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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 21 to 40 of 10,187, best-graded first.

A

99/100

Vi At La Jolla Village

San Diego, CA · San Diego County

CMS 5/560 bedsFor-profit
Nurse hours
5.24 /day
Staff turnover
26%
Serious cites
0

Vi At La Jolla Village runs a 60-bed for-profit operation in San Diego, and its staffing is the standout: 5.24 nurse hours per resident day, roughly 36% above the national average, with weekends dipping only about 8% below its own weekday level. Turnover sits at 25.6% against a national 45.8%, and the home holds 5-star marks on health inspections, quality measures, and staffing alike. The record isn't spotless, 15 deficiencies, two tied to abuse, but none rose to harm or jeopardy, and the most recent inspection closed in August 2025. For families weighing a smaller home with unusually steady nursing coverage, the numbers here are worth a closer look.

A

99/100

Glenbrook

Carlsbad, CA · San Diego County

CMS 5/594 bedsFor-profit
Nurse hours
5.23 /day
Staff turnover
31%
Serious cites
0

Glenbrook runs 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 30.9% against a national 45.8%, a meaningful difference when you consider how much continuity affects daily care. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record isn't clean: 24 deficiencies, one at the harm or jeopardy level, one abuse-related, and a $9,311 fine. Inspectors were last in during September 2025, so the picture is current. For-profit, LLC-owned, 94 beds.

A

99/100

Vi At Palo Alto

Palo Alto, CA · Santa Clara County

CMS 5/544 bedsFor-profit
Nurse hours
6.10 /day
Staff turnover
20%
Serious cites
0

Vi At Palo Alto runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, about 58% above the national average, and its staff tend to stay, with turnover at 20.3% against a national 45.8%. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The tradeoff shows up in its inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and the most recent inspection was January 2026. Ownership is for-profit through a limited liability company. The staffing and quality numbers are strong; the deficiency count is the piece to press them on.

A

99/100

Creekview Skilled Nursing

Pleasanton, CA · Alameda County

CMS 5/573 bedsFor-profit
Nurse hours
5.05 /day
Staff turnover
31%
Serious cites
0

Creekview runs about 5.05 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its staff turnover of 31.3% is well below the 45.8% national figure, a combination that usually shows up as consistent care rather than revolving faces. State inspectors visited in February 2025 and logged 12 deficiencies, none at the level of actual harm and none related to abuse, so what's on the record reads as paperwork and process issues rather than resident safety. Weekend coverage dips about 9% below weekdays, worth asking about if your family tends to visit Saturday or Sunday.

A

97.5/100

Vi At Silverstone, A Vi And Plaza Companies Commun

Scottsdale, AZ · Maricopa County

CMS 2/524 bedsFor-profit
Nurse hours
5.95 /day
Staff turnover
25%
Serious cites
0

Vi at Silverstone runs a small 24-bed operation in Scottsdale, and the numbers behind its record are mostly strong. Nurse staffing sits at 5.95 hours per resident day, roughly half again the national average, and weekend coverage only dips about 15% below weekdays, worth knowing, since weekend gaps are where a lot of homes slip. Staff turnover of 25% is well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoffs: five deficiencies on record, including one abuse-related citation, though none reached harm or jeopardy, and the last inspection came in March 2025. It's corporate-owned and for-profit, and the quality and staffing scores reflect a home that's performing well on paper.

A

97.5/100

St Augustine Home For The Aged

Indianapolis, IN · Marion County

CMS 5/523 bedsNon-profitMedicaid
Nurse hours
9.62 /day
Staff turnover
17%
Serious cites
0

St. Augustine Home for the Aged is a small nonprofit home in Indianapolis, just 23 certified beds, and its recent inspection history is mostly clean where it counts: 13 deficiencies on record, none of them causing harm or jeopardy, with the last survey completed in July 2025. Two abuse-related citations are worth asking about directly, since those tend to say more about staffing and supervision than paperwork does. The quality measure side is strong, and inspection results sit above average. Where this home gives ground is staffing, which is what holds its overall standing back despite solid clinical numbers. Ask about direct care hours per resident on evenings and weekends.

A

97.5/100

Helen Hayes Hospital R H C F

West Haverstraw, NY · Rockland County

CMS 5/525 bedsGovernmentMedicaid
Nurse hours
6.81 /day
Staff turnover
34%
Serious cites
0

Helen Hayes Hospital runs one of the strongest staffing pictures you'll find: 6.81 nurse hours per resident day, roughly 76% above the national average. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the floor stays high. Staff turnover sits at 34.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. The inspection record is clean, one deficiency total, none involving harm or abuse, and the most recent survey was in February 2025. Add state ownership and perfect marks on inspections, quality measures, and staffing, and there's very little here to push back on.

A

97/100

Valle Verde Health Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
26%
Serious cites
0

Valle Verde runs on a nonprofit model with 80 certified beds in Santa Barbara, and the staffing numbers are the first thing that stands out: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 25.7%, well under the national 45.8%. The home carries 22 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was January 2026. All three CMS star ratings, inspections, quality measures, staffing, come in at 5/5.

A

97/100

Petaluma Post-Acute Rehabilitation

Petaluma, CA · Sonoma County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
31%
Serious cites
0

Petaluma Post-Acute Rehabilitation runs 90 certified beds as a for-profit LLC, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.22 hours per resident day, roughly 9% above the national average, and weekend coverage dips only about 4% below its own weekday level, a small gap compared with what many homes show. Staff turnover is 31.4%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The home carries 16 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated December 19, 2025.

A

97/100

Willowbrooke Court Skilled Care Center - Edgewater

Boca Raton, FL · Palm Beach County

CMS 5/560 bedsNon-profit
Nurse hours
4.66 /day
Staff turnover
12%
Serious cites
0

Willowbrooke Court runs 4.66 nursing hours per resident per day, roughly 21% above the national average, and its weekend staffing barely dips, only about 4% below weekday levels, which is unusual. Staff turnover sits at 11.6% against a national average near 46%, meaning the people caring for residents tend to stay. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, with its most recent inspection in March 2025. It's a 60-bed nonprofit in Boca Raton, and the numbers point to steady, well-staffed care rather than anything flashy.

A

97/100

Accura Healthcare Of New Hampton

New Hampton, IA · Chickasaw County

CMS 4/552 bedsFor-profitMedicaid
Nurse hours
6.02 /day
Staff turnover
21%
Serious cites
0

Accura Healthcare of New Hampton runs on 6.02 nursing hours per resident day, roughly 56% above the national average, and its staff turnover sits at 21.4%, less than half the national rate. That stability matters more than any single inspection finding, since consistent caregivers tend to notice changes in a resident's condition sooner. The trade-off is a three-out-of-five on health inspections, with 18 deficiencies on record, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. The most recent inspection was July 31, 2025, so the picture is current. For-profit corporate ownership, 52 beds, and weekend staffing that dips about 5% below weekday levels, worth asking about if your visits fall on Saturdays or Sundays.

A

97/100

Riderwood Village

Silver Spring, MD · Prince Georges County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
19%
Serious cites
0

Riderwood Village sits in Silver Spring with 44 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing runs 5.37 hours per resident day, roughly 39% above the national average of 3.86, and annual turnover is 19.3% against a national 45.8%, meaning aides and nurses here tend to stay. Weekends dip about 14% below weekday coverage, worth asking about if your relative needs more help on Saturdays and Sundays. Eighteen deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in September 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 5 out of 5.

A

97/100

Residences At Vantage Point

Columbia, MD · Howard County

CMS 5/544 bedsNon-profit
Nurse hours
5.18 /day
Staff turnover
17%
Serious cites
0

Residences At Vantage Point runs 5.18 nurse hours per resident day, roughly a third more than the national average, and its weekend coverage dips only about 8% below weekdays, a smaller drop than many homes show. Staff turnover sits at 16.7%, well under the 45.8% national figure, which matters because consistent caregivers know the residents. The tradeoff is a longer deficiency record: 26 citations on file, four tied to abuse, though none reached the harm or jeopardy level. The last inspection was March 2026, so the picture is current. Quality and staffing measures both score at the top of CMS's scale, and the nonprofit corporation structure means no owner is extracting a profit margin.

A

97/100

Crosslands

Kennett Square, PA · Chester County

CMS 5/560 bedsNon-profit
Nurse hours
5.58 /day
Staff turnover
20%
Serious cites
0

Crosslands runs 60 certified beds as a nonprofit corporation, and the staffing numbers stand out: 5.58 total nurse hours per resident day against a national average of 3.86, roughly 44% higher. Weekend staffing dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Annual turnover sits at 20%, less than half the national figure of 45.8%, so the people caring for residents tend to stay. The record isn't spotless: eight deficiencies, one at the harm or jeopardy level and three flagged as abuse-related, plus a single fine of $12,735. A February 2026 inspection is recent.

A

97/100

Continuing Care At Maris Grove

Glen Mills, PA · Delaware County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
33%
Serious cites
0

Continuing Care at Maris Grove runs about five nurse hours per resident per day, roughly 29% above the national average, and weekend staffing dips only slightly below its weekday level. Staff turnover sits at 33.3%, well under the 45.8% national figure. Those are real strengths. What pulls the record down is the inspection history: 15 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus two fines totaling $22,737. The most recent inspection was in February 2026, so the picture is current. A nonprofit with strong staffing and low turnover can still carry a flawed survey record, and here that tension is the whole story.

A

97/100

The Preston Health Center

Hilton Head Island, SC · Beaufort County

CMS 5/562 bedsNon-profit
Nurse hours
6.41 /day
Staff turnover
21%
Serious cites
0

The Preston Health Center runs on 6.41 nurse hours per resident per day, roughly two and a half hours more than the typical American nursing home. Weekend coverage dips about 10% from its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 20.5%, less than half the national figure, so the people caring for residents tend to stay. The inspection record shows five deficiencies, one serious enough to involve harm or jeopardy, and one fine of $8,018. Its last inspection was in December 2025, so the picture is current.

A

97/100

Willow Brooke Court At Park Pointe Village

Rock Hill, SC · York County

CMS 5/520 bedsNon-profit
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Willow Brooke Court is small, 20 certified beds, and it's run by a nonprofit corporation, which tends to show up in staffing. Nurse hours per resident day land at 3.81, right about at the national average of 3.86, with weekend coverage only about 2% thinner than weekdays. That steadiness matters more than the headline number. Staff turnover is 28.1%, well under the national 45.8%, so the people caring for residents tend to stick around. Four deficiencies sit on the current record, none at the harm level and none abuse-related, and the most recent inspection was March 27, 2025. The low deficiency count and steady staffing are what's actually behind the numbers here.

A

97/100

George E. Wahlen Ogden Veterans Home

Ogden, UT · Weber County

CMS 4/5120 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
27%
Serious cites
0

Staffing is the strongest thing going for the George E. Wahlen Ogden Veterans Home, 5.05 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% below weekdays. Turnover sits at 26.7%, well under the 45.8% national figure, so the people caring for residents tend to stay. The trouble is on the inspection side. Twelve deficiencies on the current record, three of them serious enough to put residents at risk of harm, two tied to abuse, and a $12,363 fine, with the most recent inspection in August 2024. Strong daily care, but a survey history that a family should ask hard questions about.

A

97/100

Westminster At Lake Ridge

Lake Ridge, VA · Prince William County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
29%
Serious cites
0

Westminster At Lake Ridge runs 5.14 nurse hours per resident per day against a national average of 3.86, and its weekend staffing only dips about 9% below weekdays, a smaller drop than many homes show. Staff turnover of 28.8% sits well under the 45.8% national figure, which matters for consistency of care. But the inspection record isn't clean: 28 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,281. The last full inspection was June 2022, so that picture is now more than two years old. Strong staffing and quality numbers, a thinner margin on the inspection side.

A

97/100

Bradley Court

El Cajon, CA · San Diego County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
14%
Serious cites
0

Bradley Court runs lean on nurse hours, 3.16 per resident per day, roughly 18% under the national average, and weekends get about 10% less attention than weekdays. What offsets that is unusual stability: staff turnover sits at 13.5% against a national average near 46%, meaning the people who are there tend to stay. The 20 deficiencies on file include none at the harm level and none tied to abuse, and the most recent inspection was in March 2025. It's a for-profit LLC with 56 beds. Fewer hands, but consistent ones, and a clean recent record.

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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