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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 3681–3700 of 10,187, best-graded first.

B

77/100

Regency Olympia Rehabilitation And Nursing Center

Olympia, WA · Thurston County

CMS 5/5 28 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
67%
Serious cites
0

Regency Olympia runs 28 beds under for-profit LLC ownership, and its nurse staffing comes in at 4.56 hours per resident day, roughly 18% above the national average. That's a real margin in a small building, though weekends drop about 13% below its own weekday level, and annual turnover of 66.7% sits well above the 45.8% national figure. The inspection record is where it gets harder to read: 29 deficiencies on file, including four tied to abuse and one at the harm or jeopardy level, with a single fine of $8,278. A recent inspection date of April 2026 and 4- and 5-star inspection and quality ratings sit alongside that. The staffing number looks good on paper; the churn and the abuse-related findings are what a family should ask about directly.

B

77/100

White Sulphur Springs Center

White Sulphur Spring, WV · Greenbrier County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
23%
Serious cites
0

White Sulphur Springs Center runs lean on nursing hours, 3.10 per resident day against a national average of 3.86, and weekends dip roughly 15% below its own weekday staffing. Turnover, though, sits at 23.4%, well under the 45.8% national figure, so the aides and nurses who are there tend to stay. The inspection record is where the concern concentrates: 45 deficiencies, four serious enough to reach harm or jeopardy level, one tied to abuse, and $59,233 in fines across four penalties. The most recent inspection was September 2025, so that picture is current, not stale. Quality measures look strong on paper, but the survey history and thin daily staffing are the parts I'd ask about directly.

B

77/100

Berkeley Springs Healthcare Center

Berkeley Springs, WV · Morgan County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
38%
Serious cites
0

Berkeley Springs Healthcare Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 14% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 37.9%, better than the national 45.8%, which means aides and nurses stick around longer than at the typical home. The tradeoff shows up in its record: 51 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a health inspection star rating of 2 out of 5. Its last inspection was March 27, 2025, so that record is recent.

B

77/100

Willow Tree Healthcare Center

Charles Town, WV · Jefferson County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
40%
Serious cites
0

Willow Tree Healthcare Center runs 104 certified beds in Charles Town under corporate for-profit ownership. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 54 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, with a single fine of $8,018 and a survey completed in July 2025. Staff turnover of 39.6% is actually better than the 45.8% national figure. A 4/5 on quality measures stands against 2/5 for staffing, which tells you where the pressure sits.

B

77/100

Webster Healthcare Center

Cowen, WV · Webster County

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

Webster Healthcare Center runs 3.72 nurse hours per resident day, roughly 4% under the national average, and weekend staffing drops about 13% below its own weekday level, a pattern families often notice before any report does. Staff turnover sits at 49%, a few points above the 45.8% national figure, which matters for whether your mother sees the same aides week to week. The inspection record is clean where it counts: ten deficiencies on file, none at the harm level, none abuse-related, and the last survey was February 2026. Fifty-two of the 60 beds are typically occupied.

B

77/100

Care Haven Center

Martinsburg, WV · Berkeley County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
43%
Serious cites
0

Care Haven Center runs about 3.07 nurse hours per resident each day, roughly 20% under the national average of 3.86, and weekend coverage drops about 11% below its own weekday level, so the thinnest shifts come when families tend to visit. Turnover sits at 42.9%, a bit better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The current record shows 28 deficiencies, none at the harm level, though one is abuse-related, and the last inspection was recent, in January 2026. Quality measures score well; staffing is where the home is weakest.

B

77/100

Meadowbrook At Appleton

Appleton, WI · Outagamie County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
56%
Serious cites
0

Meadowbrook At Appleton runs a 104-bed for-profit operation where the nursing hours look decent on paper, 4.09 per resident day, about 6% above the national average, but that cushion thins out on weekends, when staffing drops roughly 13% below its own weekday pace. The bigger warning sign is turnover: 55.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. Then there's the inspection record: 59 deficiencies, two at harm or jeopardy level, one tied to abuse, and a $15,642 fine, with the most recent survey in July 2025. Strong quality scores don't cancel out that enforcement history.

B

77/100

Avina Of Sun Prairie

Sun Prairie, WI · Dane County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
45%
Serious cites
0

Avina Of Sun Prairie runs 3.57 nurse hours per resident day, roughly 8% under the national average, and weekends drop about 13% below its own weekday staffing. The 45% annual turnover sits right at the national figure, so the aide who knows your mother's routine may or may not still be there next year. Inspectors gave the care quality measures top marks and health inspections 4 out of 5, with 16 deficiencies on record and none at the harm level, though two are abuse-related, which is worth asking about directly. The last inspection was January 8, 2026. Limited liability, for-profit ownership, 50 beds.

B

77/100

Wausau Manor Health Services

Wausau, WI · Marathon County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
32%
Serious cites
0

Wausau Manor runs a 68-bed for-profit operation, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86, with weekends dipping about 13% below its own weekday level, so coverage thins out when families tend to visit. Turnover is the bright spot: 32.1% against a national 45.8% means the aides and nurses who show up are more likely to still be there next year. The 14 deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection was October 2025, so the paperwork is current. Quality measures score low at 2 stars, which is where I'd push for specifics.

B

77/100

Complete Care At Christian Home Llc

Waupun, WI · Dodge County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
66%
Serious cites
0

Complete Care At Christian Home runs a for-profit operation in Waupun with 50 certified beds, and its nurse staffing sits at 4.66 hours per resident day, roughly 21% above the national average of 3.86. That's real coverage, though weekend shifts run about 7% thinner than weekdays, and staff turnover hits 66.1% against a national 45.8%, meaning the people delivering that care cycle through quickly. The current inspection record shows 12 deficiencies, four of them at harm or jeopardy level and one abuse-related. The most recent inspection was April 15, 2026. Staffing numbers look strong on paper; the inspection history and turnover rate tell a more complicated story.

B

77/100

Park Anaheim Healthcare Center

Anaheim, CA · Orange County

CMS 2/5 115 beds For-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
20%
Serious cites
0

Park Anaheim runs about 4.82 nurse hours per resident day, roughly a quarter above the national figure, and its staff turnover of 20.2% is less than half the national rate. Weekend coverage dips only about 6% below weekdays, so care doesn't fall off a cliff on Saturdays. What pulls the record down is inspection history: 67 deficiencies on file, three tied to abuse, though none rose to the harm or jeopardy level. The last inspection was in March 2026. State surveyors rated health inspections 2 out of 5 while quality measures came in at 4. Corporate-owned and for-profit, it's a home with strong staffing and a messy paper trail.

B

77/100

Southland

Norwalk, CA · Los Angeles County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
42%
Serious cites
0

Southland runs 120 certified beds in Norwalk under for-profit LLC ownership, and the staffing numbers are genuinely on the high side, 4.40 nurse hours per resident day, roughly 14% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 41.7%, a bit better than the 45.8% national figure. What drags this home down is its inspection record: 92 deficiencies, three at harm or jeopardy level and eight tied to abuse, plus two fines totaling $38,376. A recent inspection date doesn't erase that history. Families should ask specifically how the abuse-related findings were resolved and what weekend coverage actually looks like.

B

77/100

Sunnyview Care Center

Los Angeles, CA · Los Angeles County

CMS 3/5 93 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
38%
Serious cites
0

Sunnyview Care Center runs 93 certified beds in Los Angeles under corporate for-profit ownership, and its nurse staffing sits at 3.90 hours per resident day, just barely over the national average of 3.86, with weekends running about 6% thinner than weekdays. Turnover is the brighter spot: 38.2% against a national 45.8%, meaning fewer caregivers are walking out the door than at the typical home. What pulls the record down is the inspection history, 56 deficiencies, two of them at harm or jeopardy level and two abuse-related, plus two fines totaling $25,306. The most recent inspection was June 6, 2025.

B

77/100

Stillwater Post-Acute

El Cajon, CA · San Diego County

CMS 2/5 256 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

Stillwater Post-Acute runs 256 beds in El Cajon under for-profit LLC ownership, and its staffing sits slightly above the national average, about 3.98 nurse hours per resident day. Weekends dip roughly 5% below its own weekday coverage, so the care you'd see on a Saturday isn't quite what the weekday numbers suggest. Turnover lands at 44%, essentially in line with the national rate, so this isn't a retention crisis. The real story is the inspection record: 62 deficiencies on file, one abuse-related, though none reached harm or jeopardy level, and the last state visit was April 2025. Two out of five on health inspections against three on quality and staffing measures tells you where the trouble lives.

B

77/100

Professional Post Acute Center

San Rafael, CA · Marin County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
38%
Serious cites
0

Professional Post Acute Center sits in San Rafael, licensed for 99 beds and run by a for-profit limited liability company. Nurse staffing comes in at 3.84 hours per resident day, just under the national average, and weekends drop about 6% below its own weekday levels, so the floor gets thinnest exactly when families tend to visit. Turnover at 38.1% is better than the national 45.8%, and the staffing star reflects that relative stability. The problem is the inspection record: 79 deficiencies, including 8 at harm or jeopardy level and 7 tied to abuse, with $148,455 in fines and a September 2024 inspection.

B

77/100

Palm Terrace Healthcare & Rehabilitation Center

Laguna Hills, CA · Orange County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
53%
Serious cites
0

Palm Terrace runs 99 certified beds in Laguna Hills under for-profit limited liability ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.34 hours per resident day, about 12% above the national average, but weekends drop roughly 15% below the home's own weekday level, and annual turnover hits 52.5% against a national rate of 45.8%. The inspection record is where the concern sharpens: 50 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $33,118 in fines across two penalties. A five-star quality measure rating sits alongside a two-star staffing rating and a two-star inspection rating, a split worth asking about directly. The most recent inspection was February 2026.

B

77/100

Marina Pointe Healthcare & Subacute

Culver City, CA · Los Angeles County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
25%
Serious cites
0

Marina Pointe runs 4.62 nurse hours per resident day, about 20% above the national average, and its staff turnover of 25.2% is well below the national 45.8%. Weekend staffing dips roughly 6% below its own weekday level, which matters for families whose visits fall on Saturdays and Sundays. The record is where it gets complicated: 61 deficiencies, including one at the harm level and three tied to abuse. That combination of solid staffing and a heavy inspection history is why the ratings sit at three stars across health inspection, quality measures, and staffing. The most recent inspection was April 24, 2026, so the picture is current. Ask to see the plan of correction for the harm-level finding before you decide.

B

77/100

Riverside Village Healthcare Center

Riverside, CA · Riverside County

CMS 2/5 59 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
43%
Serious cites
0

Riverside Village Healthcare Center runs 59 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.93 hours per resident day, slightly above the national average of 3.86. That margin narrows on weekends, when coverage drops roughly 9% below the home's own weekday level, and staff turnover comes in at 42.6%, a touch better than the 45.8% national figure. The bigger issue is the inspection record: 60 deficiencies, though none at the harm or jeopardy level and none abuse-related. The most recent inspection was May 2025, so the picture is current. Quality measures score well; inspection and staffing stars sit at 2 out of 5 each.

B

77/100

West Gardena Post Acute

Gardena, CA · Los Angeles County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
44%
Serious cites
0

West Gardena Post Acute runs 4.60 nurse hours per resident day, about 19% above the national average, but weekends drop roughly 13% below its own weekday level, so coverage is thinner exactly when families tend to visit. Staff turnover sits at 43.5%, slightly better than the national 45.8%. The state has cited 39 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, with $43,004 in fines across two actions; the most recent inspection was November 20, 2025. This is a for-profit limited liability company with 50 certified beds, and its health inspection rating of 2 out of 5 reflects that citation history rather than the staffing numbers.

B

77/100

Ridgeway Post Acute

Petaluma, CA · Sonoma County

CMS 2/5 79 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
36%
Serious cites
0

Ridgeway Post Acute sits in Petaluma with 79 certified beds and a for-profit LLC owner. The numbers split in two directions. Nurse staffing runs 4.10 hours per resident day, about 6% above the national average, and turnover at 36.4% is better than the 45.8% norm, though weekend coverage drops roughly 12% below weekday levels, which matters when families visit. The inspection record is where the trouble shows: 56 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus three fines totaling $32,280. Its last inspection was September 2024. That combination of decent daily staffing and a heavy enforcement history is what pulls the grade down to a C.

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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