ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 401–420 of 10,187, best-graded first.

A

90/100

Life Care Center Of Estero

Estero, FL · Lee County

CMS 5/5 155 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
20%
Serious cites
0

Life Care Center of Estero sits at 155 certified beds under for-profit, limited-liability ownership, and its staffing comes in just a hair under the national average, 3.84 nurse hours per resident day against 3.86. Weekends run about 10% leaner than weekdays there, which is worth asking about if your family visits on Saturdays or Sundays. What stands out more is retention: 20% annual turnover against a national average near 46%, meaning the people caring for residents tend to stick around. Ten deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with two fines totaling $8,034. The last inspection was January 29, 2026.

A

90/100

Life Care Center Of Hilo

Hilo, HI · Hawaii County

CMS 5/5 252 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
30%
Serious cites
0

Life Care Center of Hilo runs 252 certified beds under corporate ownership, and its inspection record is mixed: 41 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse. That's a real flag worth asking about directly. Staffing sits at 3.79 nurse hours per resident day, slightly under the national average, and weekend coverage drops about 14% below its own weekday levels, so care may thin out on Saturdays and Sundays. Turnover, though, is 30.3%, well below the national 45.8%, meaning the crew tends to stay. Last full inspection was December 2023, and fines total $13,065.

A

90/100

Terraces At The Clare

Chicago, IL · Cook County

CMS 5/5 50 beds For-profit
Nurse hours
4.96 /day
Staff turnover
37%
Serious cites
0

Terraces At The Clare runs about 4.96 nursing hours per resident each day, roughly 28% above the national average, and that's the main reason it holds up well. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 36.7%, better than the 45.8% national figure, which matters for whether you see the same faces. Ten deficiencies on record, none at the harm level, but two are abuse-related and worth asking about directly. The last inspection was recent, in May 2025, and the home is individually owned for profit.

A

90/100

Ossian Health Care And Rehabilitation Center

Ossian, IN · Wells County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
34%
Serious cites
0

Ossian Health Care and Rehabilitation Center sits in Wells County with 100 certified beds under individual for-profit ownership. Staffing runs about 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 15% below the home's own weekday coverage. That's the main soft spot. Turnover, though, is 34% against a national 45.8%, so the aides and nurses who are there tend to stay. On inspections, six deficiencies appear on the current record with none at harm or jeopardy level and nothing abuse-related, and the most recent inspection closed out in April 2026. Ownership is individual for-profit, meaning one person's name is on the license rather than a chain's.

A

90/100

Christian Care Retirement Community

Bluffton, IN · Wells County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
38%
Serious cites
0

Christian Care in Bluffton runs 4.73 nurse hours per resident per day, which is about 22% above the national average of 3.86, that's a real staffing cushion, not a rounding difference. Weekends dip roughly 14% below the home's own weekday coverage, so a Saturday shift won't look like a Tuesday, and staff turnover sits at 38.3%, better than the 45.8% national figure. Five deficiencies on the current record, none tied to harm or abuse, and the last inspection was August 2025. It's a for-profit corporation, so margins matter here, but the numbers above are the ones that decide what your family member's day actually looks like.

A

90/100

White Oak Health Campus

Monticello, IN · White County

CMS 5/5 61 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
30%
Serious cites
0

White Oak Health Campus sits in Monticello with 61 certified beds and corporate for-profit ownership. Nurse staffing runs 4.07 hours per resident day, about 5% above the national average, though weekends dip roughly 9% below its own weekday levels, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is 29.8%, well below the national 45.8%, which suggests people tend to stay. The inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated June 2026.

A

90/100

Barrington Of Carmel, The

Carmel, IN · Hamilton County

CMS 5/5 8 beds Non-profit
Nurse hours
9.69 /day
Staff turnover
—
Serious cites
0

The Barrington of Carmel is an eight-bed nonprofit home, which is small even by the standards of Indiana's residential care. Its nurse staffing works out to 9.69 hours per resident day, roughly two and a half times the national average, though weekend coverage drops about 23% below what the home provides on weekdays. State inspectors visited in September 2025 and logged four deficiencies, none involving harm or jeopardy and none related to abuse. The home's last inspection was recent enough that its record reflects current conditions rather than old problems. With that staffing cushion and a clean harm history, the main thing to watch is whether weekend care holds up.

A

90/100

Mill-Pond

Ankeny, IA · Polk County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
37%
Serious cites
0

Mill-Pond runs on 4.58 nurse hours per resident day, roughly 19% above the national average, and that staffing shows up in the five-star rating CMS gives it for workforce. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 37.1%, better than the 45.8% national figure. The current record lists 10 deficiencies, none at the harm or jeopardy level, though 3 are abuse-related, worth asking about directly. The last inspection was March 2026, and the health inspection and quality measure ratings both came in at 4 out of 5.

A

90/100

Good Samaritan - Hays

Hays, KS · Ellis County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
29%
Serious cites
0

Good Samaritan Society - Hays runs 4.06 nurse hours per resident per day, a bit above the national average, and its weekend coverage dips about 13% below weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 28.8% against a national 45.8%, which matters because familiar faces tend to know residents' routines. The inspection record is recent (February 2025) and clean at the harm level: 23 deficiencies total, none causing harm or jeopardy, though one is abuse-related, so ask how that was resolved. Ownership is nonprofit corporate, and the staffing and inspection ratings both come in at five stars.

A

90/100

Wellington Health And Rehab

Wellington, KS · Sumner County

CMS 5/5 44 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
33%
Serious cites
0

Wellington Health and Rehab runs a tight ship on inspections, a five-star health inspection rating and 12 deficiencies on record, none of them serious enough to cause harm and none tied to abuse. Staffing is the softer spot: 3.48 nurse hours per resident day sits about 10% under the national average, and weekends dip roughly another 10% below the home's own weekday coverage. Turnover, though, is genuinely low at 33.3% against a 45.8% national figure, which suggests people stay. For a 44-bed for-profit LLC, the pattern reads as a stable, well-run building that could stand to add nursing hours, especially on weekends.

A

90/100

The Willows At Citation

Lexington, KY · Fayette County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

The Willows At Citation runs on 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dropping only about 4% below its own weekday level, a fairly small dip. Staff turnover sits at 38.5%, below the 45.8% national figure, which matters for consistency of care. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2025. CMS gives it 5 stars for quality measures and 4 for staffing, against 3 for health inspections, so the weaker mark is in the inspection history rather than in day-to-day staffing or clinical measures.

A

90/100

Katahdin Health Care Llc

Millinocket, ME · Penobscot County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
31%
Serious cites
0

Katahdin Health Care runs 4.04 nurse hours per resident day, a bit above the national average of 3.86, and weekend staffing dips about 10% below its own weekday levels, worth asking about, since weekends are when families often visit. Staff turnover sits at 31% against a national average near 46%, which matters for whether you see the same faces month to month. The 20 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2026. For a 36-bed for-profit home in Millinocket, those numbers describe steady, well-supervised care rather than a place coasting on reputation.

A

90/100

Gorham House

Gorham, ME · Cumberland County

CMS 5/5 69 beds For-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
53%
Serious cites
0

Gorham House runs 69 beds under for-profit LLC ownership, and the staffing numbers are the real story here, 4.84 nurse hours per resident day puts it roughly a quarter above the national average of 3.86. That's a genuine cushion, though weekend coverage dips about 9% below weekdays, and turnover sits at 52.6% against a national 45.8%, meaning a lot of those hours come from people still learning the building. The inspection record is mixed: 24 deficiencies on file, none at harm level but two tied to abuse, with the most recent survey dated February 2026. Quality and staffing measures both rate well; the health inspection side is where the caution lives.

A

90/100

Sanfield Rehab & Living Center

Hartland, ME · Somerset County

CMS 5/5 23 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
34%
Serious cites
0

Sanfield Rehab & Living Center is a small for-profit home in Hartland, 23 beds, and its staffing is the standout. At 4.57 nurse hours per resident day, it runs about 18% above the national average, and weekend coverage dips only modestly below weekdays. Turnover sits at 34.3%, well under the 45.8% national figure, which suggests a steadier crew than many places its size. The tradeoff shows in its record: 16 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. State inspectors visited most recently in July 2025 and rated health inspections 4 out of 5. For a family weighing a small rural home, the staffing numbers are the real signal here.

A

90/100

Chestnut Grn Hlth Ctr Blakehur

Towson, MD · Baltimore County

CMS 5/5 49 beds For-profit
Nurse hours
4.66 /day
Staff turnover
37%
Serious cites
0

Chestnut Grn Hlth Ctr in Towson runs about 4.66 nursing hours per resident each day, roughly a fifth more than the national average, which is the main reason its staffing rating sits at the top of the scale. Turnover is 36.7 percent against a national 45.8, so fewer caregivers are walking out the door than at the typical home. The 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection came in December 2025. Weekend hours dip about 8 percent below weekday levels, worth asking about if your family visits Saturdays or Sundays. It's a for-profit partnership, and the quality measure rating lands in the middle at 3 out of 5.

A

90/100

Katzman Family Center For Living

Chelsea, MA · Suffolk County

CMS 5/5 123 beds Non-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
24%
Serious cites
0

Katzman Family Center for Living runs on a nonprofit model with 123 certified beds in Chelsea, and the numbers behind its record are steady across the board. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, though weekend coverage drops roughly 10% from its weekday level, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is 23.8%, close to half the national rate, which suggests people tend to stay. The inspection history is clean: three deficiencies on record, none at the harm level and none abuse-related, with the most recent inspection in March 2026.

A

90/100

Life Care Center Of Wilbraham

Wilbraham, MA · Hampden County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
34%
Serious cites
0

Life Care Center of Wilbraham runs 123 beds as a for-profit partnership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. Weekends thin out about 10% below weekdays, so if you're visiting or calling on a Saturday, expect less coverage than midweek. Turnover is the brighter spot: 33.9% against a national 45.8%, which suggests a steadier crew than most places. The record shows 33 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2025. Quality measures score well; the health inspection side is more middling.

A

90/100

Life Care Center Of Plymouth

Plymouth, MA · Plymouth County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
28%
Serious cites
0

Life Care Center of Plymouth runs on a for-profit LLC model with 150 certified beds, and the numbers hold up well. Nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, and the 28.2% annual turnover is notably lower than the 45.8% national figure, though weekend coverage dips about 12% below weekday levels. The inspection record is clean where it matters: six deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was March 2025. Five stars on both health inspections and quality measures, four on staffing. Families looking at Plymouth County should know this home's weak spot is weekend consistency, not safety.

A

90/100

Lydia Taft House

Uxbridge, MA · Worcester County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
38%
Serious cites
0

Lydia Taft House runs on better-than-average nurse coverage, 4.16 hours per resident day against a national mark of 3.86, and its staff turnover sits below the national figure at 38.3%, which matters because consistent caregivers tend to know residents' routines and catch changes early. That said, weekend staffing drops roughly 13% from weekday levels, so the question worth asking is who's actually on the floor on a Saturday. The inspection record is clean where it counts: seven deficiencies, none causing harm or tied to abuse, and a survey as recent as September 2025. The corporate owner is for-profit, so ask how decisions get made locally.

A

90/100

Corewell Health Grand Rapids Hospitals Rehabilitat

Grand Rapids, MI · Kent County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
46%
Serious cites
0

Corewell Health's rehab unit in Grand Rapids runs on 4.58 nurse hours per resident day, about 19% above the national average, and that staffing shows up in its ratings, with five stars each on health inspections and quality measures. Weekend coverage dips roughly 12% below weekday levels, which is typical but worth knowing if you're planning visits. The 45.8% turnover rate lands exactly at the national average, so stability here is neither a strength nor a weakness. Inspectors found 19 deficiencies on the current record, none causing harm and one tied to abuse, and the most recent inspection was in January 2026, recent enough to trust.

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.

Before you shortlist