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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 4441–4460 of 10,187, best-graded first.

B

74.5/100

Specialty Health And Rehabilitation Center

Pensacola, FL · Escambia County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
—
Serious cites
0

Specialty Health And Rehabilitation Center runs 120 certified beds in Pensacola under for-profit LLC ownership, and the numbers split sharply depending on what you weigh. Nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, with weekends about 10% thinner than weekdays, that pattern matters because falls and infections don't check the calendar. The inspection record is the stronger side: a 4/5 health inspection rating, four deficiencies total, none at harm or jeopardy level, no abuse findings, and the most recent survey closed in October 2025. So you're looking at a home that inspects cleanly but runs lean on daily hands-on care, and the staffing rating of 2/5 reflects it.

B

74.5/100

Park Place Nursing Facility

Monroe, GA · Walton County

CMS 2/5 175 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
48%
Serious cites
0

Park Place runs 4.43 nurse hours per resident day, roughly 15% above the national average, so the raw staffing level isn't the problem here. What drags it down is consistency: weekend coverage drops about 15% below the home's own weekday level, annual turnover sits at 47.8%, and CMS gives staffing only 2 of 5 stars. Inspections look better, the health inspection rating is 4 of 5, the most recent visit was April 2025, and none of the 11 cited deficiencies rose to harm or jeopardy. Three abuse-related deficiencies on record is worth asking about directly, along with how the weekend schedule is actually covered.

B

74.5/100

Pruitthealth - Fairburn

Fairburn, GA · Fulton County

CMS 2/5 82 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
55%
Serious cites
0

Pruitthealth - Fairburn runs 82 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, about 8% under the national average of 3.86. Weekends are thinner still, roughly 22% below the home's own weekday coverage, and annual turnover hits 54.7% against a national 45.8%, so the aides and nurses your family sees may change often. The inspection record shows 22 deficiencies, none flagged at harm or jeopardy level and none abuse-related, with the most recent survey in May 2025. Quality measures scored well, inspections did not.

B

74.5/100

Quinn Meadows Rehabilitation And Care Center

Pocatello, ID · Bannock County

CMS 2/5 41 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
—
Serious cites
0

Quinn Meadows runs about 4.28 nurse hours per resident day, roughly 11% above the national average, and its weekend staffing drops about 14% below its own weekday level, so the coverage you see midweek isn't quite what you get on a Saturday. The 26 deficiencies on record include nothing flagged at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent. What pulls at the picture is the mix: quality measures look strong, inspectors found a middle-of-the-road set of issues, but CMS rates staffing 1 out of 5 despite the decent raw hours. Ask how the weekend shift actually gets covered.

B

74.5/100

Arista Healthcare

Naperville, IL · Du Page County

CMS 5/5 153 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
31%
Serious cites
0

Arista Healthcare runs 153 beds in Naperville under corporate ownership, and its staffing sits at 3.64 nurse hours per resident day, about 6% under the national average of 3.86. Weekends drop roughly 20% below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out favorably is turnover: 31.4% against a national average of 45.8%, meaning the aides and nurses here tend to stick around longer than elsewhere. Inspections were current as of January 2025, and while there are 19 deficiencies on record, none involved harm or jeopardy, and none were abuse-related. A solid, unremarkable home with stable staff and some weekend gaps.

B

74.5/100

Hickory Creek At Connersville

Connersville, IN · Fayette County

CMS 5/5 36 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
50%
Serious cites
0

Hickory Creek At Connersville runs a 36-bed home in Fayette County, and the inspection record is genuinely strong, one deficiency on the books, none at the harm level, no abuse citations, and a survey completed in November 2025, so the picture is recent. What holds it back is staffing: 3.09 nurse hours per resident day against a national average of 3.86, roughly 20% below. Weekends run about 16% thinner than weekdays, and annual turnover sits at 50% against a national 45.8%, meaning about half the staff leaves each year. For a small for-profit building, that gap matters most on a Saturday night, when fewer people are on the floor to notice a change in a resident. Ask how the weekend shift is actually covered.

B

74.5/100

Swiss Villa Nursing And Rehabilitation

Vevay, IN · Switzerland County

CMS 4/5 72 beds Government Medicaid
Nurse hours
3.14 /day
Staff turnover
43%
Serious cites
0

Swiss Villa is county-owned, which is unusual these days and tends to mean steadier oversight than a lot of for-profit chains. The tradeoff shows up in the staffing numbers: 3.14 nurse hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays. Seventeen deficiencies sit on the current record, though none rose to harm or jeopardy level and none involved abuse, and the last inspection was in August 2025. Turnover at 42.6 percent is actually slightly better than the national 45.8 percent. So you're looking at a home that inspects well and keeps its staff reasonably well, but runs lean on the floor, worth asking how weekend coverage actually feels.

B

74.5/100

Clearvista Lake Health Campus

Indianapolis, IN · Marion County

CMS 4/5 70 beds Government Medicaid
Nurse hours
3.75 /day
Staff turnover
50%
Serious cites
0

Clearvista Lake Health Campus runs 70 beds as a county-owned home, and its clinical quality scores are genuinely strong, a perfect 5 out of 5 on CMS quality measures. Staffing is where it slips. At 3.75 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 19% below its own weekday coverage, a gap families should ask about directly. Annual turnover of 50% runs above the 45.8% national figure, which matters for whether your parent sees the same aides twice. The inspection record shows 27 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse.

B

74.5/100

Springs At Lafayette, The

Lafayette, IN · Tippecanoe County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
53%
Serious cites
0

The Springs At Lafayette runs 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekend coverage drops about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 52.5%, above the 45.8% national figure, which means a good share of the people caring for residents are still learning the building. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse; the most recent inspection was September 2025, so that record is relatively fresh. Strong marks on quality measures and inspections are doing real work here, but the staffing numbers are what hold the overall picture back.

B

74.5/100

Good Samaritan - Estherville

Estherville, IA · Emmet County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
49%
Serious cites
0

Good Samaritan - Estherville runs 62 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out right when families tend to visit. Annual turnover is 49.1%, a few points above the national mark. The current record carries 26 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspections were last done in January 2026, and both the health inspection and quality measure ratings come in at 2 out of 5, while staffing earns 4.

B

74.5/100

West Ridge Specialty Care

Knoxville, IA · Marion County

CMS 4/5 78 beds Non-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
53%
Serious cites
0

West Ridge Specialty Care runs on thinner nurse coverage than most homes, 3.10 hours per resident day against a national average of 3.86, and weekends drop about 17% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 53.2%, well above the 45.8% national figure, so many of the people caring for residents are still learning the building. The current record shows 13 deficiencies, none at the harm level, though two are abuse-related, and the last full inspection was in July 2024. It's a nonprofit home with 78 beds, and its quality measure scores run low even as staffing earns a higher mark. Worth asking about weekend coverage and the abuse citations directly.

B

74.5/100

Accura Healthcare Of Knoxville, Llc

Knoxville, IA · Marion County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
53%
Serious cites
0

Accura Healthcare of Knoxville runs 60 beds under corporate ownership, and its nurse staffing sits about 10% under the national average, roughly 3.47 hours per resident day against 3.86 nationally. Weekends are the bigger gap: coverage drops about 19% below the home's own weekday levels, and annual turnover hits 53.2% versus 45.8% nationally, so familiar faces are harder to count on. The inspection record carries 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $16,153. The most recent inspection was February 19, 2026, so the picture is current rather than stale. Ask about weekend staffing and how the abuse-related findings were resolved before deciding.

B

74.5/100

Careage Hills Rehabilitation And Healthcare

Cherokee, IA · Cherokee County

CMS 2/5 44 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
59%
Serious cites
0

Careage Hills runs 44 certified beds in Cherokee under individual for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average of 3.86. Weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated March 5, 2026. Federal ratings split on this home: staffing scores well at 4 of 5, quality measures land at 3, but health inspections come in at 2 of 5.

B

74.5/100

Stoneybrook Retirement Community

Manhattan, KS · Riley County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
69%
Serious cites
0

Stoneybrook runs about 3.76 nurse hours per resident day, a bit under the national average, and weekends dip roughly 17% below what the home staffs on weekdays. The bigger number is turnover: 69.4% of staff leaving annually against a national average of 45.8%, which matters more than any single inspection score because it shapes who's actually on the floor. Its record shows 32 deficiencies, one serious enough to reach harm or jeopardy, though none tied to abuse. Inspections are recent, and the for-profit corporate owner holds a four-star health inspection rating. Families should ask how the home covers weekend shifts and how long its current aides have worked there.

B

74.5/100

Good Samaritan - Hutchinson Village

Hutchinson, KS · Reno County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
45%
Serious cites
0

Good Samaritan Society - Hutchinson Village runs 65 certified beds as a nonprofit, and its last inspection was recent, December 3, 2025. The health inspection side looks solid, with a four-star rating, but that record includes 16 deficiencies and one at the level that caused actual harm or jeopardy, plus one tied to abuse. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends drop about 15% below the home's own weekday coverage. Turnover of 45.1% tracks just under the national 45.8%, so retention isn't the outlier here, the thin weekend coverage and that harm-level deficiency are what a family should ask about directly.

B

74.5/100

Signature Healthcare Of Hart County Rehab & Wellne

Horse Cave, KY · Hart County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
49%
Serious cites
0

Signature Healthcare of Hart County runs 3.80 nurse hours per resident day, a hair under the national average, and weekends drop about 17% below what the home staffs on weekdays. That 2-out-of-5 staffing rating sits in the same building as a 4-out-of-5 inspection rating and a 5-out-of-5 quality measure rating, so the clinical picture and the workforce picture don't match up. Turnover is 48.5%, above the national 45.8%, and the current record carries five deficiencies, one tied to abuse, none at harm or jeopardy level. The last inspection was March 13, 2026. Corporate-owned, 104 beds, the numbers suggest care quality is holding even as the floor staff churns.

B

74.5/100

Highlandspring Of Ft Thomas

Fort Thomas, KY · Campbell County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
48%
Serious cites
0

Highlandspring Of Ft Thomas runs a 140-bed for-profit operation in Campbell County, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average. That cushion matters, though weekends dip about 21% below the home's own weekday coverage, so the weekday numbers aren't the whole story. Turnover is 48.3%, a bit higher than the national 45.8%, and the home carries 9 deficiencies on its current record with none at the harm level and none abuse-related. Its last inspection was February 2026, so the record is recent. Nothing here looks alarming; the staffing edge is real, but the weekend drop and above-average turnover are worth asking about directly.

B

74.5/100

Rayville Nursing And Rehabilitation

Rayville, LA · Richland County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
—
Serious cites
0

Rayville Nursing And Rehabilitation runs 149 certified beds under for-profit limited liability ownership, and its staffing sits just under the national average at 3.75 nurse hours per resident day. That gap widens on weekends, when hours drop roughly 9% below the home's own weekday level, a pattern families should ask about directly, since needs don't pause on Saturdays. The inspection record looks steadier: 19 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in August 2025. CMS gives the home 4 stars for health inspections but only 2 for staffing, a split worth weighing if daily hands-on care matters most to you.

B

74.5/100

Autumn Leaves Nursing & Rehab Center, Llc

Winnfield, LA · Winn County

CMS 4/5 124 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Autumn Leaves runs 3.98 nurse hours per resident day, a bit above the national average of 3.86, and its turnover of 39.1% is better than the 45.8% typical elsewhere. That staffing holds up on paper, though weekends drop roughly 17% below weekday levels, so coverage thin spots are worth asking about. The inspection record is recent and clean where it counts: 17 deficiencies, none at harm or jeopardy level, none abuse-related. What pulls the numbers down is the quality measure side, where the home scores 1 out of 5 despite decent health inspection and staffing ratings. Ask the administrator to walk you through those specific quality measures before you decide.

B

74.5/100

Center Point Health Care And Rehab

Baton Rouge, LA · E. Baton Rouge County

CMS 1/5 172 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
47%
Serious cites
0

Center Point runs 172 beds under for-profit limited liability ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 15% below the home's own weekday level, so coverage thins right when families tend to visit. Staff turnover is 46.8%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, none flagged at harm or jeopardy level and none abuse-related; the most recent inspection was May 7, 2025. CMS gives one star for health inspections and two for staffing, with three for quality measures. The deficiency count is high even without serious harm findings, and the staffing pattern explains why.

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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