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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 4201–4220 of 10,187, best-graded first.

B

75/100

Our Lady Of Prompt Succor Nursing Facility

Opelousas, LA · St. Landry County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
27%
Serious cites
0

Our Lady of Prompt Succor runs 120 certified beds in Opelousas under for-profit, limited-liability ownership, and its inspection record is the strongest part of the story: a 4-out-of-5 health inspection rating, with the most recent survey completed in February 2026 and no deficiencies at the harm or jeopardy level. There are 24 deficiencies on the current record, one of them abuse-related, which is worth asking about directly. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends run roughly 9% thinner than weekdays. Staff turnover is the outlier in a good way: 26.6% against a national average of 45.8%, suggesting aides and nurses tend to stay.

B

75/100

Heritage Manor Of Stratmore Nursing & Rehab Ctr

Shreveport, LA · Caddo County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
45%
Serious cites
0

Heritage Manor Of Stratmore is a for-profit LLC home in Shreveport with 142 certified beds, and its inspection record is genuinely strong, 5 out of 5 stars, six deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and a fresh March 2025 survey. Staffing is where it thins out. At 3.79 nurse hours per resident day, it sits just under the national average of 3.86, and weekends run roughly 11 percent below its own weekday coverage, so the gap widens exactly when families tend to visit. Annual turnover of 44.9 percent is basically the national norm. Quality measures land at 2 stars, which is the number worth asking about on a tour.

B

75/100

Maplecrest Rehab & Living Center

Madison, ME · Somerset County

CMS 1/5 58 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
51%
Serious cites
0

Maplecrest runs 58 beds in Madison under corporate ownership, and its staffing is the one number that holds up: 3.95 nurse hours per resident day, slightly above the national average, with a 4-out-of-5 staffing rating to match. Turnover is the catch, 50.9% of staff leave each year, and weekend coverage drops about 8% below the home's own weekday levels, so the hours you see on paper aren't always the hours on the floor. Inspections tell the harder story: 41 deficiencies on record, including two tied to abuse, and a 2-out-of-5 inspection rating. Quality measures sit at 1 out of 5. The most recent inspection was July 2025, so the record is current.

B

75/100

Southridge Rehab & Living Ctr

Biddeford, ME · York County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
53%
Serious cites
0

Southridge Rehab & Living Center sits in Biddeford with 62 certified beds and a nonprofit owner, and its numbers pull in two directions. The nursing floor is genuinely well staffed at 4.44 hours per resident day, roughly 15% above the national average, though weekend coverage dips about 5% below its own weekday level, and 53.4% of staff turned over last year against a 45.8% national rate. That instability shows up in the oversight record: 29 deficiencies, three of them serious enough to put residents at risk of harm, plus two fines totaling $23,179, with the most recent inspection in June 2024. Care hours are there; consistency and compliance are the open questions.

B

75/100

Forest Haven Nursing And Rehabilitation Ctr

Catonsville, MD · Baltimore County

CMS 1/5 167 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
19%
Serious cites
0

Forest Haven runs on thin nursing coverage, 3.36 hours per resident day, about 13% under the national average, with weekends dipping roughly 8% below its own weekdays. That matters because the inspection record is heavy: 82 deficiencies, three at harm or jeopardy level and nine tied to abuse, plus two fines totaling $273,754. Staff turnover is the outlier worth noting, 18.5% against a national 45.8%, so the people who are there tend to stay. But low turnover hasn't offset the health inspection and quality measure ratings, both 1 out of 5. A 167-bed for-profit LLC in Catonsville, most recently inspected September 2025. If you're considering it, ask directly how the abuse-related deficiencies were resolved.

B

75/100

Roland Park Rehabilitation And Healthcare Center

Baltimore, MD · Baltimore County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
40%
Serious cites
0

Roland Park Rehabilitation and Healthcare Center is a 120-bed nonprofit in Baltimore where the direct-care numbers tell a mixed story. Nurses provide 3.42 hours per resident day, roughly 11% under the national average, and weekend coverage drops about 10% below the home's own weekday levels, so care thins out exactly when families tend to visit. Staff turnover sits at 40%, better than the 45.8% national figure, which suggests some stability in the workforce. The trouble is the inspection record: 54 deficiencies, including 6 abuse-related citations and 1 at the harm level, with two fines totaling $52,359. The last inspection was March 2020, so that record is years old now.

B

75/100

Sterling Care Bel Air

Bel Air, MD · Harford County

CMS 4/5 155 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
42%
Serious cites
0

Sterling Care Bel Air runs 155 certified beds under for-profit LLC ownership, and its nursing hours come in around 3.58 per resident day, roughly 7% under the national average of 3.86. Weekends are thinner still, about 6% below the home's own weekday staffing. Annual turnover sits at 41.9%, a touch better than the 45.8% national figure. What stands out more is the inspection record: 45 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a health inspection rating of 2 out of 5. The quality measure score of 5 doesn't erase that paper trail. If you're weighing this one, ask directly how those abuse and harm findings were resolved and who's on the floor on Saturdays.

B

75/100

Meadow Park Rehabilitation And Healthcare Center

Catonsville, MD · Baltimore County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
44%
Serious cites
0

Meadow Park runs 3.55 nurse hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. That thin weekend margin matters more than the topline number, since it's when families often visit and when problems tend to surface. The inspection record shows 52 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $11,452 and a survey completed in June 2025. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but staffing still earns only 2 of 5 stars from CMS even as quality measures score 5.

B

75/100

Lorien Nursing & Rehab Ctr - Elkridge

Elkridge, MD · Howard County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
59%
Serious cites
0

Lorien Nursing & Rehab Center in Elkridge runs 70 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.94 hours per resident day, a bit above the national average of 3.86, though weekends drop about 4% below its own weekday coverage. The bigger concern is turnover: 59.1% annually against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its current record carries 40 deficiencies, including one at the harm or jeopardy level and three tied to abuse. A February 2026 inspection is recent, and all three CMS star ratings, health inspection, quality measures, and staffing, land at 3 out of 5.

B

75/100

River Terrace Rehabilitation And Healthcare Ctr

Lancaster, MA · Worcester County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
33%
Serious cites
0

River Terrace runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday coverage. That thinness is the main thing pulling its overall picture down, even though turnover at 33.3% actually beats the national 45.8% and the inspection history is strong: a five-star health inspection rating, only two deficiencies on record, and a recent survey from March 2026. One of those two deficiencies did rise to the harm or jeopardy level, which matters more than the count suggests, and there's a single fine of $8,964. The for-profit LLC ownership is worth knowing, but the real question for a family is whether the weekday-to-weekend staffing gap shows up on the floor.

B

75/100

Southshore Health Care Center

Rockland, MA · Plymouth County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
22%
Serious cites
0

Southshore Health Care Center runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 10% below its own weekday coverage. The one bright spot is retention: 22.2% turnover is well below the 45.8% national figure. But the inspection record is where the trouble sits, 61 deficiencies, including one at the harm level and eight tied to abuse, along with a $26,395 fine and a one-star health inspection rating. Quality measures score well at four stars, which often reflects charting more than day-to-day care. For-profit corporate ownership, 96 beds, and the most recent inspection in August 2025. Ask hard questions about supervision and weekend coverage.

B

75/100

Care One At Essex Park

Beverly, MA · Essex County

CMS 4/5 202 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
29%
Serious cites
0

Care One At Essex Park runs 202 beds in Beverly under for-profit LLC ownership, and its inspection record is the strongest part of the picture, a four-star health inspection rating with the most recent survey completed in April 2025. The problem sits underneath that: 19 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one abuse-related finding and a $35,968 fine. Nurse staffing averages 3.61 hours per resident day, about 7% under the national figure, and weekends run roughly 8% thinner than weekdays. Turnover is genuinely low at 28.7% against a national 45.8%, which matters for consistency of care. The quality measure rating holds at four stars, but thin weekend coverage and those harm-level citations are what pull the overall picture down.

B

75/100

Chestnut Woods Rehabilitation And Healthcare Ctr

Saugus, MA · Essex County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
40%
Serious cites
0

Chestnut Woods runs 88 beds in Saugus under for-profit LLC ownership, and its staffing sits at 3.45 nurse hours per resident per day, roughly 11 percent under the national average, with weekends running about 13 percent thinner than weekdays. That staffing shortfall is the main reason its staffing star rating lands at 2 out of 5, even though turnover at 40.3 percent actually beats the national 45.8 percent. The clinical picture looks stronger: a 5/5 quality measure rating and a clean record on harm and abuse, with zero deficiencies at the harm or jeopardy level. But 33 total deficiencies is a lot of paperwork to carry, and the most recent inspection was September 2025.

B

75/100

Parsons Hill Rehabilitation & Health Care Center

Worcester, MA · Worcester County

CMS 2/5 162 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
30%
Serious cites
0

Parsons Hill runs on thinner nurse staffing than most homes, 3.18 hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That gap is what drives the two-out-of-five staffing rating, and it matters most on Saturdays and Sundays when families tend to visit. The inspection record is mixed: 45 deficiencies on file, two tied to abuse, none rising to actual harm or jeopardy, and the most recent state visit was in March 2025. Ownership is for-profit, through a limited liability company. One genuine bright spot is turnover at 30%, well under the 45.8% national figure, which suggests a steadier crew than many competitors.

B

75/100

Prescott House

North Andover, MA · Essex County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
28%
Serious cites
0

Prescott House runs 126 beds in North Andover under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 28.3% against a national 45.8%, meaning the aides and nurses here tend to stick around. But the inspection record is the weight on this home: 38 deficiencies, including one at harm level and one abuse-related, with a $15,935 fine and a 2-out-of-5 health inspection rating. The most recent inspection was January 21, 2026.

B

75/100

Mill Brook Rehabilitation And Healthcare Center

Fall River, MA · Bristol County

CMS 4/5 152 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
43%
Serious cites
0

Mill Brook runs 152 certified beds in Fall River under corporate ownership, and its staffing is the number to sit with: 3.27 nurse hours per resident day, roughly 15 percent under the national average, with weekends about 12 percent thinner than weekdays. Turnover sits at 43.2 percent, slightly better than the national 45.8 percent, so the problem isn't retention so much as how few hours reach the floor. The current record shows 44 deficiencies, three at harm or jeopardy level and two abuse-related, though the most recent inspection was August 2025 and quality measures score well. Ask about weekend coverage and how those harm citations were resolved.

B

75/100

Care One At Concord

W Concord, MA · Middlesex County

CMS 4/5 135 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
30%
Serious cites
0

Care One At Concord runs leaner on nursing hours than most homes, 3.51 per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops about 8% below its own weekday level. That thin margin matters more given six deficiencies on the current record, including one involving harm or jeopardy and one tied to abuse, plus a $7,901 fine. What works in its favor: staff turnover sits at 30.1%, well under the 45.8% national figure, so the people who are there tend to stay. A four-star inspection rating and a January 2026 survey suggest the problems aren't going unaddressed. Corporate-owned and for-profit, it's a home where continuity helps offset staffing that's below par.

B

75/100

The Laurels Of Kent

Lowell, MI · Kent County

CMS 3/5 153 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
41%
Serious cites
0

The Laurels of Kent runs on 3.09 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 41.1%, a bit better than the 45.8% national figure, which matters because consistent caregivers know these residents. What pulls the record down is the inspection side: 38 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus a $62,010 fine. The most recent inspection was February 2026, so the picture is current. Ask about those harm-level findings specifically.

B

75/100

Villa At Borgess Place

Kalamazoo, MI · Kalamazoo County

CMS 2/5 101 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
64%
Serious cites
0

Villa At Borgess Place runs 101 certified beds in Kalamazoo under corporate for-profit ownership, and the numbers pull in different directions. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, but weekends drop about 11% below the home's own weekday level, and annual turnover hits 63.6% against a national 45.8%, so the people at the bedside keep changing. The inspection record is where it gets harder to look past: 70 deficiencies on file, including 5 at harm or jeopardy level and 7 tied to abuse, with one fine totaling $45,130. The last inspection was August 2025. Strong quality scores don't offset that history.

B

75/100

West Oaks Senior Care & Rehab Center

Detroit, MI · Wayne County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
55%
Serious cites
0

West Oaks passed its most recent inspection in June 2025 with a clean health inspection record, five out of five stars, 15 deficiencies on file and none at the harm or jeopardy level. That matters, and it's the strongest thing going for this place. The staffing picture is less reassuring. At 3.70 nurse hours per resident day, it runs slightly under the national average, weekends drop about 8% below its own weekday numbers, and 55.3% annual turnover means the aides and nurses your family member sees are changing often. One abuse-related deficiency also appears on the record. A for-profit limited liability company operates its 102 beds. Good oversight, thin and shifting coverage.

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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