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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 4581–4600 of 10,187, best-graded first.

B

74/100

Wellbrooke Of Carmel

Carmel, IN · Hamilton County

CMS 3/5 74 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
49%
Serious cites
0

Wellbrooke of Carmel runs 74 beds under for-profit LLC ownership, and its staffing numbers tell a story worth noticing. Nurses provide 3.55 hours per resident day, about 8% under the national average of 3.86, and weekends drop roughly 12% below what the home staffs on weekdays. Annual turnover sits at 49.2%, higher than the 45.8% national figure. The inspection record is where things get more serious: 25 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $15,646. The last inspection was January 21, 2026. CMS rates staffing and health inspections at 2 out of 5 stars each, though its quality measure score is 5 out of 5. Ask about weekend coverage and how the abuse-related findings were resolved.

B

74/100

Copper Trace Health & Living Community

Westfield, IN · Hamilton County

CMS 3/5 104 beds Government Medicaid
Nurse hours
3.56 /day
Staff turnover
68%
Serious cites
0

Copper Trace is county-owned, which usually buys some stability, but the numbers here are mixed. Nurses provide 3.56 hours per resident per day, about 8% under the national average, and weekends drop roughly 13% below the home's own weekday staffing, so care thins out exactly when families tend to visit. Turnover sits at 68.1% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Eighteen deficiencies sit on the current record, including one at the harm level and one tied to abuse. Quality measures score well; the inspection and staffing picture is where the doubt lives.

B

74/100

Lyon Specialty Care

Rock Rapids, IA · Lyon County

CMS 4/5 45 beds Non-profit Medicaid
Nurse hours
2.77 /day
Staff turnover
50%
Serious cites
0

Lyon Specialty Care runs on 2.77 nurse hours per resident per day, roughly 28 percent under the national average of 3.86, and weekends dip about 9 percent below its own weekday staffing. That thin margin matters more in a 45-bed nonprofit home where turnover sits at 50 percent, above the national 45.8 percent. The inspection record is a mixed picture: 18 deficiencies on file, none at the harm or jeopardy level, but two tied to abuse. A June 2025 inspection is recent, and four out of five stars on both health inspections and quality measures suggest care is being delivered well despite the staffing shortfall. Ask about weekend coverage and how they handle the two abuse-related findings.

B

74/100

Azria Health Prairie Ridge

Mediapolis, IA · Des Moines County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
49%
Serious cites
0

Azria Health Prairie Ridge runs 62 certified beds in Mediapolis under corporate for-profit ownership. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 49.2%, above the national 45.8%. The current record shows 61 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the most recent inspection was August 6, 2025. CMS gives the home 1 of 5 stars on health inspections, 2 on quality measures, and 4 on staffing.

B

74/100

Avoca Specialty Care

Avoca, IA · Pottawattamie County

CMS 2/5 46 beds Non-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
64%
Serious cites
0

Avoca Specialty Care runs 46 certified beds as a nonprofit, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. Weekend coverage drops about another 10% below its own weekday levels, and annual turnover hits 63.9% against a national 45.8%, so the same faces aren't always there. The inspection record carries 68 deficiencies, including one at the harm or jeopardy level and four tied to abuse, and the most recent inspection was in early 2026. Quality measures score better than that record suggests, but the staffing hours and the deficiency count are what a family should weigh when deciding.

B

74/100

Rehabilitation Centers Of Independence West Campus

Independence, IA · Buchanan County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
60%
Serious cites
0

Rehabilitation Centers Of Independence West Campus runs 70 certified beds under corporate for-profit ownership, and its nursing hours come to 3.18 per resident day, roughly 18% under the national average of 3.86. Weekends dip about 11% below its own weekday staffing, and annual turnover sits at 60.4% against a national 45.8%, meaning well over half the nursing staff leaves each year. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,740 in fines across two penalties. The most recent inspection was December 11, 2025. Families weighing this one should look hard at that deficiency history and the staffing shortfall together.

B

74/100

Park View Rehabilitation Center

Sac City, IA · Sac County

CMS 1/5 77 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
53%
Serious cites
0

Park View Rehabilitation Center runs 77 certified beds in Sac City under corporate ownership, and the staffing numbers are the place to start. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday coverage. Staff turnover lands at 53.2% against a national 45.8%, so nearly half the workforce is cycling through each year. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse; the most recent inspection was March 2026, so that record is current. Quality and health inspection measures both rate 2 out of 5.

B

74/100

Rehabilitation Center Of Hampton

Hampton, IA · Franklin County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

Nurse staffing at Rehabilitation Center Of Hampton runs about 15% under the national average, roughly 3.27 hours per resident day against 3.86, and weekend coverage drops another 14% below its own weekday levels, so the thinnest shifts are when families tend to visit. The current record shows eight deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last inspection was recent, in May 2025. Turnover sits at 46.4%, essentially the national average. The for-profit limited liability company that owns the 52-bed home posts strong marks on inspections and quality measures; the staffing number is what pulls it down.

B

74/100

River Valley Nursing And Rehabilitation

Pleasant Valley, IA · Scott County

CMS 2/5 44 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

Aspire of Pleasant Valley is a 44-bed for-profit home in Scott County, and the numbers tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and weekends run about 11 percent thinner than weekdays, so coverage gets lightest exactly when families tend to visit. Annual turnover of 48.5% is higher than the national figure of 45.8%. The bigger concern is the inspection record: 35 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in August 2025. Federal ratings put health inspections and quality measures both at 2 out of 5 stars, while staffing scores 4. That gap is worth asking about directly.

B

74/100

Luther Manor At Hillcrest

Dubuque, IA · Dubuque County

CMS 1/5 103 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
54%
Serious cites
0

Luther Manor At Hillcrest runs a for-profit shop with 103 certified beds, and the numbers split in two directions. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average of 3.86, but weekends drop roughly 11 percent below the home's own weekday coverage, and annual turnover is 54.3 percent against a national 45.8. That combination means bodies are scheduled, though not always the same ones. The inspection record is where the trouble concentrates: a one-out-of-five health inspection rating, 24 deficiencies including three at harm or jeopardy level, and $42,406 in fines across two events. No abuse citations appear. The most recent inspection was February 12, 2026. Quality measures score two out of five. Ask about weekend coverage and the plan for the three harm-level findings before you decide.

B

74/100

Garden Valley Retirement Village

Garden City, KS · Finney County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
54%
Serious cites
0

Garden Valley Retirement Village runs on thinner staffing than most places, 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday level, which is when families tend to notice. Staff turnover sits at 53.8%, well above the 45.8% national figure, so the people caring for residents change often. The good news is inspections: a 5/5 health inspection rating, a clean record on harm and abuse deficiencies, and a recent survey in June 2025. The 19 deficiencies on file weren't serious enough to cause harm. Quality measures score lower at 2/5, so ask what those numbers reflect before deciding.

B

74/100

Wathena Healthcare & Rehabilitation Center

Wathena, KS · Doniphan County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
36%
Serious cites
0

Wathena Healthcare runs about 3.45 nursing hours per resident each day, roughly 11 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. That thinner weekend coverage matters most for falls, med errors, and unanswered call lights, since those shifts often run with the least supervision. Turnover sits at 36.1 percent, better than the 45.8 percent national figure, which suggests some consistency in who's actually at the bedside. The 26 deficiencies on record include nothing flagged at harm or jeopardy level and no abuse findings, and the last inspection was September 2024. Three stars across health inspections, quality measures, and staffing describe a home that's neither failing nor standing out.

B

74/100

Chase County Care And Rehab

Cottonwood Falls, KS · Chase County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
50%
Serious cites
0

Chase County Care and Rehab runs 45 certified beds as a for-profit LLC, and its staffing numbers are the weak spot: 3.73 nurse hours per resident day, slightly under the national average, with weekends about 10% thinner than weekdays. Annual turnover sits at 50%, above the national 45.8%, and CMS gives staffing just 1 out of 5 stars. The quality measure score is 5 out of 5, so clinical outcomes look good on paper, but the inspection record shows 33 deficiencies, including 2 abuse-related citations, though none at the harm or jeopardy level. The last inspection was September 2025, so the record is recent.

B

74/100

Lansing Care And Rehab

Lansing, KS · Leavenworth County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
45%
Serious cites
0

Lansing Care And Rehab is a 58-bed for-profit home in Leavenworth County, and the numbers are middling across the board. Nurse staffing sits at 3.76 hours per resident day, a bit under the national average, and weekends run about 8% thinner than weekdays, worth knowing if your family visits on Saturdays and Sundays. Staff turnover is 45.3%, essentially the national rate, so you're not looking at a retention crisis, but you're not looking at stability either. What stands out is the inspection record: 24 deficiencies, two of them serious enough to involve harm or jeopardy, two tied to abuse, and two fines totaling $23,454. The most recent inspection was November 2025, so the record is current.

B

74/100

Eureka Nursing Center

Eureka, KS · Greenwood County

CMS 2/5 65 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
51%
Serious cites
0

Eureka Nursing Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.94 hours per resident day, roughly 2% above the national average of 3.86. That margin is thin, and weekends drop about 12% below the home's own weekday coverage, so the hours a resident actually gets shift depending on the day. Annual turnover is 50.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $23,865 in fines across three penalties. The most recent inspection was April 15, 2026.

B

74/100

Neodesha Care And Rehab

Neodesha, KS · Wilson County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
26%
Serious cites
0

Neodesha Care and Rehab runs on a for-profit limited liability company out of Wilson County, and its staffing is the part that holds up: 3.93 nurse hours per resident day, slightly above the national average, with turnover at 26.2% against a national 45.8%, meaning most of the people caring for residents tend to stick around. Weekends are thinner, roughly 13% below weekday coverage, so plan visits accordingly. The record isn't spotless: 18 deficiencies, one serious enough to reach harm or jeopardy level, and an $11,911 fine. The most recent inspection was April 2026. Quality measures score lower than staffing does, which is worth asking about directly.

B

74/100

Cambridge Place

Marysville, KS · Marshall County

CMS 2/5 91 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
49%
Serious cites
0

Cambridge Place runs about 3.44 nursing hours per resident per day, roughly 11% under the national average, and weekends are thinner still, around 15% below its own weekday staffing. That gap matters most when a resident needs help on a Saturday. Staff turnover sits at 48.8%, a few points above the national figure, and the home carries 43 deficiencies on its current record, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspectors were last on site in August 2025. The quality measure score looks strong; the inspection history and thin weekend coverage are the parts worth asking about directly.

B

74/100

Life Care Center Of Burlington

Burlington, KS · Coffey County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
47%
Serious cites
0

Life Care Center Of Burlington runs 77 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 10 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 47.2 percent, slightly above the national 45.8 percent. On its current record the home carries 23 deficiencies, including one at the harm or jeopardy level and four tied to abuse. State inspectors last visited on December 11, 2024, and the health inspection rating came back 3 out of 5.

B

74/100

Spring View Manor Healthcare And Rehabilitation

Conway Springs, KS · Sumner County

CMS 3/5 45 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
54%
Serious cites
0

Spring View Manor runs on thinner staffing than most homes its size, 3.53 nurse hours per resident day against a national average of 3.86, with weekends dropping another 9% below its own weekday level. The federal staffing rating lands at 2 out of 5, and annual turnover sits at 53.5%, well above the 45.8% national figure, which matters because new faces cycle through the building faster than familiarity can build. On paper the quality measures look better than average at 4 out of 5, but that's scored from resident assessment data, not from how the place feels at 2 a.m. Seventeen deficiencies sit on the current record, none serious enough to trigger a harm finding, and the last inspection came in March 2026.

B

74/100

Homestead Post Acute

Lexington, KY · Fayette County

CMS 3/5 136 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

Homestead Post Acute runs 136 beds under for-profit LLC ownership, and its staffing is the number worth pausing on. At 3.53 nurse hours per resident day, it sits roughly 9% under the national average of 3.86, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover runs 48.5%, above the 45.8% national figure, which means the people providing that care are often new. Inspections are current as of July 2025, and the record shows nine deficiencies with none at harm or jeopardy level and nothing abuse-related. Quality measures score well; staffing is where this home gives ground.

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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