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 4961–4980 of 10,187, best-graded first.

B

73/100

The Grand Rehabilitation And Nursing At South Poin

Island Park, NY · Nassau County

CMS 3/5 185 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
29%
Serious cites
0

The Grand Rehabilitation and Nursing at South Poin runs 185 certified beds in Island Park under for-profit partnership ownership. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average, and weekends drop about 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 28.8% against a national 45.8%, meaning aides and nurses here stick around longer than at most homes. The tradeoff shows in the record: 21 deficiencies, two tied to abuse, though none rose to harm or jeopardy. A June 2025 inspection is recent, and quality measures score low.

B

73/100

Brooklyn Center For Rehabilitation And Residential

Brooklyn, NY · Kings County

CMS 2/5 281 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
26%
Serious cites
0

Brooklyn Center For Rehabilitation And Residential is a 281-bed for-profit home in Kings County, and the numbers pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends run roughly 14% thinner than weekdays, a gap families should ask about directly. Turnover is genuinely low at 26.3% against a national 45.8%, so the people caring for your relative are more likely to still be there next year. But the inspection record carries 29 deficiencies, including one at harm level and four tied to abuse, with a health inspection rating of 2 out of 5. The most recent inspection was December 2025, and fines total $9,110.

B

73/100

Putnam Nursing & Rehabilitation Center

Holmes, NY · Putnam County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
2.75 /day
Staff turnover
27%
Serious cites
0

Putnam Nursing & Rehabilitation Center runs lean on the floor: 2.75 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in the inspection record, 14 deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and $19,984 in fines across two penalties. The 2/5 inspection and 2/5 staffing ratings track with that. What's genuinely better here is retention: 27.3% turnover beats the 45.8% national figure by a wide margin, and the 4/5 quality measure rating suggests clinical care itself isn't the weak point. The problem is having enough hands.

B

73/100

Clifton Springs Hospital And Clinic Extended Care

Clifton Springs, NY · Ontario County

CMS 4/5 108 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
46%
Serious cites
0

Clifton Springs Hospital and Clinic Extended Care runs a little richer on nursing hours than the typical American nursing home, 4.09 per resident day against a national average of 3.86, though weekends drop about 13% below what the home staffs on weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 46.4%, essentially the national rate, so this isn't a stable long-term crew. Inspections look solid: a 4-out-of-5 health inspection rating, last visit in November 2024, and 12 deficiencies on record with none involving harm or abuse.

B

73/100

Alpine Rehabilitation And Nursing Center

Little Falls, NY · Herkimer County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

Alpine Rehabilitation and Nursing Center runs 80 beds in Little Falls under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.45 hours per resident day, about 11% under the national average, and weekends drop roughly 28% below what the home staffs on weekdays, so a Saturday shift looks quite different from a Tuesday one. Staff turnover is 52.4%, well above the 45.8% national figure, which means many of the aides and nurses caring for residents are still learning the building. The 22 deficiencies on record include one abuse-related citation, though none reached harm or jeopardy level, and the most recent inspection was April 2026.

B

73/100

The Hamlet Rehabilitation And Healthcare Center At

Nesconset, NY · Suffolk County

CMS 5/5 240 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
31%
Serious cites
0

The Hamlet runs 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends dip about 15% below its own weekday levels, that thin weekend coverage matters most when families visit and when problems are likeliest to surface. Staff turnover is 31%, better than the 45.8% national figure, so the people who are there tend to stay. But the record shows 13 deficiencies, two at harm or jeopardy level and one abuse-related, plus $92,770 in fines across two penalties. Inspectors were last in on February 20, 2025. Quality measures score well, but staffing and the harm-level findings are what pull the overall picture down to a middling grade.

B

73/100

Nassau Rehabilitation & Nursing Center

Hempstead, NY · Nassau County

CMS 3/5 280 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
14%
Serious cites
0

Nassau Rehabilitation & Nursing Center runs 280 certified beds in Hempstead under for-profit LLC ownership. Its nurse staffing sits at 3.11 hours per resident day, roughly 19% below the national average of 3.86, and weekends dip about 8% below its own weekday levels, which is where thin coverage tends to show up. What stands out in the other direction is retention: annual turnover of 13.6% against a national average near 46% suggests a stable crew. The current record shows 14 deficiencies, one serious enough to involve harm or jeopardy, no abuse citations, and a single $16,153 fine. Inspectors last visited April 28, 2025.

B

73/100

Autumn Care Of Biscoe

Biscoe, NC · Montgomery County

CMS 4/5 141 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
24%
Serious cites
0

Autumn Care of Biscoe runs 141 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekend coverage dipping about 9% below its own weekday levels. That thinner staffing shows up alongside 24 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, plus a single fine of $15,350. Where the home stands out is turnover: 23.9% against a national average of 45.8%, meaning far fewer caregivers are cycling through than is typical. Its last inspection was March 13, 2025.

B

73/100

Pettigrew Rehabilitation Center

Durham, NC · Durham County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
61%
Serious cites
0

Pettigrew Rehabilitation Center runs 96 certified beds in Durham under for-profit LLC ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends dip roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 60.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are changing over constantly. Inspections are current as of March 2025, with 15 deficiencies on record but none tied to harm or abuse, and the quality measure score is strong even as staffing lags.

B

73/100

Sapphire Ridge Health And Rehabilitation

Brevard, NC · Transylvania County

CMS 2/5 147 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
43%
Serious cites
0

Sapphire Ridge runs about 10% thinner on nurse staffing than the national average, 3.47 hours per resident day against 3.86, and weekends dip roughly 9% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover sits at 43%, a touch better than the 45.8% national figure, and the 29 deficiencies on record include one abuse-related citation but nothing flagged at harm or jeopardy level, with a single $22,568 fine. The two-star inspection and quality ratings, paired with for-profit LLC ownership and 147 beds, describe a home that isn't failing outright but has consistent room to improve.

B

73/100

Autumn Care Of Shallotte

Shallotte, NC · Brunswick County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
55%
Serious cites
0

Autumn Care of Shallotte runs on thin staffing for a 100-bed building, 3.50 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 15% below what it manages during the week. Turnover tells a harder story: 54.7% of staff leave annually, nearly ten points above the national rate, which means the people providing most of the hands-on care are often new. The health inspection record is where the trouble really shows: 25 deficiencies, two of them serious enough to put residents at harm or jeopardy, two tied to abuse, and $51,348 in fines across three penalties. The most recent inspection was July 2025, so the picture is current.

B

73/100

Wallace Rehabilitation And Healthcare Center

Wallace, NC · Duplin County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
46%
Serious cites
0

Wallace Rehabilitation and Healthcare Center runs 80 certified beds under for-profit LLC ownership, and its last health inspection in February 2025 produced five deficiencies with none rising to harm or jeopardy level and nothing abuse-related. Nurse staffing sits at 3.43 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip about 8 percent below the home's own weekday coverage. Annual turnover of 45.9 percent is essentially the national rate. So the clinical care record looks clean and recently reviewed, while daily staffing runs a bit thin and gets thinner on weekends. For a family weighing this one, the question worth asking is how that weekend gap shows up in actual response times.

B

73/100

Silver Bluff

Canton, NC · Haywood County

CMS 3/5 131 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
51%
Serious cites
0

Silver Bluff runs 131 certified beds in Canton under corporate for-profit ownership, and its staffing is the number worth watching. At 3.25 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 51.4% tops the national 45.8% average, meaning aides and nurses cycle through faster than usual. The inspection record shows 14 deficiencies, including two at harm or jeopardy level and four tied to abuse. A January 2026 inspection gives a recent snapshot, but the pattern across staffing and deficiencies is what matters.

B

73/100

Pineville Rehabilitation And Living Center

Pineville, NC · Mecklenburg County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
64%
Serious cites
0

Pineville Rehabilitation and Living Center runs about 106 certified beds under for-profit LLC ownership, and its staffing sits roughly 9% under the national average, with weekends dipping another 13% below its own weekday levels, which is when families tend to notice. Turnover tells a bigger story: 64.1% of nursing staff leaving annually, against a national average near 46%. That churn, combined with 36 deficiencies on record, including one at the harm level and one abuse-related, and $15,470 in fines, explains why inspections land at 3 stars even though quality measures score 4. The most recent inspection was June 2025, so the record is current.

B

73/100

Liberty Commons Nsg And Rehab Ctr Of Rowan County

Salisbury, NC · Rowan County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
28%
Serious cites
0

Liberty Commons runs about 3.17 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips another 9% below its own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 27.9% against a national average of 45.8%, meaning aides and nurses here tend to stay. The 17 deficiencies on record include nothing flagged for harm or abuse, and the most recent inspection was in November 2025, so the picture is fairly current. Quality measures score 2 of 5, which is where the weaker numbers show up.

B

73/100

Cedarwood Plaza

Cleveland Heights, OH · Cuyahoga County

CMS 3/5 115 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
58%
Serious cites
0

Cedarwood Plaza runs 115 certified beds in Cleveland Heights under corporate for-profit ownership, and the staffing numbers are where your attention should go first. Nurses provide 3.72 hours per resident day, about 4% under the national average, weekend coverage drops roughly 12% below what the home staffs on weekdays, and annual turnover sits at 57.5% against a national 45.8%. The inspection record backs that up: a 1-out-of-5 health inspection rating, 30 deficiencies, one serious enough to reach harm or jeopardy level, and a last inspection in September 2023. Quality measures score well, but consistent staffing and a clean survey history are what actually protect residents day to day.

B

73/100

Hickory Ridge Nursing & Rehabilitation Center

Akron, OH · Summit County

CMS 3/5 155 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
41%
Serious cites
0

Hickory Ridge runs a 155-bed for-profit home in Akron, and the numbers tell a mixed story. Nurse staffing sits at 3.20 hours per resident day, roughly 17 percent under the national average, and weekends run about 7 percent thinner than weekdays, which is when families tend to visit and notice. Turnover lands at 40.6 percent, better than the 45.8 percent national figure, so the crew that stays seems to stay. Inspections from January 2026 turned up 24 deficiencies, three tied to abuse, though none rose to the harm or jeopardy level, and the health inspection rating sits mid-range. What pulls the grade down is staffing; what pulls it up is quality measures, which score at the top. A B here means decent care with a thin margin.

B

73/100

Wickliffe Country Place

Wickliffe, OH · Lake County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
58%
Serious cites
0

Wickliffe Country Place runs 170 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86. Weekends drop roughly 15% below weekday coverage, and annual turnover is 57.5%, well above the 45.8% national figure. The health inspection record shows 35 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in September 2024. Quality measure scores run high, but that inspection history and the churn in staff are the parts worth asking about directly before you decide.

B

73/100

Meadows Of Kalida

Kalida, OH · Putnam County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
51%
Serious cites
0

Meadows of Kalida runs a lean crew: 3.20 nurse hours per resident per day, roughly 17% under the national average, and weekends dip about 8% below its own weekday coverage. For a 62-bed for-profit home, that thin margin matters more than it would somewhere bigger. Annual turnover sits at 51%, above the 45.8% national figure, so the people providing that care are often new. What keeps this place afloat is its inspection record: a 5/5 health inspection rating, 11 deficiencies on file with none at the harm level and none abuse-related, and a recent May 2025 survey. The quality measures come in at 4/5. The weak spot is staffing, and it's a real one.

B

73/100

Rest Haven Nursing Home Inc

Greenville, OH · Darke County

CMS 4/5 76 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
58%
Serious cites
0

Rest Haven runs 76 certified beds in Greenville under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.88 nurse hours per resident day against 3.86 nationally. That average hides two things: weekend coverage drops about 10% below weekday levels, and annual turnover is 57.9%, well above the 45.8% national figure. The federal stars split hard here, five out of five on quality measures, two on staffing. The current inspection record shows 16 deficiencies, none at harm or jeopardy level, but 3 tied to abuse, with the most recent inspection in August 2025.

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