ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 4761–4780 of 10,187, best-graded first.

B

74/100

Kewaunee Health Services

Kewaunee, WI · Kewaunee County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
39%
Serious cites
0

Kewaunee Health Services runs 50 beds under corporate ownership, and its last inspection came in April 2025 with a clean record, no deficiencies at the harm level, nothing abuse-related. That's the strongest thing here. Staffing sits at 3.82 hours per resident day, just under the national average, and weekends dip about 8% below weekdays, so coverage thins out when families tend to visit. Turnover lands at 39.4%, better than the national 45.8%, which suggests people stay. The weak spot is quality measures, where the home scores near the bottom. A solid inspection and stable staff, but the clinical outcomes those numbers track are worth asking about directly.

B

74/100

Dove Healthcare - Regional Vent Center

Chippewa Falls, WI · Chippewa County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
9.32 /day
Staff turnover
36%
Serious cites
0

Dove Healthcare - Regional Vent Center runs a nurse staffing level of 9.32 hours per resident day, which is more than double the national average of 3.86. That's a striking number, and it tracks with a 4/5 staffing star rating and turnover at 35.7%, lower than the national 45.8%. The catch is quality measures, which sit at 2/5, and nine deficiencies on the current record, one of them serious enough to reach harm or jeopardy. A single fine of $68,402 backs that up. Weekend staffing also dips about 9% below weekday levels, so the strong average doesn't hold evenly across the week.

B

74/100

Eastview Health And Rehabilitation Center

Antigo, WI · Langlade County

CMS 2/5 118 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
44%
Serious cites
0

Eastview runs on 3.22 nurse hours per resident day, about 17% under the national average of 3.86, and weekends are roughly 13% thinner than weekdays. Staff turnover sits at 44.4%, essentially the national rate. The current record shows 31 deficiencies, one of them serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was April 15, 2026, and the health inspection rating came back at 2 out of 5. Family-owned for-profit operations like this one often hold quality measure scores up, 4 out of 5 here, while the inspection record tells its own story. The staffing shortfall and that single harm-level finding are what your family should weigh before deciding.

B

74/100

Hillside Manor

Beaver Dam, WI · Dodge County

CMS 2/5 115 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
50%
Serious cites
0

Hillside Manor runs 115 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86. But weekends drop about 14% below its own weekday coverage, so the hours aren't spread evenly across the week. The bigger concern is the inspection record: 29 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, with a single fine that reached $227,895. Staff turnover is 50%, higher than the 45.8% national figure, and the most recent inspection was March 2026.

B

74/100

Rennes Health And Rehab Center-West

Peshtigo, WI · Marinette County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
52%
Serious cites
0

Rennes Health And Rehab Center-West just came through a February 2026 inspection with a single deficiency on its record, none of it causing harm and nothing tied to abuse, that's a clean sheet by any standard, and the five-star health inspection rating reflects it. The staffing picture is more mixed. Nurse hours run slightly under the national average, weekends dip about 9% below the home's own weekday coverage, and turnover sits at 51.5% against a national 45.8%, meaning roughly half the nursing staff leaves each year. Quality measures land at two stars, the weakest part of the profile. A for-profit LLC with 90 beds, this home inspects well but runs leaner and less stable than average.

B

74/100

Edenbrook Of Appleton North

Appleton, WI · Outagamie County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
39%
Serious cites
0

Edenbrook Of Appleton North runs 95 beds under corporate ownership, and its nursing hours come in at 3.93 per resident day, just above the national average of 3.86. That margin shrinks on weekends, when staffing drops roughly 13% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 38.9%, better than the 45.8% national figure, which suggests some stability in the workforce. The harder numbers are on the inspection side: 21 deficiencies on the current record, including one at the harm level and one tied to abuse, with a 2-out-of-5 health inspection rating. The most recent inspection was August 2025.

B

74/100

Alden Meadow Park Hcc

Clinton, WI · Rock County

CMS 3/5 94 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
43%
Serious cites
0

Alden Meadow Park runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thin coverage sits behind a 2-out-of-5 CMS staffing rating, and the inspection record shows 22 deficiencies, including one at the harm level and six tied to abuse. Turnover at 43.4% is slightly better than the 45.8% national figure, and the most recent inspection was April 2026, so the record is current rather than stale. The quality measure rating of 4 out of 5 suggests clinical outcomes look better on paper than the staffing numbers would predict, which is worth asking about directly.

B

74/100

Complete Care At Southpointe

Greenfield, WI · Milwaukee County

CMS 4/5 174 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
47%
Serious cites
0

Complete Care At Southpointe runs 174 beds under a for-profit limited liability company, and its staffing sits at 3.70 nurse hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below its own weekday coverage, and turnover is 47.4%, a bit above the national 45.8%. The bigger issue is the inspection record: 17 deficiencies, four of them at harm or jeopardy level, two tied to abuse, plus a single fine of $89,823. Its quality measure stars look strong at 5/5 and staffing sits at 3/5, but the health inspection rating is 2/5, and that recent March 2026 survey is what a family should ask about directly before deciding.

B

74/100

Avina Of Mayville

Mayville, WI · Dodge County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
37%
Serious cites
0

Avina Of Mayville runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident per day, roughly 15% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 36.5% actually beats the 45.8% national figure, which matters for continuity of care. The current inspection record shows 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $19,383. The most recent inspection closed in December 2025.

B

74/100

Sage View Care Center

Rock Springs, WY · Sweetwater County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
48%
Serious cites
0

Sage View runs on thinner nurse coverage than most homes, 3.36 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday numbers. That staffing pattern sits behind twelve deficiencies currently on record, including one at the harm level and one tied to abuse, along with a $12,735 fine. Turnover at 48.3% is slightly worse than the national 45.8%, meaning the aides and nurses who know your mother are leaving faster than average. The good news is the last inspection was recent, February 2025, and the quality measure score lands solidly above average. Ownership also changed within the past year, so the current operator has had limited time to fix what the surveyors found.

B

74/100

College Vista Post-Acute

Los Angeles, CA · Los Angeles County

CMS 3/5 49 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
46%
Serious cites
0

College Vista Post-Acute runs about 4.37 nurse hours per resident day, roughly 13% above the national average, but weekend staffing drops about 11% below its own weekday level. The inspection record is where the trouble sits: 36 deficiencies, three at harm or jeopardy level and one abuse-related, with two fines totaling $43,568 and a May 2025 inspection still fresh. Staff turnover of 46.4% is essentially the national rate, so continuity isn't a strength here. The 4/5 quality measure score reflects chart-based measures, not the survey findings, for-profit corporate ownership and a 2/5 inspection rating mean you should read the full survey report before deciding.

B

74/100

Pacific Coast Post Acute

Salinas, CA · Monterey County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
36%
Serious cites
0

Pacific Coast Post Acute runs 149 certified beds in Salinas under corporate ownership, and the staffing numbers are the first thing to notice: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running slightly leaner than weekdays. Turnover sits at 36.3%, which is actually better than the 45.8% national figure, that matters, because consistent caregivers know residents. The inspection record is heavier: 39 deficiencies, including one at the harm level and two tied to abuse, plus $19,786 in fines across two penalties. The most recent inspection was February 2025, so the picture is current. Strong quality measures and a solid survey history don't erase what those deficiency numbers mean for daily life.

B

74/100

Almond Vista Healthcare

Modesto, CA · Stanislaus County

CMS 1/5 175 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
48%
Serious cites
0

Almond Vista runs 4.29 nurse hours per resident day, about 11% above the national average, but that cushion thins on weekends, when staffing drops roughly 8% below its own weekday level. The bigger issue is what inspectors have found: 63 deficiencies on the current record, including six at the harm or jeopardy level and three tied to abuse, with five fines totaling $25,881 and a health inspection rating of 1 out of 5. Staff turnover sits at 47.7%, slightly above the national average, so even the decent overall staffing number reflects a workforce that keeps cycling through. The quality measure score looks fine, but that's built from resident assessments, not from how the place is actually run day to day.

B

74/100

Poway Healthcare Center

Poway, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
43%
Serious cites
0

Poway Healthcare Center sits in San Diego County with 99 certified beds under for-profit LLC ownership. Nurse staffing averages 3.97 hours per resident day, a bit above the national average of 3.86, though weekends run roughly 8% lighter than weekdays. Annual turnover at 42.5% is slightly better than the 45.8% national figure, and its last inspection was recent, in May 2025. What complicates the picture is the deficiency record: 35 total, including one abuse-related citation, though none reached the harm or jeopardy level. The two four-star ratings for health inspections and quality measures look stronger than the two-star staffing rating, which is where the tension sits.

B

74/100

Mountain View Post Acute

Barstow, CA · San Bernardino County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
55%
Serious cites
0

Mountain View Post Acute sits in Barstow with 59 certified beds and a corporate for-profit owner. The raw staffing number looks decent, 4.40 nurse hours per resident day, roughly 14% above the national average, but weekends run about 9% thinner than weekdays, and turnover hits 54.9% against a national 45.8%. That churn matters more than the headline hours, which is likely why CMS gives staffing just 2 out of 5 stars. Inspections are the bright spot: a 5-star health inspection rating, last survey in June 2025, and 21 deficiencies with none at harm or jeopardy level, though one is abuse-related. Quality measures land mid-pack at 3 stars. Solid oversight, shaky workforce stability.

B

74/100

Ahmc Seton Medical Center

Daly City, CA · San Mateo County

CMS 1/5 186 beds For-profit Medicaid
Nurse hours
5.81 /day
Staff turnover
34%
Serious cites
0

Ahmc Seton Medical Center has real strengths in its daily care numbers. Nurse staffing sits at 5.81 hours per resident day, roughly half again the national average, and the 34.1% turnover rate is meaningfully better than the 45.8% typical elsewhere, which matters for whether you see the same faces week to week. Weekend coverage dips only slightly, about 6% below weekdays, so care doesn't fall off a cliff on Saturdays. The trouble is the inspection record. Sixty-one deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and three fines totaling $41,019. A for-profit limited liability company running 186 beds with a one-star health inspection rating carries real risk, no matter how well the place is staffed.

B

74/100

Cedar Mountain Post Acute

Yucaipa, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
47%
Serious cites
0

Cedar Mountain Post Acute runs 99 beds in Yucaipa under limited-liability, for-profit ownership, and its most recent health inspection came in late November 2025. Inspectors have logged 24 deficiencies on the current record, though none rose to harm or jeopardy level and none involved abuse, a meaningful distinction if you're weighing what actually went wrong here. Nurse staffing sits at 4.65 hours per resident day, roughly 20 percent above the national average of 3.86, but weekends dip about 5 percent below the home's own weekday coverage. Annual turnover is 46.5 percent, essentially tracking the national rate of 45.8 percent, so continuity of caregivers is average at best. Ask specifically how weekend coverage holds up on the shift you'd be visiting.

B

74/100

Imperial Crest Health Care Center

Hawthorne, CA · Los Angeles County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
36%
Serious cites
0

Imperial Crest runs 4.75 nurse hours per resident day, roughly 23% above the national average of 3.86, and weekend staffing dips only about 8% below its own weekday level, a modest drop. Staff turnover sits at 35.5%, better than the national 45.8%, which suggests the payroll is somewhat stable. What holds the record down is the inspection side: 47 deficiencies, four of them abuse-related, with a last visit in April 2025. None of those 47 rose to harm or jeopardy level, so the problems are serious enough to count but not the worst category CMS tracks. A 3/5 on health inspections, quality measures, and staffing across the board.

B

74/100

Bel Vista Healthcare Center

Long Beach, CA · Los Angeles County

CMS 4/5 41 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
52%
Serious cites
0

Bel Vista runs 4.65 nurse hours per resident day, roughly 20% above the national average of 3.86, and weekends dip about 13% below its own weekday coverage. The clinical numbers look strong, but staffing churns at 51.9% a year against a 45.8% national rate, and the inspection record carries 64 deficiencies, including one at the harm level and three tied to abuse. State inspectors were last in on May 18, 2025, and one fine totaling $29,543 sits on the books. It's a for-profit corporate home with 41 beds. Solid day-to-day care measures, a rougher paper trail.

B

74/100

Grand Oaks Care

Tulare, CA · Tulare County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
50%
Serious cites
0

Grand Oaks Care runs a 99-bed for-profit home in Tulare, and the staffing picture is mixed. The 4.25 nurse hours per resident day sits about 10% above the national average, which sounds good until you notice weekends run roughly 10% leaner than weekdays and turnover hits 50.4% against a national 45.8%, meaning a lot of the people providing that care are new or on their way out. Inspections from February 2026 turned up 55 deficiencies, none at the harm level but one tied to abuse. Ownership is a limited liability company, and the quality measure score looks stronger than the staffing score.

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.

Before you shortlist