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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 501–520 of 10,187, best-graded first.

A

89/100

La Crescenta Healthcare Center

La Crescenta, CA · Los Angeles County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
34%
Serious cites
0

La Crescenta Healthcare Center runs a genuine staffing advantage: 4.38 nurse hours per resident day sits about 13% above the national average, and turnover at 34.4% is well below the 45.8% national figure. That consistency matters more than the raw hours, though weekend coverage does dip roughly 8% below its own weekday level. The concern is the inspection record, 54 deficiencies, including 2 at the harm or jeopardy level and 3 abuse-related, with one fine of $17,122. The most recent inspection was May 2026, so the record is current. Strong daily staffing, a thinner safety and compliance picture.

A

89/100

Pacific Hills Post Acute

Morgan Hill, CA · Santa Clara County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
42%
Serious cites
0

Pacific Hills Post Acute runs 4.08 nurse hours per resident day, roughly 6% above the national average, and its staff turnover of 41.6% sits below the national figure of 45.8%, both signs of a stable floor. Weekend coverage dips about 9% from weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The 47 deficiencies on record include three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in December 2025. Quality measures score well; the inspection history is where the unevenness shows.

A

89/100

West Haven Healthcare

West Covina, CA · Los Angeles County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
37%
Serious cites
0

West Haven Healthcare sits in West Covina with 99 certified beds under for-profit LLC ownership, and its nurse staffing runs about 11% above the national average at 4.28 hours per resident day. Weekend coverage dips roughly 10% below its own weekday level, and turnover sits at 36.5%, lower than the 45.8% national figure, meaning fewer caregivers are cycling out the door. The catch is the inspection record: 55 deficiencies, including one abuse-related citation, and a 2/5 health inspection rating despite strong quality measure scores. That gap between how residents' clinical measures look and how the building performs under surveyor scrutiny is worth asking about directly before you decide.

A

89/100

Berkley Post-Acute

Van Nuys, CA · Los Angeles County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
23%
Serious cites
0

Berkley Post-Acute runs 4.20 nurse hours per resident day, roughly 9% above the national average, and its staff retention is unusually good, 22.5% turnover against a national 45.8%. Weekends dip about 9% below its own weekday staffing, so coverage is thinner then. The tradeoff sits in inspections: 66 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level, and the last visit was July 2025. That volume of paperwork findings against a for-profit limited liability company is a pattern worth asking about directly. Quality measures look better than the inspection history does.

A

89/100

Greenridge Post Acute

El Sobrante, CA · Contra Costa County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Greenridge Post Acute runs 4.41 nurse hours per resident day, roughly 14% above the national average of 3.86, and its weekend staffing dips only about 8% below its own weekday level, a modest drop by industry standards. Staff turnover sits at 39.5%, better than the 45.8% national figure. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none related to abuse, with its last inspection in January 2024. For a 60-bed for-profit LLC, that combination of above-average staffing, low turnover, and a clean harm-free inspection record is doing the heavy lifting behind its marks.

A

89/100

Casa Coloma Health Care Center

Rancho Cordova, CA · Sacramento County

CMS 2/5 138 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
22%
Serious cites
0

Casa Coloma runs about 4.18 nurse hours per resident day, roughly 8% above the national average, and its staff turnover of 22.2% is less than half the national rate of 45.8%, a combination that usually points to a stable, adequately covered floor. Weekend coverage does dip about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The 40 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the last inspection was in January 2025. For-profit LLC ownership and a 3/5 inspection rating are the main things pulling the score down.

A

89/100

Lofland Park Center

Seaford, DE · Sussex County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
30%
Serious cites
0

Lofland Park Center runs 110 certified beds in Seaford under corporate for-profit ownership, and its recent inspection history is solid, the last state visit was in June 2025, and none of the 20 deficiencies on record rose to harm or jeopardy level. One abuse-related citation is there, so ask about that specifically. Nurse staffing sits at 3.84 hours per resident day, roughly a hair under the national average, and weekends run about 9% lighter than weekdays, which is worth watching if your family member needs more help on Saturdays and Sundays. Staff turnover is the real bright spot: 30.2% against a national average of 45.8%, meaning aides and nurses tend to stick around longer here than at most homes.

A

89/100

Ascension Living Carroll Manor

Washington, DC · The District County

CMS 2/5 252 beds Non-profit Medicaid
Nurse hours
5.27 /day
Staff turnover
30%
Serious cites
0

Ascension Living Carroll Manor runs 252 beds as a nonprofit, and its nurse staffing sits at 5.27 hours per resident day, roughly a third above the national average, with weekend coverage only about 10% thinner than weekdays. Staff turnover of 29.8% is well below the 45.8% national figure, which matters for continuity of care. The tradeoff shows up in its inspection history: 58 deficiencies on the current record, three at harm or jeopardy level and two abuse-related, plus $37,201 in fines across two penalties, with the last inspection in September 2024. Strong quality and staffing scores sit alongside a weaker inspection record.

A

89/100

Beach Street Health And Rehabilitation Center

Daytona Beach, FL · Volusia County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
36%
Serious cites
0

Beach Street Health and Rehabilitation Center runs 99 certified beds in Daytona Beach under corporate for-profit ownership, and its nurse staffing sits at 4.02 hours per resident day, about 4% above the national average. Weekend coverage dips roughly 12% below its own weekday level, which is worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 36.3%, better than the 45.8% national figure. The inspection record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in September 2024. Quality measure scores come in strong at 5 out of 5, while health inspections sit at 3.

A

89/100

Martin Coast Center For Rehabilitation And Healthc

Hobe Sound, FL · Martin County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
44%
Serious cites
0

Martin Coast Center runs on thin margins where it counts. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends drop roughly 10% below what the home itself manages Monday through Friday, so the thinnest coverage lands when families tend to visit. Turnover at 44.1% is essentially the national rate, meaning little continuity of caregivers. The record shows 35 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was April 2026 under for-profit LLC ownership. Quality measures score well, yet a 2/5 inspection rating and those abuse findings are the numbers worth asking about directly.

A

89/100

Daytona Beach Health And Rehabilitation Center

Daytona Beach, FL · Volusia County

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

Daytona Beach Health and Rehabilitation Center runs 180 certified beds under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.95 hours per resident day, just above the national average, though weekends dip about 8% below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover is 34%, noticeably better than the 45.8% national figure, which matters for consistency of care. Its inspection record shows seven deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 2026. The five-star health inspection rating and four-star quality and staffing ratings reflect that record.

A

89/100

South Orange Health And Rehabilitation Center

Orlando, FL · Orange County

CMS 5/5 115 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
40%
Serious cites
0

South Orange runs a for-profit limited liability operation with 115 certified beds, and the staffing numbers are the first thing worth noticing. At 4.50 nurse hours per resident day, it sits about 17% above the national average, though weekends run roughly 7% thinner than weekdays, worth asking about if your family visits then. Turnover lands at 39.7%, better than the 45.8% national figure. Inspections in February 2025 turned up 15 deficiencies, none at the harm or jeopardy level, but three tied to abuse, which you should ask about directly. Two fines totaling $14,442 round out the record.

A

89/100

Village On The Green

Longwood, FL · Seminole County

CMS 5/5 60 beds Non-profit
Nurse hours
4.05 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at Village On The Green runs 4.05 hours per resident day, about 5% above the national average, and turnover of 42.4% is slightly better than the typical 45.8%. But look closer: weekend coverage drops roughly 11% below the home's own weekday level, and the current record carries 10 deficiencies, one serious enough to reach harm or jeopardy. Inspectors were last on site in March 2025. The quality measure rating sits at 5 out of 5, and health inspection and staffing each land at 4, yet a nonprofit with 60 beds scoring well on paper still shows that one harm-level finding and thinner weekend staffing. That gap between ratings and the record is what a C reflects.

A

89/100

Savannas Park Health And Rehabilitation Center

Port Saint Lucie, FL · St. Lucie County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
35%
Serious cites
0

Savannas Park runs on 4.38 nurse hours per resident day, roughly 13% above the national average, with weekend staffing dipping about 8% below its own weekday level, so the coverage is real, but it thins out a bit on Saturdays and Sundays. Turnover sits at 35.3% against a national average of 45.8%, which suggests the workforce here is steadier than most. The record shows 25 deficiencies with none at the harm level, though one is abuse-related, and the last inspection came in August 2025. Quality measures score high; the health inspection side is more middle-of-the-road.

A

89/100

Covenant Village Care Center

Plantation, FL · Broward County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
15%
Serious cites
0

Covenant Village runs a leaner floor than average, 3.77 nurse hours per resident day against a national 3.86, and weekends dip about 9% below its own weekday coverage, so ask how that plays out on a Sunday. What stands out more is retention: 15.3% annual turnover against a national 45.8% means the people caring for your family member tend to stay, which matters for knowing who's in the building. Its 13 deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was May 2025. The nonprofit ownership and steady workforce are the real story here, not the letter grade.

A

89/100

Nspire Healthcare Kendall

Kendall, FL · Miami-Dade County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
27%
Serious cites
0

Nspire Healthcare Kendall runs 120 beds under corporate ownership, and its recent inspection history is genuinely solid, a November 2024 survey, 22 deficiencies on record but none at the harm or jeopardy level. One abuse-related citation is the outlier worth asking about directly. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends run about 5% thinner than weekdays, so coverage can feel stretched. What offsets that is retention: 26.9% turnover against a national 45.8% means the aides and nurses here tend to stay, which matters more for daily care than a staffing number on paper.

A

89/100

Bayshore Pointe Nursing And Rehab Center

Tampa, FL · Hillsborough County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
36%
Serious cites
0

Bayshore Pointe runs 117 beds in Tampa under limited-liability, for-profit ownership, and its inspection record carries 34 deficiencies, one of them serious enough to reach harm or jeopardy level. The last full look from regulators came in September 2024, so that record is recent. Staffing sits slightly under the national average at 3.73 hours per resident day, and weekends dip about 10% below weekdays, worth asking how coverage holds up on a Sunday. Turnover is the brighter spot at 36.1%, well below the 45.8% national figure, which suggests less churn than many homes. The 5/5 quality measure score stands out against a 2/5 inspection rating, so ask what drives each.

A

89/100

Regency Oaks Health Center

Clearwater, FL · Pinellas County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
40%
Serious cites
0

Regency Oaks Health Center sits in Clearwater with 60 certified beds and for-profit LLC ownership. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, and weekend coverage dips roughly 7% below its own weekday level. Staff turnover is 39.7%, better than the 45.8% national figure. Those numbers support the staffing picture, and the quality measure rating comes in at 5 out of 5. The inspection record tells a different story. Sixteen deficiencies are on file, five at harm or jeopardy level and three abuse-related, with the most recent inspection in December 2024. The health inspection rating sits at 1 out of 5, so the daily care metrics look strong while the survey history carries real weight.

A

89/100

Lake Park Of Madison Nursing And Rehabilitation Ce

Madison, FL · Madison County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
32%
Serious cites
0

Nurse staffing at Lake Park runs 4.16 hours per resident day, about 8% above the national average, which matters more than any single number here. The catch is weekends, when coverage drops roughly 11% below the home's own weekday level, that's when families tend to notice. Staff turnover sits at 32.4%, well under the 45.8% national rate. The inspection record is clean where it counts: seven deficiencies total, none at the harm level and none abuse-related, with the most recent inspection in February 2026. For-profit ownership through an LLC is worth knowing, but the numbers suggest stable staffing and no serious safety findings.

A

89/100

Solaris Healthcare Coconut Creek

Coconut Creek, FL · Broward County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
32%
Serious cites
0

Solaris Healthcare Coconut Creek runs on a nonprofit corporate model with 120 certified beds, and its staffing sits at 3.77 nurse hours per resident day, just under the national average of 3.86. Weekends drop roughly 10% below weekday coverage there, so if you're visiting or calling on a Saturday, expect a thinner floor. The stronger number is retention: 32% annual turnover against a national 45.8%, which suggests caregivers stick around longer than at the typical home. Inspections back that up, 13 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent survey in January 2026.

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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