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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 4261–4280 of 10,187, best-graded first.

B

75/100

Fallsview Nursing And Rehabilitation Center

Boonton, NJ · Morris County

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

Fallsview runs 117 beds in Boonton under for-profit LLC ownership, and its overall nurse staffing of 3.85 hours per resident day sits essentially even with the national average of 3.86, but that average hides a gap, since weekends run about 13% thinner than weekdays. Staff turnover is 55.2% against a national 45.8%, so aides and nurses cycle through faster than usual. The inspection record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $159,660. Quality measures score well, but two stars on health inspections and two on staffing tell you where the trouble is.

B

75/100

Silver City Care Center

Silver City, NM · Grant County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
52%
Serious cites
0

Silver City Care Center runs on 3.24 nurse hours per resident day, which is roughly 16% under the national average of 3.86, and weekends dip about 6% below its own weekday staffing. That matters when you consider the record: 68 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus a $21,200 fine. Turnover sits at 51.9%, well above the 45.8% national figure, so the people providing care keep changing. The last inspection was January 13, 2026, and the health inspection rating is 2 out of 5, even though quality measures scored 4. For-profit corporate ownership rounds out the picture.

B

75/100

Far Rockaway Center For Rehabilitation And Nursing

Far Rockaway, NY · Queens County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
42%
Serious cites
0

Far Rockaway Center runs a hundred certified beds as a for-profit LLC, and its numbers tell a mixed story worth untangling. The quality measure rating sits at the top of the scale, and there are no deficiencies flagged at the harm or jeopardy level and none tied to abuse, that's the reassuring part. But nurse staffing comes in at 2.84 hours per resident day, roughly 27% under the national average, and weekends dip about 9% below the home's own weekday coverage. Turnover is 41.8%, actually a bit better than the 45.8% national figure. Twenty-five deficiencies sit on the current record, with the most recent inspection in April 2026. Ask about weekend nursing coverage specifically.

B

75/100

Parkview Care And Rehabilitation Center, Inc

Massapequa, NY · Nassau County

CMS 4/5 169 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
31%
Serious cites
0

Parkview runs lean on nursing hours, 3.16 per resident day against a national average of 3.86, with weekends about 9% thinner than weekdays. That staffing gap is the main thing pulling its profile down. What offsets it: turnover sits at 30.6%, well under the 45.8% national figure, so the aides and nurses who are there tend to stay, and the home's inspection record is solid, 14 deficiencies on file, none at harm or jeopardy level, and a recent April 2025 survey. One abuse-related citation is worth asking about directly. For a 169-bed for-profit in Nassau County, the pattern is decent care with thinner coverage than you'd want.

B

75/100

N Y S Veterans Home

Oxford, NY · Chenango County

CMS 4/5 242 beds Government Medicaid
Nurse hours
3.57 /day
Staff turnover
—
Serious cites
0

The state-run veterans home in Oxford holds 242 certified beds and scores well on health inspections, four out of five stars, with just five deficiencies on the current record and none rising to harm or jeopardy. That inspection record is genuinely clean, and the most recent survey came in May 2025, so it's current. The problem sits elsewhere: staffing earns only one star, and while the state doesn't publish a raw hours-per-resident figure here, that rating means the home runs well below what CMS expects relative to other facilities nationally. There is also one abuse-related deficiency on file, which families should ask about directly. Good oversight, thin direct-care coverage, that's the tradeoff worth weighing.

B

75/100

Spring Creek Rehabilitation & Nursing Care Center

Brooklyn, NY · Kings County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
39%
Serious cites
0

Spring Creek runs about 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. Turnover sits at 38.5%, which is better than the 45.8% national figure, staff tend to stay. The inspection record shows 17 deficiencies, none at the harm level, though one is abuse-related, and the most recent inspection was February 2025. Quality measures score well, but the staffing numbers explain why this for-profit Limited Liability company home lands where it does.

B

75/100

Valley View Manor Nursing Home

Norwich, NY · Chenango County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
49%
Serious cites
0

Valley View Manor runs 3.95 nurse hours per resident day, which is only about 2% above the national average of 3.86, a slim margin, and weekend staffing drops roughly 28% below its own weekday level, so the coverage families see on a Saturday looks different from a Tuesday. Staff turnover sits at 49.4%, higher than the 45.8% national average, meaning nearly half the nursing staff leaves each year. The current record shows 25 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was April 2026. This is a for-profit limited liability company with 82 beds.

B

75/100

The Grand Pavilion For Rehab & Nursing At Rockvill

Rockville Centre, NY · Nassau County

CMS 3/5 158 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
26%
Serious cites
0

The Grand Pavilion runs lean on nurses: 3.33 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which matters most when families visit and fewer staff are on the floor. A quarter of the nursing staff turned over last year, though that's well below the 45.8% national figure, an unusually stable workforce by comparison. What keeps the record mixed is a recent inspection from January 2025 that logged 21 deficiencies, including one at the harm level and one tied to abuse, plus a $60,401 fine. Quality measures score well; staffing and inspection results don't.

B

75/100

Bridge View Nursing Home

Whitestone, NY · Queens County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
10%
Serious cites
0

Bridge View runs lean on nursing hours, 2.82 per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday pace. So the staffing star rating of 2 out of 5 tracks with what the payroll shows. What's genuinely unusual is retention: 10.4% turnover versus 45.8% nationally, meaning the aides and nurses who are there tend to stay. State inspectors last visited in May 2023 and logged 17 deficiencies, two tied to abuse, though none at the harm or jeopardy level. A four-star inspection and four-star quality record sit on top of a thin staffing floor.

B

75/100

Woodside Manor Nursing Home Inc

Rochester, NY · Monroe County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
62%
Serious cites
0

Woodside Manor is a small for-profit home in Rochester, 44 beds, individually owned, and it was inspected recently, in August 2025, with no deficiencies at the harm or jeopardy level and nothing abuse-related on its record. The staffing number looks fine at first glance, but it's essentially dead even with the national average, and the real trouble is underneath: more than six in ten staff left over the past year, well above the 45.8% national rate, and weekend coverage drops roughly 13% below what the home staffs on weekdays. Fourteen deficiencies sit on the current record, none severe. Families should ask how the home keeps weekends covered when turnover is this high.

B

75/100

The Grand Rehabilitation And Nursing At Great Neck

Great Neck, NY · Nassau County

CMS 1/5 214 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
15%
Serious cites
0

The Grand Rehabilitation and Nursing at Great Neck runs 214 beds under corporate ownership, and its inspection record is the weak spot: 24 deficiencies on file, including one at the harm level and one abuse-related, with the most recent inspection in July 2024. Staffing sits at 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends run about 7% thinner than weekdays, so coverage depends on when you visit. What the numbers don't show is instability: turnover of 15.2% is far lower than the 45.8% national figure, meaning the aides and nurses around your family member are more likely to still be there next year.

B

75/100

Sunharbor Manor

Roslyn Heights, NY · Nassau County

CMS 2/5 266 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
31%
Serious cites
0

Sunharbor Manor runs 266 beds in Roslyn Heights, and its nurse staffing sits at 3.45 hours per resident day, roughly 11 percent under the national average of 3.86. Weekends dip about 9 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the genuine bright spot: 30.8 percent against a national 45.8 percent, which suggests aides and nurses are staying put. The inspection record is mixed, 27 deficiencies, none at harm or jeopardy level, but one tied to abuse, and the last full inspection was March 2024. One thing worth asking about directly: what that abuse deficiency involved.

B

75/100

Bushwick Center For Rehabilitation And Health Care

Brooklyn, NY · Kings County

CMS 3/5 225 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
30%
Serious cites
0

Bushwick Center runs 225 certified beds under corporate ownership, and its nurse staffing sits at 3.31 hours per resident day, about 14% under the national average of 3.86. Weekends dip roughly 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 30.1% against a national 45.8%, meaning the aides and nurses who are there tend to stay. Inspections in June 2025 produced 24 deficiencies, none at harm or jeopardy level, though two were abuse-related. The health inspection rating came in at 3 out of 5, quality measures at 4, staffing at 2.

B

75/100

Highbridge Woodycrest Center

Bronx, NY · Bronx County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
64%
Serious cites
0

Highbridge Woodycrest Center runs 90 certified beds in the Bronx under corporate for-profit ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, eight total deficiencies with none at the harm or jeopardy level and nothing abuse-related, and a survey completed in July 2024. That currency matters. Where it thins out is staffing. At 3.06 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekends drop about 8% below its own weekday baseline, so the thinnest coverage lands when families tend to visit. Annual turnover of 63.9% runs well above the 45.8% national figure, meaning the aides and nurses you meet may not be there next year.

B

75/100

Bellhaven Center For Rehab And Nursing Care

Brookhaven, NY · Suffolk County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

Bellhaven runs 240 certified beds in Brookhaven, and the numbers pull in different directions. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, with weekends running about 13 percent thinner than weekdays, a pattern that matters when families visit on Saturdays and Sundays. The inspection record is the harder read: 17 deficiencies, two at harm or jeopardy level, four tied to abuse, and a one-star health inspection rating, though staff turnover at 38 percent actually beats the national 45.8 percent. Ownership is for-profit partnership. Quality measures rate five stars, but that's self-reported data, and the last inspection was August 2024.

B

75/100

Smithtown Center For Rehabilitation & Nursing Care

Smithtown, NY · Suffolk County

CMS 2/5 162 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
35%
Serious cites
0

Smithtown Center runs 162 certified beds under corporate ownership, and its staffing is the weak spot: 3.51 nurse hours per resident day sits about 9% under the national average, and weekends drop roughly 11% below its own weekday levels. The federal staffing rating reflects that, one star out of five. Turnover lands at 34.7%, which is better than the 45.8% national figure, so the people who stay tend to stay. On inspections, the record shows 17 deficiencies with nothing at the harm or jeopardy level and no abuse citations, and the most recent survey was April 2025. Quality measures score well. The shortfall here is coverage, not conduct, especially on Saturdays and Sundays, when your family member is most likely to need someone nearby.

B

75/100

Delhi Rehabilitation And Nursing Center

Delhi, NY · Delaware County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
44%
Serious cites
0

Delhi Rehabilitation and Nursing Center is a 176-bed for-profit home run by a limited liability company, and its numbers tell a mixed story. The nursing staff averages 3.37 hours per resident day, roughly 13% under the national figure of 3.86, and weekends run about 10% thinner than weekdays, so coverage dips exactly when families tend to visit. Turnover sits at 44.2%, slightly better than the national 45.8%. Inspections are the real concern: 46 deficiencies on the current record, three of them abuse-related, with the last survey in July 2024. Residents' assessed quality measures land at two stars out of five.

B

75/100

Davie Nursing And Rehabilitation Center

Mocksville, NC · Davie County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
34%
Serious cites
0

Davie Nursing and Rehabilitation Center runs 96 certified beds in Mocksville under for-profit LLC ownership. Nurse staffing sits at 3.30 hours per resident day, which is roughly 14% under the national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. The better news: turnover is 33.8%, well below the national 45.8%, and the seven deficiencies on record include nothing at the harm level and nothing abuse-related. Its most recent inspection was November 2025. CMS rates the quality measures 4 out of 5 but staffing just 2, a split worth taking seriously.

B

75/100

The Lodge At Rocky Mount Health And Rehabilitation

Rocky Mount, NC · Edgecombe County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
40%
Serious cites
0

The Lodge at Rocky Mount runs a for-profit operation under an LLC, with 100 certified beds and a nurse staffing level of 4.24 hours per resident day, roughly 10% above the national average of 3.86. That headline number looks good, but the weekend tells a different story: staffing drops about 13% below its own weekday level, and the federal staffing rating sits at just 2 out of 5. Staff turnover is 39.6%, better than the national 45.8%. On the record are 16 deficiencies, two of them serious enough to involve harm or jeopardy, plus $16,984 in fines from two citations. No abuse-related deficiencies appear. The last inspection was in April 2026.

B

75/100

Bethany Woods Nursing And Rehabilitation Center

Albemarle, NC · Stanly County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
59%
Serious cites
0

Bethany Woods runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 58.6% against a national 45.8%, meaning more than half the nursing staff leaves each year; that churn matters more than any single rating because it affects who actually knows your mother's routines. The inspection record shows 22 deficiencies with none at harm level, but one is abuse-related, and the last survey was April 2026.

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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