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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 4541–4560 of 10,187, best-graded first.

B

74/100

Adviniacare At Naples

Naples, FL · Collier County

CMS 1/5 40 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
42%
Serious cites
0

Adviniacare At Naples runs 40 beds, and its last full health inspection was in March 2024. The inspection record is the hard part: 18 deficiencies, seven of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. Federal fines total $231,990 across three penalties. Staffing is a mixed picture, 3.55 nurse hours per resident day sits about 8% under the national average, and weekends dip roughly 3% below the home's own weekday levels, though 41.5% annual turnover is actually better than the 45.8% national figure. A family deciding here should weigh that inspection history carefully against the decent staffing numbers.

B

74/100

West Delray Nursing & Rehab Center

Delray Beach, FL · Palm Beach County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
39%
Serious cites
0

West Delray runs 3.46 nursing hours per resident day, about ten percent under the national average, and weekends dip roughly six percent below its own weekdays, so coverage thins out exactly when families tend to visit. Turnover sits at 39.3%, better than the national 45.8%, which suggests some steadiness in the workforce. The inspection record is the harder part: 40 deficiencies, including one at the harm level and one abuse-related, plus three fines totaling $39,841, with the most recent inspection in March 2025. The quality measure score looks strong, but that reflects charted care, not the day-to-day supervision the state cited.

B

74/100

Grove Healthcare And Rehabilitation Center And Reh

Hernando, FL · Citrus County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
52%
Serious cites
0

Grove Healthcare and Rehabilitation Center in Hernando runs 120 beds under for-profit limited liability ownership. Its nurse staffing sits just barely above the national average, about 3.89 hours per resident day, but weekends drop roughly 8% below the home's own weekday levels, and annual turnover hits 51.7%, worse than the 45.8% national figure. The inspection record is the heavier concern: 30 deficiencies, three of them serious enough to reach harm or jeopardy level, and one fine totaling $167,954. Quality measures score well here, but the health inspection rating sits at 2 out of 5, and a recent June 2025 visit means the state was in the building not long ago.

B

74/100

Ridgecrest Healthcare And Rehabilitation Center

Deland, FL · Volusia County

CMS 4/5 146 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
48%
Serious cites
0

Ridgecrest runs 146 beds in Deland under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, only eight deficiencies on file, and none of them tied to harm, jeopardy, or abuse, with the most recent survey completed in January 2026. The weaker spot is staffing. At 3.61 nurse hours per resident day, it sits about 6% below the national average, weekends run roughly 7% lighter than weekdays, and turnover lands at 47.7% against a national 45.8%. Quality measures score well and inspections look clean, but the daily coverage numbers are thin enough that you'd want to ask about evening and weekend nurse presence specifically.

B

74/100

Villages Healthcare And Rehabilitation Center, The

Lady Lake, FL · Lake County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
51%
Serious cites
0

The Villages Healthcare and Rehabilitation Center runs 120 beds under for-profit LLC ownership in Lady Lake, and its nurse staffing sits at 4.39 hours per resident day, roughly 14% above the national average. That number is the strongest thing it has going. The catch is consistency: weekend staffing drops about 8% below its own weekday level, and annual turnover hits 51%, higher than the 45.8% national figure. On the health inspection side, 23 deficiencies sit on the current record, though none at harm or jeopardy level and none abuse-related. The last inspection came in May 2025. The quality measure rating is strong; the inspection and staffing ratings are not.

B

74/100

Pruitthealth - Southwood

Tallahassee, FL · Leon County

CMS 4/5 101 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
49%
Serious cites
0

Pruitthealth - Southwood runs 101 certified beds in Tallahassee under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a recent July 2025 survey, 10 deficiencies with none at the harm or jeopardy level, and a single fine of $6,380. Staffing is where it gets thinner. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, worth asking about if your family visits Saturdays and Sundays. Annual turnover of 48.6% runs a few points above the national 45.8%, so expect some unfamiliar faces.

B

74/100

Magnolia Manor Methodist Nsg C

Americus, GA · Sumter County

CMS 3/5 238 beds Non-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
42%
Serious cites
0

Magnolia Manor Methodist Nsg C runs 238 certified beds in Americus as a nonprofit corporation. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average of 3.86, and weekends drop about 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 42.1% is slightly better than the 45.8% national figure, which at least suggests some stability in who's on the floor. The current record shows 13 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Inspectors were last in on April 30, 2026. The staffing star rating of 2 out of 5 is where the numbers get tightest.

B

74/100

East Cobb Center For Nursing And Healing Llc

Marietta, GA · Cobb County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
50%
Serious cites
0

East Cobb Center runs lean on nursing hours, 3.57 per resident day against a national average of 3.86, and weekends thin out further, dropping about 12% below the home's own weekday coverage. Staff turnover sits at 50%, above the 45.8% national figure, so the people caring for your family member are cycling through faster than average. The current record shows 11 deficiencies, none involving harm or abuse, and the most recent inspection was in August 2025. Clinical quality measures score well, but the staffing picture is the weakest part of this home's profile. Worth asking how they cover weekend shifts and how many aides have been there more than a year.

B

74/100

Comer Health And Rehabilitation

Comer, GA · Madison County

CMS 3/5 116 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
49%
Serious cites
0

Comer Health and Rehabilitation runs 116 certified beds as a nonprofit, and its staffing sits at 3.49 nurse hours per resident per day, roughly 10% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 48.6%, a bit above the national 45.8%, which means a good share of the people caring for residents are still learning the building. The inspection record shows 11 deficiencies, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. Its last inspection was February 2026, so the picture is current, and all three CMS star ratings land at 3 out of 5.

B

74/100

Zebulon Park Health And Rehabilitation

Macon, GA · Bibb County

CMS 4/5 66 beds Non-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
47%
Serious cites
0

Zebulon Park runs on thinner nurse coverage than most homes nationally, 3.45 hours per resident day against a 3.86 average, with weekends dipping about 7% below its own weekday levels, which matters most when families visit and needs don't pause. Staff turnover sits at 46.7%, essentially tracking the national rate, so continuity of caregivers isn't unusually bad or good here. On inspections, the record shows four deficiencies with none rising to harm or jeopardy, though one is abuse-related, worth asking about directly. The most recent inspection was September 2025, so the picture is current. A nonprofit corporation operates the 66-bed home.

B

74/100

Pruitthealth - Brookhaven

Atlanta, GA · De Kalb County

CMS 2/5 157 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
52%
Serious cites
0

Pruitthealth - Brookhaven runs 157 beds in De Kalb County under corporate ownership, and the staffing numbers are where you'd want to start. At 3.32 nurse hours per resident per day, it sits roughly 14 percent under the national average, and weekends dip another 12 percent below its own weekday coverage, that's when a lot of families visit and notice things. Turnover runs 51.5 percent, above the 45.8 percent national figure, so the aides on the floor keep changing. The inspection record is heavier: 47 deficiencies, six at harm or jeopardy level, three tied to abuse, and a health inspection rating at the bottom of the scale. A recent inspection date helps only so much against that history.

B

74/100

Lynn Haven Health And Rehabilitation

Gray, GA · Jones County

CMS 4/5 104 beds Non-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
53%
Serious cites
0

Lynn Haven runs a nonprofit home with 104 beds in Gray, and its inspection record is genuinely solid: 8 deficiencies on file, none at the harm level, none tied to abuse, and a survey done as recently as September 2025. That's the strongest part of the picture. Staffing is where it thins out, 3.24 nurse hours per resident day sits about 16% under the national average, weekends drop roughly 14% below the home's own weekday coverage, and turnover runs 53.2% against a national 45.8%. So you're looking at a place that passes inspections cleanly but asks more of a smaller, less stable crew. Ask how they cover Saturday and Sunday shifts.

B

74/100

Pruitthealth - Griffin

Griffin, GA · Spalding County

CMS 2/5 69 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
45%
Serious cites
0

Pruitthealth - Griffin runs 69 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86. Weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. Turnover is 45.1%, essentially matching the national 45.8%, meaning roughly half the nursing staff turns over in a year. The inspection record shows 36 deficiencies, none at harm or jeopardy level, but one tied to abuse. A July 2025 inspection is recent, and the health inspection rating of 2 out of 5 reflects that citation history rather than any single serious finding.

B

74/100

Green Acres Health And Rehabilitation

Milledgeville, GA · Baldwin County

CMS 5/5 98 beds Non-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
35%
Serious cites
0

Green Acres is a nonprofit home in Milledgeville with 98 certified beds, and its strongest card is inspections: a five-star health inspection rating with just three deficiencies on record, none of them causing harm or tied to abuse. The tradeoff shows up in daily staffing. At 3.45 nurse hours per resident, it runs about 11 percent under the national average, and weekends dip roughly 8 percent below its own weekday level, that's fewer hands when families often visit. Turnover is the bright spot at 35.4 percent, well under the national 45.8 percent, so the people who are there tend to stay. Ask how the weekend floor is actually covered.

B

74/100

Gordon Health And Rehabilitation

Calhoun, GA · Gordon County

CMS 4/5 117 beds Non-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Gordon Health and Rehabilitation runs on leaner nursing hours than most homes, 3.27 per resident day against a national average of 3.86, and weekends dip about 9% below what the building staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The tradeoff is stability: turnover sits at 37.9%, well under the 45.8% national figure, so the caregivers who are there tend to stay. Six deficiencies on record, none involving harm or abuse, and a recent April 2026 inspection support the four-star health inspection rating. As a nonprofit with 117 beds, it's a home that watches its people well but may stretch them thin.

B

74/100

Camellia Health & Rehabilitation

Claxton, GA · Evans County

CMS 3/5 70 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
46%
Serious cites
0

Camellia Health & Rehabilitation runs 70 certified beds in Claxton under nonprofit ownership, and its staffing sits below what most homes across the country provide, about 3.58 nurse hours per resident day against a national average of 3.86. The gap widens on weekends, when coverage drops roughly 12 percent below the home's own weekday level. Turnover is 46.2 percent, essentially matching the national rate of 45.8 percent, so retention here isn't the outlier. On inspections, the record shows nine deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The most recent state visit came in April 2025, so the picture is current. Quality measures score lower than staffing does.

B

74/100

Warner Robins Rehabilitation Center

Warner Robins, GA · Houston County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
45%
Serious cites
0

Warner Robins Rehabilitation Center runs 126 certified beds under for-profit LLC ownership, and its staffing numbers are the weak spot: 3.66 total nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 15% below what the home staffs on weekdays. Turnover lands at 45.3%, essentially level with the national figure. Inspections look better than that staffing picture, a 4-out-of-5 health inspection rating, nine deficiencies on record with none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in April 2025. Quality measures also rate 4 out of 5, so the care outcomes tracked by CMS hold up. It's the day-to-day coverage, especially on weekends, that families should ask about directly.

B

74/100

Arbor Valley Of Cascadia

Boise, ID · Ada County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
54%
Serious cites
0

Arbor Valley runs about 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends drop another 15% below its own weekday staffing. That gap matters more than any single number here, because it's when families visit and when falls tend to happen. Annual turnover sits at 53.7%, well above the 45.8% national rate, so the people caring for your relative are changing often, and 25 deficiencies sit on the current record, including two tied to abuse. The five-star quality measure score looks strong, but that's largely self-reported data. The three-star inspection rating and a May 2025 visit are recent enough to mean something. Ownership is for-profit partnership. Worth a visit, ideally on a weekend.

B

74/100

Alton Memorial Rehab & Therapy

Alton, IL · Madison County

CMS 3/5 64 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
50%
Serious cites
0

Alton Memorial Rehab & Therapy sits at 64 certified beds under nonprofit ownership, and its nurse staffing runs about 18% above the national average at 4.57 hours per resident day. That's a real cushion, though weekend coverage dips roughly 9% below its own weekday level, and turnover lands at 50% against a national 45.8%, so the people providing that care change fairly often. The inspection record is where things get harder to square: 24 deficiencies currently on file, four of them at the harm or jeopardy level and two tied to abuse, plus one fine of $15,626. The most recent inspection closed in December 2025, so the picture is current.

B

74/100

Grove Of Lagrange Park, The

La Grange Park, IL · Cook County

CMS 3/5 131 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
51%
Serious cites
0

The Grove Of Lagrange Park runs on thinner nursing coverage than most homes its size, 2.99 nurse hours per resident day against a national average of 3.86, with weekend shifts slipping a bit further below its own weekday numbers. Staff turnover sits at 51.1%, roughly five points above the national rate, which matters most when it's the aides and nurses who know your mother's routine who keep leaving. On the plus side, its 26 cited deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was recent. Quality measures score well; staffing is where the gap shows.

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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