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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 4461–4480 of 10,187, best-graded first.

B

74.5/100

Chateau D'ville Rehab And Retirement

Donaldsonville, LA · Ascension County

CMS 5/5 141 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
22%
Serious cites
0

Chateau D'ville runs a 141-bed for-profit home in Donaldsonville with a recent inspection on the books and 18 deficiencies, including one at the harm level and four tied to abuse. Those are real marks, and the single $15,307 fine tells you regulators found something worth citing. What keeps it from sliding further is consistency: perfect marks on health inspections and quality measures, and staff turnover at 21.7 percent, well under half the national rate, which matters for whether your mother sees the same aides week to week. The tradeoff is hands on deck. At 3.36 nurse hours per resident day, it's about 13 percent under the national average, and weekends drop roughly 18 percent below weekdays.

B

74.5/100

Our Lady Of Wisdom Community Care Center

New Orleans, LA · Orleans County

CMS 4/5 138 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
52%
Serious cites
0

Our Lady of Wisdom runs a nonprofit shop with 138 beds, and the nurse staffing number is genuinely above average, 4.24 hours per resident day, about 10% more than the national figure. The catch is consistency: weekends run roughly 17% thinner than weekdays, and annual turnover sits at 51.8%, higher than the 45.8% national rate. The inspection record shows 23 deficiencies, four of them serious enough to reach harm or jeopardy level, one tied to abuse. The last full inspection was June 2025, so the picture is current. Decent care hours and a recent look from regulators, but the weekend dip and that harm-level count are what a family should ask about directly.

B

74.5/100

Sage Rehabilitation Hospital Snf

Baton Rouge, LA · E. Baton Rouge County

CMS 4/5 25 beds For-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Sage Rehabilitation Hospital SNF has 25 certified beds and is owned by an individual for profit. Its last inspection was October 29, 2024, and while it has 18 total deficiencies on record, none of them are at the harm or jeopardy level, though two are abuse related, which is worth asking about directly. The inspection history is strong, and quality measures land above average. The staffing side tells a different story: nurse staffing sits far below the national average, and that's the weakest number in the file. Low staffing can affect how quickly call lights get answered and how much time aides spend with each resident.

B

74.5/100

The Orchards At Redford

Redford, MI · Wayne County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
—
Serious cites
0

The Orchards at Redford runs 88 certified beds under corporate for-profit ownership, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86, but weekends drop roughly 9% below what the home staffs during the week. That thin weekend coverage matters because CMS rates staffing here 1 out of 5 stars, even though quality measures come in at 3. Inspections tell their own story: 37 deficiencies on the current record, one abuse-related, none at harm or jeopardy level, with the most recent inspection dated April 2026. A 2-star health inspection rating rounds out a record that's neither disastrous nor reassuring.

B

74.5/100

The Orchards At Roseville

Roseville, MI · Macomb County

CMS 1/5 169 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
—
Serious cites
0

The Orchards at Roseville runs 169 certified beds under corporate ownership, and its nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 46 deficiencies, four tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 30, 2025. Federal staffing ratings put this home at 1 out of 5 stars, while inspection and quality measures each land at 3. If you're weighing this one, ask how the weekend schedule is actually covered and what the four abuse deficiencies involved.

B

74.5/100

Caretel Inns Of Brighton

Brighton, MI · Livingston County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
68%
Serious cites
0

Caretel Inns of Brighton runs 60 certified beds under corporate ownership, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86. That margin is thinner than it sounds once you factor in weekends, when coverage drops roughly 16% below the home's own weekday level. The bigger concern is turnover: 68.1% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. The current inspection record shows 29 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse. Its last inspection was February 2026, so the findings are recent.

B

74.5/100

Harbor Post Acute Center

Wyoming, MI · Kent County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
59%
Serious cites
0

Harbor Post Acute Center runs 65 beds in Kent County under corporate ownership, and its nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average. That's real coverage, though weekends run about 15% lighter than weekdays, and annual turnover of 58.9% means the faces around a resident change often. The inspection record is where the picture darkens: 42 deficiencies, including one at the harm level and two tied to abuse, plus 23 fines totaling $135,131. The most recent inspection was in December 2025. Strong staffing and a five-star quality measure score coexist here with a two-star inspection history, which is worth weighing carefully.

B

74.5/100

The Estates At Delano Llc

Delano, MN · Wright County

CMS 4/5 39 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
—
Serious cites
0

The Estates at Delano runs 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekend coverage drops about 14 percent below its own weekday level. That thin staffing shows up in the federal staffing rating, which sits at 2 out of 5 even as inspections and quality measures both score 4. The record carries 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a single $11,928 fine. The most recent inspection was in November 2025. This is a for-profit limited liability company with 39 beds, and the gap between how it looks on paper and how it's actually staffed is worth asking about directly.

B

74.5/100

Cleveland Community Care Center

Cleveland, MS · Lee County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
50%
Serious cites
0

Cleveland Community Care Center runs 21 deficiencies on its current record, and seven of those rose to the level of harm or jeopardy, three tied to abuse. That's a lot of serious findings for a 120-bed nonprofit, plus a single $229,213 fine, with the most recent inspection dated January 8, 2026. Staffing is the one number that looks decent: 3.73 nurse hours per resident day sits just under the national average of 3.86, and CMS gives staffing four stars. But weekends drop about 21% below the home's own weekday coverage, and turnover runs 49.6% against a national 45.8%. Reliable hands are the difference between a bad shift and a dangerous one.

B

74.5/100

Ocean Springs Health & Rehabilitation Center

Ocean Springs, MS · Jackson County

CMS 2/5 115 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
52%
Serious cites
0

Ocean Springs Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and its staffing numbers sit about 15% under the national average at 3.29 nurse hours per resident day. Weekend coverage drops roughly 16% below what the home staffs on weekdays, and annual turnover hits 52% against a national average near 46%, meaning more than half the nursing staff leaves each year. The inspection record is the bigger concern: 31 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, and $38,277 in fines across four penalties.

B

74.5/100

Maries Manor

Vienna, MO · Maries County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
2.73 /day
Staff turnover
65%
Serious cites
0

Maries Manor runs on 2.73 nurse hours per resident day, roughly a quarter below the national average, and the gap widens on weekends when staffing drops about 17 percent from its own weekday level. Annual turnover sits at 64.7 percent against a national 45.8, so nearly two of every three caregivers left last year, that churn matters more than any single inspection result. The record itself is fairly clean: 18 deficiencies, none causing harm or involving abuse, and the state was last in on August 14, 2025. This is a for-profit LLC running a 98-bed home that stays in compliance, but the day-to-day coverage is thin and the workforce doesn't stay.

B

74.5/100

Cypress Point-Skilled Nursing By Americare

Dexter, MO · Stoddard County

CMS 4/5 79 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
50%
Serious cites
0

Cypress Point runs 79 certified beds in Dexter under corporate for-profit ownership, and its nurse staffing sits just under the national average at 3.83 hours per resident day. That gap is small, but the weekend picture matters more: staffing drops roughly 20% below the home's own weekday levels, which is when families tend to visit and when problems often surface. Annual turnover hits 50%, above the 45.8% national figure, so the people at the bedside change often. Inspections look strong on paper, but the current record carries 16 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $73,743 fine.

B

74.5/100

Wilber Care Center

Wilber, NE · Saline County

CMS 2/5 58 beds Government Medicaid
Nurse hours
4.26 /day
Staff turnover
67%
Serious cites
0

Wilber Care Center is city/county-owned and staffs 4.26 nursing hours per resident day, about 10% above the national average, which is a real strength. But that number hides two problems: weekend coverage drops roughly 18% below weekday levels, and annual turnover sits at 67.4% against a national 45.8%, so the people providing that care change often. The 12 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level, and the last inspection was January 2025. Quality measures score well; inspections do not.

B

74.5/100

Bridgewater Center For Rehab & Nursing L L C

Binghamton, NY · Broome County

CMS 1/5 356 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
48%
Serious cites
0

Bridgewater Center is a large for-profit home in Binghamton, 356 beds, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average. Weekends are the bigger gap: staffing drops about 19% below its own weekday level. Annual turnover is 48.2%, a bit above the national 45.8%, so the aides and nurses caring for residents change over fairly often. Its last inspection was in February 2025, and the current record shows 21 deficiencies, none at the harm or jeopardy level and none abuse-related. The two-out-of-five inspection rating is the weakest part of its profile; quality measures and staffing each come in at three.

B

74.5/100

Central Park Rehabilitation And Nursing Center

Syracuse, NY · Onondaga County

CMS 1/5 160 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
47%
Serious cites
0

Central Park Rehabilitation and Nursing Center is a 160-bed for-profit home in Syracuse, and the numbers point in different directions. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends run roughly 16% thinner than weekdays, so coverage depends on when you visit. The inspection record is the harder read: 39 deficiencies, including one at the harm level and three tied to abuse, with the most recent inspection in May 2025. Staff turnover at 46.7% is a touch above the national rate, meaning aides and nurses cycle through regularly. A 3/5 on quality measures and 4/5 on staffing don't offset a 1/5 inspection history.

B

74.5/100

Harlem Center For Nursing And Rehabilitation, L L

New York, NY · New York County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
51%
Serious cites
0

Harlem Center for Nursing and Rehabilitation runs 200 certified beds under corporate ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day. That sounds fine until you notice weekends drop about 16 percent below the home's own weekday coverage, and turnover hits 50.5 percent against a 45.8 percent national figure, meaning roughly half the nursing staff leaves each year. The inspection record shows 28 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey in February 2025. Quality measure scores look strong; the staffing and inspection results are where the concerns concentrate.

B

74.5/100

The Brightonian, Inc

Rochester, NY · Monroe County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
63%
Serious cites
0

The Brightonian runs 54 beds in Rochester under corporate ownership, and its last inspection in February 2025 came back with a clean health inspection score. That's not nothing. But look at the rest: 18 deficiencies on the current record, three of them tied to abuse, none at the level that caused actual harm. Staffing sits at 3.95 hours per resident day, just slightly above the national average, yet weekends drop about 20% below the home's own weekday numbers, and annual turnover hits 62.5% against a national 45.8%. Workers are cycling through fast. The state came recently and found no harm-level problems, which matters. Whether the same holds next time depends on who's still on the floor.

B

74.5/100

Crystal Bluffs Rehabilitation And Health Care Cent

Morehead City, NC · Carteret County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Crystal Bluffs is a 92-bed for-profit home in Morehead City, and the numbers tell a fairly steady story. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekends run roughly 18% thinner than weekdays, worth asking about if your family member needs help most on Saturdays and Sundays. Turnover is 38.2%, which is actually better than the national figure, and the inspection record is clean: one deficiency, nothing at harm level, nothing abuse-related, with a recent January 2026 survey. Quality measures land mid-range. Nothing here screams trouble, but the weekend staffing gap is the detail to press on.

B

74.5/100

Pruitthealth-Rockingham

Rockingham, NC · Richmond County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
54%
Serious cites
0

Pruitthealth-Rockingham runs 120 beds under corporate ownership, and its inspection record is genuinely solid, a four-out-of-five health inspection rating with 21 deficiencies on file, none of them at the harm or jeopardy level. The catch is staffing. At 3.65 nurse hours per resident day, it sits about 5% under the national average, and weekend coverage drops roughly 16% below what the home staffs on weekdays, which matters if your family tends to visit Saturdays and Sundays. Annual turnover of 53.9% is well above the 45.8% national figure, so aides and nurses cycle through faster than average. Two abuse-related deficiencies also appear on the current record.

B

74.5/100

Meadowbrook Care Center

Cincinnati, OH · Hamilton County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
—
Serious cites
0

Meadowbrook runs 146 beds in Cincinnati under for-profit LLC ownership, and its last inspection was recent, May 2025, so the record is current. What that record shows is the tension here: 51 deficiencies on file, three of them abuse-related, with the health inspection rating sitting at 1 out of 5 stars. Staffing tells its own story, 3.85 nurse hours per resident day lands almost exactly at the national average, but weekends run about 12% thinner than weekdays, and CMS rates staffing just 2 stars. The quality measures look strong at 4 stars, yet that's largely self-reported data, while the inspection findings come from outside reviewers. Worth asking about those abuse deficiencies directly before you visit.

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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