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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 4661–4680 of 10,187, best-graded first.

B

74/100

The Heritage Rehabilitation And Health Care Center

Brooklyn, NY · Kings County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
35%
Serious cites
0

The Heritage in Brooklyn runs a 79-bed for-profit operation, and its inspection record is genuinely strong, a five-star health inspection rating with a survey done as recently as May 2025. But the staffing numbers tell a different story: 3.23 nurse hours per resident per day sits about 16% under the national average, weekends dip roughly another 10% below its own weekdays, and CMS gives it just two stars for staffing. Turnover at 34.8% is better than the 45.8% national figure, so the people who stay tend to stick. The record shows 14 deficiencies, including one at harm level and two tied to abuse, which is what separates a solid inspection from a clean one.

B

74/100

Queens Center For Rehabilitation And Nursing

Whitesone, NY · Queens County

CMS 4/5 179 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
30%
Serious cites
0

The Grand Rehabilitation and Nursing at Queens runs 179 certified beds in Whitestone, and it's a for-profit corporate operation. Its 3.06 daily nurse staffing hours per resident sit about 21% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so coverage thins out right when families tend to visit. Turnover is genuinely low at 29.7% against a national 45.8%, which suggests a steadier crew than most. Inspections in January 2025 turned up eight deficiencies, none at harm level, though one was abuse-related. A recent inspection and a clean harm record count for something; the thin staffing is the number worth watching.

B

74/100

Hudson Pointe At Riverdale Center For Nursing And

Bronx, NY · Bronx County

CMS 2/5 167 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
29%
Serious cites
0

Hudson Pointe runs about 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip further, close to 11% under its own weekday staffing. That thinner weekend coverage matters most for a 167-bed home in the Bronx. Annual turnover sits at 29.2%, noticeably better than the 45.8% national figure, so the staff who are there tend to stay. Inspections are a different story: 12 deficiencies on the current record, including one at the harm level and two abuse-related, with a 2/5 inspection star rating and a last visit in July 2024. The quality and staffing stars land mid-range at 3/5 each. Ownership is a for-profit partnership.

B

74/100

Sutton Park Center For Nursing And Rehabilitation

New Rochelle, NY · Westchester County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
29%
Serious cites
0

Sutton Park runs 160 beds in New Rochelle under for-profit partnership ownership, and its nurse staffing sits at 3.54 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 14% below the home's own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is the bright spot: 29.4% against a national 45.8% means aides and nurses tend to stay, which matters for residents who need consistent hands. The record shows 16 deficiencies, none at harm or jeopardy level, though three are abuse-related, worth asking about directly. Its last full inspection was November 2023.

B

74/100

Downtown Brooklyn Nursing & Rehabilitation Center

Brooklyn, NY · Kings County

CMS 5/5 320 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
37%
Serious cites
0

Downtown Brooklyn Nursing & Rehabilitation Center runs 320 beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 37.2%, actually better than the 45.8% national figure, which matters for continuity of care. The inspection record is the harder read: 18 deficiencies, including one at harm or jeopardy level and one abuse-related, with the most recent inspection in April 2025. Quality measures score well, but quality scores come from resident data, not from how the building is run day to day.

B

74/100

Garden Gate Health Care Facility

Cheektowaga, NY · Erie County

CMS 2/5 184 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
52%
Serious cites
0

Garden Gate runs 184 certified beds in Cheektowaga under for-profit LLC ownership, and the numbers tell a split story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 52.1% tops the national 45.8% mark, which means many of the aides you'd meet are relatively new. Inspections in March 2025 produced 21 deficiencies, none at harm level but one tied to abuse; the health inspection rating reflects that record, while quality measures score well.

B

74/100

Safire Rehabilitation Of Southtowns, L L C

Buffalo, NY · Erie County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
43%
Serious cites
0

Safire Rehabilitation of Southtown runs about 3.44 nurse hours per resident day, roughly 11 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since needs don't pause on Saturdays. The inspection record is the bigger concern: 22 deficiencies, though none reached harm or jeopardy level and none involved abuse, and one fine of $10,489. Staff turnover sits at 43.4 percent, slightly better than the national 45.8 percent, which is a small point in its favor. Ownership is for-profit and individual. The last inspection was in December 2025, so the record is current.

B

74/100

The Grove At Valhalla Rehab And Nursing Center

Valhalla, NY · Westchester County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
46%
Serious cites
0

The Grove at Valhalla runs 160 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 46.2%, nearly identical to the national 45.8%, meaning roughly half the nursing staff turns over in a year. The current record shows 32 deficiencies, three tied to abuse, with zero at the harm or jeopardy level; the last inspection was November 2025. Its quality measure star is 5/5 while health inspection sits at 1/5. That split is worth asking about directly.

B

74/100

Accordius Health At Rose Manor Llc

Durham, NC · Durham County

CMS 2/5 111 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
52%
Serious cites
0

Accordius Health at Rose Manor is a for-profit LLC home with 111 beds in Durham, and its staffing sits just barely above the national average, about 2%, which is a thin margin when weekends run roughly 9% below the home's own weekday levels. Turnover is the bigger issue: 52.2% of nursing staff leaving annually, against a national average of 45.8%, means a lot of new faces. The record shows 38 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $16,801 fine. The last inspection was May 2025, so the record is current.

B

74/100

Northchase Nursing And Rehabilitation Center

Wilmington, NC · New Hanover County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
40%
Serious cites
0

Northchase runs a 140-bed for-profit operation in Wilmington, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day, with weekends dipping roughly 8% below its own weekday numbers. Turnover is 39.8%, which is actually better than the 45.8% national figure, that's a real point in its favor. But the inspection record is where things get harder to ignore: 27 deficiencies, including one at the harm level and two tied to abuse, plus a $7,901 fine. The most recent inspection was June 2025, so the picture is current, not stale. Worth asking about those abuse-related findings directly before you decide.

B

74/100

Lincolnton Rehabilitation Center

Lincolnton, NC · Lincoln County

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

Lincolnton Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.80 nurse hours per resident day. That gap is small, but weekends run roughly 10% thinner than weekdays, and annual turnover hits 52.2% against a 45.8% national rate, so the faces around a resident change often, and coverage tightens right when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, six at harm or jeopardy level, two tied to abuse, and a $71,117 fine. A July 2025 inspection is recent, at least. Quality measures score well, but you'd want to ask specifically how those harm-level findings were resolved.

B

74/100

Capital Nursing And Rehabilitation Center

Raleigh, NC · Wake County

CMS 4/5 125 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
37%
Serious cites
0

Capital Nursing and Rehabilitation Center runs 125 beds in Raleigh under corporate ownership, and its staffing sits around 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends dipping about 10% below its own weekday levels. Turnover is 36.5%, which is meaningfully better than the 45.8% national figure, so the staff who are there tend to stay. The inspection record shows 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent inspection was in August 2025. Quality and staffing each earned three stars; inspections earned four. The picture is a decently run building with thinner coverage than average, especially on weekends.

B

74/100

Autumn Care Of Drexel

Morganton, NC · Burke County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
58%
Serious cites
0

Autumn Care Of Drexel runs 100 beds in Morganton under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 4% below what the home staffs on weekdays. Turnover is the bigger concern: 57.6% of staff leave annually, well above the 45.8% national figure, which matters because unfamiliar caregivers struggle to learn residents' routines. The inspection record shows 17 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $27,872. Quality measures score well, but staffing and consistency are where the gaps show.

B

74/100

Yanceyville Rehabilitation And Healthcare Center

Yanceyville, NC · Caswell County

CMS 2/5 157 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
48%
Serious cites
0

Yanceyville Rehabilitation and Healthcare Center runs 157 certified beds, and its nurse staffing sits at 3.10 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip further, about 11% under the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 47.8%, a couple of points above the national figure, and CMS gives staffing 2 out of 5 stars against a much stronger 4 out of 5 on quality measures. The current record carries 19 deficiencies, none at harm or jeopardy level but one tied to abuse, with the last inspection dated February 27, 2025.

B

74/100

Three Rivers Health And Rehabilitation Center

Windsor, NC · Bertie County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
49%
Serious cites
0

Three Rivers runs about 3.56 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 9% below its own weekday staffing. That's the tradeoff a family feels on a Sunday afternoon. Turnover sits at 48.9%, a bit above the national 45.8%, so the faces change. What keeps this home in decent shape is its record: six deficiencies, none at harm or jeopardy level and none abuse-related, plus a January 2026 inspection that's still recent. A for-profit limited liability company owns it, which tends to mean leaner staffing rather than extra. Ask who's actually on the floor weekends and how long the current director of nursing has been there.

B

74/100

Peak Resources - Brookshire, Inc

Hillsborough, NC · Orange County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
45%
Serious cites
0

Peak Resources - Brookshire runs 80 certified beds in Hillsborough under corporate for-profit ownership. The staffing number is the thing to watch: 3.61 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 8% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 44.6% is a hair under the national rate, which is mildly reassuring, and the inspection record is recent, April 2026, with 13 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly.

B

74/100

Croatan Ridge Nursing And Rehabilitation Center

Newport, NC · Carteret County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Croatan Ridge is a 64-bed for-profit home in Newport, and its inspection record is the strongest part of the picture, a 4-out-of-5 health inspection rating, with the most recent survey in May 2026 and no deficiencies at the harm or jeopardy level. The catch is staffing. At 3.38 nurse hours per resident day, it runs roughly 13 percent under the national average, and weekends dip about 5 percent below its own weekday level, which matters if your family tends to visit on Saturdays and Sundays. Ten deficiencies are on record, one abuse-related. Turnover sits at 44.7 percent, basically in line with the national figure.

B

74/100

Camden Health And Rehabilitation

Greensboro, NC · Guilford County

CMS 4/5 135 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
45%
Serious cites
0

Camden Health and Rehabilitation runs 135 beds in Greensboro under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with 11 deficiencies on file, none of them causing harm or jeopardy and none abuse-related, with the most recent survey done in July 2025. Staffing is where it slips. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends run roughly 13% lighter than its own weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover lands at 45.3%, essentially tracking the national rate of 45.8%.

B

74/100

Autumn Care Of Cornelius

Cornelius, NC · Mecklenburg County

CMS 2/5 102 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
48%
Serious cites
0

Autumn Care of Cornelius runs 102 certified beds under corporate ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. Weekend coverage drops about 6% below what the home staffs on weekdays, so the lowest-staffed shifts land when families tend to visit. Annual turnover is 48.3%, slightly above the national 45.8%. The current deficiency record shows 26 citations, none at the harm or jeopardy level, but two tied to abuse. Inspections are recent, from July 2025, and the health inspection rating sits at 2 out of 5 stars while quality measures score 4. Staffing lands mid-range.

B

74/100

Benedictine Living Center Of Garrison

Garrison, ND · Mclean County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
36%
Serious cites
0

Benedictine Living Center Of Garrison runs 52 certified beds as a church-affiliated nonprofit, and its staffing sits about 18% under the national average, 3.18 nurse hours per resident day against 3.86 nationally, with weekends roughly 7% thinner than weekdays. Turnover lands at 36.4%, better than the 45.8% national figure, so the people who stay tend to stay. The tradeoff shows up in its record: 14 deficiencies, including one at the harm level and two abuse-related, plus a single $8,278 fine, with the most recent inspection dated July 22, 2025. Its three CMS star ratings, health inspection, quality measures, and staffing, all sit at the middle.

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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