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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 4121–4140 of 10,187, best-graded first.

B

75/100

Seaside Health And Rehabilitation Center

Daytona Beach, FL · Volusia County

CMS 4/5 192 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
65%
Serious cites
0

Seaside Health and Rehabilitation Center runs 192 certified beds in Daytona Beach under for-profit LLC ownership, and its inspection record is genuinely solid, nine deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2024. Where the numbers get shakier is staffing. At 3.38 nurse hours per resident day, this home sits about 12% under the national average of 3.86, weekends run roughly 8% lighter than its own weekdays, and annual turnover of 64.9% is well above the 45.8% national figure. Consistent inspection results help, but thin weekend coverage and heavy staff churn are the things families end up feeling day to day.

B

75/100

Avante At Mt Dora, Inc

Mount Dora, FL · Lake County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
43%
Serious cites
0

Avante At Mt Dora runs 116 certified beds under corporate for-profit ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover comes in at 42.9%, slightly better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated December 4, 2025. Inspectors have cited problems, but nothing rising to actual resident harm.

B

75/100

Solaris Healthcare Forest Lake

Apopka, FL · Seminole County

CMS 4/5 222 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
38%
Serious cites
0

Solaris Healthcare Forest Lake runs 222 certified beds in Apopka under for-profit LLC ownership, and its staffing sits just under the national mark, 3.83 nurse hours per resident day against 3.86 nationally, with weekends running about 4% lighter than its own weekdays. That thin margin matters more than it looks, because weekend coverage is where shortfalls tend to show up. Turnover is the brighter spot: 37.5% against a national average of 45.8%, which suggests workers are staying longer than at the typical home. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, and one fine of $15,269 has been levied. The last inspection was March 2025, so the picture is reasonably current.

B

75/100

Evergreen Woods

Spring Hill, FL · Hernando County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
40%
Serious cites
0

Evergreen Woods runs leaner on nursing hours than most homes, 3.34 per resident day against a national average of 3.86, and weekends dip about 5% below what the building staffs Monday through Friday. Turnover sits at 39.8%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. The trouble shows up in inspections: a 2-star health inspection rating, 18 deficiencies on the current record including one at the harm level, and a $16,153 fine. A recent May 2025 survey means the findings are current, not stale. Quality measures score well at 4 stars, but that paperwork strength doesn't offset thin coverage or the harm-level citation.

B

75/100

Peninsula Health Center By Harborview

Tarpon Springs, FL · Pinellas County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
34%
Serious cites
0

Peninsula Health Center By Harborview runs 120 certified beds in Tarpon Springs under for-profit LLC ownership. Nurse staffing sits at 3.42 hours per resident day, roughly 12% below the national average, and weekends run about 9% lighter than weekdays, a real gap if your family visits or calls on Saturdays and Sundays. Turnover is the counterweight: 33.7% against a national average of 45.8%, so the aides and nurses here stick around longer than at the typical home. The inspection record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with seven fines totaling $31,051 and a survey completed in September 2024. Three stars each on inspections, quality measures, and staffing, with no serious safety findings on file.

B

75/100

Williston Care Center And Rehab

Williston, FL · Levy County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
49%
Serious cites
0

Williston Care Center and Rehab runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 7% below its own weekday level. That thinner weekend coverage matters because nurse turnover sits at 48.5%, above the 45.8% national figure, so the people covering those shifts keep changing. The health inspection record shows 28 deficiencies, two serious enough to reach harm or jeopardy level, and CMS fined the home twice for $15,593 total. Its quality measure score looks strong, but that reflects charted care, not the inspection findings or the staffing shortfall behind them.

B

75/100

Sandy Ridge Center For Rehabilitation And Healing

Milton, FL · Santa Rosa County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Sandy Ridge runs about 3.58 nurse hours per resident per day, roughly 7% under the national average of 3.86, and weekends dip another 7% below its own weekday levels. That thin coverage is the main drag here. Turnover sits at 43.3%, slightly better than the 45.8% national figure, and the inspection record is clean where it counts: seven deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in May 2025. Quality measures and health inspections both rate 4 out of 5, so care outcomes look solid when surveyors show up. The open question is whether staffing holds up between inspections, especially on weekends.

B

75/100

Carrollwood Care Center

Tampa, FL · Hillsborough County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
21%
Serious cites
0

Carrollwood Care Center runs 120 beds in Tampa under for-profit LLC ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 6% below the home's own weekday levels, so coverage thins out just when families tend to visit. The good news is stability: 21% annual turnover is less than half the national rate of 45.8%, and the 18 deficiencies on record include none at the harm level and none related to abuse. A January 2025 inspection keeps the record current, with a 3/5 health inspection rating and 4/5 on quality measures.

B

75/100

Regents Park At Aventura

Aventura, FL · Miami-Dade County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
19%
Serious cites
0

Regents Park At Aventura runs 180 certified beds under corporate ownership, and the numbers pull in two directions. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, and weekends dip another 9% below the home's own weekday levels. Turnover is the outlier worth noting: 18.7% against a national average of 45.8%, so the aides and nurses who are there tend to stay. Where it gets harder to overlook is the inspection record, 27 deficiencies, two at harm or jeopardy level and one abuse-related, plus a $64,981 fine and a January 2026 inspection. Consistent caregivers matter, but a harm-level finding and an abuse citation are the kind of thing a family should ask about directly.

B

75/100

Northbrook Center For Rehabilitation And Healing

Brooksville, FL · Hernando County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
44%
Serious cites
0

Northbrook Center runs about 3.65 nurse hours per resident per day, roughly 6% under the national average, and weekends dip another 9% below its own weekday pace, so coverage thins out exactly when families tend to visit. Turnover sits at 44.1%, slightly better than the national 45.8%, which suggests the workforce here is a bit more stable than most. The inspection record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $13,501 and a survey completed in March 2025. For-profit, limited liability ownership, 120 beds.

B

75/100

Deerfield Beach Health And Rehabilitation Center

Pompano Beach, FL · Broward County

CMS 3/5 194 beds Non-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
29%
Serious cites
0

Deerfield Beach Health and Rehabilitation Center runs on thinner nurse coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday levels, so Saturday and Sunday afternoons are when you'd want to visit and see for yourself. Staff retention is the brighter spot: 29.2% turnover beats the 45.8% national figure, meaning more familiar faces than you'd expect for a 194-bed nonprofit. Inspections in March 2025 left 26 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $36,089. Nothing on the record involves abuse. Ask about the two harm-level findings and how weekend coverage is actually staffed before deciding.

B

75/100

Avante At Melbourne Inc

Melbourne, FL · Brevard County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
36%
Serious cites
0

Avante At Melbourne runs 110 beds under corporate ownership, and its inspection record is the real story here. Thirty-eight deficiencies on the current record, five of them serious enough to put residents in harm's way and four tied to abuse, that's a pattern, not a one-off bad survey, and two fines totaling $87,952 back it up. Staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekends running roughly 9% thinner than weekdays. The one genuinely bright spot is turnover: 36% against a national 45.8%, which means the people who are there tend to stay. But a recent inspection and a record like this would make me ask hard questions before moving anyone in.

B

75/100

Alhambra Healthcare & Rehabilitation Center

Saint Petersburg, FL · Pinellas County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
55%
Serious cites
0

Alhambra Healthcare runs 60 beds in Saint Petersburg under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, and turnover hits 55.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 25 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in March 2025, so the problems are real but haven't risen to serious harm. Quality measures score well at 4 out of 5 stars, which may reflect good clinical documentation more than consistent bedside coverage. The weak spots are staffing and inspections, not resident outcomes on paper.

B

75/100

Alpine Health And Rehabilitation Center

Saint Petersburg, FL · Pinellas County

CMS 1/5 57 beds Non-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
53%
Serious cites
0

Alpine Health and Rehabilitation Center is a 57-bed nonprofit home in Saint Petersburg, and its inspection record is the first thing to know: 25 deficiencies on the current record, one of them at the harm level, with a 1-out-of-5 health inspection rating and a survey dated January 2026. Staffing sits at 3.24 nurse hours per resident day, about 16% under the national average, and weekends run roughly 5% thinner than weekdays. Annual turnover is 52.9% against a 45.8% national rate, so more than half the nursing staff leaves each year. The quality measure rating of 3 out of 5 is the stronger part of the picture; the inspection history and thin coverage are the parts to ask about directly.

B

75/100

Gardens Healthcare & Rehabilitation Center

Daytona Beach, FL · Volusia County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
46%
Serious cites
0

Gardens Healthcare & Rehabilitation Center runs 108 certified beds in Daytona Beach under corporate for-profit ownership, and its staffing sits just under the national mark, 3.75 nurse hours per resident day against 3.86 nationwide. That gap is small, but weekends dip about 9% below the home's own weekday coverage, so the schedule thins out when families tend to visit. Turnover lands at 45.5%, essentially matching the national average. Inspectors last visited in December 2025 and logged 8 deficiencies, 2 of them serious enough to reach harm or jeopardy level, with no abuse citations. Two fines totaling $8,512 are on record, and the staffing star rating sits at 2 out of 5.

B

75/100

Viera Healthcare And Rehabilitation Center

Viera, FL · Brevard County

CMS 3/5 114 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Viera Healthcare runs 114 beds under individual for-profit ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. Weekends drop roughly 10% below its own weekday coverage, which matters when you're thinking about who's actually on the floor on a Sunday. Turnover runs 40.6%, better than the 45.8% national figure, so that's a point in its favor. The harder reading is the inspection record: 18 deficiencies, two at harm or jeopardy level and two tied to abuse, plus one fine of $34,948. A recent February 2026 inspection means the picture is current. Strong quality measures, weaker oversight history.

B

75/100

Aviata At St Cloud

Saint Cloud, FL · Osceola County

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

Aviata At St Cloud runs on 3.48 nurse hours per resident day, roughly 10 percent under the national average, and weekend coverage dips about 6 percent below its own weekday levels. Turnover sits at 31.4 percent, well under the national 45.8, so the staff who are there tend to stay. The trouble shows up on inspections: a 2-out-of-5 health inspection rating, 35 deficiencies on the current record, including two at the harm level and six tied to abuse. Six fines add up to $91,612. Quality measures score 5 out of 5, but that's self-reported data, and the April 2025 inspection is recent enough to still reflect how the place runs today.

B

75/100

Ybor City Center For Rehabilitation And Healing

Tampa, FL · Hillsborough County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
51%
Serious cites
0

Ybor City Center runs 80 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noting: 3.78 nurse hours per resident day, slightly under the national average, with weekends running about 9% thinner than weekdays. Annual turnover sits at 50.6%, above the national figure of 45.8%. The inspection record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $43,050 fine and a 2-out-of-5 inspection rating. Its quality measure score is strong at 5 out of 5, but that reflects reported resident outcomes, not the staffing and compliance picture underneath. The most recent inspection was March 2024.

B

75/100

Hunters Creek Nursing And Rehab Center

Orlando, FL · Orange County

CMS 4/5 116 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

Hunters Creek runs a for-profit LLC with 116 beds, and its nurse staffing sits at 4.03 hours per resident day, a little above the national average of 3.86, so coverage is decent on paper. Weekends dip about 11% below its own weekday level, which is worth asking about if your family visits then. Turnover of 35.6% actually beats the national 45.8%, so the crew tends to stick around. But the inspection record is the problem: 14 deficiencies, three at harm or jeopardy level and one abuse-related, with $67,191 in fines across three penalties. The last inspection was December 2024.

B

75/100

Village Place Healthcare And Rehabilitation Center

Port Charlotte, FL · Charlotte County

CMS 2/5 104 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
39%
Serious cites
0

Village Place runs 4.19 total nurse hours per resident day, roughly 8% above the national average, and its staff turnover of 38.7% actually beats the 45.8% national figure, that part of the operation is holding up. Weekend coverage dips about 12% below the home's own weekday level, so the hours you see quoted aren't evenly spread across the week. The real trouble sits with inspections: 27 deficiencies on the current record, four serious enough to reach harm or jeopardy, two tied to abuse, and one $291,005 fine. The last full inspection was June 2024. Staffing and quality measures look decent on paper; the compliance history is where a family should start asking questions.

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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