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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 341 to 360 of 10,187, best-graded first.

A

91/100

Park Ridge Nursing Home

Rochester, NY · Monroe County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
42%
Serious cites
0

Park Ridge runs on more nursing hours than most homes in the country, 4.36 per resident day against a national average of 3.86, and that staff shows up with less churn than typical, with turnover at 41.9% versus 45.8% nationally. Weekend coverage dips about 14% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the last full inspection came in April 2024. As a nonprofit, this is a home where the numbers mostly hold up.

A

91/100

Trinity Village

Hickory, NC · Catawba County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
6.50 /day
Staff turnover
28%
Serious cites
0

Trinity Village in Hickory runs on a nonprofit model with 104 certified beds, and the staffing numbers stand out first: 6.50 nurse hours per resident day, roughly 68 percent above the national average, with weekend coverage dipping about 10 percent below its own weekday level. Turnover sits at 28.1 percent against a national 45.8 percent, so the people who work here tend to stay. What complicates the picture is the inspection record, five deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,512. The most recent inspection, from March 2026, earned four stars, and the low turnover may help explain why serious problems have stayed rare despite that history.

A

91/100

S.e.m. Haven Health Care Center

Milford, OH · Clermont County

CMS 5/593 bedsNon-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
37%
Serious cites
0

S.e.m. Haven Health Care Center runs on 4.51 nurse hours per resident per day, roughly 17 percent above the national average, and its staff turnover of 37.4% sits well under the 45.8% national figure, a combination that usually means aides and nurses stick around long enough to know the residents. The 15 deficiencies on file are worth noting, though none reached harm or jeopardy level and none involved abuse. Weekend staffing dips about 11% below its own weekday coverage, so ask how that plays out on Saturdays and Sundays. Inspectors were last in on October 11, 2025, and the nonprofit owner has kept this building's health inspection record at 4 out of 5 stars.

A

91/100

Knolls Of Oxford

Oxford, OH · Butler County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
33%
Serious cites
0

Knolls Of Oxford runs on a nonprofit model with 50 certified beds in Butler County, and the inspection record is where it stands out, a five-star health inspection rating with just two deficiencies on file, though one of those reached harm or jeopardy level, which is worth asking about directly. Staffing sits at 3.67 nurse hours per resident day, about 5% under the national average, and weekends dip another 5% below the home's own weekday coverage. Turnover is the quieter strength here: 33.3% against a national average near 46%, meaning fewer unfamiliar faces from shift to shift. The last inspection was in December 2025, so the picture is current.

A

91/100

Otterbein Springboro

Centerville, OH · Warren County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
43%
Serious cites
0

Otterbein Springboro runs 4.44 nurse hours per resident day, roughly 15 percent above the national average, and the weekend dip is only about 5 percent, small enough that care doesn't visibly change on Saturdays. Staff turnover sits at 42.9 percent, a bit better than the 45.8 percent national figure, which matters because consistent aides know the residents. The 25 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The tradeoff is a middle-of-the-road health inspection rating of 3 out of 5, with the most recent inspection in April 2026, so the record is current. Quality measures score 5 out of 5.

A

91/100

Marquis Springfield

Springfield, OR · Lane County

CMS 4/5136 bedsFor-profitMedicaid
Nurse hours
5.26 /day
Staff turnover
30%
Serious cites
0

Marquis Springfield runs 5.26 nursing hours per resident day, roughly a third more than the national average, and its 29.7% turnover is well under the 45.8% most homes see. That staffing depth is the strongest thing in the numbers, though weekends thin out about 12% from weekday levels. What holds it back is the inspection record: 33 deficiencies, including three tied to abuse, with no harm-level findings, and the most recent state visit was January 2026. Ownership is corporate for-profit. The care hours and low turnover point to a home that keeps its people; the deficiency list is the part worth asking about directly.

A

91/100

Avamere Rehabilitation Of Newport

Newport, OR · Lincoln County

CMS 4/552 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
30%
Serious cites
0

Avamere Rehabilitation of Newport runs about 4.46 nurse hours per resident day, roughly 15% above the national average of 3.86, with weekend coverage dipping only about 8% below its own weekday level. Staff turnover sits at 29.8%, well under the national 45.8%, which matters for consistency of care. The 22 deficiencies on record include none at the harm or jeopardy level and none abuse-related; the last inspection was August 2025. The for-profit LLC ownership and a mid-range health inspection rating are the main things keeping this from being a stronger record, the staffing numbers and quality measures are doing the heavy lifting here.

A

91/100

Rydal Park Of Philadelphia Presbytery Homes, Inc

Rydal, PA · Montgomery County

CMS 4/5114 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
27%
Serious cites
0

Rydal Park runs 5.00 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and its staff turnover of 27.2% is well below the national 45.8%, that kind of retention usually shows up in how residents are cared for. Weekend coverage dips about 10% from weekday levels, though the drop is modest compared with many homes. The tradeoff sits in the inspection record: 24 deficiencies, two tied to abuse, with none rising to harm or jeopardy, and a March 2025 inspection that's reasonably recent. As a nonprofit, it isn't answering to shareholders. Strong staffing and low turnover carry real weight here, but read those two abuse-related citations closely before deciding.

A

91/100

Rolling Fields, Inc

Conneautville, PA · Crawford County

CMS 5/5181 bedsNon-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
31%
Serious cites
0

Rolling Fields runs on 4.40 nurse hours per resident day, roughly 14% above the national average, and its staff turnover of 30.5% sits well under the 45.8% national figure, that kind of retention usually shows up in how consistently residents get the same caregivers. Weekend staffing dips about 10% below weekdays, so ask how that plays out on Saturdays and Sundays. The 19 deficiencies on record include none at the harm level, though one is abuse-related, and five fines total $28,242. The last inspection was November 2025, so the record is current.

A

91/100

Foxdale Village

State College, PA · Centre County

CMS 5/546 bedsNon-profit
Nurse hours
5.51 /day
Staff turnover
36%
Serious cites
0

Foxdale Village sits in State College with 46 certified beds and nonprofit ownership, and its nurse staffing runs about 43 percent above the national average at 5.51 hours per resident day. Weekend coverage dips roughly 10 percent below its own weekday levels, and turnover comes in at 36.2 percent, better than the 45.8 percent national figure. The record isn't spotless: eight deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,018. Its last inspection was November 2024, and the health and quality ratings both land at four stars.

A

91/100

The Village At Orchard Ridge

Winchester, VA · Frederick County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
5.04 /day
Staff turnover
39%
Serious cites
0

The Village at Orchard Ridge runs about 5.04 nurse hours per resident day, roughly 31% above the national average of 3.86, and its CMS staffing rating comes in at 5 out of 5. Weekend coverage dips only about 5% below weekday levels, which is a small gap by industry standards. Staff turnover sits at 39.1%, better than the 45.8% national average, suggesting people tend to stay. The current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in March 2024. State survey and quality measure ratings both land at 4 out of 5. For a 20-bed nonprofit home, the numbers point to steady, well-staffed care.

A

91/100

Pine Ridge Post Acute

Edmonds, WA · Snohomish County

CMS 4/580 bedsFor-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
19%
Serious cites
0

Pine Ridge Post Acute runs on a leaner staff than most: 4.16 nurse hours per resident day against a national average of 3.86, and the weekend drop is real but modest at about 14 percent below weekdays. Turnover sits at 19.2 percent, well under the national 45.8 percent, which matters more than any single inspection score, staff who stay know the residents. What pulls the record down is the inspection side: 45 deficiencies on file, including one at harm or jeopardy level and six tied to abuse, with a $16,445 fine. The most recent inspection was March 2026, so the picture is current. For-profit, limited liability ownership. Strong staffing and low turnover, offset by a troubled survey history.

A

91/100

Saratoga Retirement Community Health Center

Saratoga, CA · Santa Clara County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
24%
Serious cites
0

Saratoga Retirement Community Health Center runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 23.9% is about half the national rate of 45.8%, two numbers that tend to matter more than anything else for day-to-day care. Weekend staffing dips about 7% below its own weekday level, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2025. As a nonprofit with a 5-star health inspection rating, the pattern here is steady rather than spotless.

A

91/100

Hillcrest Heights Healthcare Center

San Diego, CA · San Diego County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
4.09 /day
Staff turnover
30%
Serious cites
0

Hillcrest Heights runs about 96 beds in San Diego under a for-profit limited liability owner, and the staffing numbers are the strongest thing about it: 4.09 nurse hours per resident day, roughly 6% above the national average, with turnover at 30.3% against a national 45.8%. Weekend coverage dips about 8% below its own weekday level, which is common but worth knowing if your visits fall on Saturdays. The inspection record shows 43 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was January 2025. Quality and staffing measures both rate well above average for a home this size.

A

91/100

Covenant Village Care Center

Turlock, CA · Stanislaus County

CMS 4/550 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Covenant Village Care Center runs about 4.29 nurse hours per resident per day, roughly 11 percent above the national average, and its staff turnover of 30.9 percent sits well below the 45.8 percent typical elsewhere. Weekend coverage dips about 12 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The 18 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was in June 2025. As a nonprofit with four out of five stars on health inspections, quality measures, and staffing, the numbers point to steady care rather than a standout or a concern.

A

91/100

Samarkand Skilled Nursing Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/563 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
35%
Serious cites
0

Samarkand runs about 4.38 nurse hours per resident per day, roughly 13% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, that combination matters more than any single number, since consistent caregivers who stay tend to know residents' routines. Weekend staffing dips about 11% below weekdays, which is common but worth asking about if your family visits on Saturdays or Sundays. The inspection record shows 28 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in January 2026, so the survey history is current and free of serious findings.

A

91/100

Querencia At Barton Creek

Austin, TX · Travis County

CMS 5/542 bedsNon-profit
Nurse hours
4.74 /day
Staff turnover
44%
Serious cites
0

Querencia At Barton Creek runs 42 certified beds as a nonprofit, and the staffing number is the one worth noticing: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Annual turnover sits at 43.6%, slightly better than the national 45.8%, meaningful in a field where replacing nurses constantly tends to show up in daily care. The inspection record isn't spotless: eight deficiencies, one serious enough to involve harm or jeopardy, and one $13,500 fine. No abuse citations. The last inspection was December 2025. Strong staffing, decent turnover, and one incident that deserves a direct question.

A

91/100

Mrc The Crossings

League City, TX · Galveston County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
39%
Serious cites
0

Mrc The Crossings runs a tight ship on nearly every measure that matters. The nonprofit home puts 4.35 nursing hours behind each resident daily, roughly 13% above the national average, and its staff turnover of 39.1% sits well under the typical 45.8%, a signal that caregivers tend to stay. One deficiency on the current record, none involving harm or abuse, and a December 2024 inspection round out the picture. The one soft spot: weekend staffing dips about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. Otherwise, the numbers here are about as clean as they come.

A

90.5/100

Evergreen Nursing Home

Evergreen, AL · Conecuh County

CMS 5/561 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
27%
Serious cites
0

Evergreen Nursing Home runs on more nursing hours than most places, 4.44 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 27.3% versus 45.8% nationally. That kind of retention usually shows up in how consistently residents get the same caregivers. Two things to keep in mind: weekend staffing drops about 19% below weekday levels, so coverage is thinner on Saturdays and Sundays, and the last state inspection was in March 2020, meaning the record you're looking at is several years old. Six deficiencies on file, none involving harm or abuse. Corporate-owned, 61 beds.

A

90.5/100

Innisfree Health And Rehab, Llc

Rogers, AR · Benton County

CMS 2/5104 bedsFor-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
44%
Serious cites
0

Innisfree Health And Rehab runs 104 certified beds in Rogers under for-profit LLC ownership, and its nurse staffing sits at 5.14 hours per resident day, roughly a third above the national average of 3.86. That cushion matters, though weekends drop about 19% below the home's own weekday coverage, so the weekday picture is stronger than Saturdays and Sundays. Annual turnover of 44% lands just under the national 45.8%. The trade-off shows up in inspections: a 1-out-of-5 health inspection rating and 21 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in November 2024. Quality measures score 5 out of 5. Strong everyday staffing and quality numbers, thinner inspection history.

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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