matters, though weekends run about 15% thinner than weekdays, so care can feel different depending on when you visit. The inspection record shows 12 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey from November 2024. Staff turnover lands at 52.2%, higher than the 45.8% national figure, which is worth asking about directly. The health inspection and staffing ratings both came in at 4 out of 5, with quality measures at 3.

B

77/100

Las Vegas Post Acute & Rehabilitation

Las Vegas, NV · Clark County

CMS 4/5 79 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
38%
Serious cites
0

Las Vegas Post Acute & Rehabilitation runs leaner than most: 3.06 nurse hours per resident day, about 21 percent under the national average of 3.86, with weekends dipping roughly 8 percent below its own weekdays. Turnover sits at 37.5 percent, better than the 45.8 percent national figure, and the home was inspected recently, in July 2025, earning a 4-out-of-5 inspection rating. Against that, its quality measure rating is 2 out of 5, and the current record carries 20 deficiencies, none at harm or jeopardy level, but four tied to abuse. For-profit partnership ownership. The staffing hours are the number worth asking about directly.

B

77/100

Henderson Health And Rehabilitation

Henderson, NV · Clark County

CMS 3/5 266 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
36%
Serious cites
0

Henderson Health and Rehabilitation runs 266 beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends about 10% thinner than weekdays. Turnover is 35.7%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is the harder part: 37 deficiencies, including one at harm or jeopardy level and two related to abuse, plus a $40,830 fine, with the most recent inspection in August 2025. Its quality measure score is strong, but that's self-reported data, and it sits alongside a two-star inspection rating. Ask about the abuse-related findings and weekend coverage before deciding.

B

77/100

Bedford Hills Center

Bedford, NH · Hillsborough County

CMS 4/5 147 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
27%
Serious cites
0

Bedford Hills Center runs 147 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is the bright spot: 27.4% against a national 45.8% means aides and nurses here tend to stay, which matters for familiarity and consistency of care. The inspection record is decent, a 4/5 health inspection star, most recently surveyed August 2025, with 8 deficiencies total, one at harm level and none abuse-related, plus a single fine of $16,452. The staffing hours are what hold the overall picture back.

B

77/100

Mineral Springs

North Conway, NH · Carroll County

CMS 2/5 87 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
40%
Serious cites
0

Mineral Springs has 87 certified beds in North Conway, run by a for-profit limited liability company. Its staffing is the bright spot: 4.05 nurse hours per resident day, about 5% above the national average, and a 40% turnover rate that actually beats the 45.8% national figure. Weekends run roughly 9% thinner than weekdays, so coverage isn't perfectly even. The inspection record is the harder read. CMS gives it 2 out of 5 health inspection stars and 2 out of 5 on quality measures, with 27 deficiencies currently on file, one at harm or jeopardy level, two tied to abuse. Two fines total $32,148, and the last inspection was August 7, 2025. Strong staffing, rough survey history.

B

77/100

Laurel Manor Healthcare And Rehabilitation Center

Stratford, NJ · Camden County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
44%
Serious cites
0

Laurel Manor runs about 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. That thin coverage shows up in CMS's staffing rating of 2 out of 5, even though the home's inspection and quality scores each sit at 4. Turnover is 43.8%, slightly better than the national 45.8%. The current record lists 19 deficiencies, but none at the harm or jeopardy level and none abuse-related, and the last inspection was recent, in August 2025. A for-profit limited liability company owns the building. The pattern here is a home that inspects and measures well but runs lean on direct care hours, especially on weekends.

B

77/100

Atlas Rehabilitation And Healthcare At Daughters O

Clifton, NJ · Passaic County

CMS 3/5 210 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
47%
Serious cites
0

Atlas Rehabilitation Healthcare at Daughters of Mo runs 210 certified beds in Clifton, and the staffing numbers tell a story worth sitting with. Nurses give residents about 3.26 hours of care per day, roughly 16 percent below the national average, and weekend coverage dips about 7 percent lower than weekdays, which matters because that's when families often visit and notice things. Turnover sits at 46.9 percent, a touch above the national figure, so the faces around your relative may change often. The inspection record shows 30 deficiencies, including one at the harm level and two related to abuse, with the most recent inspection in February 2025. Resident outcome measures score well, but the staffing and inspection sides of the ledger are where the concerns live.

B

77/100

Complete Care At Westfield, Llc

Westfield, NJ · Union County

CMS 4/5 227 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
46%
Serious cites
0

Complete Care At Westfield is a 227-bed for-profit run by a limited liability company, and its numbers pull in different directions. Nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, with weekends about 6% thinner than weekdays, and turnover at 45.9%, essentially matching the national rate. The health inspection record shows 17 deficiencies, including one at the harm or jeopardy level and two tied to abuse, though the most recent inspection came in March 2025, so that picture is current. Resident quality measures score well, but with staffing that thin relative to need, that gap is worth asking about directly.

B

77/100

Complete Care At Barn Hill

Newton, NJ · Sussex County

CMS 5/5 154 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
47%
Serious cites
0

Complete Care At Barn Hill runs 154 certified beds in Newton under for-profit limited liability ownership, and the numbers pull in two directions. Resident care quality scores come back strong and the health inspection side holds up too, with 18 deficiencies on record but none tied to harm, jeopardy, or abuse, a meaningful distinction from homes carrying similar counts. Staffing is the weak spot: 3.71 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 15% below the home's own weekday levels, and turnover at 46.9% edges past the national rate. The most recent inspection was January 5, 2026, so the picture is current.

B

77/100

Ridgewood Center

Ridgewood, NJ · Bergen County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
39%
Serious cites
0

Ridgewood Center runs 90 beds under corporate ownership, and its staffing sits at 3.29 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 6% below its own weekday coverage. Turnover is 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The trouble is inspection history: a 1-out-of-5 health inspection rating, 48 deficiencies on the current record, one tied to abuse, and no harm-level citations. A recent April 2025 inspection means the record is current. Quality measures score well at 4 out of 5, but that reflects clinical outcomes, not the day-to-day care environment a family would actually see.

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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