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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 4621–4640 of 10,187, best-graded first.

B

74/100

Brookside Rehabilitation And Healthcare Center

Webster, MA · Worcester County

CMS 2/5 81 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
42%
Serious cites
0

Brookside runs a for-profit shop with 81 beds in Webster, and the staffing numbers are its strongest card, 3.88 nurse hours per resident day, just barely over the national average, with a 4-out-of-5 staffing rating. Turnover sits at 41.8%, below the national 45.8%, which matters for whether you see the same faces month to month. The problem is what inspections keep finding: 30 deficiencies on the current record, including one at harm or jeopardy level and one tied to abuse, against a 1-out-of-5 quality measure rating. Weekend coverage also drops about 7% below weekday levels. Inspectors were last in on July 30, 2025. Ask pointed questions about that abuse citation and the harm-level finding before you decide.

B

74/100

Palm Springs Post Acute

Chelmsford, MA · Middlesex County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
43%
Serious cites
0

Palm Springs Post Acute runs 124 certified beds in Chelmsford under corporate for-profit ownership, and the staffing numbers are the first thing you'd want to know about. Total nurse coverage sits at 3.62 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 13% below what the home staffs during the week. That matters for a family thinking about Saturday-night call bells. Turnover is 43.3%, which is slightly better than the 45.8% national figure, so aides and nurses aren't leaving faster than average. But the inspection record carries 28 deficiencies, including one at the harm level and two tied to abuse. The health inspection rating sits at 2 out of 5, with a recent survey date of November 2025.

B

74/100

Meadows Of Central Massachusetts (The)

Rochdale, MA · Worcester County

CMS 4/5 135 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
33%
Serious cites
0

The nurse staffing here runs about 4.62 hours per resident day, roughly 20% above the national average, and the staff tends to stay, 32.7% turnover against a national rate near 46%. Weekends are thinner, though, running about 15% below weekday coverage, so ask how weekends are actually handled. The inspection record is mixed: 29 deficiencies on file, two of them serious enough to involve harm or jeopardy, and $166,780 in fines across 14 penalties. No abuse citations. The last inspection was recent, February 2026, and the health inspection rating sits at 4 of 5 stars.

B

74/100

Marvin & Betty Danto Health Care Center

West Bloomfield, MI · Oakland County

CMS 3/5 155 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
55%
Serious cites
0

Marvin & Betty Danto Health Care Center runs 155 certified beds in West Bloomfield under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, with weekends about 11% thinner than weekdays. Turnover hits 54.7%, well above the 45.8% national figure, which means the aides and nurses your family meets may not be there in six months. The current inspection record carries 47 deficiencies, including three at harm or jeopardy level and six tied to abuse, plus one fine of $49,228. Quality measures score well, and the last inspection was recent, in March 2026.

B

74/100

Heartwood Lodge Trinity Health

Spring Lake, MI · Ottawa County

CMS 1/5 84 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
48%
Serious cites
0

Heartwood Lodge Trinity Health runs 84 certified beds in Spring Lake as a nonprofit. Its nurses provide 3.97 hours per resident per day, modestly above the national average of 3.86, but weekend staffing drops about 9% below its own weekday level, and annual turnover sits at 48% against a national 45.8%. The real concern is the inspection record: 37 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a 1-out-of-5 health inspection rating and a survey dated June 13, 2025. Quality and staffing each earn 3 out of 5. Families should ask directly how the abuse-related findings were resolved and who covers weekends.

B

74/100

The Villa At Great Lakes Crossing

Detroit, MI · Wayne County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
50%
Serious cites
0

The Villa At Great Lakes Crossing runs 96 beds as a for-profit, individually owned home, and its staffing is the weak spot: 3.44 nurse hours per resident day, roughly 11 percent under the national average, with weekends running about 15 percent thinner than weekdays. Annual turnover sits at 50 percent, above the 45.8 percent national figure, so the people providing that care keep changing. The current record shows 26 deficiencies, including one at the harm or jeopardy level and two tied to abuse, though the most recent inspection was in February 2026. On the plus side, the quality measure rating is strong and the health inspection score is decent, it's the day-to-day staffing consistency that pulls this one down.

B

74/100

Optalis Health And Rehabilitation Of Allen Park

Allen Park, MI · Wayne County

CMS 3/5 163 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
45%
Serious cites
0

Optalis Health and Rehabilitation of Allen Park runs 163 certified beds under corporate ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially identical to the national average, but with weekends running about 13% thinner than weekdays. Turnover lands at 45.4%, roughly in line with the national figure, though CMS still gives staffing only 2 out of 5 stars. The inspection record is the heavier concern: 46 deficiencies, six of them abuse-related, and a 2-star health inspection rating, even though nothing on the current record reached harm or jeopardy level. A 4-star quality measure score doesn't offset that, and the last inspection was June 2025.

B

74/100

The Laurels Of Galesburg

Galesburg, MI · Kalamazoo County

CMS 1/5 93 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
38%
Serious cites
0

The Laurels Of Galesburg runs 3.54 nurse staffing hours per resident day, about 8% under the national average, and weekends drop roughly 9% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 38.1%, better than the 45.8% national figure, meaning the crew that's there tends to stay. What drags the record down is inspections: 65 deficiencies, including 6 at harm or jeopardy level and 8 abuse-related, plus four fines totaling $160,708. The last inspection was September 2025, so the picture is current, not stale. Quality and staffing measures look strong on paper, but the inspection history is where you'd want to ask hard questions before choosing this one.

B

74/100

Regency At Whitmore Lake

Whitmore Lake, MI · Washtenaw County

CMS 1/5 131 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Regency At Whitmore Lake runs 131 certified beds under corporate ownership, and its last inspection came in March 2025. The record behind that visit is heavy: 85 deficiencies total, 7 of them serious enough to put residents in harm's way, 10 tied to abuse. Fines add up to $235,995 across three penalties. Staffing sits at 3.58 nurse hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 13% thinner than weekdays. Turnover is 42.7%, a bit better than the 45.8% national figure. The quality star rating is strong, but inspection history and thin weekend coverage are what families should weigh first.

B

74/100

West Woods Of Bridgman

Bridgman, MI · Berrien County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
48%
Serious cites
0

West Woods of Bridgman runs a for-profit operation with 92 certified beds, and its staffing sits close to the middle of the pack, about 3.96 nurse hours per resident day, just above the national average, though weekends dip roughly 8% below its own weekday levels. Staff turnover is 47.6%, a bit higher than the national figure. The bigger concern is the inspection record: 41 deficiencies on file, four of them serious enough to involve harm or jeopardy, and a one-star health inspection rating. The most recent inspection was August 2025, so the findings are current. Quality and staffing measures both land at three stars, which keeps this from being a purely negative picture, but the inspection history weighs heavily.

B

74/100

Northville Manor

Northville, MI · Wayne County

CMS 4/5 37 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
69%
Serious cites
0

Northville Manor runs 37 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average. Weekends dip about 13% below the home's own weekday coverage, and annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 36 deficiencies, five tied to abuse, though none reached harm or jeopardy level; the last inspection was April 2025. Quality and staffing each earned 4 stars from CMS, but the health inspection side landed at 2, which is where the tension in this home's profile lives.

B

74/100

Woodbury Health Care Center

Woodbury, MN · Washington County

CMS 1/5 155 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
24%
Serious cites
0

Woodbury Health Care Center runs on a nonprofit model with 155 certified beds in Washington County, and its staffing looks solid on paper, 3.93 nurse hours per resident day, slightly above the national average, with only a 24.4% turnover rate compared to 45.8% nationally. But the inspection record tells a different story: 49 deficiencies, four of them at the harm or jeopardy level and four tied to abuse. Two fines totaling $182,683 sit on the books, and the most recent inspection was in July 2025. Weekend staffing also dips about 11% below weekday levels, which matters when residents need consistent care. Strong staffing numbers don't erase a troubling inspection history.

B

74/100

Viewcrest Health Center

Duluth, MN · St. Louis County

CMS 3/5 88 beds Non-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
52%
Serious cites
0

Viewcrest runs lean on the floor: 3.44 nurse hours per resident day against a national average of 3.86, and weekends drop another 9% below its own weekday pace. Annual turnover sits at 52.3%, well above the 45.8% norm, which matters because it means the staff you meet in month one may not be there in month six. The inspection record is mixed, a recent survey in August 2025 and no abuse findings, but 24 deficiencies with three at harm or jeopardy level, plus four fines totaling $51,441. Church-affiliated nonprofit ownership doesn't change the arithmetic: fewer hands per resident, a thinner weekend crew, and a turnover rate that outpaces the country.

B

74/100

Good Samaritan Society - Pine River

Pine River, MN · Cass County

CMS 4/5 33 beds Non-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
44%
Serious cites
0

Good Samaritan Society - Pine River runs 33 certified beds as a nonprofit, and its last health inspection came back in March 2026 with eight deficiencies on record, none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends drop about 15% below the home's own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.1%, close to the national 45.8%, so retention isn't the problem here. The inspection and staffing ratings both come in at 4 out of 5; the quality measure rating is 2. That split is the story, steady hands, weaker clinical outcomes.

B

74/100

Rochester Rehabilitation And Living Center

Rochester, MN · Olmsted County

CMS 1/5 56 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
74%
Serious cites
0

Rochester Rehabilitation And Living Center has real staffing depth, 5.09 nurse hours per resident day, roughly a third more than the national average. That's the strongest thing in its file. But 73.5% of staff left over the past year, well above the 45.8% national rate, and weekend coverage drops about 10% below its own weekday levels. The inspection record is where it gets serious: 35 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse. CMS placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. Its last inspection was in April 2025. Good ratios don't fix a record like that on their own.

B

74/100

Bedford Care Center Of Petal

Petal, MS · Forrest County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
65%
Serious cites
0

Bedford Care Center of Petal runs a tight ship on inspections, a five-star health inspection rating and six deficiencies on the current record, none of them at the harm or jeopardy level and none abuse-related. The last survey was in March 2025, so the picture is recent. Staffing sits at 4.28 nurse hours per resident day, roughly 11% above the national average, though weekends run about 13% thinner than weekdays. The number worth watching is turnover: 64.5% a year against a national average of 45.8%, which means the people around your family member may change often even when the hours look good. One fine on record, $22,198.

B

74/100

Willow Creek Retirement Center

Byram, MS · Hinds County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
53%
Serious cites
0

Willow Creek runs a for-profit, LLC-owned home of 88 beds in Byram, and the staffing is the bright spot: 4.05 nurse hours per resident day, roughly 5% above the national average, which is why CMS gives it 4 out of 5 stars on staffing. But weekends drop about 10% below its own weekday coverage, and annual turnover sits at 52.9% against a national 45.8%, so the people covering those shifts keep changing. The record shows 24 deficiencies, including one at harm or jeopardy level and one tied to abuse, plus an $8,018 fine. Inspectors were last in on March 5, 2026, and the health inspection and quality ratings both came back 2 out of 5.

B

74/100

Nhc Healthcare, Kennett

Kennett, MO · Dunklin County

CMS 5/5 170 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
42%
Serious cites
0

Nhc Healthcare, Kennett runs 170 beds under corporate ownership, and its last health inspection came back clean at the top rating, 11 deficiencies on record, none of them causing harm or tied to abuse. That's the strongest part of the picture. Staffing is where it thins out: 3.58 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly another 5% below the home's own weekday level. Turnover lands at 42%, a touch better than the 45.8% national figure. Inspection history looks solid; day-to-day coverage is the number worth asking about.

B

74/100

California Care Center

California, MO · Moniteau County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
45%
Serious cites
0

California Care Center runs about 3.07 nurse hours per resident per day, roughly 20 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 44.8 percent, essentially at the national rate. The five-star health inspection rating and a recent August 2024 inspection look strong on paper, but six deficiencies are on record, two of them at the harm or jeopardy level. A for-profit corporation owns the 60-bed home, and the staffing number is what pulls the overall picture down.

B

74/100

Farmington Presbyterian Manor

Farmington, MO · St. Francois County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
64%
Serious cites
0

Farmington Presbyterian Manor runs a nonprofit home with 90 certified beds, and its staffing sits at 4.04 nurse hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 11 percent below the home's own weekday level, and annual turnover hits 64.4 percent against a national 45.8 percent, so the familiar faces aren't staying long. The inspection record is the strong part: a 5/5 health inspection star, last surveyed January 30, 2025, with 8 deficiencies on file and none at the harm or jeopardy level. Quality measures land at 3/5. Read together, the care environment looks safe and well-monitored, but the workforce churns enough to matter over a longer stay.

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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