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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 4101–4120 of 10,187, best-graded first.

B

75/100

Premier At The Springs

North Little Rock, AR · Pulaski County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
61%
Serious cites
0

A for-profit LLC runs this 132-bed home in North Little Rock, and its numbers tell two different stories. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average, but weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. More concerning is turnover: 60.5% of staff leave each year against a national average of 45.8%, which is a lot of churn for residents who need consistent caregivers. Its inspection record shows 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was in August 2025. The quality measures look strong; staffing and inspections don't.

B

75/100

Camino Ridge Post-Acute

Mountain View, CA · Santa Clara County

CMS 1/5 102 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
59%
Serious cites
0

Camino Ridge runs a decent nurse staffing number, 4.16 hours per resident day, roughly 8% above the national average, and its quality measure score is strong. But staffing thins out on weekends, dropping about 11% below weekday levels, and 59.2% of staff turned over in a year against a national average near 46%. The inspection record is where the picture darkens: a 1-out-of-5 health inspection rating, 75 deficiencies on the current record including one at the harm level and two tied to abuse. For-profit, limited liability ownership, one fine so far totaling $8,428.

B

75/100

Mountain View Healthcare Center

Mountain View, CA · Santa Clara County

CMS 3/5 129 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

Mountain View Healthcare Center runs on 4.08 nurse hours per resident day, about 6% above the national average, and its 37.7% turnover is meaningfully better than the 45.8% typical elsewhere. Weekend staffing dips roughly 8% below weekday levels, so coverage thins out when families tend to visit. The harder numbers sit on the inspection side: a 2/5 health inspection rating, 59 deficiencies on the current record, two at harm or jeopardy level, one tied to abuse, and a $54,912 fine. Its last inspection was May 2025, so the record is recent. Quality measures score 5/5, staffing 3/5, the care metrics look strong while the survey history tells a rougher story.

B

75/100

Brighton Post Acute

Hanford, CA · Kings County

CMS 3/5 133 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Brighton Post Acute runs 133 beds in Hanford under for-profit LLC ownership, and its nurse staffing sits at 3.93 hours per resident day, just above the national average, though weekends dip about 6% below its own weekday coverage. Annual turnover of 44.4% is roughly in line with the national figure, so continuity isn't the standout problem here. What stands out is the inspection record: 34 deficiencies, including one at the harm or jeopardy level and one flagged as abuse-related. The most recent inspection was in April 2026. The quality measure score looks strong on paper, but staffing and health inspection ratings both land at the middle of the scale, which is where the real story sits.

B

75/100

Vineyards At Fowler

Fowler, CA · Fresno County

CMS 2/5 49 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
60%
Serious cites
0

Vineyards At Fowler runs 4.71 nurse hours per resident day, roughly 22% above the national average, which sounds good until you notice weekends drop about 13% below its own weekday numbers, coverage gets thinner exactly when families tend to visit. Staff turnover sits at 59.6% against a national 45.8%, so the people providing that care keep changing. The current record shows 53 deficiencies, including one at the harm level and two tied to abuse, with a health inspection rating of 2 out of 5. Ownership is a for-profit limited liability company. The last inspection was January 9, 2026, so the picture is recent.

B

75/100

Manresa Healthcare Center

Watsonville, CA · Santa Cruz County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
36%
Serious cites
0

Manresa Healthcare Center runs 59 certified beds in Watsonville under corporate for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, almost exactly the national average, with weekends dipping about 4% below its own weekday levels. Staff turnover is 35.6%, noticeably better than the 45.8% national figure, which matters for continuity of care. The home's current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was recent, in November 2025. Medicare's inspection rating comes in at 4 out of 5 stars, with quality measures and staffing each at 3. The numbers point to a stable, adequately staffed home with a few things worth asking about directly.

B

75/100

San Joaquin Nursing Center And Rehabilitation Cent

Bakersfield, CA · Kern County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
35%
Serious cites
0

San Joaquin Nursing Center sits on the east side of Bakersfield with 99 certified beds and a for-profit limited liability owner. The staffing numbers are the strong part: 4.28 nurse hours per resident day, roughly 11 percent above the national average, and turnover at 35.2 percent is meaningfully better than the 45.8 percent norm. Weekends run about 6 percent thinner than weekdays, which is common but worth asking about. The trouble is the inspection record: 62 deficiencies, including two at the harm level and two tied to abuse, plus a $47,242 fine. A March 2026 inspection is recent, so the record is current, not stale. Quality measures look excellent; the survey history does not.

B

75/100

Chatsworth Park Health Care Center

Chatsworth, CA · Los Angeles County

CMS 1/5 128 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

If you're weighing Chatsworth Park, the numbers point in two directions at once. Nurse staffing runs about 4.07 hours per resident day, roughly 5% above the national average, and staff turnover sits at 38.5%, better than the 45.8% national rate. Weekend coverage, though, drops about 11% below what the home staffs on weekdays. The bigger concern is the inspection record: 89 deficiencies, including one at the harm level and four tied to abuse, with a $46,280 fine and a 1-out-of-5 health inspection rating. The most recent inspection was in April 2025. Quality measures score well; the survey history is where the trouble sits.

B

75/100

The Rehabilitation Center Of North Hills

North Hills, CA · Los Angeles County

CMS 1/5 138 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
30%
Serious cites
0

The Rehabilitation Center Of North Hills runs a for-profit partnership with 138 certified beds, and its staffing is the strongest card it holds: 4.58 nurse hours per resident day, roughly 19% above the national average, with weekend coverage dipping only about 5% below weekdays. Turnover sits at 29.9% against a national 45.8%, so the people caring for residents tend to stay. The problem is everything else. The current inspection record carries 108 deficiencies, three at harm or jeopardy level and four tied to abuse, plus two fines totaling $125,421. A 1/5 inspection rating against 4/5 for staffing and quality measures tells you the care model works better on paper than in practice.

B

75/100

Ocean Ridge Post Acute

Long Beach, CA · Los Angeles County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
39%
Serious cites
0

Ocean Ridge Post Acute runs about 4.01 nurse hours per resident per day, slightly above the national average, and its 38.8% turnover is better than the 45.8% typical elsewhere. That's the good news. The inspection record is the problem: 95 deficiencies, including two at the harm level and eight tied to abuse, plus a single $58,032 fine. A 1-out-of-5 inspection rating against a 5-out-of-5 quality measure rating is a strange split, and it usually means the charted clinical measures look fine while the surveyors keep finding serious problems on the floor. Weekend staffing drops about 7% below weekday levels, so coverage thins exactly when families visit. A for-profit LLC with that citation history is worth asking hard questions about.

B

75/100

Cheviot Hills Post Acute

Los Angeles, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
16%
Serious cites
0

Cheviot Hills Post Acute runs 99 beds under individual for-profit ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, not below it, but not cushioning anything either. Weekends dip about 6% under the home's own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out is turnover: 15.7% against a national 45.8%, meaning the people caring for residents largely stay put. The inspection record is the counterweight, 63 deficiencies, two at harm or jeopardy level, one abuse-related, and a $51,613 fine, with the last inspection in February 2026.

B

75/100

Skylake Post Acute

Thornton, CO · Adams County

CMS 1/5 242 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
35%
Serious cites
0

Skylake Post Acute runs 242 certified beds in Thornton under for-profit LLC ownership, and its staffing numbers are the first thing to notice. At 2.91 total nurse hours per resident day, it sits roughly 25 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level, so coverage gets thinnest exactly when families tend to visit. Turnover at 35 percent is actually better than the 45.8 percent national figure, which matters for continuity of care. What pulls the record down is inspection history: 42 deficiencies on file, including 3 at harm or jeopardy level and 6 abuse-related, with a single fine of $25,572. The most recent inspection was December 2025, so the picture is current.

B

75/100

Ridgeview Post Acute

Commerce City, CO · Adams County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
42%
Serious cites
0

Ridgeview Post Acute runs on thin staffing. At 3.00 nurse hours per resident day, it sits about 22% under the national average, and weekends drop roughly another 15% below its own weekday level, so the coverage gap widens exactly when families tend to visit. The inspection record is the bigger concern: 14 deficiencies, three at harm or jeopardy level and four abuse-related, with the last inspection in July 2024. Turnover at 42.1% is slightly better than the 45.8% national figure, and the quality measure rating is strong at 5/5, meaning charted care metrics look good even as direct staffing lags. A for-profit corporate owner. If you're considering it, ask specifically how they cover weekends and what changed after those abuse findings.

B

75/100

Apple Rehab Saybrook

Old Saybrook, CT · Lower Ct River Vly County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
31%
Serious cites
0

Apple Rehab Saybrook runs on thinner nurse coverage than most homes, about 3.12 hours per resident day against a national average of 3.86, and weekends dip roughly 9% below its own weekday levels. That's the kind of gap families notice as slower call-button response. The inspection record is the bigger concern: 49 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Staff turnover sits at 30.8%, well under the 45.8% national figure, and the last inspection came in January 2025, so the picture is fairly current. Corporate-owned and Medicare-certified for 120 beds. Low turnover helps; the deficiency count and thin staffing are what you'd want to ask about directly.

B

75/100

Complete Care At Glendale

Naugatuck, CT · Naugatuck Vly County

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

Complete Care At Glendale runs 120 beds in Naugatuck under corporate for-profit ownership, and its staffing is the number that stands out, 3.50 nurse hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. Turnover at 35.7% actually beats the 45.8% national figure, so the problem isn't churn; it's raw coverage, and the 2/5 staffing star reflects that. The inspection record is mixed: 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, though the last survey was recent and earned a 3/5 health inspection rating. Strong quality measure scores don't offset thin daily staffing when you're weighing a move here.

B

75/100

Complete Care At Groton Regency

Groton, CT · Southeastern Ct County

CMS 5/5 162 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
45%
Serious cites
0

Complete Care At Groton Regency runs 162 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.54 nurse hours per resident day, roughly 8% under the national average, with weekends about 10% thinner than weekdays. Annual turnover sits at 44.9%, close to the national 45.8%. The current record shows 21 deficiencies, none at harm or jeopardy level, three tied to abuse. A January 2026 inspection is recent, and the health inspection rating lands at 4 of 5 stars while quality measures hit 5 of 5. What pulls the overall picture down is that 2-of-5 staffing rating, the care measures look strong, but the day-to-day coverage behind them is thinner than most homes.

B

75/100

Touchpoints At Manchester

Manchester, CT · Capitol County

CMS 4/5 127 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
21%
Serious cites
0

Touchpoints At Manchester runs lean on daily nursing hours, 2.95 per resident, roughly a quarter below the national average, and weekends dip about 11% below its own weekday staffing. What stands out is consistency: turnover sits at 20.7%, less than half the national rate, so the people showing up are largely staying. On inspections, 29 deficiencies are on record, none at the harm level, two tied to abuse, with the most recent look in August 2025. The trade-off here is fewer hands per shift against a workforce that isn't constantly cycling through.

B

75/100

Beacon Brook Center For Health & Rehabilitation

Naugatuck, CT · Naugatuck Vly County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
32%
Serious cites
0

Beacon Brook runs 126 beds in Naugatuck under corporate ownership, and its inspection record is the part that stands out. Fifty-two deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, that's a lot of findings, and the two-star health inspection rating reflects it. Staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 10% below the home's own weekday level. One bright spot: turnover is 32.2%, well below the 45.8% national figure, so the aides and nurses who are there tend to stay. The most recent inspection was January 5, 2026, and fines total $16,801.

B

75/100

Aaron Manor Nursing & Rehabilitation

Chester, CT · Lower Ct River Vly County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
31%
Serious cites
0

Aaron Manor runs lean on nurses, 3.59 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday pace. That gap matters most on Saturdays and Sundays, when families tend to visit and when problems are easiest to miss. Turnover is the bright spot: 30.9% against a national 45.8%, meaning the people caring for your relative are more likely to still be there next year than at the typical home. The inspection record is the harder read. Thirty-four deficiencies on file, three serious enough to involve harm or jeopardy, two tied to abuse, and $20,872 in fines. The last full inspection was November 2024.

B

75/100

Autumn Lake Healthcare At Bucks Hill

Waterbury, CT · Naugatuck Vly County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Autumn Lake Healthcare At Bucks Hill runs 90 certified beds in Waterbury under individual for-profit ownership. The staffing numbers are the weak spot: 3.23 nurse hours per resident day sits about 16% under the national average, and weekend coverage drops roughly 9% below what the home manages on weekdays, so care thins out exactly when families tend to visit. Turnover at 39.1% is better than the national 45.8%, which means fewer unfamiliar faces than average. Inspections in December 2024 turned up 24 deficiencies, none at harm level but two tied to abuse, a mix worth asking about directly. Quality measures score well; day-to-day staffing is where the risk lives.

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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