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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 3621–3640 of 10,187, best-graded first.

B

77/100

Tamarack Ridge Health And Rehabilitation

Kent, OH · Portage County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
40%
Serious cites
0

Tamarack Ridge runs a 96-bed for-profit home in Kent, and its inspection record is the strongest part of the picture: seven deficiencies on file, none serious enough to cause harm, and a survey completed in April 2025. The abuse-related citation is worth asking about directly. Staffing is thinner than average, 3.63 nurse hours per resident day against 3.86 nationally, and weekends dip about 9% below the home's own weekday numbers, so ask how coverage holds up on Saturdays and Sundays. Turnover at 40.4% is better than the 45.8% national figure, which suggests less churn than many competitors. Quality measures score well; staffing is the softer spot.

B

77/100

Skiatook Nursing Home,Llc

Skiatook, OK · Osage County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
59%
Serious cites
0

Skiatook Nursing Home runs 4.50 nurse hours per resident day, about 17% above the national average, and weekend staffing holds close to weekday levels. But that staffing star rating comes out at 1 out of 5, because the hours aren't translating into a stable workforce: turnover is 58.8% against a national 45.8%. The inspection record shows 12 deficiencies, including one at the harm level and two abuse-related. A 4/5 inspection rating and October 2024 visit are pluses, but the combination of high turnover and abuse citations is what keeps this at a B rather than higher. Worth asking about direct-care aide retention.

B

77/100

Nowata Nursing Center

Nowata, OK · Nowata County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
54%
Serious cites
0

Nowata Nursing Center runs 4.18 nurse hours per resident per day, roughly 8% above the national average, and weekend staffing holds steady against weekdays, which is not universal in this industry. The trade-offs show up elsewhere. Staff turnover sits at 53.5% against a national figure near 45.8%, so the people providing that above-average coverage are cycling out faster than average. Eighteen deficiencies appear on the current record, none at the harm or jeopardy level but one tied to abuse. The most recent inspection was November 2024. Ownership is for-profit, a limited liability company. The staffing numbers are real; whether they hold depends on who's still there next year.

B

77/100

Tulsa Nursing Center

Tulsa, OK · Tulsa County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
51%
Serious cites
0

Tulsa Nursing Center runs about 3.17 nurse hours per resident day, which is roughly 18% under the national average of 3.86, and weekend coverage dips about 8% below its own weekday staffing. That thin margin shows up in the 2/5 staffing star, and annual turnover of 51.3% sits above the national 45.8%. The good news is that care quality measures rate 5/5, and the 20 deficiencies on record include none at the harm level and none abuse-related. A state inspection from March 2025 is recent. The tradeoff is clear: strong clinical outcomes, but a workforce stretched thin enough that consistency may be uneven.

B

77/100

Woodside Post Acute

Molalla, OR · Clackamas County

CMS 2/5 92 beds For-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
58%
Serious cites
0

Woodside Post Acute runs a 92-bed for-profit operation in Molalla, and the numbers pull in two directions. Nurse staffing sits at 4.72 hours per resident day, roughly 22% above the national average, and its quality measure rating is perfect, but weekend coverage dips about 8% below weekday levels, and annual turnover of 57.6% means the people delivering that care keep changing, well above the 45.8% national rate. The inspection record is where it gets harder to explain. Twenty-six deficiencies, three at harm or jeopardy level, two tied to abuse, and $145,831 in fines across five penalties, with a May 2025 inspection. High staffing alongside a one-star inspection history usually means the problems aren't about hours on paper.

B

77/100

Windsor Health And Rehabilitation

Salem, OR · Marion County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
51%
Serious cites
0

Windsor Health and Rehabilitation runs a hundred beds in Salem under limited-liability, for-profit ownership, and it staffs them well, 5.07 nurse hours per resident per day against a national average of 3.86. The gap narrows on weekends, when hours drop about 11 percent below the home's own weekday level, and turnover sits at 51.4 percent, a few points above the national 45.8. Inspectors were last in on March 14, 2025, and the record shows 20 deficiencies, none at the harm level but four tied to abuse. Quality measure scores land low while staffing scores hold mid-range. Plenty of hands per resident, in other words, with questions about consistency and follow-through.

B

77/100

Rivercrest Post Acute

Oregon City, OR · Clackamas County

CMS 2/5 53 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
63%
Serious cites
0

Rivercrest Post Acute runs about 4.95 nurse hours per resident per day, roughly 28% above the national average, so the raw staffing number looks solid for a 53-bed home. The catch is turnover at 63%, well above the 45.8% national average, and weekend staffing that drops about 9% below its own weekday level, which matters in a building where consistency of caregivers is half the story. The inspection record shows 34 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and a single fine of $18,075. Its last inspection was February 2026, so the record is fairly current. For-profit, limited liability ownership rounds out the picture.

B

77/100

Garvey Manor

Hollidaysburg, PA · Blair County

CMS 4/5 132 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
60%
Serious cites
0

Garvey Manor is a church-affiliated nonprofit in Hollidaysburg with 132 beds, and its nurse staffing runs about 4.49 hours per resident day, roughly 16% above the national average. That's a real strength, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly even. The harder numbers are elsewhere: staff turnover hits 60% against a national average near 46%, meaning a lot of the people providing that care are still new. The current record shows 29 deficiencies, including one at the harm level and two abuse-related, plus a $40,641 fine. The most recent inspection was July 2025. Strong quality scores sit alongside turnover and inspection findings worth asking about directly.

B

77/100

Transitions Healthcare Autumn Grove Care Center

Harrisville, PA · Butler County

CMS 2/5 103 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
40%
Serious cites
0

Transitions Healthcare Autumn Grove runs 103 certified beds in Harrisville under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average, with weekends roughly 6% thinner than weekdays. Turnover at 39.6% is actually better than the 45.8% national figure, but the inspection record is where the trouble shows: 25 deficiencies, two at harm or jeopardy level, one tied to abuse, and a single $179,218 fine. The last inspection was July 2025. A 2/5 inspection rating and 2/5 quality measures against a 4/5 staffing rating tells you the hours are there on paper, but the outcomes and oversight have problems.

B

77/100

Wayne Center

Wayne, PA · Chester County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
43%
Serious cites
0

Wayne Center runs 112 certified beds in Chester County under corporate ownership, and its nursing hours come in at 3.49 per resident day, roughly 10% under the national average of 3.86. Weekends dip about 8% below its own weekday staffing, which matters because that's when families often visit and notice. Turnover sits at 43%, a touch better than the 45.8% national figure. Inspections are recent (May 2025) and the health inspection and quality ratings both land at 4 of 5, though the record shows 11 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,824. Solid survey results, thinner staffing.

B

77/100

Luther Woods Nursing And Rehabilitation Center

Hatboro, PA · Montgomery County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
37%
Serious cites
0

Luther Woods runs a 140-bed for-profit operation in Hatboro, and its staffing numbers sit below what you'd want to see: 3.36 nurse hours per resident day, roughly 13 percent under the national average, with weekends dipping about 7 percent below its own weekdays. Here's the counterweight, staff turnover is 37.2 percent, meaningfully better than the 45.8 percent national figure, so the people who are there tend to stay. The inspection record shows 18 deficiencies with none at the harm level, though one is abuse-related, and the last survey came in November 2025, so the picture is reasonably current. Quality measures score well above average; staffing and inspections land in the middle.

B

77/100

Pennknoll Village

Everett, PA · Bedford County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
35%
Serious cites
0

Pennknoll Village runs 3.69 total nurse hours per resident day, about 5% under the national average, and weekends drop roughly 8% below its own weekday staffing. Turnover sits at 35.4%, better than the 45.8% national figure, and the staffing star rating reflects that relative stability. The inspection record is the harder part: 60 deficiencies on file, including three at harm or jeopardy level and four tied to abuse, plus three fines totaling $35,996. The most recent inspection was January 23, 2026, so the picture is current. Quality measures score middle-of-the-road. Ownership is a for-profit limited liability company with 133 certified beds.

B

77/100

Nursing And Rehabilitation At The Mansion

Sunbury, PA · Northumberlnd County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
21%
Serious cites
0

The Mansion runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, about 10% below its own weekday coverage. That staffing pattern sits behind a record of 32 deficiencies, including one at the harm level and one tied to abuse, plus a $10,033 fine. Where it stands out is retention: 20.8% turnover against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its last inspection was in December 2025, and the 3/5 health inspection rating matches the 3/5 quality measure score, so the picture is steady but not clean.

B

77/100

St Monica Center For Rehabilitation & Healthcare

Philadelphia, PA · Philadelphia County

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

St Monica Center runs 180 certified beds in Philadelphia under individual for-profit ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover lands at 44.6%, a touch under the national 45.8%. The inspection record is the heavier story: 43 deficiencies on file, one abuse-related, though none reached harm or jeopardy. The most recent inspection was July 2025, so the record is current. Quality measures score well, staffing sits mid-range, and inspections pull the other way.

B

77/100

Oil City Nursing And Rehab

Oil City, PA · Venango County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
43%
Serious cites
0

Oil City Nursing and Rehab runs about 3.60 nurse hours per resident per day, roughly 7% under the national average, and weekends dip about 8% below its own weekday staffing. Turnover sits at 43.2%, a touch better than the 45.8% national figure, and the health inspection record is strong: five stars, with the most recent inspection in March 2026. The catch is what that inspection history actually contains, seven deficiencies, one at the harm or jeopardy level and one abuse-related, plus a single $8,018 fine. For-profit, LLC-owned, 95 beds. The care environment looks well-supervised on paper, but the harm-level and abuse citations are the details worth asking the administrator about directly before you decide.

B

77/100

Caring Heights Community Care & Rehab Ctr

Coraopolis, PA · Allegheny County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
28%
Serious cites
0

Caring Heights runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday coverage. Turnover sits at 28.4 percent, well below the national 45.8 percent, so the staff who are there tend to stay. The inspection record is the harder read: 67 deficiencies, none flagged at harm or jeopardy level, but nine tied to abuse. State inspectors were last in on September 5, 2025, and the health inspection rating came back 2 out of 5. Quality measures scored 4 out of 5, staffing 3 out of 5. For-profit corporate ownership, 119 certified beds.

B

77/100

St Mary Center For Rehabilitation & Healthcare

Lansdale, PA · Montgomery County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
51%
Serious cites
0

St Mary Center runs 120 certified beds in Lansdale under individual for-profit ownership, and its staffing numbers are the thing to watch. At 3.70 nurse hours per resident day, it sits about 4% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage, a gap families should ask about directly. Annual turnover of 51.4% tops the national 45.8%, which matters because new faces mean less continuity for your relative. The inspection record shows 18 deficiencies, though none at harm level and none abuse-related, with a survey as recent as December 2025. Quality measures score well; staffing is where the shortfall lives.

B

77/100

Wecare At Rolling Meadows Rehab And Nursing Ce

Waynesburg, PA · Greene County

CMS 2/5 121 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
35%
Serious cites
0

Wecare At Rolling Meadows runs 121 certified beds in Waynesburg under corporate for-profit ownership, and its nursing hours come in at 3.25 per resident day, about 16 percent under the national average of 3.86. Weekends drop roughly 8 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover is the one bright spot: 35.2 percent against a national 45.8 percent, meaning aides and nurses stick around longer than is typical. What pulls the record down is the inspection side, 21 deficiencies on file, two at harm or jeopardy level, two tied to abuse, with the last inspection in September 2024. Quality measures score well; the survey history is the concern.

B

77/100

Warren Manor

Warren, PA · Warren County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
29%
Serious cites
0

Warren Manor runs on thinner nurse coverage than most homes, 3.28 hours per resident day against a national average of 3.86, and weekends dip roughly 10% below its own weekday numbers, which is when families tend to visit and notice. Turnover is the brighter spot: 28.9% versus the national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. The 26 deficiencies on record, including one at the harm level, and a three-star inspection rating suggest care is adequate but not airtight. This corporate-owned, 121-bed home isn't failing, but staffing is where I'd push hardest with questions.

B

77/100

Yardley Rehabilitation And Healthcare Center

Yardley, PA · Bucks County

CMS 5/5 170 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
38%
Serious cites
0

Yardley Rehabilitation and Healthcare Center is a 170-bed for-profit in Bucks County, and the numbers tell a mixed story. The health inspection record is genuinely strong, 20 deficiencies on file, none at the harm or jeopardy level, none abuse-related, and a survey as recent as February 2026. Quality measures also score at the top of the federal scale. Where it slips is staffing: 3.35 nurse hours per resident day sits about 13% under the national average, with weekend coverage running roughly 5% thinner than weekdays. Turnover of 38.2% is better than the 45.8% national figure, which suggests people tend to stay. Fewer hands per resident is the tradeoff you'd want to weigh.

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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