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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 3921–3940 of 10,187, best-graded first.

B

76/100

Anchor Care And Rehabilitation Center

Hazlet, NJ · Monmouth County

CMS 4/5 170 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
50%
Serious cites
0

Anchor Care and Rehabilitation Center in Hazlet runs 170 certified beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, last surveyed in June 2025, with 18 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Staffing is where it thins out. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 8% below its own weekday coverage. Annual turnover of 50.3% runs above the 45.8% national figure. For a family weighing a placement, the question is whether the solid survey history outweighs thinner daily coverage.

B

76/100

Autumn Lake Healthcare At Old Bridge

Old Bridge, NJ · Middlesex County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
59%
Serious cites
0

Autumn Lake Healthcare At Old Bridge runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage holds steady with no drop from weekday levels, which matters, but annual turnover of 59.4% is well above the 45.8% national figure, meaning caregivers are cycling through faster than average. The current record shows 20 deficiencies, none at the harm or jeopardy level, with one abuse-related citation; the most recent inspection was February 2026. Quality measures score well, though the staffing and inspection ratings both land mid-range.

B

76/100

Advanced Health Care Of Albuquerque

Albuquerque, NM · Bernalillo County

CMS 5/5 47 beds For-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
50%
Serious cites
0

Advanced Health Care of Albuquerque runs about 4.84 nurse hours per resident day, roughly a quarter above the national average, and it's a for-profit LLC with 47 beds. Weekends drop about 14% below its own weekday staffing, and turnover sits at 50% against a national 45.8%. The quality measure score is perfect and the last inspection was recent, in March 2025, so the day-to-day care picture looks strong on paper. What drags it down is the record: 17 deficiencies, four of them at harm or jeopardy level, plus three fines totaling $39,880. That combination of high staffing and a troubled inspection history is what's worth weighing.

B

76/100

Workmen's Circle Multicare Center

Bronx, NY · Bronx County

CMS 5/5 524 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
37%
Serious cites
0

Workmens Circle Multicare Center runs 524 beds in the Bronx under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating and just eight deficiencies on file, with a recent inspection in April 2025. The catch is in the one harm-level deficiency and three abuse-related citations, which matter more than the total count suggests. Staffing tells a mixed story too: 3.41 nurse hours per resident day sits about 12% under the national average, and weekends dip another 8% below its own weekday levels. Turnover at 36.7% actually beats the 45.8% national figure, so this isn't a retention crisis, it's a question of whether enough hands are scheduled on any given shift.

B

76/100

Morningside Nursing And Rehabilitation Center

Bronx, NY · Bronx County

CMS 4/5 386 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
52%
Serious cites
0

Morningside runs 386 beds in the Bronx under corporate ownership, and the staffing numbers are where I'd start. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 7 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 52.3 percent tops the national figure, which means the aides and nurses caring for residents are often new to the building. The last inspection was April 2024, and the record shows 22 deficiencies, including two tied to abuse, though none rose to harm or jeopardy. Its quality measures look strong; its inspection and staffing ratings don't.

B

76/100

Eden Rehabilitation Nursing Center

Eden, NY · Erie County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
47%
Serious cites
0

Eden Rehabilitation Nursing Center is a 40-bed for-profit home in Erie County, and its inspection record is the strongest thing it has going: a recent January 2026 survey, six total deficiencies, none at the harm or jeopardy level. But staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average, and weekends run about 10% thinner than weekdays there. Turnover is 46.9%, slightly above the national rate. Two abuse-related deficiencies also sit on the current record. Quality measures rate poorly against the strong inspection score, which is worth asking about directly.

B

76/100

Hamilton Manor Nursing Home

Rochester, NY · Monroe County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
51%
Serious cites
0

Hamilton Manor runs a tight ship on inspections, nine deficiencies on record, none rising to harm or jeopardy, and the state was last in the building in June 2025. But look at the day-to-day numbers and a different picture shows up. Nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and weekends drop about 10% below the home's own weekday levels. With 51.2% annual turnover, that thin coverage gets harder to hold steady. This is a for-profit corporate home with 40 beds, so there's less slack when someone calls out. The inspection record says the place is run carefully; the staffing data says it's running lean.

B

76/100

Seton Health At Schuyler Ridge Residential H C

Clifton Park, NY · Saratoga County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
49%
Serious cites
0

Seton Health at Schuyler Ridge runs a nonprofit home with 120 beds in Clifton Park, and its staffing numbers are the strongest thing it has going: 3.92 nurse hours per resident day, just above the national average, with a 4-out-of-5 staffing rating to match. But look past the hours and the picture gets complicated. Weekend coverage drops about 12% below weekday levels, turnover sits at 48.7% against a national 45.8%, and the inspection history is thin, a 1-out-of-5 health inspection rating, 24 deficiencies on record including 6 tied to abuse, though none reached harm or jeopardy. The most recent inspection was in March 2025, so that record is current.

B

76/100

Pine Ridge Health And Rehabilitation Center

Thomasville, NC · Davidson County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
69%
Serious cites
0

Pine Ridge runs a 140-bed for-profit home in Thomasville, and the staffing numbers cut both ways. At 4.40 nurse hours per resident day, it's running about 14% above the national average, and weekends only dip about 7% below its own weekday pace, a smaller drop than a lot of places manage. But that same staff is turning over at 69.4% a year, well past the 45.8% national figure, and 17 deficiencies sit on the current record, though none at harm or jeopardy level and none abuse-related. The last inspection was in June 2025, so the picture is recent, and the quality measure score holds up better than the health inspection one.

B

76/100

The Greens At Weaverville

Weaverville, NC · Buncombe County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
67%
Serious cites
0

The Greens At Weaverville runs 122 beds under for-profit LLC ownership, and its inspection record is the strong point here: 11 deficiencies on file, none rising to harm or jeopardy, none abuse-related, and a survey completed as recently as July 2025. The staffing picture is weaker. At 3.59 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday coverage. Turnover is the number worth sitting with, 66.9% against a 45.8% national average means most of the aides and nurses caring for your family member are relatively new to the building. Ask how they hold weekday staffing steady into Saturday and Sunday.

B

76/100

Kindred Hospital East Greensboro

Greensboro, NC · Guilford County

CMS 3/5 23 beds For-profit Medicaid
Nurse hours
6.77 /day
Staff turnover
37%
Serious cites
0

Kindred Hospital East Greensboro runs a small operation, 23 certified beds under corporate ownership, and the staffing numbers are unusual. At 6.77 nurse hours per resident day, it's roughly 75% above the national average, though weekend coverage dips about 8% below its own weekday level. Turnover sits at 36.7%, better than the 45.8% national figure. The tradeoff shows up in oversight: 14 deficiencies on the current record, two tied to abuse, with no harm-level findings, and the last inspection was recent. CMS rates staffing 2 out of 5 stars despite the high hours, which suggests the agency weighs weekend gaps and case mix differently than raw totals do.

B

76/100

Clay County Health And Rehabilitation

Hayesville, NC · Clay County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
49%
Serious cites
0

Clay County Health and Rehabilitation runs on 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday levels. That thinner weekend schedule matters because staffing is what families actually feel day to day. Annual turnover sits at 49.4%, a few points above the national 45.8%, so the people providing care change fairly often. The current inspection record shows 17 deficiencies, though none at the harm or jeopardy level and none abuse-related, and the last inspection was May 1, 2026. With 90 certified beds under for-profit corporate ownership, this is a home that isn't failing outright but runs lean.

B

76/100

Clifton Healthcare Center

Cincinnati, OH · Hamilton County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
26%
Serious cites
0

Clifton Healthcare Center runs 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thin coverage sits behind a 2-out-of-5 staffing rating even though the home scores 5 out of 5 on quality measures, a split worth asking about directly. Turnover is the bright spot: 25.9% against a national 45.8%, meaning the aides and nurses who are there tend to stay. Twenty-three deficiencies appear on the current record, none at harm level, one abuse-related, and the last inspection was April 2026. If you tour, ask how the weekend shift is actually covered.

B

76/100

Southbrook Healthcare Center

Springfield, OH · Clark County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
31%
Serious cites
0

Southbrook runs lean on nurse staffing, 3.15 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekdays. That thin coverage shows up in the inspection record: 35 deficiencies, including two at the harm level and four abuse-related, and a 2/5 health inspection rating. The 5/5 quality measure score reflects how well the home documents resident care items, but it sits alongside a 2/5 staffing rating, so the two don't tell the same story. Turnover at 31% is actually better than the 45.8% national figure, which matters for consistency of care. The most recent inspection was May 2025.

B

76/100

Arbors West

West Jefferson, OH · Madison County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
53%
Serious cites
0

Arbors West runs 94 certified beds as a for-profit corporation, and its staffing sits about 11% under the national average, 3.43 nurse hours per resident day against 3.86 nationally. Weekends thin out further, roughly 14% below what the home staffs on weekdays, and turnover runs 52.7% against a national 45.8%. Inspections tell a mixed story: 42 deficiencies on record, none at harm or jeopardy level, one abuse-related, with the most recent inspection in March 2025. Quality measures score well, but health inspection results land at 2 out of 5. The picture is a home that charts decent clinical outcomes while running lean on the floor and cycling through staff.

B

76/100

Evergreen Healthcare Center

Montpelier, OH · Williams County

CMS 3/5 69 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
47%
Serious cites
0

Evergreen Healthcare Center runs on 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekend staffing drops about another 10% below its own weekday level. That thinner coverage shows up in the inspection record too: 27 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Staff turnover sits at 46.5%, essentially matching the national rate, so this isn't a retention crisis so much as a steady churn. The corporate owner, the recent April 2026 inspection, and a 4/5 quality measure score are the brighter spots. If you're weighing this one, ask directly how weekends and evenings are covered.

B

76/100

Arbors At Oregon

Oregon, OH · Lucas County

CMS 3/5 87 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
46%
Serious cites
0

Arbors At Oregon runs about 4.25 nurse hours per resident day, roughly 10% above the national average of 3.86, but weekend coverage drops about 15% below its own weekday level, so the staffing cushion thins out when families tend to visit. The inspection record is the harder problem: 47 deficiencies, three at harm or jeopardy level and two abuse-related, with $36,224 in fines and a one-star health inspection rating, though the last inspection was August 2024. Staff turnover sits at 45.6%, essentially the national average. Quality measures score five stars while health inspections score one, that gap is worth asking about directly, since it usually means the daily care numbers look better on paper than the surveyor findings suggest.

B

76/100

Carecore At Minster

Minster, OH · Auglaize County

CMS 3/5 83 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
27%
Serious cites
0

Carecore At Minster runs a fairly well-staffed building, 4.45 nurse hours per resident day sits about 15% above the national average, and a 26.5% turnover rate is well below the typical 45.8%, which matters because consistent caregivers tend to know residents better. The catch is on the inspection side: a 2-out-of-5 health inspection rating, 29 deficiencies on record, including two at the harm level and two tied to abuse, plus a $28,743 fine. Staffing and quality measures look strong on paper, but the last inspection in September 2025 still turned up real problems.

B

76/100

Lake Pointe Health Care

Lorain, OH · Lorain County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
34%
Serious cites
0

Lake Pointe runs lean on the floor: 3.11 nurse hours per resident day sits about 20% under the national figure of 3.86, and weekends dip roughly 7% below its own weekday staffing. Turnover is the exception, 33.8% is meaningfully better than the 45.8% national rate, suggesting people stay. The inspection record is mixed: 4 of 5 stars for health inspections and a perfect quality-measure score, but 20 deficiencies on file, including one at the harm level and two tied to abuse. One fine totaling $8,021. The last visit was October 2024, so that record is reasonably current.

B

76/100

Country View Of Sunbury

Sunbury, OH · Delaware County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
41%
Serious cites
0

Country View Of Sunbury runs a tight ship on inspections, a five-star health inspection record with just nine deficiencies on the books and none at the harm or jeopardy level. The last survey was in June 2025, so the picture is current. Where it gives some ground is staffing: 3.66 nurse hours per resident day sits about 5% under the national average, and weekends dip roughly 9% below the home's own weekday coverage. Turnover is 40.6%, which sounds high but actually beats the 45.8% national figure. So you're looking at a home that's clean on care quality and inspections, with staffing that's slightly thin and a weekend gap worth asking about directly.

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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