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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 4021–4040 of 10,187, best-graded first.

B

75.5/100

Aviata At The Harbor

Safety Harbor, FL · Pinellas County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
—
Serious cites
0

Aviata At The Harbor runs 120 certified beds in Safety Harbor under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below its own weekday levels, which matters when families visit and needs don't pause. The 25 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and the last inspection was August 2024. What stands out is the split: the 5/5 quality measure score looks strong, but a 2/5 inspection rating and 1/5 staffing rating tell a different story about day-to-day coverage.

B

75.5/100

Island Lake Center

Longwood, FL · Seminole County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
—
Serious cites
0

Island Lake Center runs 120 certified beds in Longwood under for-profit LLC ownership, and its numbers split in two directions. The clinical quality measures look strong, a 5/5 from CMS there, but nurse staffing lands at 3.48 hours per resident day, roughly 10% under the national average, and weekends dip about 9% below the home's own weekday coverage. That staffing shortfall is the main reason CMS gives it 2/5 on staffing. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 26, 2026, so the record is current rather than stale. Fewer hands per resident is the thing to ask about directly when you visit.

B

75.5/100

Newnan Health And Rehabilitation

Newnan, GA · Coweta County

CMS 2/5 104 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
43%
Serious cites
0

Newnan Health And Rehabilitation runs 104 certified beds as a nonprofit, and its staffing sits at 3.49 nurse hours per resident day, roughly 10 percent under the national average of 3.86. Weekends are thinner still, about 18 percent below what the home staffs on weekdays, so coverage dips exactly when families tend to visit. Turnover is 42.5 percent, slightly better than the 45.8 percent national figure, which matters less than the two harm-level deficiencies among its eight total citations and $16,801 in fines across two penalties. The most recent inspection was February 2026, so the record is current. Staffing earns 4 stars; inspection history sits at 2.

B

75.5/100

Greene Point Health And Rehabilitation

Union Point, GA · Greene County

CMS 4/5 64 beds Non-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
25%
Serious cites
0

Greene Point runs lean on nursing hours, 3.28 per resident day against a national average of 3.86, and weekends dip roughly 20% below what the home itself staffs on weekdays. That's the pattern that matters most, since short weekend coverage is when problems tend to go unnoticed. The trade-off is stability: turnover sits at 25%, well under the national 45.8%, so the aides and nurses here are more likely to know your family member. Seven deficiencies on record, none at harm or jeopardy level, though three are abuse-related and worth asking about directly. A 4-out-of-5 inspection rating from a March 2026 visit is solid. Nonprofit ownership. Ask about weekend coverage and those abuse citations before deciding.

B

75.5/100

Heritage Park

Fort Wayne, IN · Allen County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
45%
Serious cites
0

Heritage Park runs 180 certified beds in Fort Wayne under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends drop roughly 17% below what the building manages on weekdays, that's the gap families notice when they visit on a Sunday. Turnover is 45.2%, essentially tracking the national rate. On the plus side, the inspection record shows 7 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the last survey was recent. Quality measures score well, but the staffing figure is what pulls the overall picture down.

B

75.5/100

North Park Nursing Center

Evansville, IN · Vanderburgh County

CMS 4/5 103 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
45%
Serious cites
0

North Park Nursing Center runs 103 beds as a nonprofit, and its nurse staffing sits just barely above the national average, 3.91 hours per resident day versus 3.86. That thin margin disappears on weekends, when coverage drops roughly 22% below the home's own weekday level, so the hours aren't spread evenly across the week. Staff turnover at 44.7% tracks close to the national rate of 45.8%. The current inspection record carries 26 deficiencies, two of them serious enough to reach harm or jeopardy level, and one fine totaling $38,288. A November 2025 inspection is recent, which helps, and the quality measure score is strong even as the health inspection side lags. Ask about weekend coverage and that deficiency history.

B

75.5/100

Brickyard Healthcare - Woodlands Care Center

Newburgh, IN · Warrick County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
36%
Serious cites
0

Brickyard Healthcare - Woodlands Care Center runs 120 beds in Newburgh under corporate ownership, and its inspection record is cleaner than the deficiency count suggests: 19 citations on the current record, but none tied to actual harm or jeopardy, and nothing abuse-related. The last state visit was in May 2025, so the picture is current. Staffing is where the tradeoff shows up. At 3.28 nurse hours per resident day, this home sits about 15% under the national average of 3.86, and weekends run roughly 17% thinner than its own weekdays, worth asking how that plays out on a Sunday. Turnover at 36% is better than the 45.8% national figure, which matters for whether your parent sees the same faces.

B

75.5/100

Seymour Crossing

Seymour, IN · Jackson County

CMS 5/5 115 beds Government Medicaid
Nurse hours
3.62 /day
Staff turnover
41%
Serious cites
0

Seymour Crossing is a hospital-district home in Jackson County with 115 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends drop roughly 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover runs 40.5%, better than the national 45.8%. On inspections, the record shows 21 deficiencies with none at the harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 2026. Quality measures score 5/5, inspections 4/5, staffing 2/5. The care outcomes look strong on paper; the daily hands-on hours are where the gap sits.

B

75.5/100

Arbor Trace Health & Living Community

Richmond, IN · Wayne County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
48%
Serious cites
0

Arbor Trace runs about 15% thinner on nurse staffing than the national average, 3.30 hours per resident day against 3.86, and weekends drop roughly 16% below its own weekday levels, so a Saturday shift can look noticeably different from a Tuesday. Staff turnover sits at 48%, a few points above the national figure, which means familiar faces cycle out faster than average. The inspection record is recent and clean at the serious end: 18 deficiencies, none at harm or jeopardy level and none abuse-related, which lines up with the four-star health inspection and five-star quality scores. It's a for-profit corporate home where care outcomes look solid but the daily staffing cushion is thin.

B

75.5/100

Hoosier Health & Living Community

Brownstown, IN · Jackson County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
—
Serious cites
0

Hoosier Health & Living Community runs on thinner nurse coverage than most homes in the country, about 3.23 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below its own weekday staffing. Inspectors have cited 17 deficiencies on the current record, none rising to harm or jeopardy and none tied to abuse, with the most recent visit in August 2025. Quality measures score well, which suggests residents' clinical outcomes are tracking fine despite the leaner hours. The tradeoff sits in staffing, where the numbers don't lie.

B

75.5/100

Zionsville Meadows

Zionsville, IN · Boone County

CMS 5/5 167 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
46%
Serious cites
0

Zionsville Meadows runs 167 beds under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average. Weekends are the bigger gap: staffing drops about 19% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is 46.2%, essentially matching the national rate, which means the staff churn here isn't unusual but isn't a strength either. The inspection record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score well; the staffing and inspection numbers are more middling, and that split is what the grade reflects.

B

75.5/100

Brownsburg Meadows

Brownsburg, IN · Hendricks County

CMS 3/5 147 beds Government Medicaid
Nurse hours
3.46 /day
Staff turnover
39%
Serious cites
0

Brownsburg Meadows is county-owned, which is unusual in this business, and its 147 beds run on 3.46 nurse hours per resident day, roughly ten percent under the national figure of 3.86. Weekends are thinner still, about fifteen percent below the home's own weekday coverage, so the gap families notice most is often Saturday and Sunday. Turnover sits at 38.7%, better than the 45.8% national rate, which suggests some stability in who's actually on the floor. Against that, the current record carries 24 deficiencies, including one at harm level and one abuse-related, and the most recent inspection was April 2025. The staffing and inspection stars land at 2 out of 5; the quality measures hit 5. Worth asking about those two deficiencies directly.

B

75.5/100

Diversicare Of Hutchinson

Hutchinson, KS · Reno County

CMS 4/5 73 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Diversicare Of Hutchinson runs 73 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover is the bright spot: 38.5% against a national average of 45.8%. Inspections look solid, with a 4/5 health inspection star and a 4/5 quality measure star, and the most recent survey was January 30, 2025. But 28 deficiencies are on the current record, one at harm or jeopardy level, plus an $8,376 fine.

B

75.5/100

Boyd Nursing And Rehabilitation

Ashland, KY · Boyd County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
43%
Serious cites
0

Boyd Nursing And Rehabilitation is a 60-bed for-profit home in Ashland, run by a limited liability company, and the numbers pull in different directions. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover at 43.2% is slightly better than the national 45.8%, which matters less than it sounds when aides are still leaving at that rate. The 17 deficiencies on record, three of them at harm or jeopardy level, line up with the 2/5 inspection and staffing ratings, even though resident quality measures score 5/5. That gap is worth asking about directly.

B

75.5/100

Jo Ellen Smith Convalescent Center

New Orleans, LA · Orleans County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
36%
Serious cites
0

Jo Ellen Smith Convalescent Center runs 180 certified beds in New Orleans under corporate for-profit ownership. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, and the gap widens on weekends, about 17% less coverage than the home provides on weekdays. That thin weekend margin is worth asking about directly, since it's when families often visit and when problems tend to surface. On the positive side, staff turnover is 35.6%, well below the national 45.8%, which suggests a more stable workforce than many homes manage. Inspections look solid too: a four-star health inspection rating, 15 deficiencies on record with none at the harm level and none abuse-related, and a March 2026 inspection that's still recent. The tradeoff is clear, good oversight and retention, but staffing you'll want to watch.

B

75.5/100

Belle Grande Nursing And Rehabilitation Center

Alexandria, LA · Rapides County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
45%
Serious cites
0

Belle Grande runs 4.61 nurse hours per resident day, about 19% above the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is weekends, when hours drop roughly 17% below the home's own weekday level. Turnover sits at 44.7%, essentially the national rate, so the staffing advantage comes from hours scheduled, not from a stable crew. Inspections tell a more mixed story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, no abuse findings, and a single fine of $16,149. That combination, strong hours, weak quality measures at 2/5, a recent September 2025 inspection, is why the home lands in the middle rather than at the top.

B

75.5/100

Sabine Retirement And Rehab Center

Many, LA · Sabine County

CMS 4/5 116 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
44%
Serious cites
0

Sabine Retirement And Rehab Center runs 116 certified beds in Many, Louisiana, under for-profit LLC ownership. Nurse staffing sits at 4.28 hours per resident day, about 11% above the national average, though weekends dip roughly 15% below the home's own weekday levels. Staff turnover is 44.1%, slightly under the national rate. The inspection history is the harder part of the story: 14 deficiencies on record, including one at the harm or jeopardy level and one abuse-related, plus two fines totaling $17,425. A four-star health inspection rating and a January 2026 inspection date suggest recent surveys have gone better than that older record implies, but the two-star quality measure rating shows clinical outcomes still lag.

B

75.5/100

Calcasieu Community Care Center

Lake Charles, LA · Calcasieu County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
49%
Serious cites
0

Calcasieu Community Care Center runs 4.42 nursing hours per resident per day, about 14% above the national average, and it's a nonprofit, which usually signals steadier ownership than the for-profit chains. But the staffing thins out on weekends, dropping roughly 19% below its own weekday level, so coverage isn't as even as the headline number suggests. The inspection record carries 33 deficiencies, one tied to abuse, though none rose to the level of actual harm or jeopardy, and the last survey was recent enough to reflect current conditions. Turnover sits at 48.5%, a few points above the national rate, which matters for how well staff know the residents.

B

75.5/100

Life Care Center Of Auburn

Auburn, MA · Worcester County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
30%
Serious cites
0

Life Care Center of Auburn runs 154 certified beds under a for-profit limited liability company, and its nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86. Weekends drop roughly 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 30.1% against a national 45.8%, meaning aides and nurses here stick around longer than at the typical home. The inspection record is the concern, 36 deficiencies, including two at the harm level and three tied to abuse, plus one fine of $29,738. The most recent inspection was June 2025, so that record is current.

B

75.5/100

Medilodge Of Frankenmuth

Frankenmuth, MI · Saginaw County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
58%
Serious cites
0

Medilodge of Frankenmuth runs 105 certified beds under corporate for-profit ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86 nationwide. But that average hides a weekend problem: coverage drops roughly 19% below its own weekday levels, and annual turnover hits 58% versus 45.8% nationally, meaning more than half the nursing staff leaves each year. The inspection record shows 44 deficiencies, one serious enough to involve harm or jeopardy, with the most recent state visit in April 2025. Quality measures score well, though the inspection history and churn are what pull the overall picture down.

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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