ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 3861–3880 of 10,187, best-graded first.

B

76/100

The Village At Mission

Prairie Village, KS · Johnson County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
51%
Serious cites
0

The Village At Mission runs 4.00 nurse hours per resident day, a bit above the national average of 3.86, though weekends come in about 10% lighter than weekdays. Turnover sits at 51.2% against a national 45.8%, and the health inspection side is the weak spot here: a 2/5 star rating, 33 deficiencies on the current record, one at harm or jeopardy level, and a $22,925 fine. Quality measures score 4/5, so the clinical picture looks better than the inspection history. This is a for-profit LLC with 58 beds, last inspected October 2023, and the staffing edge is modest enough that the inspection findings carry real weight.

B

76/100

Riverview Health Care Center

Prestonsburg, KY · Floyd County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Riverview Health Care Center in Prestonsburg holds a clean inspection record, zero deficiencies, no harm-level findings, no abuse citations, with its most recent survey in November 2024. That's genuinely uncommon, and it's the strongest thing this home has going for it. The staffing picture is more mixed. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average, and weekends drop roughly 14 percent below its own weekday coverage. Turnover, though, runs at 39.1 percent against a national 45.8 percent, which suggests workers are staying longer than at the typical home. For-profit corporate ownership, a strong survey history, and thinner-than-average daily staffing, that combination is what you're weighing.

B

76/100

Lake Cumberland Regional Hospital Scu

Somerset, KY · Pulaski County

CMS 5/5 12 beds For-profit
Nurse hours
7.06 /day
Staff turnover
69%
Serious cites
0

Lake Cumberland Regional Hospital Scu is a small swing-bed unit inside a hospital, twelve beds total, run by a for-profit corporation. The nurse staffing number stands out right away: 7.06 hours per resident day, roughly 83% above the national average of 3.86, though weekends dip about 12% below the unit's own weekday level. Turnover is the catch, 69.4% of staff leave each year against a national average of 45.8%, which is a lot of churn for a twelve-bed unit. On inspections it looks clean: two deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was January 2025. Quality measures score lower than the inspection record suggests.

B

76/100

Harmony House Nursing And Rehabilitation Center, I

Shreveport, LA · Caddo County

CMS 5/5 115 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
47%
Serious cites
0

Harmony House in Shreveport runs a leaner floor than most: 3.48 nurse hours per resident day against a national 3.86, with weekends dipping about 11% below its own weekday pace. Turnover sits at 47%, a touch above the 45.8% national figure. The inspection record is genuinely strong, nine deficiencies, none at harm level, and a survey completed in October 2025. What pulls the picture down is the quality measure side, where the home rates 1 out of 5, despite solid marks for inspections and staffing. That split is worth asking about directly: good surveys and steady staffing, but the clinical outcome measures families actually feel aren't tracking the same way.

B

76/100

Cypress Point Nursing & Rehabilitation Center

Bossier City, LA · Bossier County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
48%
Serious cites
0

Cypress Point runs 142 certified beds in Bossier City under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 12% below the home's own weekday level, and annual turnover of 47.6% edges past the 45.8% national figure. The inspection record is the strongest part of the picture: a 4-star health inspection rating, last survey in July 2025, and 9 deficiencies with none at the harm level and nothing abuse-related. So you're looking at a home that inspects well but runs leaner than average on direct care, especially Saturdays and Sundays.

B

76/100

Arbor Lake Skilled Nursing & Rehabilitation

Farmerville, LA · Union County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
33%
Serious cites
0

Arbor Lake runs about 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends dip another 13 percent below its own weekday staffing. So the coverage is thinnest exactly when families tend to visit. Turnover sits at 33.3 percent, better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The 21 deficiencies on record include two tied to abuse, though none rose to the harm or jeopardy level. A health inspection in October 2025 is recent. The staffing and quality stars both come in at 2 out of 5. For-profit, limited liability ownership. Ask about weekend coverage and how those abuse-related findings were resolved.

B

76/100

Forest Haven Nursing & Rehab Ctr, Llc

Jonesboro, LA · Jackson County

CMS 4/5 139 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
52%
Serious cites
0

Forest Haven runs 139 certified beds in Jonesboro under corporate for-profit ownership. Nurse staffing sits at 3.80 hours per resident day, just under the national average of 3.86, and weekends drop about 14% below the home's own weekday coverage, worth asking about if your family visits or calls mostly on Saturdays and Sundays. Staff turnover is 51.8%, noticeably above the 45.8% national figure, which means aides and nurses cycle through faster than average. The inspection record shows 10 deficiencies, none at harm or jeopardy level, though one is abuse-related. A 3/5 on health inspections, quality measures, and staffing puts this home squarely in the middle. Nothing here screams danger, but the turnover and weekend dip are the two numbers I'd press the administrator on directly.

B

76/100

Sandy River Center

Farmington, ME · Franklin County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
46%
Serious cites
0

Sandy River Center runs 82 certified beds in Farmington under corporate for-profit ownership, and its staffing sits at 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 5% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 46.1%, essentially tracking the national 45.8%, which means the same churn pressures show up here as almost everywhere else. What stands out is the inspection record: 47 deficiencies, one serious enough to reach harm or jeopardy level, and a $14,069 fine, with the most recent survey completed in September 2025. No abuse citations appear on the current record.

B

76/100

Borderview Rehab & Living Ctr

Van Buren, ME · Aroostook County

CMS 5/5 27 beds For-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
57%
Serious cites
0

Borderview runs a high-staffing operation for a 27-bed home, 5.32 nurse hours per resident day, well above the national average, and its most recent inspection in May 2025 came back clean at the harm level, with no abuse citations among its 14 deficiencies. That staffing edge has a soft spot, though: weekends run about 12 percent leaner than weekdays, and 57.4 percent annual turnover means the people delivering those hours keep changing. The quality measure score sits at 2 out of 5, which is worth asking about directly, since it reflects how residents are actually doing day to day, not how many staff are scheduled.

B

76/100

Maine Veterans Home - Bangor

Bangor, ME · Penobscot County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
46%
Serious cites
0

Maine Veterans Home in Bangor runs 120 certified beds and puts 5.13 nursing hours behind each resident per day, roughly a third more than the national average of 3.86. That's real coverage, though weekends dip about 14% below the home's own weekday levels, so the floor is thinner on Saturdays and Sundays. Staff turnover sits at 45.9%, essentially identical to the national rate, so retention isn't the problem here. The trouble is everything else: 38 deficiencies, two at harm or jeopardy level, four tied to abuse, and $74,698 in fines. The most recent inspection closed in August 2025. Good staffing is doing a lot of work holding this one up.

B

76/100

Hammonds Lane Center

Brooklyn Park, MD · Anne Arundel County

CMS 3/5 113 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
37%
Serious cites
0

Hammonds Lane Center runs 113 certified beds in Brooklyn Park under individual for-profit ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends drop about 7% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 36.8% against a national 45.8%. The inspection record is the caution flag, 60 deficiencies, including one at harm or jeopardy level and four tied to abuse, with the most recent inspection in August 2025. Quality measures score well; staffing and health inspections are middling.

B

76/100

Good Samaritan Nursing Home Operator, Llc

Baltimore, MD · Baltimore City County

CMS 4/5 146 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
53%
Serious cites
0

Good Samaritan Nursing Home, LLC runs 146 beds in Baltimore under for-profit LLC ownership, and its inspection record is fresher than most, last surveyed in May 2025, with a 4-out-of-5 health inspection rating. The catch is staffing. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends run roughly 9% thinner than its own weekdays, so coverage depends on when you visit. Annual turnover of 53.1% is well above the 45.8% national figure, which means aides and nurses cycle through faster than average. Forty-six deficiencies sit on the current record, two of them abuse-related, though none rose to harm or jeopardy level.

B

76/100

Crescent Cities Nursing & Rehabilitation Center

Riverdale, MD · Prince Georges County

CMS 3/5 158 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
32%
Serious cites
0

Crescent Cities runs 158 certified beds in Riverdale under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 8% below the home's own weekday level. One thing genuinely works in its favor: turnover is 31.6%, well below the 45.8% national average, which suggests a more stable crew than many places. The record is where the concern sits. Fifty-four deficiencies, including four abuse-related and one at harm or jeopardy level, with a $16,801 fine. The most recent inspection was March 2026, so the picture is current.

B

76/100

Sligo Creek Healthcare

Takoma Park, MD · Montgomery County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
36%
Serious cites
0

Sligo Creek Healthcare runs 102 beds in Takoma Park under corporate ownership, and its staffing sits at 3.40 nurse hours per resident day, roughly 12 percent under the national average, with weekends running about 7 percent thinner than weekdays. That thinner coverage matters when you consider the inspection record: 42 deficiencies, including one at the harm level and one tied to abuse, which helps explain the below-average health inspection rating despite a perfect quality measure score. Turnover is the one figure that beats the norm, at 35.6 percent against 45.8 nationally, so staff tend to stay longer here than elsewhere. The last inspection was February 2025, and fines total $12,740.

B

76/100

Future Care Pineview

Clinton, MD · Prince Georges County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
39%
Serious cites
0

Future Care Pineview runs 180 certified beds in Clinton, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. That margin narrows on weekends, which run about 11% lighter than the home's own weekdays, so the coverage families see on a Saturday isn't quite what the weekday numbers suggest. Staff turnover of 39.2% is better than the 45.8% national figure, and there are no deficiencies at the harm or jeopardy level on the current record, though 35 total deficiencies and three abuse-related citations are worth asking about directly.

B

76/100

Lorien Nsg & Rehab Ctr Belair

Bel Air, MD · Harford County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
49%
Serious cites
0

Lorien Nsg & Rehab Ctr Belair runs 120 beds in Bel Air under corporate ownership, and its strongest suit is boots on the floor: 4.11 nurse hours per resident day, roughly 7% above the national average, which is why staffing scored well. Weekends dip about 8% below weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 49.4% against a 45.8% national rate, meaning nearly half the nursing staff leaves each year. Inspections in January 2026 turned up a 4/5 star result, yet the current record carries 53 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Quality measures lag at 2/5.

B

76/100

Linda Manor Extended Care Facility

Leeds, MA · Hampshire County

CMS 3/5 123 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
52%
Serious cites
0

Linda Manor runs a nonprofit shop with 123 beds in Leeds, and the staffing numbers are the strongest part of the picture: 3.94 nurse hours per resident day, just ahead of the national average. That margin narrows on weekends, when coverage drops roughly 13% below what the home staffs during the week, worth asking about if your family visits Saturday or Sunday. Annual turnover sits at 52.4%, above the 45.8% national figure, so aides and nurses are cycling through faster than average. Inspections in September 2025 turned up 28 deficiencies, two serious enough to involve harm, plus one fine under $9,000.

B

76/100

Catholic Memorial Home

Fall River, MA · Bristol County

CMS 2/5 300 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
30%
Serious cites
0

Catholic Memorial Home runs 300 beds in Fall River under church-affiliated nonprofit ownership, and its nurse staffing sits at 4.28 hours per resident day, about 11% above the national average, while annual turnover of 29.6% lands well below the 45.8% national figure, meaning the people who work here tend to stay. Weekends dip roughly 5% below weekday coverage. Those are real strengths, and they're why the staffing rating comes in at 4 out of 5. But the inspection record is where the picture darkens: 42 deficiencies logged, five of them serious enough to involve harm or jeopardy, eight tied to abuse, and two fines totaling $94,419. State inspectors last visited in April 2025 for a reason.

B

76/100

Royal Norwell Nursing & Rehabilitation Center Llc

Norwell, MA · Plymouth County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
54%
Serious cites
0

Royal Norwell runs 86 beds under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, with weekends roughly 10% thinner than its own weekdays. That gap matters because coverage is when families aren't watching. Staff turnover is 53.8% against a 45.8% national average, meaning more than half the nursing staff leaves each year, and the record shows 44 deficiencies, including 6 at harm or jeopardy level and 6 tied to abuse, plus two fines totaling $114,868. The last inspection was recent, November 2025, and the quality measure score runs higher than the inspection and staffing scores. Ask about weekend coverage and turnover directly.

B

76/100

Fountain View Of Monroe

Monroe, MI · Monroe County

CMS 5/5 119 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
38%
Serious cites
0

Fountain View Of Monroe runs a tight ship on inspections, a five-star health inspection rating and only seven deficiencies on record, none of them at the harm or jeopardy level. One abuse-related citation is worth asking about directly. Staffing is the softer spot: 3.56 nurse hours per resident day sits about 8% under the national average, and weekends dip roughly 7% below the home's own weekday coverage, which matters if your family visits on Saturdays. Turnover at 37.7% actually beats the national 45.8%, so the team is more stable than most. The corporate for-profit owner keeps 119 beds full when it can. Ask about weekend nurse coverage and that abuse citation.

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.

Before you shortlist