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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 361 to 380 of 10,187, best-graded first.

A

90.5/100

Heather Manor Nursing And Rehabilitation Center

Hope, AR · Hempstead County

CMS 5/5128 bedsFor-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
30%
Serious cites
0

Heather Manor runs on more nursing hours than most homes in the country, 4.51 per resident day against a national average of 3.86, and its staff turnover of 29.5% sits well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off is a thinner weekend crew, roughly 16% below weekday levels, and 22 deficiencies on the current record, though none reached harm or jeopardy and none involved abuse. Inspectors were last in on February 6, 2025. The quality measure score is perfect and staffing scores well, while the health inspection result is middling, a home that looks strong on care delivery and weaker on the paperwork and process side.

A

90.5/100

Greystone Nursing And Rehab, Llc

Cabot, AR · Lonoke County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
43%
Serious cites
0

Greystone in Cabot runs on unusually heavy staffing for Arkansas, 5.15 nurse hours per resident day, about a third more than the national average, though weekends dip roughly 20% below its own weekday level. Turnover sits at 43%, slightly better than the 45.8% national figure. On inspections, the record is clean where it matters: six deficiencies total, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in November 2025. The trade-off is that this is a for-profit limited liability company, a structure that tends to prioritize margin, but the numbers here don't show the usual shortcuts.

A

90.5/100

St Paul's Towers

Oakland, CA · Alameda County

CMS 5/543 bedsNon-profit
Nurse hours
4.22 /day
Staff turnover
23%
Serious cites
0

St. Paul's Towers runs on 4.22 nurse hours per resident per day, roughly 9% above the national average, and its weekend staffing dips about 15% below its own weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The turnover number is the standout: 23.3% against a national average of 45.8%, meaning far fewer caregivers cycle through than at the typical home. Twenty deficiencies sit on the current record, but none at the harm level and none abuse-related, with the last inspection in September 2024. As a nonprofit, it has no shareholder pressure driving census or cost decisions.

A

90.5/100

Summerfield Health Care Center

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
35%
Serious cites
0

Summerfield runs leaner than most places on turnover, and that matters more than any single inspection score. About a third of its staff leaves each year, well under the national rate, which usually means residents see the same faces instead of a rotating cast. Nurse staffing sits about 15% above the national average, though weekends run roughly 16% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is clean where it counts: 19 deficiencies on file, none at the harm level, nothing abuse-related, and a single fine just over $3,100. The last inspection was September 2025, so the picture is current. It's a for-profit LLC with 70 beds.

A

90.5/100

Fonda Specialty Care

Fonda, IA · Pocahontas County

CMS 5/546 bedsNon-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Fonda Specialty Care runs leaner on nurse hours than the national average, about 3.33 per resident day, roughly 14% under, and weekends dip about 16% below its own weekday coverage, so staffing thinness is real, not a rounding error. What offsets it: turnover at 23.1% sits well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay, which matters more for daily consistency than raw headcount. The 14 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the last inspection was in March 2026.

A

90.5/100

Edgewood Convalescent Home

Edgewood, IA · Clayton County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
29%
Serious cites
0

Edgewood Convalescent Home holds 56 certified beds in Clayton County and is run by a for-profit corporation. Its recent inspection history is clean: three deficiencies on record, none at the harm or jeopardy level and none tied to abuse, with a survey completed in September 2025. Staff turnover sits at 29.4 percent, comfortably under the national 45.8 percent, which suggests people tend to stay. The trade-off is raw staffing volume, 3.39 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage. Those weekend gaps are worth asking about directly.

A

90.5/100

Sibley Specialty Care

Sibley, IA · Osceola County

CMS 5/546 bedsNon-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
27%
Serious cites
0

Sibley Specialty Care runs 46 beds as a nonprofit, and the numbers that stand out most are on the workforce side: staff turnover of 27% sits well under the national 45.8% average, which suggests people tend to stay. Daily nurse staffing of 3.40 hours per resident is about 12% under the national figure, though, and weekends run roughly 16% lighter than weekdays, so coverage isn't uniform. Ten deficiencies appear on the current record, two tied to abuse and none at the harm level, with the most recent inspection in May 2025. The quality and staffing ratings are both strong; inspections are the softer spot.

A

90.5/100

Old Brownlee Community Care Center

Bossier City, LA · Bossier County

CMS 5/589 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
40%
Serious cites
0

Old Brownlee runs on 4.78 nurse hours per resident day, about a quarter more staffing than the typical American nursing home. That cushion matters less on weekends, when hours drop roughly 18% below the weekday pace, worth asking about if your family visits then. Staff turnover sits at 39.8%, better than the 45.8% national figure but still meaning four in ten caregivers left within a year. The record shows eight deficiencies, none causing harm, though two involve abuse, which you should ask about directly. A July 2025 inspection and 4s and 5s across the federal star ratings round out a nonprofit home performing above average.

A

90.5/100

Medilodge Of Port Huron

Fort Gratiot, MI · St. Clair County

CMS 5/5127 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
23%
Serious cites
0

Medilodge of Port Huron runs on 4.04 nurse hours per resident day, a bit above the national average of 3.86, and its staff turnover of 22.9% is roughly half the national rate, a real signal that people tend to stay. Weekends get about 20% less staffing than weekdays, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The 14 deficiencies on record include one abuse-related finding, though none rose to the level of actual harm or jeopardy, and the most recent inspection was in May 2025.

A

90.5/100

Intersect Healthcare Of Roscommon

Roscommon, MI · Roscommon County

CMS 5/539 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
29%
Serious cites
0

Mission Point in Roscommon runs 3.97 nurse hours per resident day, a bit above the national average of 3.86, and its weekend staffing stays within about 20% of weekday levels, which is a narrower gap than many homes manage. Staff turnover of 28.6% sits well below the national 45.8%, so the people caring for residents tend to stick around. Inspections tell a similar story: 16 deficiencies on record, but none at the harm or jeopardy level and none abuse-related, with the most recent visit in March 2026. For-profit corporate ownership is the one caveat worth noting. The numbers here are quiet, consistent, and mostly on the right side of average.

A

90.5/100

The Willows At East Lansing

East Lansing, MI · Clinton County

CMS 5/565 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
30%
Serious cites
0

The Willows At East Lansing runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially dead even with the national average, not above it. Weekends drop about 16% below the home's own weekday coverage, so care thins out when families tend to visit. Staff turnover is 30%, which is meaningfully better than the 45.8% national rate and suggests workers are staying. The current record shows 30 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026.

A

90.5/100

Highland Park Care Center

Alliance, NE · Box Butte County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
16%
Serious cites
0

Highland Park Care Center runs 4.79 nurse hours per resident each day, roughly a quarter above the national average, and its staff tends to stay, turnover of 15.5% against a national figure near 46%. Weekend coverage dips about 16% below weekday levels, which is common but still worth asking about, since that's when families often visit and when problems can surface. The home's nine deficiencies include one abuse-related finding, though none rose to the level of harm or immediate jeopardy, and its last inspection was in August 2025. As a nonprofit with 60 beds, it's small enough that you can reasonably expect to know the administrator by name.

A

90.5/100

Advanced Health Care Of Las Vegas

Las Vegas, NV · Clark County

CMS 5/538 bedsFor-profitMedicaid
Nurse hours
5.94 /day
Staff turnover
21%
Serious cites
0

Advanced Health Care of Las Vegas runs on unusually heavy staffing for a 38-bed for-profit: 5.94 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping roughly 20% below its own weekday level. Turnover sits at 21.4% against a 45.8% national figure, so the same caregivers tend to stay. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the most recent inspection closed in January 2026. Small size plus low turnover plus no harm-level findings is a combination that tends to hold up between surveys.

A

90.5/100

Advanced Health Care Of Paradise

Las Vegas, NV · Clark County

CMS 5/538 bedsFor-profit
Nurse hours
6.11 /day
Staff turnover
29%
Serious cites
0

Advanced Health Care of Paradise runs 6.11 nurse hours per resident day, roughly 58% above the national average of 3.86, that's real coverage, though weekends dip about 18% below its own weekday pace, so don't expect the same rhythm on a Saturday. Staff turnover sits at 29.2%, well under the 45.8% national figure, which matters because consistent caregivers know the residents. The record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026. It's a small for-profit LLC home with 38 beds, and the numbers behind its grade point to steady staffing and a clean harm record rather than anything flashy.

A

90.5/100

Crestview Retirement Community

Bryan, TX · Brazos County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
10%
Serious cites
0

Crestview runs on nonprofit ownership in Bryan, and the numbers behind its A grade start with staff who stay. Annual turnover of 10% is remarkably low next to the 45.8% national figure, and total nurse staffing of 4.29 hours per resident day sits about 11% above the national average. The catch is weekends, when coverage drops roughly 18% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Eight deficiencies on record, one at the harm level, none abuse-related, with the most recent inspection in August 2025.

A

90/100

Sun West Choice Healthcare & Rehab

Sun City West, AZ · Maricopa County

CMS 5/5140 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
34%
Serious cites
0

Sun West Choice runs leaner on nursing hours than the typical U.S. home, 3.61 per resident day against a national average of 3.86, and weekends dip roughly 12% below what the building staffs Monday through Friday. The trade-off shows up in its turnover number: 34.4% annually, well under the 45.8% national figure, which is real stability you don't always see in a 140-bed for-profit. Inspections tell a mixed story. The last visit was September 2024, and the record carries 15 deficiencies, including one at the harm level and two tied to abuse. One fine, $4,838, has been levied. Strong quality and staffing stars sit alongside those findings, so read the inspection detail rather than the summary ratings.

A

90/100

Haven Of Douglas

Douglas, AZ · Cochise County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Haven Of Douglas runs lean on direct care, 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 14% below its own weekday staffing. What stands out in the other direction is retention: 23.1% turnover against a national average near 46% means the aides and nurses here tend to stay, which matters more for daily consistency than a single staffing snapshot. The record shows 15 deficiencies, none at harm or jeopardy level, though three are abuse-related and worth asking about specifically. Ownership is a for-profit LLC, and the most recent inspection was August 2025. Families should ask how weekend coverage is actually filled.

A

90/100

Lake Village Rehabilitation And Care Center

Lake Village, AR · Chicot County

CMS 3/582 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
32%
Serious cites
0

Lake Village runs 3.71 nurse hours per resident day, a bit under the national average, and weekends drop about 8% below its own weekday coverage. That's the kind of gap that matters most when families visit Saturday and Sunday. Turnover is 31.7%, well below the national 45.8%, so the aides and nurses here tend to stay. The trade-off shows in inspections: 13 deficiencies on the current record, one at harm level, and a 2/5 health inspection rating from CMS, though quality measures score 5/5. Last inspection was March 2026.

A

90/100

Nightingale At Glenwood

Glenwood, AR · Pike County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
22%
Serious cites
0

Nightingale At Glenwood runs a tight ship on inspections, five deficiencies on its current record, none of them at the harm level and none related to abuse, with the most recent visit in December 2025. Staff turnover sits at 21.6%, roughly half the national rate, which is unusual for a for-profit corporate home and suggests people stick around. The tradeoff is raw hours: 3.45 nurse staffing hours per resident day lands about 11% under the national average, and weekends dip another 12% below the home's own weekday coverage. The clinical quality measures come in middle-of-the-road. Clean record, stable crew, thinner coverage than most, worth asking how afternoons and Sundays actually feel.

A

90/100

The Terraces At Los Altos Health Facility

Los Altos, CA · Santa Clara County

CMS 4/530 bedsNon-profit
Nurse hours
5.45 /day
Staff turnover
47%
Serious cites
0

Nurse staffing at The Terraces at Los Altos runs about 41 percent above the national average, 5.45 hours per resident day, and that shows up in a five-star staffing rating. The catch is weekends, when hours drop roughly 14 percent below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 47.1 percent, slightly worse than the national 45.8, and inspectors have logged 38 deficiencies, two tied to abuse, though none at the harm or jeopardy level and the last full inspection was recent, in August 2025. For 30 beds, that's a lot of regulatory paperwork for a small home.

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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