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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 4881–4900 of 10,187, best-graded first.

B

73/100

San Gabriel Conv Center

Rosemead, CA · Los Angeles County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
38%
Serious cites
0

San Gabriel Conv Center runs on a for-profit, limited liability setup with 151 certified beds, and its nurse staffing sits at 4.84 hours per resident day, roughly a quarter above the national average of 3.86. Staff turnover lands at 37.9%, better than the 45.8% national figure, though weekend coverage dips about 5% below the home's own weekday level. The inspection record is where things get harder to square: 47 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. A May 2025 inspection is recent, but federal ratings put health inspections and quality measures at 2 out of 5 each.

B

73/100

Heritage Gardens Health Care Center

Loma Linda, CA · San Bernardino County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
100%
Serious cites
0

Heritage Gardens runs 110 beds in Loma Linda under corporate ownership, and its inspection record is the first thing to weigh: 45 deficiencies on file, three of them abuse-related, though none rose to the level of actual harm or jeopardy. The May 2026 inspection is recent, so that count reflects current conditions rather than old problems. Staffing is where the numbers get harder to ignore. At 3.81 nurse hours per resident day, it trails the national average slightly, and weekends run about 9% thinner than weekdays, which matters when families visit less and eyes are fewer. The turnover figure is the real outlier: 100% annual staff turnover against a national average of 45.8%. That's essentially a new workforce every year, and it's difficult to build consistent care on that kind of churn.

B

73/100

The Springs Post-Acute

Norwalk, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
28%
Serious cites
0

The Springs Post-Acute runs a for-profit LLC with 99 beds in Norwalk, and its staffing is genuinely a cut above: 4.96 nurse hours per resident day, roughly 28% over the national average, with turnover at 27.6% compared to the 45.8% norm. That consistency holds even on weekends, when hours dip only about 8% below weekdays. Then you hit the inspection record. Seventy-one deficiencies, four serious enough to cause harm, ten tied to abuse, and a $66,866 fine, all on a one-out-of-five health inspection rating, despite the four-out-of-five quality measure score. The last inspection closed April 23, 2026, so this isn't old history. Good hands on deck matter, but they're working inside a documented pattern of serious problems.

B

73/100

Valley View Post Acute

El Monte, CA · Los Angeles County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
50%
Serious cites
0

Valley View Post Acute runs about 3.97 nurse hours per resident per day, a hair above the national average of 3.86, but weekends dip roughly 7% below its own weekday coverage. The bigger issue is the inspection record: 60 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $24,668 fine. Staff turnover sits at 50% against a national 45.8%, and the health inspection and staffing ratings both land at 2 out of 5. That combination, thin weekend coverage, high turnover, and a serious deficiency history, is what pulls the overall picture down despite strong marks on quality measures.

B

73/100

Jacob Healthcare Center

San Diego, CA · San Diego County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
59%
Serious cites
0

Jacob Healthcare Center in San Diego runs 128 certified beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.60 hours per resident day, roughly 19% above the national average of 3.86, but weekends dip about 3% below the home's own weekday level, so the floor isn't as steady as the top-line figure suggests. Annual turnover is 58.9% against a national 45.8%, meaning a large share of the staff you'd meet is relatively new. The inspection record shows 36 deficiencies with none at harm or jeopardy level and none abuse-related, and the most recent survey was in January 2026, so the picture is current.

B

73/100

Highland Palms Healthcare Center

Highland, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Highland Palms runs a for-profit operation with 99 certified beds, and its inspection and quality scores both come in at 4 out of 5, that's a solid record on paper, with 29 deficiencies logged but none rising to harm or jeopardy, and the most recent inspection done in April 2026. Staffing tells a different story: 2 out of 5 stars, with total nurse hours sitting just under the national average and weekends running roughly 4% thinner than weekdays. Turnover at 39.3% is better than the 45.8% national figure, which suggests people tend to stay. Three abuse-related deficiencies are on the record, so ask about those directly before you decide.

B

73/100

Mountain Vista Health Center

Wheat Ridge, CO · Jefferson County

CMS 2/5 168 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
66%
Serious cites
0

Mountain Vista runs 168 certified beds in Wheat Ridge under nonprofit corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. But weekends dip about 6% below the home's own weekday levels, and annual turnover hits 65.9% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The inspection record is where the real concern lives: 35 deficiencies, including 3 at harm or jeopardy level and 5 abuse-related, with three fines totaling $39,227. The most recent inspection was April 30, 2026. Quality measures score well, but the compliance history and churn tell a different story than the staffing hours alone suggest.

B

73/100

Devonshire Care Center

Sterling, CO · Logan County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
45%
Serious cites
0

Devonshire Care Center runs 84 certified beds in Sterling under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average of 3.86. That gap widens on weekends, when coverage drops about 15 percent below the home's own weekday level, so a Saturday shift is thinner than a Tuesday one. The inspection record shows 29 deficiencies, four of them at the harm or jeopardy level and one abuse-related, with a single fine of $2,350 and a most recent inspection date of March 26, 2026. Staff turnover of 44.8 percent is marginally better than the 45.8 percent national figure, but it still means nearly half the nursing staff leaves each year.

B

73/100

Broadview Health And Rehabilitation Center

Greeley, CO · Weld County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
61%
Serious cites
0

Broadview Health and Rehabilitation Center runs 100 beds in Greeley under corporate for-profit ownership, and its inspection record is genuinely better than average, four stars on health inspections, five on quality measures, with the most recent look from state surveyors in February 2024. The problem sits underneath that: staffing earns one star, and 61.1% of staff turned over in a year against a national average near 46%. Fifteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Strong marks on paper don't mean much if the people providing daily care keep leaving.

B

73/100

Center At Centerplace, Llc, The

Greeley, CO · Weld County

CMS 2/5 54 beds For-profit
Nurse hours
4.83 /day
Staff turnover
69%
Serious cites
0

The Center at Centerplace runs 4.83 nurse hours per resident day, about a quarter more than the national average, so there are real hands on the floor during the week. Weekends slip roughly 11% below that weekday level, and nearly 69% of staff turned over in a year against a national rate near 46%, meaning the people providing that care keep changing. Inspectors cited 22 deficiencies, two of them serious enough to risk harm, with $39,384 in fines and a two-star health inspection. The quality measures look better than the inspection record, but under a for-profit LLC with that much turnover, the pattern to watch is consistency: who's actually there on a Sunday, and whether serious findings recur.

B

73/100

Hewitt Health & Rehabilitation Center, Inc

Shelton, CT · Greater Bridgeport County

CMS 2/5 206 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
40%
Serious cites
0

Hewitt runs about 206 certified beds and employs nurses at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip further, about 4% below the home's own weekday staffing, so the thinnest coverage lands when oversight is lightest. Turnover at 40.2% sits a bit better than the national 45.8%, which helps, but the inspection record is where the real picture sits: 60 deficiencies, nine tied to abuse, and one serious enough to reach harm or jeopardy level. A single fine of $8,018 is on file, and the most recent inspection was May 2025. For-profit, individually owned. The staffing and inspection numbers are the ones worth weighing.

B

73/100

Jacksonville Rehabilitation And Nursing

Jacksonville, FL · Duval County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
66%
Serious cites
0

Jacksonville Rehabilitation and Nursing runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86. That gap shows up in turnover too: 66.4% of staff leave annually, well above the 45.8% national figure, and weekend coverage dips about 3% below the home's own weekday level. The current record lists 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated April 30, 2026. Its health inspection rating is 2 out of 5, while quality measures score 4 out of 5.

B

73/100

Sandgate Gardens Rehab And Nursing Center

Fort Pierce, FL · St. Lucie County

CMS 2/5 107 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
58%
Serious cites
0

Sandgate Gardens runs about 9% below the national average on nurse staffing hours, 3.52 per resident day against 3.86, and weekends drop roughly another 9% below what the home itself provides Monday through Friday. That thinner weekend coverage matters because staff turnover sits at 57.6%, well above the 45.8% national figure, so the people covering those shifts are often new. The inspection record shows 45 deficiencies, none tied to harm or abuse, with the most recent survey in April 2025. Quality measures score well, but the staffing and inspection ratings don't match that picture, which is the gap worth asking about before you visit.

B

73/100

Plaza Health And Rehab

Gainesville, FL · Alachua County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
60%
Serious cites
0

Plaza Health And Rehab in Gainesville runs 180 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, but weekends drop about 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 60.4% is well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff turns over each year. The good news: a September 2025 inspection with four out of five stars, no harm-level or abuse deficiencies among the 15 on record, and top marks on quality measures. Staffing consistency is the weak spot.

B

73/100

Titusville Rehabilitation & Nursing Center

Titusville, FL · Brevard County

CMS 2/5 157 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
63%
Serious cites
0

Titusville Rehabilitation & Nursing Center runs on thin staffing: 3.02 nurse hours per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday levels. That's the kind of gap families feel on Saturday afternoons. Annual turnover sits at 63.4%, well above the national 45.8%, meaning the people caring for your relative are often new to the building. The inspection record is the heavier concern, 27 deficiencies, one at harm or jeopardy level and two tied to abuse, with a $17,369 fine. A 5/5 quality measure score sits oddly beside a 1/5 inspection rating; ask what the quality numbers actually capture. The most recent inspection was March 2026, and the for-profit LLC ownership structure is worth asking about directly.

B

73/100

Aviata At Arbor Springs

Ocala, FL · Marion County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
63%
Serious cites
0

Aviata At Arbor Springs runs about 3.50 nurse hours per resident day, roughly 9% under the national average, and weekend coverage drops about 8% below its own weekday level. Annual turnover hits 62.9% against a national 45.8%, so the people around your family member change often. The 39 deficiencies on record include one at harm or jeopardy level, and the one-star health inspection rating reflects a pattern, not a single bad day. Quality measures score well, but that's resident data, not a statement about the building's systems. A 180-bed for-profit LLC with staffing at two stars and that churn is worth visiting unannounced on a weekend before deciding.

B

73/100

Lotus Nursing And Rehabilitation Center

Orlando, FL · Orange County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
34%
Serious cites
0

Lotus Nursing and Rehabilitation Center runs 180 beds in Orlando under for-profit LLC ownership, and its last state inspection was in October 2024, recent enough that the record reflects current conditions. That record shows 32 deficiencies, including one at the harm or jeopardy level and one tied to abuse, which is a serious pattern for a single home. Nurse staffing sits at 3.55 hours per resident day, roughly 8 percent under the national average, and weekends dip about 9 percent below its own weekday level. Staff turnover is 34.4 percent, better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection and staffing ratings tell the harder story.

B

73/100

Carlton Shores Healthcare And Rehabilitation Cente

Daytona Beach, FL · Volusia County

CMS 5/5 118 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
55%
Serious cites
0

Carlton Shores looks strong on paper where inspections and quality measures are concerned, both hold top marks, the five deficiencies on record are all minor, and a January 2026 inspection means the state's findings are recent. Staffing is where the picture changes. At 3.79 nurse hours per resident day, it runs slightly under the national average, and weekend coverage drops about 9% below weekday levels, right when families tend to visit. Annual turnover of 55.4% sits well above the 45.8% national figure, which matters more than raw hours, a revolving crew knows residents less well. The corporation running it keeps costs tight.

B

73/100

Avante At St Cloud Inc

Saint Cloud, FL · Osceola County

CMS 4/5 131 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
55%
Serious cites
0

Avante At St Cloud runs on thinner nursing hours than most homes: 3.38 per resident day against a national average of 3.86, and weekends dip further below its own weekday numbers. That shortfall shows up in its staffing rating, and 55.3% annual turnover means more than half the nurses left within a year, well above the 45.8% national figure. The 20 deficiencies on record include two tied to abuse, though none reached actual harm or jeopardy, and the most recent inspection was August 2024. Its quality measure scores are strong, which suggests residents' clinical outcomes are being tracked well even as day-to-day staffing stays lean.

B

73/100

Oakpark Health And Rehabilitation Center

Palm Harbor, FL · Pinellas County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
56%
Serious cites
0

Oakpark runs 3.41 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips about 7% below its own weekday level, so the hours you'd want most, evenings and Saturdays, are the thinnest. Staff turnover sits at 55.8% against a national 45.8%, which means a revolving door of caregivers who don't stay long enough to know your mother's routines. The record shows 23 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. That quality-measure score of 5 out of 5 looks strong, but it's built on charted outcomes, not the staffing hours actually delivered at the bedside. It's a for-profit LLC with 180 beds.

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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