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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 4241–4260 of 10,187, best-graded first.

B

75/100

Crestwood Center

Milford, NH · Hillsborough County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
43%
Serious cites
0

Crestwood Center runs 82 certified beds in Milford under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends dip roughly another 13 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 43.1 percent actually edges below the 45.8 percent national figure, which is one genuinely encouraging sign. Inspections are recent, from December 2025, but the record carries 13 deficiencies, including one at the harm level and one abuse-related, plus a $15,646 fine. Quality measures score well; the staffing and inspection side is where the concern sits.

B

75/100

Complete Care At Burlington Woods, Llc

Burlington, NJ · Burlington County

CMS 4/5 215 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
42%
Serious cites
0

Complete Care at Burlington Woods is a 215-bed for-profit home in Burlington, and the numbers pull in different directions. The clinical quality measure rating is strong at 5 out of 5, meaning the home reports good outcomes on things like wounds and mobility. But staffing runs about 3.56 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.7% is slightly better than the national 45.8%, which helps. The tradeoff is oversight: 23 deficiencies on record, one serious enough to involve harm, and a $63,469 fine, with the last inspection in June 2025.

B

75/100

Holly Manor Center

Mendham, NJ · Morris County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
39%
Serious cites
0

Holly Manor runs leaner on nursing hours than most homes, about 3.17 per resident day against a national average near 3.86, and weekends get thinner still, roughly 9% below its own weekday coverage. That staffing shortfall is why CMS gives it only 2 of 5 stars on both staffing and health inspections, even though its quality measure score sits at the top of the scale. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Turnover at 38.6% actually beats the national rate, and the most recent inspection was in February 2025, so the picture is current rather than stale.

B

75/100

Elmwood Hills Healthcare Center Llc

Blackwood, NJ · Camden County

CMS 2/5 300 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
46%
Serious cites
0

Elmwood Hills runs 300 beds in Blackwood under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 11% below its own weekday coverage. Turnover sits at 46.4%, basically in line with the national figure, so that's not the outlier here. What stands out is the inspection record, a 1-out-of-5 health inspection rating, 25 deficiencies including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. The 5-out-of-5 quality measure score doesn't cancel that out. Ask about weekend staffing and the abuse-related findings specifically.

B

75/100

Deptford Center For Rehabilitation And Healthcare

Deptford, NJ · Gloucester County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
60%
Serious cites
0

Deptford Center runs 240 certified beds as a for-profit corporation, and its staffing numbers sit below the national average, about 3.23 nurse hours per resident day against 3.86 nationally. Weekend coverage drops roughly 8% below its own weekday level, and annual turnover hits 60.3% while the national average is 45.8%, so the aides and nurses your family member sees may keep changing. The current record carries 54 deficiencies, four tied to abuse, though none at the harm or jeopardy level. Quality measures score well, but health inspections and staffing both come in low, and the most recent inspection was August 2025.

B

75/100

Autumn Lake Healthcare At Oceanview

Ocean View, NJ · Cape May County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
49%
Serious cites
0

Autumn Lake Healthcare At Oceanview runs on more nurse hours than most homes, 4.11 per resident day against a national average of 3.86, and that's why its staffing rating lands at 4 out of 5. The catch is weekends, when coverage drops roughly 6% below what the building staffs on weekdays, and turnover sits at 48.7%, a bit worse than the 45.8% national figure. Inspections show 22 deficiencies with none at the harm level, but one tied to abuse, plus a single $28,740 fine. The last state visit was January 2025, so the record is recent. It's a for-profit LLC, and the care numbers are steady rather than standout.

B

75/100

Aristacare At Manchester Llc

Manchester, NJ · Ocean County

CMS 5/5 165 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
44%
Serious cites
0

Aristacare At Manchester runs 165 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.62 nurse hours per resident day, about 6% under the national average of 3.86, with weekends roughly 8% leaner than weekdays. Annual turnover of 43.8% is actually slightly better than the 45.8% national figure, though still high by any measure. Inspections look strong on paper, a 4/5 health inspection rating and a 5/5 quality measure rating, with the most recent survey in August 2025, but 17 deficiencies sit on the current record, including one at the harm or jeopardy level, and CMS has fined the home $62,826.

B

75/100

Lopatcong Center

Phillipsburg, NJ · Warren County

CMS 3/5 153 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
38%
Serious cites
0

Lopatcong Center runs 153 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.07 nurse hours per resident day, roughly a fifth below the national average of 3.86, with weekends about 10% leaner than weekdays. Turnover sits at 37.5%, better than the 45.8% national figure, so the people who stay tend to stay. The trade-off shows up elsewhere, a 2/5 inspection rating, 24 deficiencies on record including one abuse-related, though none reached harm or jeopardy, and the last inspection was recent, June 2025. Quality measures score 5/5, which reflects how residents are actually doing day to day. The staffing shortfall and inspection history are the things to ask about directly.

B

75/100

Autumn Lake Healthcare At Southgate

Carneys Point, NJ · Salem County

CMS 2/5 152 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
32%
Serious cites
0

Autumn Lake Healthcare At Southgate runs 152 beds in Carneys Point under for-profit LLC ownership, and its staffing is the number worth sitting with: 3.29 nurse hours per resident day, roughly 15% under the national average, with weekends about 9% thinner than weekdays. Turnover, at 32.2%, actually beats the national 45.8%, so the issue isn't churn so much as how many hands are scheduled. The inspection record shows 21 deficiencies, none at harm or jeopardy level, two tied to abuse, and the most recent inspection came in February 2025. Quality measures score well while staffing and inspections sit lower, that split is the whole story here.

B

75/100

Complete Care At West Caldwell Llc

West Caldwell, NJ · Essex County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
52%
Serious cites
0

Complete Care At West Caldwell is a 180-bed for-profit run by an LLC, and its staffing is the number worth watching: 3.44 nurse hours per resident day sits roughly 11% under the national average of 3.86, with weekends running about 9% lighter than weekdays. Turnover is 51.7%, above the 45.8% national figure, so aides and nurses keep cycling through. The 9 deficiencies on record include one abuse-related citation but nothing at harm or jeopardy level, and the most recent inspection was March 2025. Resident outcome measures look strong here even though the staffing side doesn't; if your family member needs consistent hands-on help, ask how the weekend shift is covered.

B

75/100

Complete Care At Bayshore Llc

Holmdel, NJ · Monmouth County

CMS 2/5 232 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
38%
Serious cites
0

Complete Care at Bayshore is a 232-bed for-profit corporation-owned home in Holmdel, and the numbers tell a mixed story. Nurse staffing sits at 3.78 hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays, a gap families should keep in mind when visiting hours matter. Turnover of 37.8% actually beats the national rate of 45.8%, so the workforce here is comparatively stable. The current record shows 38 deficiencies, including one at the harm or jeopardy level and two abuse-related, with the last inspection in October 2024.

B

75/100

Complete Care At Green Acres

Toms River, NJ · Ocean County

CMS 5/5 167 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Complete Care At Green Acres sits in Toms River with 167 certified beds, run by a for-profit limited liability company. The inspection record is genuinely strong, a five-star health inspection rating, a five-star quality measure rating, and 12 deficiencies on the current record with none at the harm or jeopardy level, though one is abuse-related. Where it slips is staffing: 3.67 nurse hours per resident day, about 5% under the national average, with weekends running roughly 7% thinner than weekdays. Annual turnover of 43.1% is slightly better than the national 45.8%. So you have a home that inspects well and measures well on clinical quality, backed by a two-star staffing rating and a recent July 2025 inspection. Ask about weekend coverage and which shifts turn over most.

B

75/100

Brookhaven Health Care Center

East Orange, NJ · Essex County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
28%
Serious cites
0

Brookhaven runs lean on nurse staffing, 3.27 hours per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday coverage, so a Saturday shift may feel noticeably thinner than a Tuesday. What works in its favor: turnover sits at 28.2%, well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. The 17 deficiencies on record include nothing tied to harm, jeopardy, or abuse, and the last inspection was recent, in August 2025. For-profit, LLC-owned, 122 beds. Steady hands, lighter coverage.

B

75/100

Redbank Center For Rehabilitation And Healing

Red Bank, NJ · Monmouth County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
44%
Serious cites
0

Redbank Center runs 180 beds under for-profit LLC ownership, and its staffing is the part that stands out, 3.02 nurse hours per resident day, roughly 22% under the national average, with weekends about 8% thinner than weekdays already are. That's the number CMS weighs most heavily, and it's why the staffing star sits at 1 out of 5 while the quality measure score hits 5. Turnover of 44.3% is essentially at the national mark, so retention isn't the problem here; raw hours are. The inspection record shows 29 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was February 2025.

B

75/100

Complete Care At Marcella

Burlington, NJ · Burlington County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
36%
Serious cites
0

Complete Care At Marcella is a 150-bed for-profit in Burlington, and its strongest suit is quality measures, where it scores 5 out of 5, meaning clinical outcomes like pressure ulcers and falls track well. The tradeoff shows up in staffing: 3.57 nurse hours per resident day sits about 8% under the national average of 3.86, and weekends run roughly 12% thinner than weekdays, so coverage can feel different depending on when you visit. Turnover is 36.3%, better than the 45.8% national figure, which helps with consistency. Inspections in July 2025 turned up 16 deficiencies, one serious enough to involve harm or jeopardy. No abuse findings. Worth asking about that one.

B

75/100

Careone At Oradell

Oradell, NJ · Bergen County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
25%
Serious cites
0

Careone At Oradell runs 154 beds under for-profit LLC ownership, and its staff retention is a genuine bright spot, 24.8% turnover is nearly half the national rate, meaning aides and nurses tend to stay. Staffing hours, though, sit at 3.67 per resident day, about 5% under the national average, and weekends run roughly 13% thinner than weekdays, so coverage gets tight when families visit. The bigger concern is the inspection record: 33 deficiencies, one serious enough to reach harm or jeopardy level, and a $74,344 fine, all logged at the most recent survey in December 2024. Quality measures look strong on paper, but the survey history is where a family should focus its questions.

B

75/100

Axia Care Center Of Orange

Orange, NJ · Essex County

CMS 2/5 188 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Alaris Health At St Marys runs 188 certified beds in Orange, and the staffing numbers are genuinely better than most: 4.14 nurse hours per resident day, roughly 7% above the national average, with a 4-out-of-5 staffing rating. But weekends drop about 9% below the home's own weekday level, and turnover sits at 47.3%, just above the national figure. The bigger concern is the inspection record, a 1-out-of-5 health inspection rating, 31 deficiencies including two at the harm level and one abuse-related, and a $124,800 fine. Quality measures score well at 4 out of 5, and the last inspection was January 2025.

B

75/100

Alliance Care Rehabilitation And Nursing Center

Irvington, NJ · Essex County

CMS 5/5 212 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
31%
Serious cites
0

Alliance Care Rehabilitation and Nursing Center runs 212 certified beds in Irvington under for-profit partnership ownership. Nurse staffing sits at 3.35 hours per resident day, roughly 13 percent under the national average, and weekends dip another 13 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot: 30.5 percent against a national 45.8 percent, which suggests a steadier crew than most places. The inspection record is the concern. Twenty-six deficiencies are open, including one at harm or jeopardy level and two tied to abuse, with the last inspection in October 2024.

B

75/100

Atlas Rehabilitation And Healthcare At Maywood

Maywood, NJ · Bergen County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
42%
Serious cites
0

Atlas Rehabilitation and Healthcare at Maywood runs 120 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 7% below its own weekday coverage, which matters if your family visits or needs help on Saturdays and Sundays. Staff turnover is 42.2%, slightly better than the national 45.8%. The inspection record shows 18 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. The quality measure score is strong; the staffing score is not. That split is the real story here, good clinical outcomes on paper, thinner hands-on coverage than average day to day.

B

75/100

Hamilton Grove Healthcare And Rehabilitation, Llc

Hamilton, NJ · Mercer County

CMS 2/5 218 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
34%
Serious cites
0

Hamilton Grove runs 218 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 28 deficiencies, including one at harm or jeopardy level and five tied to abuse, with a $54,275 fine and a survey dated March 2026. Turnover is 34.1%, better than the 45.8% national figure, which matters for continuity. The 4/5 quality measure score reflects charted clinical care; the 2/5 staffing and inspection ratings reflect what's happening on the floor.

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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