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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 3741–3760 of 10,187, best-graded first.

B

76.5/100

Landmark Of Plaquemine

Plaquemine, LA · Iberville County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
35%
Serious cites
0

Landmark of Plaquemine runs 108 certified beds under a for-profit limited liability company, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, with the most recent survey completed in July 2025. The 23 deficiencies on file include none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Staffing sits at 3.73 nurse hours per resident day, about 3% under the national average, and weekends run roughly 25% thinner than weekdays, which matters if your family visits on Saturdays or Sundays. Turnover of 34.5% is meaningfully better than the 45.8% national figure, so aides are more likely to stick around than elsewhere.

B

76.5/100

Natchitoches Community Care Center

Natchitoches, LA · Natchitoches County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
44%
Serious cites
0

Natchitoches Community Care Center runs on more nursing hours than most homes, 4.42 per resident day against a national average of 3.86, and its staff turnover of 44.1% is roughly in line with the national figure. The catch is weekends, when coverage drops about 22% below what the home staffs on weekdays, and that gap matters when residents need help on a Saturday night. The inspection record is where things get concerning: 29 deficiencies, three of them serious enough to put residents in harm's way, one tied to abuse, and a $123,305 fine. The most recent inspection was in September 2025, so the picture is current, not stale.

B

76.5/100

Cedar View Rehabilitation And Healthcare Center

Methuen, MA · Essex County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
30%
Serious cites
0

Cedar View runs a 106-bed for-profit operation in Methuen, and the numbers tell a mixed story. The health inspection record is genuinely clean, nine deficiencies on file, none of them causing harm or involving abuse, and a survey as recent as January 2026. Quality measures also hold up well. Where it slips is staffing: 3.66 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below the home's own weekday coverage, which is when families often notice less help on the floor. Turnover at 30.1% actually beats the 45.8% national figure, so the crew that's there tends to stay.

B

76.5/100

Medilodge Of Grand Blanc

Grand Blanc, MI · Genesee County

CMS 1/5 146 beds For-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
54%
Serious cites
0

Medilodge of Grand Blanc runs 5.08 nurse hours per resident day, roughly a third more than the national average, so there's real bedside time here on paper. The catch is consistency: weekend staffing drops about 16 percent below its own weekday levels, and 54.4 percent of staff turn over each year against a 45.8 percent national rate, meaning the people providing that care keep changing. The inspection record is the harder problem, 52 deficiencies, one at harm or jeopardy level and four abuse-related, with the most recent inspection dated February 2026. Corporate ownership and a one-star health inspection rating sit behind a quality measure score that looks much better, which tells you the gap between what's charted and what inspectors found.

B

76.5/100

Mission Point Nursing & Physical Rehabilitation Ce

Cedar Springs, MI · Kent County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
38%
Serious cites
0

Mission Point runs lean on nurse staffing, 3.70 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, which matters when families visit less and problems go unnoticed longer. The 26 deficiencies on record include three at the harm or jeopardy level and eight tied to abuse, and there's a $45,438 fine on file. Turnover is 37.7%, better than the 45.8% national figure, so leadership isn't churning staff the way many for-profit homes do. Its last inspection was February 2026, so the record is current.

B

76.5/100

Rivergate Health Care Center

Riverview, MI · Wayne County

CMS 3/5 223 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
35%
Serious cites
0

Rivergate runs a 223-bed for-profit partnership in Riverview, and its inspection record is a mixed bag. The most recent survey in May 2025 found 21 deficiencies, including one at the harm or jeopardy level and five tied to abuse, a combination worth asking about directly before you tour, since abuse deficiencies point to how residents are treated day to day, not just paperwork. Staffing sits at 3.37 nurse hours per resident, about 13 percent under the national average, and weekends run roughly 18 percent thinner than weekdays, so coverage gaps show up when families visit. Turnover at 35 percent is better than the 45.8 percent national figure, which suggests some stability, but the single fine of $8,408 is small next to the deficiency count.

B

76.5/100

Ebenezer Ridges Geriatric Care Center

Burnsville, MN · Dakota County

CMS 4/5 114 beds Non-profit Medicaid
Nurse hours
5.17 /day
Staff turnover
—
Serious cites
0

Ebenezer Ridges runs a nonprofit shop in Burnsville with 114 certified beds and a clear staffing advantage, 5.17 nurse hours per resident day against a national average of 3.86, about a third more hands-on time. Weekends dip roughly 9% below weekday coverage, which matters if your visits land on a Saturday. Inspections earn four of five stars and the most recent look came in January 2026, so the record is current. What tempers the picture: 17 deficiencies on file, one serious enough to reach harm or jeopardy level, none tied to abuse. Quality measures score two of five stars, suggesting the clinical outcomes don't fully match the staffing investment. Worth asking about that harm-level finding specifically.

B

76.5/100

Cura Of Sandstone

Sandstone, MN · Pine County

CMS 1/5 50 beds Non-profit Medicaid
Nurse hours
5.18 /day
Staff turnover
—
Serious cites
0

Cura Of Sandstone runs a genuine staffing advantage: 5.18 nurse hours per resident day against a national average of 3.86, and that holds up on weekends, which land about 13% below the home's own weekday level rather than falling off a cliff. The care side is where it gets harder to defend. Twenty-six deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with a $17,345 fine attached. Quality measures score 1 out of 5, and the last inspection was April 2026, recent enough to be current, not stale. Plenty of hands on deck, but a record that says the hands alone haven't been enough.

B

76.5/100

Polson Health & Rehabilitation Center

Polson, MT · Lake County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
50%
Serious cites
0

Polson Health & Rehabilitation Center runs 70 certified beds under for-profit LLC ownership, and its last inspection came in November 2025. The staffing picture is thinner than it looks at first: 3.13 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage. Turnover runs at 50%, higher than the 45.8% national figure. On paper the inspection history reads well enough at 4 of 5 stars, but the current record carries 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $17,404 fine.

B

76.5/100

Riverview Estates Rehab And Senior Living Center

Riverton, NJ · Burlington County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
60%
Serious cites
0

Riverview Estates runs 4.44 nurse hours per resident day, about 15% above the national average, and its last inspection was recent, January 2026. That staffing level is real, but weekends drop roughly 15% below the home's own weekday coverage, so the care your family member gets on a Saturday may look thinner than what shows up on paper. Annual turnover sits at 60% against a national average near 46%, meaning most of the aides and nurses on staff this year likely won't be there next year. The inspection record shows 21 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $38,455. This is a for-profit LLC with 66 beds. Ask about weekend coverage and how they handle the abuse finding before deciding.

B

76.5/100

Alaris Health At The Chateau

Rochelle Park, NJ · Bergen County

CMS 1/5 251 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
—
Serious cites
0

Alaris Health At The Chateau runs 251 certified beds in Rochelle Park under individual for-profit ownership, and its inspection record is reasonably clean: 17 deficiencies, none rising to harm or jeopardy, none tied to abuse, with the most recent survey done in January 2025. The problem sits in staffing. CMS gives this home one star out of five for staffing hours, well below what you'd want at a building this size, and that's the single biggest thing pulling its overall picture down. Worth asking the administrator directly how many certified nursing aides are on the floor during evening and overnight shifts, and what their turnover looks like.

B

76.5/100

Oak Hill Rehabilitation And Nursing Care Center

Ithaca, NY · Tompkins County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
55%
Serious cites
0

Oak Hill runs 3.97 nurse hours per resident day, which is a bit above the national average of 3.86, but that number hides a real drop on weekends, when staffing falls about 17% below what the home runs Monday through Friday. Annual turnover sits at 55%, nearly ten points above the national rate of 45.8%, so the people caring for your family member are changing often. Fifteen deficiencies on the current record is a lot to carry, though none rose to the level of harm or jeopardy, and none involved abuse. The last inspection was in March 2025, so the picture is reasonably current.

B

76.5/100

The Pines At Poughkeepsie Ctr For Nursing & Rehab

Poughkeepsie, NY · Dutchess County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
23%
Serious cites
0

The Pines at Poughkeepsie runs 200 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.53 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 16% below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor. What stands out favorably is turnover: 23.3% annually against a national average of 45.8%, meaning the aides and nurses who know your relative are more likely to still be there next year. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2024.

B

76.5/100

Valley View Care And Rehabilitation

Andrews, NC · Cherokee County

CMS 2/5 76 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
50%
Serious cites
0

Valley View Care and Rehabilitation runs 76 certified beds in Andrews under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage, a pattern worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover runs 50%, above the national 45.8%, while the current record shows 26 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $9,770. The last inspection was April 2026, so the record is recent.

B

76.5/100

Whitestone A Masonic And Eastern Star Community

Greensboro, NC · Guilford County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
58%
Serious cites
0

Whitestone A Masonic and Eastern Star Community runs 60 certified beds in Greensboro under nonprofit ownership. Nurse staffing sits at 4.70 hours per resident day, roughly 22% above the national average, though weekends run about 18% leaner than weekdays. Annual turnover is 57.9%, well above the 45.8% national figure, so residents see a fair amount of changing faces. The current inspection record shows nine deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $25,490; the most recent inspection was April 2025. Good weekday coverage and quality scores are real strengths here. The turnover number and those two harm-level findings are what a family should ask about directly.

B

76.5/100

Scenic Pointe Nursing And Rehab Ctr

Millersburg, OH · Holmes County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
30%
Serious cites
0

Scenic Pointe runs lean on nursing hours, 3.11 per resident day, roughly 19% under the national average, and weekends dip about 20% below its own weekday levels, which matters most when families visit and fewer eyes are on residents. The tradeoff is stability: turnover sits at 29.7% against a national 45.8%, so the aides and nurses you meet are likelier to still be there next year. Inspections look solid, with a 4-star health inspection rating, no harm-level or abuse deficiencies among the 12 on record, and a recent survey. Individual for-profit ownership, 150 beds. The staffing number is the thing to ask about directly.

B

76.5/100

Harding Pointe

Marion, OH · Marion County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
35%
Serious cites
0

Harding Pointe runs about 18% below the national average on nurse staffing, and weekends drop roughly 16% below its own weekday levels, that's the pattern that matters most here, because thin coverage gets thinner exactly when families tend to visit. Staff turnover of 34.8% is better than the 45.8% national figure, so the people who are there tend to stay. The 18 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in December 2025. Quality measures look strong; staffing measures don't. For-profit corporate ownership rounds out the picture.

B

76.5/100

Burbank Parke Care Center

Burbank, OH · Wayne County

CMS 5/5 81 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
29%
Serious cites
0

Burbank Parke runs lean on nursing hours, 3.48 per resident per day against a national average of 3.86, and weekends thin out further, roughly 19 percent below what the building staffs on weekdays. That pattern matters more than the raw headcount, since gaps tend to show up when fewer people are watching. The tradeoff is stability: turnover sits at 29.2 percent, well under the 45.8 percent national figure, so the aides and nurses who are there tend to stay. Twenty-two deficiencies sit on the current record, none tied to harm, jeopardy, or abuse, and the last full inspection was in late 2023. Corporate-owned, 81 beds. Ask about weekend coverage and who actually answers the call light on a Sunday.

B

76.5/100

Oakhaven Nursing Center

Darlington, SC · Darlington County

CMS 5/5 88 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
31%
Serious cites
0

Oakhaven's numbers tell a mixed story, and the mix matters. Staffing sits just above the national average at 3.94 nurse hours per resident day, and a 30.9% turnover rate is meaningfully better than the 45.8% national figure, that kind of stability usually means residents see familiar faces. But weekend staffing drops about 23% below weekday levels, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The health inspection record is clean: one deficiency, none at harm level, none abuse-related, and the most recent inspection was December 2025. The weaker spot is quality measures, which sit well below the inspection and staffing ratings.

B

76.5/100

Chandler Creek Post Acute

Greer, SC · Greenville County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
30%
Serious cites
0

Chandler Creek runs about 16% below the national average on nurse staffing hours, and weekends drop roughly 17% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover is the bright spot: 30.4% against a national 45.8% suggests a more stable crew than most. What pulls the record down is the inspection history: 23 deficiencies, two at harm or jeopardy level and one tied to abuse, with the most recent survey in May 2025. A for-profit LLC operates the 133-bed home. Strong quality scores and steady staff don't erase that inspection record, ask specifically what changed since May.

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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