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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 4221–4240 of 10,187, best-graded first.

B

75/100

The Villa At West Branch

West Branch, MI · Ogemaw County

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

The Villa at West Branch runs on thin staffing, 3.77 nurse hours per resident day, just under the national average, and weekends drop about 15% below its own weekday coverage. That gap matters when a resident needs help on a Saturday. Annual turnover sits at 58.7%, well above the 45.8% national figure, so the people providing care are often new to the building. Its inspection record shows 45 deficiencies, 7 of them serious enough to put residents at risk of harm, plus a $56,193 fine. The 5/5 quality measure score reflects how well the home documents care, but the 2/5 inspection rating and the staffing numbers tell you where the trouble is.

B

75/100

Regency Heights-Detroit

Detroit, MI · Wayne County

CMS 3/5 168 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
35%
Serious cites
0

Regency Heights runs 168 beds on Detroit's west side, owned by an individual for-profit operator. Daily nursing hours land at 3.76 per resident, just under the national average of 3.86, and weekends run about 14% leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover sits at 35.1%, notably better than the 45.8% national figure, which suggests some stability in the workforce. The trouble is the inspection record: 29 deficiencies, two serious enough to involve harm or jeopardy, two tied to abuse, plus a $19,321 fine. The most recent inspection was May 30, 2025, so that record is current, not stale. Ask about those abuse citations specifically before deciding.

B

75/100

Omni Continuing Care

Detroit, MI · Wayne County

CMS 3/5 136 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
19%
Serious cites
0

Omni Continuing Care runs 136 beds in Detroit under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage, worth asking about if your family visits mainly on Saturdays and Sundays. What stands out is staff retention: turnover of 18.7% is well under half the national rate of 45.8%, which usually means consistent caregivers who know the residents. The inspection record backs that up, 12 deficiencies, none at harm or jeopardy level, no abuse citations, and a survey as recent as July 2025.

B

75/100

West Woods Of Niles

Niles, MI · Berrien County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
38%
Serious cites
0

West Woods Of Niles runs 121 certified beds under corporate ownership, and its staffing numbers are genuinely solid, 3.92 nurse hours per resident day, just above the national average, with weekend coverage dipping roughly 10% below weekdays. Turnover sits at 38.1%, better than the 45.8% national figure. The problem is everything else. That 1-out-of-5 inspection rating reflects 41 deficiencies on the current record, five of them at harm or jeopardy level and two tied to abuse. Two fines totaling $16,800 are on file, and the most recent inspection was February 2026. Good staffing hasn't translated into a clean building, that gap is what families should weigh.

B

75/100

Wellbridge Of Novi

Novi, MI · Oakland County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
46%
Serious cites
0

Wellbridge of Novi runs a for-profit shop with 100 beds, and the staffing numbers are the strongest part of the story: 4.24 nurse hours per resident day sits about 10% above the national average, and the weekend dip is modest at roughly 12% below weekdays. Turnover lands at 45.9%, essentially identical to the national 45.8%. The trouble is on the inspection side. Thirty-two deficiencies are on the current record, five of them serious enough to involve harm or jeopardy, and two fines total $226,525. The last inspection was April 2025, so the record is recent. Strong daily staffing, weaker oversight history, that split is what a family should weigh.

B

75/100

Aitkin Health Services

Aitkin, MN · Aitkin County

CMS 2/5 42 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
49%
Serious cites
0

Aitkin Health Services runs 42 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average of 3.86. That's the strongest part of the picture, though weekend coverage drops about 10% below its own weekday level. The harder facts: 27 deficiencies on the current record, including 2 at the harm or jeopardy level and 4 abuse-related, plus one fine of $8,824. Staff turnover is 48.8%, above the 45.8% national average. The last inspection was May 2025, so the record is recent, not stale. Low quality-measure scores and that deficiency count are what pull the overall picture down despite good weekday staffing.

B

75/100

The Villas At New Brighton

New Brighton, MN · Ramsey County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
37%
Serious cites
0

The Villas At New Brighton runs a for-profit operation with 99 certified beds, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 10% below weekday levels. Staff turnover of 36.5% actually beats the national 45.8%, so retention isn't the problem. The inspection record is. CMS rated health inspections 1 out of 5, with 61 deficiencies on file, including 6 at the harm or jeopardy level and 4 tied to abuse. Fines total $202,827 across 22 penalties, and the most recent inspection was April 23, 2026. A 4/5 staffing star doesn't offset that inspection history, the problems are documented, recent, and serious.

B

75/100

North Ridge Health And Rehab

New Hope, MN · Hennepin County

CMS 1/5 320 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
28%
Serious cites
0

North Ridge in New Hope runs 320 beds under corporate ownership, and its numbers pull in two directions. Nurse staffing sits at 4.23 hours per resident day, about 10 percent above the national average, and turnover of 27.5 percent is well below the 45.8 percent national figure, both genuinely good signs. But the inspection record is where this home struggles: 65 deficiencies on file, including one at the harm level and two tied to abuse, plus a $25,480 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Weekends also run about 11 percent thinner than weekdays, so coverage isn't uniform.

B

75/100

Emmanuel Nursing Home

Detroit Lakes, MN · Becker County

CMS 3/5 57 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
49%
Serious cites
0

Emmanuel Nursing Home runs 4.57 nurse hours per resident day, about 18% above the national average, and that staffing shows up in a five-star CMS staffing rating, genuinely hard to earn. The catch is consistency: weekends run roughly 14% lighter than weekdays, so the coverage your family sees on a Tuesday isn't what's there on a Sunday. Turnover sits at 48.7%, a bit above the national 45.8%, meaning familiar faces cycle out faster than average. The inspection record is the bigger concern, 20 deficiencies on file, including two at the harm level and one tied to abuse, plus an $82,840 fine. The most recent inspection was February 2026, so the record is current.

B

75/100

Fair Oaks Lodge

Wadena, MN · Wadena County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
53%
Serious cites
0

Fair Oaks Lodge runs a 65-bed for-profit operation in Wadena, and the numbers pull in different directions. Nurse staffing sits at 4.44 hours per resident day, about 15% above the national average, and that shows up in a 4-out-of-5 staffing rating, but weekends run roughly 11% thinner than weekdays, so coverage isn't even across the week. Turnover is 52.5%, well above the 45.8% national figure, which matters for how well anyone knows your family member. The inspection record is the harder read: 52 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $10,062 fine and a 2-out-of-5 health inspection rating. Quality measures also land at 2 out of 5.

B

75/100

Diversicare Of Southaven

Southaven, MS · De Soto County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
22%
Serious cites
0

Diversicare Of Southaven runs 140 certified beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Nurses provide 3.41 hours per resident day, about 12% under the national average of 3.86, and weekends dip roughly 11% below the home's own weekday coverage. Turnover sits at 21.9%, well below the 45.8% national figure, so the people who are there tend to stay. The trouble is inspections: a 1-out-of-5 health inspection rating, 44 deficiencies on the current record including 10 at harm or jeopardy level, and 8 fines totaling $78,295. The most recent inspection was April 2026. Quality measures rate 3 out of 5, staffing 4.

B

75/100

Humphreys Co Nursing Center

Belzoni, MS · Humphreys County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
49%
Serious cites
0

Humphreys County Nursing Center runs about 60 beds in Belzoni, and it's individually owned for profit. The staffing is genuinely a bright spot: 4.02 nurse hours per resident day, roughly 4% above the national average, earning a 4-out-of-5 staffing star. But weekends drop about 14% below weekday levels, so coverage isn't even across the week. Turnover sits at 49.2%, higher than the 45.8% national figure. The health inspection record carries 17 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score just 1 out of 5 stars. The staffing and clean harm record help; the quality measures and turnover pull the other way.

B

75/100

Vaiden Community Living Center

Vaiden, MS · Carroll County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
36%
Serious cites
0

Vaiden Community Living Center runs 60 beds under for-profit LLC ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 12 percent below its own weekday coverage, so families should ask who's actually on the floor Saturday and Sunday. Turnover is the brighter spot: 36.4 percent against a national 45.8 percent, meaning aides and nurses stick around longer than at the typical home. The tradeoff shows up in care quality. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and the quality measure rating is 2 out of 5. Inspectors last visited in October 2024.

B

75/100

Bedford Care Ctr-Monroe Hall

Hattiesburg, MS · Forrest County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
52%
Serious cites
0

Bedford Care Ctr-Monroe Hall runs a five-star staffing operation, with 4.24 nurse hours per resident day, about 10% above the national average, and a five-star inspection record with no deficiencies at the harm or jeopardy level. The catch is consistency: weekend staffing drops roughly 12% below its own weekday level, and 52.2% annual turnover tops the national average of 45.8%, meaning aides are cycling through faster than residents can get used to them. Three abuse-related deficiencies on the current record are worth asking about directly, and a one-star quality measure rating suggests the clinical outcomes don't match the staffing numbers. Ask how the home covers weekends and what those abuse citations involved.

B

75/100

Mcdonald County Living Center

Anderson, MO · Mc Donald County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
26%
Serious cites
0

McDonald County Living Center runs lean on nursing hours, 3.15 per resident day, roughly 18% under the national average, and weekends dip about 11% below its own weekday coverage. That's the weak spot. What partly offsets it: turnover here is 25.6%, well below the national 45.8%, so the staff who are present tend to stay, which matters for consistency of care. The current record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Inspectors last visited in December 2024, and the home scores 4 out of 5 on both health inspections and quality measures, with staffing at 3. It's a for-profit corporate operation, and the numbers say decent care with thinner coverage than most.

B

75/100

Hilltop At Blue River, The

Kansas City, MO · Jackson County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
2.62 /day
Staff turnover
38%
Serious cites
0

Hilltop At Blue River runs about 2.62 nurse hours per resident day, roughly a third below the national average, and weekends drop another 11% under its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 37.9%, actually better than the national 45.8%. The split shows in the numbers: quality measures score 5/5, but staffing sits at 1/5 and inspections at 2/5, with 48 deficiencies on record, two at harm or jeopardy level and two abuse-related, plus a $34,704 fine. Last inspected March 2025. For-profit corporate ownership. Ask about weekday-to-weekend staffing and how those abuse findings were resolved.

B

75/100

Ashley Manor Health & Rehabilitation

Boonville, MO · Cooper County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
56%
Serious cites
0

Ashley Manor runs about 3.41 nursing hours per resident per day, roughly 12% under the national average of 3.86, and weekends dip another 14% below its own weekday staffing. That thin coverage shows up in the staffing rating. Turnover sits at 55.8% against a national 45.8%, so aides and nurses are cycling through faster than average. On paper, care quality looks solid, four stars each on health inspections and quality measures, with a January 2025 inspection and no deficiencies at the harm level. But 24 total deficiencies and one abuse-related finding on the record is a lot to carry, and it's the staffing math, not the inspection score, that families should weigh hardest here.

B

75/100

Adept Nursing & Rehab Of Central City

Central City, NE · Merrick County

CMS 2/5 63 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
47%
Serious cites
0

Adept Nursing & Rehab Of Central City runs on thinner nursing coverage than most homes its size, 3.17 nurse hours per resident day against a national average of 3.86, with weekends dipping about 5% below its own weekday levels. The state's most recent inspection, in July 2025, left 19 deficiencies on the record, none rising to harm or jeopardy and none abuse-related, though the health inspection rating sits at 2 out of 5. Staff turnover is 47.1%, slightly above the national figure, and the home is owned by a for-profit limited liability company. Its quality measure rating is a 4, which suggests the clinical outcomes tracked by CMS look better than the staffing and inspection numbers would predict on their own.

B

75/100

Old Mill Rehabilitation

Omaha, NE · Douglas County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
67%
Serious cites
0

Old Mill Rehabilitation runs on more nursing hours than most homes, 4.85 per resident day against a national average of 3.86. That's a real cushion, though weekends dip about 12% below the home's own weekday pace, so coverage isn't perfectly even. The bigger concern is staff churn: 67.3% annual turnover, well above the 45.8% national figure, which matters because residents see a lot of new faces. Eighteen deficiencies sit on the current record, three tied to abuse and none at the harm or jeopardy level. The last inspection was April 2026, so the picture is recent. Ownership is a for-profit corporation, and the three-star ratings across health, quality, and staffing are consistent with what the numbers show.

B

75/100

Litzenberg Memorial County Hospital

Central City, NE · Merrick County

CMS 4/5 46 beds Government Medicaid
Nurse hours
3.49 /day
Staff turnover
30%
Serious cites
0

Litzenberg Memorial is county-owned, which tends to mean stability and a local board that answers to voters rather than shareholders. The inspection record backs that up: seven deficiencies on file, none of them causing harm or involving abuse, and a survey completed just this September. Staffing is where it gets uneven. At 3.49 nurse hours per resident day, it runs about ten percent under the national average, and weekends dip another ten percent below the home's own weekday levels, so a Saturday shift is the thinnest coverage you'll find here. The saving grace is retention: 30 percent turnover against a 45.8 percent national average means the aides and nurses who are there tend to stay, which matters more than raw hours when your parent needs someone who knows their routine.

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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