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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 481–500 of 10,187, best-graded first.

A

89.5/100

Advanced Health Care Of Summerlin

Las Vegas, NV · Clark County

CMS 5/5 38 beds For-profit
Nurse hours
5.95 /day
Staff turnover
35%
Serious cites
0

Advanced Health Care of Summerlin runs a small house, 38 beds, with nurse staffing at 5.95 hours per resident day, roughly half again the national figure. Weekends dip about 16% below its own weekday coverage, so ask how that gap gets covered. Staff turnover sits at 34.5%, noticeably better than the 45.8% national rate, which matters for whether you see the same faces. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $4,194. State inspectors last visited in November 2024. Ownership is a for-profit limited liability company.

A

89.5/100

Wayne Health Care

Newark, NY · Wayne County

CMS 4/5 182 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
37%
Serious cites
0

Wayne Health Care runs 182 certified beds as a nonprofit corporation, and its numbers tell a fairly steady story. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover is 36.5%, which is actually better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. Inspectors found six deficiencies on the current record, one serious enough to involve harm or jeopardy, with no abuse citations. The last inspection was September 13, 2024, so the record is reasonably current.

A

89.5/100

Nys Veterans Home In Nyc

Jamaica, NY · Queens County

CMS 4/5 250 beds Government Medicaid
Nurse hours
4.33 /day
Staff turnover
33%
Serious cites
0

The state-run veterans home in Jamaica runs nurse staffing at 4.33 hours per resident day, roughly 12% above the national average, and its staff turnover of 32.6% sits well below the national 45.8%. Weekend coverage, though, drops about 18% below its own weekday level, so care can thin out on Saturdays and Sundays. Ten deficiencies appear on the current record, none at the harm or jeopardy level, though two are abuse-related. The last inspection was May 2024. State ownership often means steadier funding and lower turnover than the for-profit average, which the numbers here bear out.

A

89.5/100

Sherwood Oaks

Cranberry Township, PA · Butler County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
5.81 /day
Staff turnover
44%
Serious cites
0

Sherwood Oaks sits in Cranberry Township with 43 certified beds and a nonprofit owner. Staffing is where it shines: 5.81 nurse hours per resident day, roughly half again the national average, with weekends running about 16% lighter than weekdays. Turnover lands at 43.6%, a touch better than the 45.8% national figure, steady by industry standards. The trouble is the inspection record. Sixteen deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a single fine of $8,281, and a health inspection rating of 2 out of 5 from the most recent survey in February 2026. Strong bedside hours don't cancel out a troubling survey history, and that tension is what pulls the overall picture down.

A

89.5/100

Avamere Transitional Care Of Puget Sound

Tacoma, WA · Pierce County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
5.17 /day
Staff turnover
34%
Serious cites
0

Avamere Transitional Care of Puget Sound runs a 60-bed for-profit operation in Tacoma, and its staffing is the clearest strength: 5.17 nurse hours per resident day, roughly a third more than the national average, with a 5-out-of-5 CMS staffing rating and turnover at 34.3%, well below the 45.8% national figure. Weekends do run about 16% leaner than weekdays, so coverage isn't perfectly even. The caution is the inspection record: 45 deficiencies, including one at the harm level and three tied to abuse, plus a $35,875 fine. Quality measures rate 4 out of 5, and the last inspection was recent, in November 2025. Strong hands-on care, but a paper trail worth reading closely.

A

89/100

Advanced Healthcare Of Mesa

Mesa, AZ · Maricopa County

CMS 5/5 38 beds For-profit
Nurse hours
5.25 /day
Staff turnover
37%
Serious cites
0

Advanced Healthcare of Mesa runs a tight ship on the clinical side. With just 38 beds, it's small enough that the numbers stay easy to see: 5.25 nurse staffing hours per resident day, roughly a third more than the national average, enough to earn top marks on both health inspections and quality measures. Two things keep it from being spotless. Weekend staffing drops about 13% below weekdays, which matters if your family visits or calls on Saturdays. And the current record shows 8 deficiencies, 2 of them abuse-related, though none rose to the level of harm or jeopardy. Turnover at 36.5% beats the 45.8% national figure, meaning the people caring for your relative are somewhat more likely to still be there next year.

A

89/100

Brookridge Cove Rehabilitation And Care Center

Morrilton, AR · Conway County

CMS 4/5 134 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
37%
Serious cites
0

Brookridge Cove runs on more nursing hours than most homes in the country, 4.32 per resident day against a national average of 3.86, though weekends dip about 11% below its own weekday staffing, a gap worth asking about. Turnover sits at 36.7%, better than the 45.8% national figure, which matters for whether you see the same faces. The 22 deficiencies on record include nothing flagged as harm or jeopardy and nothing abuse-related, and the most recent inspection was in August 2025. It's a for-profit home owned by an individual, so ask who that is and how long they've held it.

A

89/100

Ash Flat Healthcare And Rehabilitation Center

Ash Flat, AR · Sharp County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
29%
Serious cites
0

Ash Flat Healthcare and Rehabilitation Center runs 105 certified beds under a for-profit limited liability company, and its numbers are mostly steady. Nurse staffing sits at 3.88 hours per resident day, essentially level with the national average of 3.86, though weekends run about 10% thinner than weekdays, so coverage can feel different depending on when you visit. Staff turnover is the standout: 29.3% against a national average of 45.8%, which suggests people stick around longer here than at the typical home. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025. Ownership is for-profit, so ask how that shapes day-to-day decisions.

A

89/100

Atkins Nursing And Rehabilitation Center

Atkins, AR · Pope County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
53%
Serious cites
0

Atkins Nursing and Rehabilitation runs 90 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing: 4.94 nurse hours per resident day, roughly 28% above the national average. Weekends dip about 13% below its own weekday level, so coverage isn't perfectly even, and annual turnover sits at 53.1% against a national 45.8%, people here cycle through faster than average. The current inspection record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated April 2026. Quality measure and staffing ratings both land at 4 or 5 out of 5, which tracks with the hours actually being worked.

A

89/100

Russellville Nursing And Rehabilitation Center

Russellville, AR · Pope County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
41%
Serious cites
0

Russellville Nursing and Rehabilitation Center runs on 4.49 nurse staffing hours per resident day, roughly 16% above the national average, and its staff turnover of 41.1% is lower than the 45.8% typical elsewhere. Weekend coverage dips about 12% below weekday levels, so care may thin out on Saturdays and Sundays even though the weekday floor is solid. The trade-off shows up in inspections: 22 deficiencies on the current record and a 2/5 health inspection rating. None of those deficiencies reached harm or jeopardy level, and there are no abuse-related findings. A 5/5 quality measure rating reflects good clinical outcomes on paper, but the inspection history is the piece worth asking about when you tour.

A

89/100

Greenbrier Nursing And Rehabilitation Center

Greenbrier, AR · Faulkner County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
39%
Serious cites
0

Greenbrier Nursing and Rehabilitation Center runs 90 certified beds in Faulkner County under individual for-profit ownership, and the staffing numbers are the first thing worth noting: 4.13 nurse hours per resident per day, roughly 7% above the national average of 3.86. Weekend staffing drops about 14% below its own weekday level, which is common but still worth asking about if your family visits mainly on Saturdays and Sundays. Annual turnover sits at 39.1%, better than the 45.8% national figure. The current record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 7, 2026.

A

89/100

Prairie Grove Health And Rehabilitation, Llc

Prairie Grove, AR · Washington County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
44%
Serious cites
0

Prairie Grove Health and Rehabilitation runs 70 certified beds under for-profit LLC ownership, and its strongest marks come from inspections and quality measures, 4 and 5 stars respectively, with the most recent inspection dated December 4, 2025. Eight deficiencies sit on the current record, but none at the harm or jeopardy level and nothing abuse-related. Nursing hours land at 3.76 per resident day, just under the national average, and weekends dip roughly 10% below what the home staffs on weekdays. Turnover sits at 44.2%, slightly better than the national figure, which matters because that's the number that decides whether you see the same faces on repeat visits.

A

89/100

Legacy Heights Nursing And Rehab, Llc

Russellville, AR · Pope County

CMS 5/5 122 beds For-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
49%
Serious cites
0

Legacy Heights runs on nurse staffing that’s genuinely above average, 4.70 hours per resident day against a national mark of 3.86. That’s not a rounding error; it’s roughly a fifth more nursing time than the typical home provides. The catch is consistency: weekend coverage drops about 14% below its own weekday level, so the care you’d see depends somewhat on what day you visit. On paper, the record is clean where it counts. Eleven deficiencies, but none at harm or jeopardy level and none abuse-related, with the last inspection in July 2025. Turnover sits at 48.6%, a bit above the 45.8% national figure, worth asking about, since stable caregivers matter as much as hours on a spreadsheet.

A

89/100

Fairfield Post Acute Rehabilitation

Fairfield, CA · Solano County

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

Fairfield Post Acute runs 99 beds under for-profit LLC ownership, and the numbers suggest a home that's better staffed than most. Its 4.31 nurse hours per resident day sits about 12% above the national average of 3.86, and turnover at 38.7% beats the 45.8% national figure, meaning fewer caregivers are walking out the door here than elsewhere. Weekend coverage dips roughly 11% below weekday levels, so ask how that plays out on Saturdays. The health inspection side is where it gets uneven: 26 deficiencies on record, one tied to abuse, though none reached harm or jeopardy, and the last inspection closed in January 2026.

A

89/100

Yuba City Post Acute

Yuba City, CA · Sutter County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
29%
Serious cites
0

Yuba City Post Acute runs on 4.22 nurse hours per resident day, roughly 9% above the national average, and weekend staffing dips only about 5% below its own weekday level, a fairly small drop compared to what many homes show. Staff turnover sits at 28.6%, well under the national 45.8%, which matters for whether caregivers actually know the residents. The tradeoff is a long deficiency record: 43 citations on file, though none reached harm or jeopardy, and two are abuse-related. State inspectors visited as recently as November 2025 and still rated health inspections 4 out of 5. For-profit, limited liability ownership, 59 beds.

A

89/100

Watsonville Nursing Center

Watsonville, CA · Santa Cruz County

CMS 4/5 87 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
27%
Serious cites
0

Watsonville Nursing Center runs 87 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, which is worth asking about if your family visits on Saturdays. The standout number is turnover: 27.1%, well under the national 45.8%, meaning the aides and nurses who'd be caring for your relative tend to stick around. Against that, the home carries 42 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $44,488 fine. Its last inspection was January 9, 2026.

A

89/100

Oceanview Post Acute

Pacific Grove, CA · Monterey County

CMS 5/5 51 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Oceanview Post Acute sits on the higher end of what you'll find in Pacific Grove, and the numbers back that up. Nurse staffing runs 4.04 hours per resident day, about 5% above the national average, though weekends drop roughly 10% below the home's own weekday level, worth asking about if your family member needs more attention on Saturdays and Sundays. Turnover is 38.5%, better than the 45.8% national figure, which suggests a relatively stable crew. The catch is the deficiency record: 47 total, including one at the harm level and two abuse-related, from an inspection dated December 2025. That's a lot of paperwork for a 51-bed building, even with strong marks on inspections and quality measures.

A

89/100

Dinuba Healthcare

Dinuba, CA · Tulare County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
33%
Serious cites
0

Dinuba Healthcare runs on 3.94 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip about 6% below its own weekday staffing. Turnover sits at 33.3%, well under the 45.8% national figure, which matters for whether residents see the same faces. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations; the most recent inspection was January 8, 2026. This for-profit partnership has 97 certified beds and earns 4 of 5 stars on both health inspections and quality measures, but only 3 of 5 on staffing.

A

89/100

Stonebrook Health And Rehabilitation

Los Gatos, CA · Santa Clara County

CMS 5/5 73 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
21%
Serious cites
0

Stonebrook runs on 4.40 nurse hours per resident day, about 14% above the national average, and it earns a five-star staffing rating partly because of that. Weekend coverage dips roughly 8% below weekday levels, so ask how that plays out on Sundays. Turnover sits at 21.4%, less than half the national rate of 45.8%, which matters for whether you see the same faces month to month. The current record shows 32 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Inspectors were last on site in August 2025, so the findings are recent.

A

89/100

Plymouth Village

Redlands, CA · San Bernardino County

CMS 4/5 48 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
27%
Serious cites
0

Plymouth Village runs 4.53 nursing hours per resident per day, about 17% above the national average, and its staff turnover of 26.5% is well under the national 45.8%. Weekend coverage dips roughly 11% from weekday levels, which is common but worth asking about if your family visits on Saturdays or Sundays. The 23 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in June 2025, so the picture is fairly current. This is a nonprofit operation with 48 beds, and smaller nonprofits often hold onto staff longer than the for-profit chains do.

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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