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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 5101–5120 of 10,187, best-graded first.

B

72.5/100

Mission Point Nursing & Physical Rehabilitation Ce

Grand Rapids, MI · Kent County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
57%
Serious cites
0

Mission Point runs 4.20 nurse hours per resident day, about 9% above the national average, and its quality measure and staffing stars both sit at 4 out of 5. But weekend staffing drops roughly 18% below its own weekday level, and annual turnover is 57.3% against a national 45.8%, meaning the people around your relative are changing constantly. The inspection record is where it gets harder to wave off: 50 deficiencies, four at harm or jeopardy level, three tied to abuse, and a $48,868 fine. The last inspection was June 2025. Corporate-owned, 58 beds. Solid numbers on paper, but a paper record with that many harm-level findings needs a visit, not a brochure.

B

72.5/100

Stonegate Health Campus

Lapeer, MI · Lapeer County

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

Stonegate Health Campus runs a for-profit shop with 80 certified beds, and the staffing is genuinely above average: 4.50 nurse hours per resident day, roughly 17% more than the national figure. That's the strongest thing here. The catch is consistency and history, weekend staffing drops about 17% below its own weekday level, turnover sits at 51.8% against a national 45.8%, and the inspection record carries 26 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $66,414 fine. A recent inspection in February 2026 helps, but those harm-level findings and the abuse citation are the kind of thing you'd want to ask about directly before deciding.

B

72.5/100

Diversicare Of Brookhaven

Brookhaven, MS · Lincoln County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
52%
Serious cites
0

Diversicare Of Brookhaven runs 58 certified beds under corporate for-profit ownership, and its nurse staffing sits about 10% under the national average at 3.49 hours per resident day. Weekends dip roughly 17% below its own weekday coverage, so the hours when families tend to visit are also when the floor is thinnest. Staff turnover is 52.2% against a national 45.8%, meaning more than half the nursing team turns over in a year. The current inspection record carries 26 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,788 and a January 2026 inspection date. The two-star health inspection rating reflects that citation history, most of what the state has found here involves how care is actually delivered, not paperwork.

B

72.5/100

Hillcrest Care Center Inc

De Soto, MO · Jefferson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
46%
Serious cites
0

Hillcrest Care Center runs 120 certified beds in De Soto under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection history is the strongest part of the picture: the last survey was in January 2026 and the health inspection rating is 4 out of 5, though the record still carries 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $10,845 fine. Staff turnover matches the national average at 45.8%.

B

72.5/100

Magnolia Square Nursing And Rehab

Springfield, MO · Greene County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
54%
Serious cites
0

Magnolia Square runs on about 3.46 nurse hours per resident per day, roughly 10% under the national average, and staffing thins out on weekends, about 23% below the home's own weekday level. Annual turnover sits at 53.8%, well above the national 45.8%, so the people caring for your relative are changing often. The inspection record shows seven deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $26,215 fine; the last inspection was February 2025. Ownership is a for-profit limited liability company. The 4/5 quality measure score reflects charted care outcomes, but it doesn't offset thin staffing or those inspection findings.

B

72.5/100

Stonebridge Chillicothe

Chillicothe, MO · Livingston County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
40%
Serious cites
0

Stonebridge Chillicothe runs about 3.52 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 17% below its own weekday level, that gap is where problems tend to surface. The inspection history is genuinely strong on paper, a five-star health inspection rating with the most recent survey in January 2025, but seven deficiencies sit on the current record, including one at the harm level and one tied to abuse. Staff turnover at 40% is better than the 45.8% national figure, though it still means a lot of new faces. Corporate for-profit ownership, 75 beds, and thin weekend staffing are the context behind a middling grade.

B

72.5/100

Alaris Health At West Orange

West Orange, NJ · Essex County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
—
Serious cites
0

Alaris Health at West Orange runs 120 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86, with weekends about 11% thinner than weekdays. The inspection record is the bigger concern: 17 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $64,410, with the most recent inspection in December 2024. What keeps this home from landing lower is its quality measure rating, which is strong on paper, but that measure tracks clinical outcomes rather than the hands-on coverage and safety record families actually live with day to day.

B

72.5/100

Eastchester Rehabilitation And Health Care Center

Bronx, NY · Bronx County

CMS 5/5 200 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
—
Serious cites
0

Eastchester Rehabilitation and Health Care Center is a 200-bed for-profit home in the Bronx, and the numbers tell two different stories. On paper, the care it delivers looks strong: a five-star health inspection rating, a five-star quality measure rating, and just six deficiencies on its current record, none of them causing harm or involving abuse, with its last inspection in March 2026. But staffing sits at 3.49 nurse hours per resident day, roughly 10 percent below the national average, and weekends run about 7 percent thinner than weekdays. That gap explains why its staffing rating is only one star, and why the overall picture lands in the middle rather than near the top.

B

72.5/100

Elderwood At Grand Island

Grand Island, NY · Erie County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
62%
Serious cites
0

Elderwood At Grand Island runs a 90-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.18 hours of care per resident each day, roughly 18 percent under the national average, and weekends drop about 15 percent below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 61.8 percent against a national 45.8 percent, meaning more than half the caregivers turned over in a year. The inspection record shows seven deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last state visit was December 2024. Quality measures score well; staffing and inspection results are what pull the overall picture down.

B

72.5/100

The Five Towns Premier Rehabilitation & Nursing Ce

Woodmere, NY · Nassau County

CMS 2/5 336 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
—
Serious cites
0

The Five Towns Premier Rehab & Nursing Center is a 336-bed for-profit home in Woodmere, and the numbers pull in different directions. Its quality measure rating is perfect, but staffing sits at 3.52 nurse hours per resident day, about 9% under the national average, and weekend coverage runs roughly 7% thinner than weekdays, a pattern that matters most when families visit and when residents need help. The inspection record shows 14 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $8,278 and a survey completed in late 2024. Strong clinical scores paired with thin staffing and a harm-level citation is the tension worth weighing.

B

72.5/100

Quantum Rehabilitation And Nursing Llc

Middle Island, NY · Suffolk County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
49%
Serious cites
0

Quantum Rehabilitation and Nursing in Middle Island runs a 120-bed for-profit operation, and the numbers tell a mixed story. Its last inspection in February came back clean on the serious stuff, six deficiencies total, none involving harm or abuse, which is why the inspection rating sits at four stars. Staffing is where the cracks show: 3.93 nurse hours per resident day edges out the national average by a hair, but weekends drop roughly 16% below weekdays, and nearly half the staff turns over each year, slightly worse than the 45.8% national figure. You're looking at a home that inspects well but asks a lot of a workforce that doesn't stay long.

B

72.5/100

Liberty Commons Nursing & Rehab Center Of Southpor

Southport, NC · Brunswick County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
—
Serious cites
0

Liberty Commons runs about 3.58 nurse hours per resident day, roughly 7 percent under the national average, and weekends dip another 7 percent below its own weekdays, so the thinnest coverage lands when families tend to visit. The 31 deficiencies on record are worth noting, though none reached harm or jeopardy level and none involved abuse, and the most recent inspection was in May 2025, so the picture is current. Quality measure scores sit at 2 out of 5 stars even as inspection and staffing both hold at 3. This is a for-profit limited liability company operating 99 certified beds, and the numbers describe a home that's neither failing nor standing out.

B

72.5/100

Arbors At Mifflin

Mansfield, OH · Richland County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
54%
Serious cites
0

Arbors At Mifflin runs about 99 certified beds in Mansfield under for-profit LLC ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 54.2% against a national 45.8%, so the aides and nurses your family sees may change often. The inspection record shows 21 deficiencies, including one at the harm level and one abuse-related, with a single fine of $15,593; the last inspection was May 2024. CMS gives it three stars for health inspections and staffing, four for quality measures.

B

72.5/100

Altercare Of Mayfield Village, Inc

Mayfield Village, OH · Cuyahoga County

CMS 3/5 52 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
67%
Serious cites
0

Altercare of Mayfield Village runs 52 beds in Cuyahoga County under corporate ownership, and its nurse staffing sits at 4.24 hours per resident per day, roughly 10% above the national average. That coverage thins on weekends, though, dropping about 15% below its own weekday level, and annual turnover hits 66.7% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is the softer spot: 17 deficiencies, one serious enough to reach harm or jeopardy, from a visit last November. Quality measures score well, staffing lands midrange, and inspections sit at 2 of 5. The staffing hours look good on paper; the turnover and survey history are what pull the overall picture down.

B

72.5/100

O'neill Healthcare North Olmsted

North Olmsted, OH · Cuyahoga County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
54%
Serious cites
0

O'neill Healthcare North Olmsted runs 3.65 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 19% below its own weekday staffing. That thin weekend margin matters more when you consider 53.7% of staff turned over last year, well above the 45.8% national figure. The 20 deficiencies on file include one at the harm level, though none are abuse-related, and the most recent inspection was in April 2025. The quality measures look strong, and that's real, but it's worth asking how much of it rests on a workforce that keeps changing.

B

72.5/100

Triple Creek Retirement Community

Cincinnati, OH · Hamilton County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
47%
Serious cites
0

Triple Creek runs 3.61 nurse hours per resident per day, about 7% under the national average of 3.86, and weekends drop roughly 17% below its own weekday staffing. That thin weekend coverage is worth asking about directly, since aides and nurses are hardest to replace then. Annual turnover sits at 47.1%, slightly above the 45.8% national figure, so expect some unfamiliar faces on the floor. The inspection record is cleaner than the staffing numbers suggest: 19 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. Quality measures score well. The tension here is real, good clinical outcomes and a recent clean inspection, carried by a for-profit corporation on staffing hours below average. Ask how they cover a weekend call-out.

B

72.5/100

The Grand At Bethany Skilled Nursing And Therapy

Bethany, OK · Oklahoma County

CMS 2/5 161 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
53%
Serious cites
0

The Grand At Bethany runs 161 certified beds as a for-profit partnership, and its staffing sits at 3.69 nurse hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 16% below its own weekday coverage, and annual turnover is 53.1% against a national 45.8%, so the people caring for residents are changing often. Its record shows 33 deficiencies, including 3 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $22,919 and a health inspection rating of 2 out of 5. The most recent inspection was January 7, 2026. If you're considering this home, ask specifically how weekend coverage and consistent assignment actually work on the floor.

B

72.5/100

Aventura At Prospect

Prospect Park, PA · Delaware County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
—
Serious cites
0

Aventura At Prospect is a 180-bed for-profit home in Delaware County, and the staffing numbers are the first thing I'd want you to see. At 3.35 nurse hours per resident day, it runs about 13% under the national average, and weekends dip another 7% below its own weekday level, so the thinnest coverage lands when families tend to visit and when doctors aren't rounding. The inspection record is heavier than that alone would suggest: 63 deficiencies, three at harm or jeopardy level, five tied to abuse. Two fines totaling $23,624. The last inspection was March 2026, so the record is current, not stale. Quality measures score mid-range, but with that staffing and that survey history, I'd ask hard questions before touring.

B

72.5/100

Magnolia Manor - Greenville

Greenville, SC · Greenville County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
48%
Serious cites
0

Magnolia Manor - Greenville runs about 3.17 nurse hours per resident each day, which is roughly 18 percent under the national average of 3.86, and weekends dip even further, around 18 percent below the home's own weekday coverage. That thinner weekend schedule matters most for a 99-bed home where families often visit and notice the difference. Staff turnover sits at 48.3 percent, a bit above the national 45.8 percent, so many of the aides and nurses working the floor are relatively new. On paper, the home's 11 deficiencies include none tied to harm or abuse, and last inspection was July 2025, but its health inspection rating remains 2 out of 5 under CMS.

B

72.5/100

Pruitthealth - Pickens

Six Mile, SC · Pickens County

CMS 5/5 44 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
47%
Serious cites
0

Pruitthealth - Pickens runs 44 beds in Six Mile, and the numbers tell a mixed story. The health inspection record is solid, 14 deficiencies on file, but none reached harm or jeopardy level, and a $4,271 fine is modest by industry standards. What pulls the picture down is staffing: 2.98 nurse hours per resident per day, roughly 23 percent under the national average, with weekends running about 16 percent thinner than weekdays. Turnover sits at 47.1 percent, just above the national figure, which means CNAs and nurses cycle through steadily. A limited liability company operates it for profit. The state surveyor last visited in March 2026. Ask the administrator how they cover weekend shifts before you decide.

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