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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 4601–4620 of 10,187, best-graded first.

B

74/100

West Liberty Nursing And Rehabilitation

West Liberty, KY · Morgan County

CMS 3/5 48 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
55%
Serious cites
0

West Liberty Nursing and Rehabilitation runs 3.18 nursing hours per resident per day, roughly 18% under the national average, and weekend coverage drops another 5% below its own weekday level. With 54.8% annual turnover, staff are cycling out faster than the national rate of 45.8%, which matters when consistent caregivers are what families actually rely on. The inspection record shows 14 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related. Quality measures look strong, but that sits against staffing and inspection ratings of 2 out of 5 each. Corporate for-profit ownership, 48 beds, and an inspection as recent as August 2025 round out the picture.

B

74/100

New Castle Nursing & Rehab

New Castle, KY · Henry County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
50%
Serious cites
0

New Castle Nursing & Rehab runs 60 certified beds in Henry County under for-profit LLC ownership, and the split in its federal scores is the whole story here. Inspections came back clean at five stars, five deficiencies on record, none causing harm or involving abuse, and the most recent survey was in July 2025. Quality measures also hit five stars. Where it slips is staffing: 3.81 nurse hours per resident day, just under the national 3.86, with weekends running about 12% thinner than weekdays and turnover at 50% against a 45.8% national figure. That combination, strong oversight, thin coverage, is what pulls the overall picture down to a solid but unremarkable place.

B

74/100

Martin County Health Care Facility

Inez, KY · Martin County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
30%
Serious cites
0

Martin County Health Care Facility in Inez runs 3.87 nurse hours per resident day, essentially matching the national average of 3.86, right at the line, not above it in any meaningful way. Weekend staffing drops about 11% below weekday levels, a gap worth asking about. What stands out is the turnover: 30%, well below the national 45.8%, so the people caring for residents tend to stay. Inspections look solid, 4 stars, with the most recent visit in November 2025 and five deficiencies total, none causing harm. But two of those five are abuse-related, and with 65 beds under for-profit partnership ownership, that's the detail I'd press on before deciding.

B

74/100

Tri Cities Rehabilitation And Healthcare Center

Cumberland, KY · Harlan County

CMS 1/5 85 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
41%
Serious cites
0

Tri Cities runs on a for-profit corporate model with 85 certified beds in Cumberland, and its staffing sits slightly under the national average, 3.75 nurse hours per resident day against 3.86 nationally. Weekends dip about 8% below its own weekday levels, so coverage thins out when families tend to visit. Turnover at 41.4% is actually a bit better than the 45.8% national figure, which matters for continuity of care. The current inspection record shows 14 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $5,346. The last inspection was in October 2024, so the record is recent.

B

74/100

Magnolia Village Nursing And Rehabilitation Center

Bowling Green, KY · Warren County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
42%
Serious cites
0

Magnolia Village runs on thinner nursing hours than most homes, 3.29 per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday coverage. That gap is worth asking about directly, since it's the kind of shortfall families feel on Saturday afternoons. The inspection record tells a different story: a recent June 2025 survey, eight deficiencies and none at the harm or jeopardy level. Staff turnover sits at 42%, slightly better than the national figure, and the building is a for-profit LLC with 60 certified beds. Strong inspections and weak staffing don't cancel each other out, they just tell you where to look.

B

74/100

Bluegrass Care & Rehabilitation Center

Lexington, KY · Fayette County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
43%
Serious cites
0

Bluegrass Care & Rehabilitation Center runs 124 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: a four-out-of-five health inspection rating, with the most recent survey completed in July 2025. The 11 deficiencies on file include none at the harm or jeopardy level and none related to abuse. Staffing is where it thins out. At 3.34 nurse hours per resident day, this home sits roughly 13 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday coverage. Turnover, at 43 percent, is slightly better than the 45.8 percent national figure, so the concern isn't retention so much as how many hands are actually present on a given shift.

B

74/100

Hilltop Nursing & Rehabilitation Center

Pineville, LA · Rapides County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
54%
Serious cites
0

Hilltop runs 130 beds in Pineville under limited-liability, for-profit ownership, and its staffing sits just barely above the national average, about 2%, with weekends running roughly 5% thinner than weekdays. That margin is thin enough that a single call-out can shift what your family member actually gets. Turnover is the bigger signal: 53.6% of nursing staff leave each year, against a national rate of 45.8%, meaning the people providing daily care change often. The inspection record is where things get serious, 27 deficiencies on file, two of them at harm or jeopardy level and two abuse-related, plus a $15,387 fine. The last inspection was February 2026, so the record is current, not stale.

B

74/100

Resthaven Nursing & Rehab Center, Llc

Lake Charles, LA · Calcasieu County

CMS 1/5 162 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
42%
Serious cites
0

Resthaven runs about 162 beds in Lake Charles under for-profit LLC ownership, and its last health inspection was recent, August 2025, so the record is current. What that record shows is 20 deficiencies, two of them serious enough to involve actual harm or jeopardy, plus one fine of $34,369. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends run thinner still. Staff turnover of 42.1 percent is slightly better than the national figure, but that's a small consolation against the inspection findings. If you're considering this one, ask specifically what changed after the August survey.

B

74/100

Sterling Place Healthcare & Rehabilitation Center

Baton Rouge, LA · E. Baton Rouge County

CMS 4/5 144 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
42%
Serious cites
0

Sterling Place runs 3.37 nursing hours per resident day, roughly 13 percent under the national average of 3.86, and weekends drop about 9 percent below its own weekday staffing. That thin coverage shows up alongside 21 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. Staff turnover sits at 42.3 percent, a bit better than the 45.8 percent national figure, so retention isn't the main problem here, numbers are. The last inspection was July 31, 2024, and this for-profit corporation's 144-bed home carries a two-star staffing rating and two stars on health inspections. If you're weighing this one, ask directly how weekends are covered.

B

74/100

Brentwood Center For Health & Rehabilitation, Llc

Yarmouth, ME · Cumberland County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
56%
Serious cites
0

Brentwood Center runs a decent number of nurse hours per resident, about 4.03 a day, a little above the national figure, and that shows up in its four-star staffing rating. The catch is consistency: weekends run roughly 8% thinner than weekdays, and more than half the nursing staff turns over each year, well above the national rate. On inspections, the record is heavier than most: 33 deficiencies, though none tied to harm or abuse. Ownership is a for-profit corporation. That combination explains the middling grade better than any single number.

B

74/100

Cumberland Healthcare Center

Cumberland, MD · Allegany County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
23%
Serious cites
0

Cumberland Healthcare Center runs 130 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86. Weekend coverage drops another 10% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is the bright spot at 23.2%, well under the 45.8% national figure, which suggests a steadier crew than most. What pulls the record down is the inspection side: 59 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $97,777 fine. The most recent inspection was October 2025.

B

74/100

Autumn Lake Healthcare At Loch Raven

Baltimore, MD · Baltimore County

CMS 2/5 113 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
51%
Serious cites
0

Autumn Lake Healthcare at Loch Raven runs on thinner nursing coverage than most homes, 3.57 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 11% below its own weekday staffing. That pattern matters because the hours are already lean before the weekend dip. Staff turnover sits at 50.5%, above the 45.8% national figure, so half the nursing workforce turns over in a year at a 113-bed for-profit limited liability company. The inspection record shows 89 deficiencies, two tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was September 2025. Resident outcomes score well even as the staffing and inspection sides lag.

B

74/100

Autumn Lake Healthcare At Waugh Chapel

Gambrills, MD · Anne Arundel County

CMS 5/5 110 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
46%
Serious cites
0

Autumn Lake Healthcare at Waugh Chapel runs 110 beds in Gambrills under for-profit LLC ownership, and its numbers tell a split story. Nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average, with weekends running about 11% thinner than weekdays, so the coverage families count on can vary by the calendar. The record shows 25 deficiencies, none at harm or jeopardy level, though three are abuse-related, and the last inspection was in March 2025. Turnover lands at 45.7%, essentially the national rate. Strong inspection and quality marks sit alongside that thinner staffing, which is the tension worth asking about directly.

B

74/100

Fairfield Nursing & Rehabilitation Center

Crownsville, MD · Anne Arundel County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
33%
Serious cites
0

Fairfield Nursing & Rehabilitation Center runs 3.57 nursing hours per resident day, about 8% under the national average, and weekends dip roughly 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 32.6%, well under the national 45.8%, which suggests a more stable crew than many for-profit homes. The tradeoff shows in oversight: 58 deficiencies on record, including one at the harm level and two tied to abuse, plus a $51,597 fine. Its last inspection was November 2025. The staffing numbers look better than the inspection history does, worth asking about those abuse-related citations directly before deciding.

B

74/100

Autumn Lake Healthcare At Glen Burnie

Glen Burnie, MD · Anne Arundel County

CMS 2/5 190 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
43%
Serious cites
0

Autumn Lake Healthcare At Glen Burnie runs 190 beds under for-profit LLC ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends drop another 9 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 43.2 percent is slightly better than the 45.8 percent national figure, which matters given how much churn disrupts daily care. The inspection record is the real weight here: 127 deficiencies, 11 tied to abuse, though none at the harm or jeopardy level, with the most recent visit in February 2025. Quality measures score well; the inspection history is what pulls the overall picture down.

B

74/100

Pilgrim Rehabilitation & Skilled Nursing Center

Peabody, MA · Essex County

CMS 4/5 152 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
37%
Serious cites
0

Pilgrim Rehabilitation runs 4.14 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 37% sits below the 45.8% national figure, both signs of a stable floor. Weekend staffing drops about 11% from weekday levels, so ask how coverage holds up on Saturdays and Sundays. The current record shows 7 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. The weaker spot is the 2/5 quality measure rating, which reflects how residents' clinical outcomes track against expected benchmarks rather than how the place is run day to day. Corporate for-profit ownership, 152 beds.

B

74/100

Garden Place Healthcare

Attleboro, MA · Bristol County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
23%
Serious cites
0

Garden Place runs 133 certified beds in Attleboro under for-profit LLC ownership, and its staff retention is the standout number here: 23.4% annual turnover against a national average of 45.8%. That kind of stability matters, but it doesn't offset the inspection record. There are 43 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $82,488. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national average, and weekends run roughly 7% thinner than weekdays. The last inspection was December 10, 2025. Low turnover is a genuine strength here, but the harm-level findings and thin weekend coverage are the things I'd ask about directly.

B

74/100

Andover Manor Rehab And Nursing

Andover, MA · Essex County

CMS 2/5 174 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
47%
Serious cites
0

Andover Manor Rehab And Nursing runs 174 beds under for-profit LLC ownership, and its staffing sits slightly under the national average, 3.80 nurse hours per resident day against 3.86, with weekends dropping about 12% below its own weekday level. Turnover is 47%, just above the 45.8% national figure. The inspection record is where the real weight sits: 51 deficiencies, three of them abuse-related, though none reached harm or jeopardy level, and the last inspection was recent, in January 2026. Quality measures score well, but a two-star health inspection rating and that abuse-related count are the numbers a family should ask about directly before deciding.

B

74/100

Regalcare At Greenfield

Greenfield, MA · Franklin County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
40%
Serious cites
0

Regalcare At Greenfield runs a 120-bed for-profit operation, and its staffing sits at 3.24 nurse hours per resident day, about 16 percent under the national average of 3.86. Weekends dip roughly 7 percent below the home's own weekday coverage, so the thinnest shifts are the ones when families tend to visit. The inspection record is the stronger side: a 4-out-of-5 health inspection rating, last survey in January 2025, and 18 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. Turnover lands at 39.5 percent, better than the 45.8 percent national figure, though that only partly offsets a 2-out-of-5 staffing rating. If you're weighing this one, ask how the weekend floor is actually covered.

B

74/100

Marian Manor Of Taunton

Taunton, MA · Bristol County

CMS 3/5 116 beds Non-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
36%
Serious cites
0

Marian Manor of Taunton runs on a nonprofit model with 116 certified beds, and its staffing sits at 3.80 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 7% below its own weekday coverage, which matters if your family visits on Saturdays and Sundays. Turnover is the bright spot: 35.5% versus a national average of 45.8%, meaning aides and nurses tend to stick around longer here than at the typical home. The caution is in the inspection record, 28 deficiencies, including one at harm level and four tied to abuse, plus an $8,788 fine. The most recent inspection was March 2025, so the picture is current.

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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