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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 4161–4180 of 10,187, best-graded first.

B

75/100

Westview Nursing And Rehabilitation Center

Bedford, IN · Lawrence County

CMS 5/5 95 beds Government Medicaid
Nurse hours
3.62 /day
Staff turnover
33%
Serious cites
0

Westview is a county-owned home of 95 beds in Bedford, and its inspection record is the standout: one deficiency on the books, nothing at the harm or jeopardy level, and a survey completed in December 2025. That's a clean paper trail most homes can't match. Staffing is where it gets thinner, 3.62 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on a Sunday. Turnover at 33.3% is meaningfully better than the 45.8% national figure, which suggests a steadier crew than average.

B

75/100

Spring Mill Meadows

Indianapolis, IN · Marion County

CMS 3/5 124 beds Government Medicaid
Nurse hours
3.69 /day
Staff turnover
55%
Serious cites
0

Spring Mill Meadows is county-owned, which can mean steadier funding than a for-profit chain, but the numbers show real strain. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and it dips roughly 10% further on weekends. Annual turnover of 55.1% runs well above the 45.8% national figure, so the people providing care keep changing. The inspection record is where the concern sharpens: 27 deficiencies, three at the harm or jeopardy level and one tied to abuse. The most recent inspection was in August 2025, so the record is current. Quality measures look strong, but strong scores on paper don't offset thin weekend coverage or a harm-level finding.

B

75/100

Glenbrook Rehabilitation & Skilled Nursing Center

Fort Wayne, IN · Allen County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
62%
Serious cites
0

Glenbrook runs about 3.52 nurse hours per resident each day, roughly 9% under the national average, and weekends drop another 12% below its own weekday numbers. That gap matters more than the overall figure, since fewer hands on a Saturday night is when problems tend to surface. Turnover sits at 62.3%, well above the 45.8% national rate, so the staff who remain are often the newest. The inspection record shows 11 deficiencies, including one at the harm level and one tied to abuse. A recent September 2025 inspection and strong quality measures help, but the staffing pattern and that abuse citation are the parts worth asking about directly.

B

75/100

Waters Of Greencastle, The

Greencastle, IN · Putnam County

CMS 2/5 100 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
45%
Serious cites
0

The Waters of Greencastle runs on thinner nursing hours than most homes, about 3.39 per resident day against a national average near 3.86, and weekends dip roughly 12% below its own weekday coverage. Its inspection record shows 22 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, and the last survey was recent, in December 2025. Staff turnover at 44.6% is nearly identical to the national rate, so retention isn't the outlier here; staffing levels are. Quality measures score well, but with a government-hospital district as owner and 100 beds to cover, ask how the weekend floor actually gets staffed before you decide.

B

75/100

Kokomo Healthcare Center

Kokomo, IN · Howard County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
43%
Serious cites
0

Kokomo Healthcare Center runs 80 certified beds under corporate for-profit ownership, and its staffing numbers are the main thing to know. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 14% below its own weekday coverage, a pattern worth asking about if your family member needs help on Saturdays and Sundays. Turnover at 43.1% is slightly better than the 45.8% national figure, so aides aren't cycling through quite as fast as elsewhere. The health inspection record shows 14 deficiencies, none at harm level but two tied to abuse, with the most recent inspection in September 2025. Resident outcome measures look strong; the staffing side is where the gaps sit.

B

75/100

Countryside Manor Health & Living Community

Anderson, IN · Madison County

CMS 5/5 109 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
43%
Serious cites
0

Countryside Manor runs on the lean side. At 3.28 nurse hours per resident day, it's about 15% under the national average, and weekends dip roughly 13% below its own weekday coverage, the stretch when families tend to visit and when problems often surface. Turnover sits at 42.5%, a touch better than the national 45.8%, so leadership isn't the problem; the schedule is. What keeps this home from sliding further is oversight. A 4-star inspection rating with 14 deficiencies, none at the harm level, and the last survey done in February 2026, recent enough to trust. But two abuse-related citations on record are worth asking about directly, and the 2-star staffing rating tells you where the pressure is.

B

75/100

Cypress Grove Rehabilitation Center

Newburgh, IN · Warrick County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
37%
Serious cites
0

Cypress Grove runs lean on the floor. At 3.22 nurse hours per resident day, it sits roughly 17% under the national average of 3.86, and weekends drop about 13% below its own weekday coverage, so the thinnest shifts are the ones when families tend to visit. What offsets that somewhat is consistency: 36.7% annual turnover beats the national 45.8%, meaning fewer unfamiliar faces. The inspection record is genuinely clean, 17 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the most recent survey was April 2026. Quality measures score well. The staffing number is the one that would make me ask administrators directly how they cover a Saturday night.

B

75/100

Waters Of Princeton, The

Princeton, IN · Gibson County

CMS 1/5 95 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
39%
Serious cites
0

The Waters Of Princeton runs on leaner nursing hours than most homes, 3.37 per resident day against a national average of 3.86, with weekends dipping about 5% below its own weekdays. That staffing picture lines up with a two-out-of-five CMS staffing rating and a one-out-of-five inspection rating, backed by 41 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse. Turnover sits at 39.1%, actually below the national 45.8%, and the quality measure rating is four out of five, so there are real positives here. But the inspection history is the number that matters most, and the most recent survey came in January 2026. Ask about that harm-level deficiency specifically.

B

75/100

Clinton House Rehabilitation And Healthcare Center

Frankfort, IN · Clinton County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
45%
Serious cites
0

Clinton House runs on thinner nurse coverage than most homes, 3.01 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. That staffing figure is what the federal star rating punishes, and it's the weakest part of the picture. What offsets it is care quality: the quality measure rating sits at the top of the scale, and inspections in August 2025 turned up 26 deficiencies, none of them causing harm or involving abuse. Staff turnover at 44.6% is right about where the national rate sits, so retention isn't the problem here. The question for your family is whether the daily staffing level matches what the person you're placing actually needs.

B

75/100

Miller's Health & Rehab By Miller's Merry Manor

La Porte, IN · La Porte County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
51%
Serious cites
0

Miller's Health & Rehab in La Porte runs 81 certified beds under individual for-profit ownership, and its staffing sits just under the national average, 3.82 nurse hours per resident day against 3.86. The bigger gap shows up on weekends, when coverage drops about 13% below what the home staffs on weekdays, and turnover runs 50.7% compared with 45.8% nationally. On paper the inspection record is mixed: 26 deficiencies, none flagged at the harm or jeopardy level, but one tied to abuse, with a survey completed in July 2025. CMS gives it 4 stars for staffing and middling 3s for inspections and quality measures. The numbers suggest a home that's adequately staffed in the aggregate but stretched thin on weekends, with a workforce that churns more than most.

B

75/100

Mount Vernon Nursing And Rehabilitation

Mount Vernon, IN · Posey County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
58%
Serious cites
0

Mount Vernon Nursing and Rehabilitation runs 66 certified beds under corporate ownership, and the staffing numbers are the main thing to know. Nurses provide 3.44 hours of care per resident per day, roughly 11% under the national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover sits at 58.2% against a national 45.8%, so you're looking at a workforce that cycles through fairly quickly. The good news is oversight: a September 2025 inspection, 10 deficiencies on record with none involving harm or abuse, and strong marks on quality measures. The tradeoff is clear, stable clinical outcomes, thinner day-to-day staffing, especially on weekends.

B

75/100

Signature Healthcare At Parkwood

Lebanon, IN · Boone County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
52%
Serious cites
0

Signature Healthcare at Parkwood runs about 8% below the national average for nurse staffing, at 3.54 hours per resident day, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 52.1%, above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection history is genuinely strong: 21 deficiencies on record, just one at the harm level and none abuse-related, with a single $8,018 fine, and the most recent inspection was March 2026. Ownership is a for-profit limited liability company. The pattern here is a home that inspectors rate well on care quality but that runs lean on direct nursing hours.

B

75/100

Ben Hur Health And Rehabilitation

Crawfordsville, IN · Montgomery County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
42%
Serious cites
0

Ben Hur runs on 3.21 nurse hours per resident per day, which is about 17 percent under the national average of 3.86. Weekends dip roughly 15 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover sits at 41.8 percent, a bit better than the 45.8 percent national figure, and the current record shows just three deficiencies, none involving harm, jeopardy, or abuse, with an inspection dated April 2026. What that adds up to is a home that inspects cleanly and scores well on quality measures while running leaner on direct care hours than most places.

B

75/100

Hickory Creek At Columbus

Columbus, IN · Bartholomew County

CMS 4/5 36 beds Government Medicaid
Nurse hours
3.35 /day
Staff turnover
39%
Serious cites
0

Hickory Creek At Columbus runs on thinner nursing hours than most places, 3.35 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday level, so coverage gets lightest exactly when families tend to visit. Turnover sits at 38.7%, better than the 45.8% national figure, which matters because familiar staff know these 36 residents. The county owns it, and its record looks clean where it counts: eight deficiencies, none at harm or jeopardy level, nothing abuse-related, and the last inspection was September 2025. Quality measures score high, though the low staffing rating is the number that shapes daily life.

B

75/100

Wesleyan Health Care Center

Marion, IN · Grant County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
49%
Serious cites
0

Wesleyan Health Care Center runs 139 certified beds in Marion under corporate for-profit ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 11% below the home's own weekday levels, and turnover lands at 48.6% against a national 45.8%, meaning nearly half the nursing staff leaves each year. The inspection record shows 21 deficiencies, three of them serious enough to involve harm or jeopardy, plus one fine of $8,824; the most recent inspection was January 27, 2026. CMS rates its health inspections 2 out of 5 stars, though quality measures score 5.

B

75/100

Mccormick's Creek Rehabilitation And Healthcare

Spencer, IN · Owen County

CMS 4/5 87 beds For-profit Medicaid
Nurse hours
2.76 /day
Staff turnover
44%
Serious cites
0

Mccormick's Creek runs on 2.76 nurse hours per resident day, roughly 28% under the national average, and weekends drop about 14% below what the home itself staffs on weekdays. That thin coverage is the main thing pulling its staffing rating down to the bottom of the CMS scale, even though annual turnover of 44.4% is basically in line with the national rate. The good news sits elsewhere: its most recent inspection in January 2026 left eight deficiencies on record, none at the harm or jeopardy level and none abuse-related, and its quality measures score at the top of the federal scale. For-profit, limited liability ownership out of Spencer. Families should ask how the weekday-to-weekend gap actually gets covered.

B

75/100

Harrison Healthcare Center

Corydon, IN · Harrison County

CMS 4/5 92 beds Non-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
41%
Serious cites
0

Harrison Healthcare Center runs 92 certified beds in Corydon as a nonprofit corporation, and its nursing hours come in at 3.34 per resident day, roughly 13% under the national average of 3.86. Weekend staffing dips about 8% below its own weekday level, which matters because that's when families often visit and when problems tend to surface. The current inspection record shows 33 deficiencies, two of them at the harm or jeopardy level, with none related to abuse; the most recent inspection was January 29, 2026. Staff turnover sits at 41%, slightly better than the 45.8% national figure. CMS gives it two stars for staffing and two for health inspections, but five for quality measures, a split worth asking about directly.

B

75/100

Wesley Manor Health Center

Frankfort, IN · Clinton County

CMS 3/5 96 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
33%
Serious cites
0

Wesley Manor Health Center runs 96 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86. Weekends thin out further, roughly 12% below the home's own weekday coverage. Turnover is the brighter spot: 33.3% against a national 45.8%, so the people who stay tend to stay. On inspections, the record shows 11 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $20,826. The most recent inspection was May 21, 2026, and CMS gives middle-of-the-road marks across health, quality, and staffing.

B

75/100

Sellersburg Healthcare Center

Sellersburg, IN · Clark County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
38%
Serious cites
0

Sellersburg Healthcare Center runs 110 certified beds under corporate ownership, and its staffing numbers sit right at the national average, 3.89 nurse hours per resident day against 3.86 nationwide. That parity doesn't hold up on weekends, when hours drop roughly 14% below the facility's own weekday levels, and the two-star staffing rating reflects that unevenness. Turnover is 38.1%, which is actually better than the 45.8% national figure, so retention isn't the problem here. The inspection record is: 29 deficiencies, one involving harm or jeopardy and one abuse-related, plus a single $104,644 fine. The most recent inspection was December 16, 2025, so the picture is current. Quality measures score well; the trouble sits in staffing consistency and survey history.

B

75/100

Brickyard Healthcare - Muncie Care Center

Muncie, IN · Delaware County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
55%
Serious cites
0

Brickyard Healthcare - Muncie Care Center runs 117 certified beds under corporate for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.76 hours per resident day, a bit under the national average, and weekends run roughly 9% thinner than weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 55.3%, well above the 45.8% national figure, which matters because constant churn makes it harder for residents to know who's caring for them. The inspection record is the bigger concern: 32 deficiencies, including 5 tied to abuse and 2 at the harm or jeopardy level, plus $22,360 in fines. Quality measures score well, but that's the part families can't see at the bedside.

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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