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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 5141–5160 of 10,187, best-graded first.

B

72/100

Riverbank Post-Acute

Riverbank, CA · Stanislaus County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
54%
Serious cites
0

Riverbank Post-Acute runs on thin margins where it counts most. Nurse staffing sits at 3.80 hours per resident day, just under the national average, and it thins out further on weekends, roughly 7% below what the home itself staffs on weekdays. More telling: 54% of staff turned over in a year, well above the 45.8% national rate, which means the people caring for residents are often new to the building. The inspection record is where the trouble concentrates: 66 deficiencies, including two at the harm level and three tied to abuse, plus $73,295 in fines. A 4/5 on quality measures doesn't offset a 1/5 on both inspections and staffing.

B

72/100

Rialto Post Acute Center

Rialto, CA · San Bernardino County

CMS 2/5 177 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
50%
Serious cites
0

Rialto Post Acute Center runs 177 certified beds under corporate ownership, and its nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average of 3.86. That part is genuinely better than average. But weekends drop about 10% below its own weekday coverage, and annual turnover hits 50.2% against a national 45.8%, so the same faces aren't always there. The inspection record is where families should slow down: 32 deficiencies currently on file, two of them at harm or jeopardy level, three abuse-related, plus $23,621 in fines. The most recent inspection was January 8, 2026, so it's recent. With a 2/5 health inspection rating, the staffing edge is doing a lot of work holding this one up.

B

72/100

Redding Post Acute

Redding, CA · Shasta County

CMS 4/5 89 beds For-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
65%
Serious cites
0

Redding Post Acute sits in Shasta County with 89 certified beds under for-profit LLC ownership, and its numbers tell a mixed story. Nurse staffing averages 4.47 hours per resident day, about 16% above the national average of 3.86, yet weekends run roughly 12% leaner than weekdays, so the coverage your family member gets depends partly on the calendar. Staff turnover is the real concern: 65.3% annually against a national average of 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. Inspections look solid, four stars, last visit February 2026, 17 deficiencies but none at harm or jeopardy level and none abuse-related. The people caring for residents here keep changing.

B

72/100

Glendale Post Acute Center

Glendale, CA · Los Angeles County

CMS 1/5 136 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
43%
Serious cites
0

Glendale Post Acute Center runs 136 beds under corporate for-profit ownership, and its staffing sits at 4.02 nurse hours per resident day, roughly 4% above the national average, though weekends dip about 7% below its own weekday coverage. Turnover lands at 43.1%, slightly better than the 45.8% national figure. The trouble shows up in its inspection record: a one-star health inspection rating, 92 deficiencies on file, including four at the harm or jeopardy level and eight tied to abuse, plus four fines totaling $161,982. The most recent inspection was December 4, 2025. Quality measures score well at four stars, but that inspection history is what pulls the overall picture down.

B

72/100

Jurupa Hills Post Acute

Riverside, CA · Riverside County

CMS 2/5 143 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
48%
Serious cites
0

Jurupa Hills Post Acute runs 143 beds in Riverside under for-profit LLC ownership, and its nurse staffing sits at 4.08 hours per resident day, about 6% above the national average, though weekends dip roughly 6% below its own weekday numbers and turnover runs 47.5%, slightly worse than the 45.8% national figure. The bigger issue is what inspectors have found: 57 deficiencies on the current record, including 4 at the harm or jeopardy level and 6 tied to abuse, plus three fines totaling $60,945. The most recent inspection was March 2025, so the record is current. Staffing looks decent on paper, but that inspection history is why this home lands where it does.

B

72/100

Las Colinas Post Acute

Ontario, CA · San Bernardino County

CMS 2/5 216 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
23%
Serious cites
0

Las Colinas Post Acute runs 216 beds in Ontario, and its nurse staffing sits at 3.92 hours per resident day, barely above the national average of 3.86. Weekends drop about 8% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. What stands out is the turnover: 22.9% against a national average of 45.8%, meaning the people caring for residents here tend to stay. That stability hasn't translated into a clean inspection record, though. Forty-six deficiencies are on file, including one at the harm level and two tied to abuse, with a $70,925 fine and a 2-out-of-5 inspection rating. The most recent survey was August 29, 2025.

B

72/100

Orinda Care Center, Llc

Orinda, CA · Contra Costa County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
46%
Serious cites
0

Orinda Care Center runs 47 beds under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average. That's the strongest part of the picture. Weekends drop about 11% below weekday coverage, and turnover matches the national rate almost exactly at 45.8%, so consistency is the issue rather than raw hours. The current record carries 32 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2025. Federal ratings land at 2 of 5 for both health inspections and quality measures, 3 of 5 for staffing. Plenty of direct-care time, but the inspection and quality numbers are where the concern sits.

B

72/100

Golden Merced Care Center

Merced, CA · Merced County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
58%
Serious cites
0

Golden Merced Care Center runs 121 beds in Merced County under for-profit LLC ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. Weekends run about 8% thinner than weekdays, so coverage isn't perfectly even. The bigger issue is retention: 58.3% annual turnover against a 45.8% national average means a lot of unfamiliar faces cycling through. Inspections in March 2025 turned up 34 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with four fines totaling $101,020. All three CMS star ratings land at 3 out of 5, staffing, quality measures, and health inspections alike.

B

72/100

West Covina Healthcare Center

West Covina, CA · Los Angeles County

CMS 3/5 97 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
40%
Serious cites
0

West Covina Healthcare Center runs 97 certified beds under for-profit, limited-liability ownership, and its staffing sits slightly above the national average at 4.01 nurse hours per resident day. That edge narrows on weekends, though, when coverage drops roughly 10% below the home's own weekday level, and annual turnover lands at 40.4%, better than the 45.8% national figure but still meaning nearly half the staff cycling out each year. The harder numbers are on the inspection side: 50 deficiencies on the current record, three of them serious enough to involve harm or jeopardy, plus three abuse-related citations and $78,978 in fines across three penalties. The most recent inspection was December 5, 2025.

B

72/100

Haven Post Acute

San Bernardino, CA · San Bernardino County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
56%
Serious cites
0

Haven Post Acute runs 99 beds in San Bernardino under for-profit LLC ownership, and the staffing picture is mixed in a way worth understanding. Total nurse staffing sits at 4.26 hours per resident day, about 10% above the national average, but weekends run roughly 9% below its own weekday levels, so coverage thins out when families tend to visit. Annual turnover of 55.9% is well above the national 45.8%, meaning aides and nurses cycle through steadily. The inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse, with $55,737 in fines across three penalties. The most recent inspection was March 2025, so the record is current.

B

72/100

Alta View Post Acute

Los Angeles, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
45%
Serious cites
0

Alta View Post Acute runs 4.15 nurse hours per resident day, about 8% above the national average, but weekends drop roughly 11% below its own weekday levels, so the coverage your family sees Monday isn't what shows up Saturday. The bigger concern is the inspection record: 52 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $174,736. Staff turnover sits at 44.7%, marginally better than the national 45.8%, which is faint praise. The quality measure score looks strong on paper, but that's resident assessment data, not a measure of how safely the building is run. The last inspection was August 2025, so the record is current, not stale.

B

72/100

Meadow Creek Post-Acute

Paramount, CA · Los Angeles County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
5.21 /day
Staff turnover
40%
Serious cites
0

Meadow Creek Post-Acute runs 104 beds in Paramount under for-profit LLC ownership, and its 5.21 nurse staffing hours per resident day sit well above the national average of 3.86, that part is genuinely strong on paper. But the inspection record is where things get serious: 97 deficiencies on file, including 2 at the harm or jeopardy level and 8 flagged as abuse-related, with $43,016 in fines. Weekend staffing also dips about 6% below weekdays, so coverage isn't as steady as the headline number suggests. Staff turnover runs 40.3%, slightly better than the national 45.8%, which is a modest bright spot. The last inspection was April 25, 2025.

B

72/100

Premier Care Center For Palm Springs

Palm Springs, CA · Riverside County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
45%
Serious cites
0

The staffing numbers at Premier Care Center For Palm Springs look decent on paper, 4.09 nurse hours per resident day, slightly above the national average, but the inspection record tells a different story. Seventy-one deficiencies on the current record, including one at the harm level and five tied to abuse, plus a $102,250 fine, with the most recent inspection dated March 2026. Staff turnover sits at 45.2%, essentially matching the national rate, and weekend staffing drops about 12% below weekday levels. This is a for-profit corporate home with 99 certified beds in Riverside County. The quality measure score of 4/5 stands out against a 1/5 inspection rating, worth asking what those measures aren't capturing.

B

72/100

Morning Star Post Acute

Clovis, CA · Fresno County

CMS 3/5 57 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
48%
Serious cites
0

Morning Star Post Acute sits in Clovis with 57 certified beds, run by a for-profit limited liability company. Its nurse staffing comes in at 3.91 hours per resident day, barely a hair above the national average of 3.86, and weekends drop about 7% below its own weekday level, which is when families tend to visit and notice. Staff turnover runs 47.7%, slightly worse than the 45.8% national figure, so familiar faces aren't guaranteed. The bigger concern is the inspection record: 40 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent inspection dated February 2026. CMS gave it 2 out of 5 stars for both health inspections and staffing, even though its quality measures scored 5 out of 5. Strong clinical metrics don't offset thin inspection and staffing results here.

B

72/100

The Rehabilitation Center On Pico

Los Angeles, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
30%
Serious cites
0

Staffing here is the bright spot: 4.19 nurse hours per resident day sits about 9% above the national average, and 30.1% turnover is well below the 45.8% typical nationwide. Weekend coverage dips roughly 10% below weekday levels, though. The inspection record is where it gets uncomfortable. Fifty-nine deficiencies are on file, four of them serious enough to put residents in harm's way, and five tied to abuse. The state has fined this for-profit partnership four times, totaling $193,710, and the last inspection was March 2026. Los Angeles has plenty of options. Ask to see the plan of correction for those harm-level findings before you sign anything.

B

72/100

Lowry Hills Care And Rehabilitation

Aurora, CO · Arapahoe County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Lowry Hills runs leaner on nursing hours than most homes, 3.30 per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover sits at 38.5%, better than the 45.8% national figure, which suggests some stability in who's actually at the bedside. What pulls the record down is the inspection side: 50 deficiencies on file, eight serious enough to reach harm or jeopardy, three tied to abuse, all under for-profit individual ownership. The last state visit was May 2024, and fines total just $2,516, small money against a long list.

B

72/100

La Villa Grande Care Center

Grand Junction, CO · Mesa County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
35%
Serious cites
0

La Villa Grande runs lean on nursing hours, 3.24 per resident day, roughly 16% under the national average, and weekends dip another 15% below its own weekday coverage. That gap matters most when a resident needs help on a Saturday night. The inspection record is the bigger concern: 33 deficiencies, four serious enough to involve harm or jeopardy, two tied to abuse, and five fines totaling $89,269. A May 2025 inspection means the picture is current, not stale. One genuine bright spot: turnover sits at 34.8%, well below the 45.8% national figure, so the staff who are there tend to stay. But steady staff can't stretch far when there aren't enough hours to go around.

B

72/100

Ledgecrest Health Care Center

Kensington, CT · Capitol County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
37%
Serious cites
0

Ledgecrest runs about 3.41 nurse staffing hours per resident day, roughly 12% under the national average, and weekends dip another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 36.7%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 28 deficiencies, none at harm level but one abuse-related, with the last survey in August 2024. A 4/5 inspection rating and solid staffing stars sit alongside a 2/5 on quality measures, and that gap is worth asking about directly.

B

72/100

Cambridge Health And Rehabilitation Center

Fairfield, CT · Greater Bridgeport County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
35%
Serious cites
0

Cambridge Health and Rehabilitation Center runs 160 certified beds in Fairfield under for-profit LLC ownership, and its 3.76 nurse staffing hours per resident day sit about 3% under the national average of 3.86. Weekends drop roughly 11% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is 35.2%, better than the 45.8% national figure, which matters for how well staff know residents. Inspections in July 2024 produced four-star health and quality ratings, but 34 deficiencies sit on the current record, five tied to abuse and none at harm or jeopardy level.

B

72/100

Hamden Rehabilitation & Healthcare Center

Hamden, CT · South Central Ct County

CMS 3/5 153 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
45%
Serious cites
0

Hamden Rehabilitation & Healthcare Center runs 153 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. Weekend coverage, though, drops about 12% below its own weekday levels, so the care your family member gets on a Saturday may look thinner than what they see Monday through Friday. Staff turnover is 44.9%, just a hair under the national 45.8%. The inspection record shows 37 total deficiencies, none at the harm level but one abuse-related, with a February 2026 inspection being the most recent. Federal staffing and health inspection ratings both land at 4 out of 5 stars, while quality measures sit at 1 out of 5, a split worth asking the administrator about directly.

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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