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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 3821–3840 of 10,187, best-graded first.

B

76/100

Club Healthcare And Rehabilitation Center At The V

The Villages, FL · Sumter County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
53%
Serious cites
0

Nurse staffing here runs about 4.33 hours per resident day, roughly 12% above the national average, and that's the strongest thing the home has going for it. The catch is consistency: weekends run about 12% lighter than weekdays, and annual turnover sits at 53.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is the weaker half of the picture, a 2-out-of-5 health inspection rating and 28 deficiencies, though none at the harm level and none abuse-related, with the most recent visit in January 2025. Quality measures score 4 out of 5. A for-profit limited liability company owns the 68-bed home.

B

76/100

Pruitthealth - Panama City

Panama City, FL · Bay County

CMS 4/5 101 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
50%
Serious cites
0

Pruitthealth - Panama City runs 101 certified beds under individual for-profit ownership, and its recent inspection history is genuinely solid, a 4/5 health inspection rating with seven total deficiencies, none at the harm or jeopardy level. The catch is staffing. At 3.68 nurse hours per resident day, it sits about 5% under the national average, weekend coverage drops roughly 14% below its own weekday level, and turnover runs 49.5% against a 45.8% national figure. One of those seven deficiencies is abuse-related. Quality measures also score 4/5, so the care being tracked looks fine on paper; the question is whether thin weekend staffing and steady turnover keep it that way, especially with an April 2025 inspection already behind it.

B

76/100

Apopka Health And Rehabilitation Center

Apopka, FL · Orange County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
48%
Serious cites
0

Apopka Health and Rehabilitation Center runs 180 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage drops about 8% below what the home staffs on weekdays, and annual turnover is 48.2%, a bit above the 45.8% national figure. The current inspection record shows 23 deficiencies, none at the harm or jeopardy level but one tied to abuse, with the most recent survey dated January 29, 2026. CMS rates its health inspections 3 out of 5 and its quality measures 4 out of 5, so the clinical picture reads steadier than the staffing and compliance numbers do.

B

76/100

Gracemore Nursing And Rehab

Brunswick, GA · Glynn County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
51%
Serious cites
0

Gracemore runs about 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends drop another 12% below its own weekday staffing. Annual turnover sits at 51.1%, higher than the 45.8% national figure, though the home's last inspection came back clean at the harm level, nine deficiencies on record, one tied to abuse, none causing jeopardy. Inspectors visited most recently in April 2026, and the health inspection rating reflects that. The company is a for-profit LLC with 60 certified beds. Families weighing this one should ask how the weekend coverage gap and turnover actually play out on the floor.

B

76/100

Lee County Health And Rehabilitation

Leesburg, GA · Lee County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
45%
Serious cites
0

Lee County Health and Rehabilitation runs about 3.49 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekends dip another 13% below its own weekday staffing. Turnover sits at 45.2%, essentially at the national average, and the home is nonprofit-owned with 60 certified beds. Its record shows 11 deficiencies, two of them serious enough to involve harm or jeopardy, along with two fines totaling $16,800; the most recent inspection was May 2025. The staffing star comes in at 4 out of 5 even though the raw hours fall short of the national figure, while inspection and quality measures each land at 3. The gap between that staffing rating and the actual hours is worth asking about directly.

B

76/100

Eagle Health & Rehabilitation

Statesboro, GA · Bulloch County

CMS 3/5 99 beds Non-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
49%
Serious cites
0

Eagle Health & Rehabilitation runs below the national average on nurse staffing, 3.45 hours per resident day against 3.86, and weekends drop roughly 15% below its own weekday levels, which is when families often notice. Turnover sits at 48.6%, a few points above the national figure, so the people providing that care change often. Inspections look better: 14 deficiencies on record, none at the harm level, though two are abuse-related, and the most recent visit was in April 2025. The staffing star comes in at 1 out of 5 while inspection sits at 4, which is the tension worth weighing if you're comparing this home to others in Bulloch County.

B

76/100

Northridge Health And Rehabilitation

Commerce, GA · Jackson County

CMS 4/5 167 beds Non-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
48%
Serious cites
0

Northridge Health and Rehabilitation runs 167 beds in Commerce under nonprofit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average of 3.86, and weekends dip about 8 percent below what the home manages on weekdays, worth knowing if your family tends to visit Saturday or Sunday. Staff turnover is 47.9 percent against a national 45.8, so a little higher than typical, though not dramatically. The inspection record is the strongest part: 17 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the last survey in July 2025. Quality and staffing each earned three stars; inspections earned four.

B

76/100

Gateway Transitional Care Center

Pocatello, ID · Bannock County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
50%
Serious cites
0

Gateway Transitional Care Center runs 88 certified beds in Pocatello under corporate for-profit ownership, and its inspection record carries 34 deficiencies, none flagged at the harm or jeopardy level, none abuse-related. Staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends run about 9% leaner than weekdays, with turnover at 50% against a national 45.8%. The 2/5 inspection rating pulls against a 5/5 on quality measures, which is worth asking about directly, quality scores often reflect what gets charted, while inspections reflect what surveyors found on the ground. Last inspection was July 24, 2025, so the record is recent. Ask about weekend coverage and how they hold onto aides.

B

76/100

Caldwell Care Of Cascadia

Caldwell, ID · Canyon County

CMS 1/5 68 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
47%
Serious cites
0

Caldwell Care Of Cascadia runs 68 certified beds under corporate ownership, and its staffing sits slightly under the national average at 3.77 nurse hours per resident day, a small gap that widens on weekends, when coverage drops about 12% below its own weekday level. Turnover is 47.3%, a bit above the national figure, which means familiar faces are not a given here. The inspection record is the heavier concern: 38 deficiencies on file, two tied to abuse, with the most recent inspection dated March 2026. Nothing on the current record rises to harm or jeopardy, which matters. Quality measures score well, but a one-star health inspection rating reflects what surveyors actually found.

B

76/100

Eagle Rock Health And Rehabilitation Of Cascadia

Idaho Falls, ID · Bonneville County

CMS 1/5 113 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Eagle Rock runs 3.67 nurse hours per resident day, about 5% under the national figure, and weekends drop roughly 12% below its own weekday staffing. Turnover sits at 42.6%, a bit better than the 45.8% national rate, but the bigger issue is the inspection record: a 1-out-of-5 health inspection rating, 35 deficiencies, one of them serious enough to involve harm or jeopardy, and an $8,018 fine. Quality and staffing measures both land at 3 out of 5, so the day-to-day care numbers look closer to average than the inspection history does. A for-profit limited liability company operates the 113-bed home, and its last inspection was April 2, 2026.

B

76/100

Macomb Post Acute Care Center

Macomb, IL · Mc Donough County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
35%
Serious cites
0

Macomb Post Acute Care Center runs 80 certified beds under for-profit LLC ownership. Its 3.81 nurse hours per resident day sit just under the national average of 3.86, and weekend staffing drops roughly 28% below its own weekday level, a gap families notice when they visit on Saturdays. Staff turnover of 34.5% is actually better than the 45.8% national figure, and the 4/5 inspection rating with no abuse deficiencies counts in its favor. But 30 total deficiencies, including 2 at the harm or jeopardy level, weigh against that. A recent April 2025 inspection means the record reflects current conditions rather than old ones.

B

76/100

Helia Healthcare Of Olney

Olney, IL · Richland County

CMS 3/5 118 beds For-profit Medicaid
Nurse hours
2.68 /day
Staff turnover
34%
Serious cites
0

Helia Healthcare of Olney runs about 2.68 nurse hours per resident per day, roughly a third below the national average of 3.86. That gap shows up in the staffing rating, and it's the main reason this home lands where it does despite solid marks elsewhere. Turnover sits at 33.9%, notably better than the 45.8% national figure, and weekend coverage actually holds slightly above weekday levels. Inspections are recent, from April 2025, with 19 deficiencies on record, including two at the harm level and one tied to abuse. The low staffing number is the thing to weigh hardest if you're comparing this home against others nearby.

B

76/100

Bella Terra Lombard

Lombard, IL · Du Page County

CMS 4/5 224 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
50%
Serious cites
0

Bella Terra Lombard runs 224 beds under corporate ownership, and its staffing is the weak spot: 3.40 nurse hours per resident day, about 12% under the national average, with weekends dipping roughly 6% below its own weekdays. Half the staff turned over in a year, higher than the 45.8% national figure. The inspection record shows 38 deficiencies, including one at the harm level and two tied to abuse, though the most recent inspection was June 2024. Quality measures score well, but that reflects charted care, not the hands available each shift.

B

76/100

Citadel At Casa Scalabrini

Northlake, IL · Cook County

CMS 3/5 229 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
40%
Serious cites
0

Citadel At Casa Scalabrini runs 229 beds in Northlake under individual for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, about 7% under the national average. Weekends dip roughly 9% below its own weekday numbers, so coverage thins exactly when families tend to visit. Turnover is 39.9%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. The inspection record is the harder part: 18 deficiencies, including one at the harm level and one tied to abuse, with the most recent state visit in March 2025. Quality measures score well; staffing and inspections are where the gaps show.

B

76/100

Aperion Care Niles

Niles, IL · Cook County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
30%
Serious cites
0

Aperion Care Niles runs a lean nursing floor for a 99-bed for-profit home, 2.80 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekdays. Turnover of 29.8% actually beats the national 45.8%, so the staff who are there tend to stay. Inspections are a different story: 20 deficiencies on record, four at harm or jeopardy level and three abuse-related, plus two fines totaling $25,464. The last inspection was March 5, 2025, so that record is recent. Strong quality scores and a 4-star inspection rating sit alongside thin daily staffing, worth asking how coverage holds up on a Saturday.

B

76/100

Alden Courts Of Shorewood

Shorewood, IL · Will County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
36%
Serious cites
0

Alden Courts of Shorewood runs 4.36 nurse hours per resident day, roughly 13% above the national average, and its staff turnover of 36.1% is meaningfully lower than the 45.8% national figure, two signs of a stable floor. The catch sits in the quality measures, where CMS scores it 1 out of 5, and in 11 deficiencies on record, one serious enough to involve harm or jeopardy. Weekend staffing dips about 7% below weekday levels. A recent inspection this past July and a clean record on abuse count for something, but the gap between how the place is staffed and how residents are actually faring is the thing to ask about.

B

76/100

Brickyard Healthcare - Valparaiso Care Center

Valparaiso, IN · Porter County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
37%
Serious cites
0

Brickyard Healthcare - Valparaiso Care Center runs 85 certified beds under corporate for-profit ownership, and its staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 12% below the home's own weekday numbers, so coverage thins out when families tend to visit. Turnover is 36.8%, better than the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record shows 14 deficiencies, none at harm or jeopardy level, but two tied to abuse, worth asking about directly. Its last inspection was July 2025, so the picture is recent.

B

76/100

North Woods Village

Kokomo, IN · Howard County

CMS 4/5 155 beds Government Medicaid
Nurse hours
3.37 /day
Staff turnover
33%
Serious cites
0

North Woods Village is county-owned, and its 155 beds are staffed thinner than most: 3.37 nurse hours per resident day against a national average of 3.86. Weekends run about 15% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover of 32.7% is better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The inspection record shows 13 deficiencies, including one at the harm level and two abuse-related, plus a $24,291 fine; the most recent inspection was March 2026. Quality measures score well, but staffing and inspection results are where the gaps sit.

B

76/100

Clinton Gardens

Clinton, IN · Vermillion County

CMS 4/5 100 beds Government Medicaid
Nurse hours
3.50 /day
Staff turnover
50%
Serious cites
0

Clinton Gardens is city/county-owned, and that shows up in the numbers in a couple of ways. The health inspection record is solid, 15 deficiencies on file, none of them at the harm level, and the most recent survey was in August 2025. Staffing is where it gets thinner: 3.50 nurse hours per resident day against a national average of 3.86, with weekends running about 14% below the home's own weekday coverage. Annual turnover sits at 50%, a bit above the 45.8% national figure. So you have a home that inspects cleanly but runs leaner than average on direct care, especially on weekends.

B

76/100

Brickyard Healthcare -Sycamore Village Care Center

Kokomo, IN · Howard County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
42%
Serious cites
0

Brickyard Healthcare - Sycamore Village runs 110 certified beds in Kokomo under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. That gap widens on weekends, when coverage drops about 15% below the home's own weekday level, so a Saturday shift is thinner than a Tuesday one. Staff turnover is 41.8%, a bit better than the 45.8% national figure, which suggests some stability. Inspections turned up 28 deficiencies, none at harm or jeopardy level but two tied to abuse; the most recent visit was January 2026. Quality measures score well; staffing and inspections are middling.

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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