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 5181–5200 of 10,187, best-graded first.

B

72/100

Bennett Hills Rehabilitation And Care Center

Gooding, ID · Gooding County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
51%
Serious cites
0

Bennett Hills runs 80 certified beds in Gooding under corporate for-profit ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That parity hides two problems: weekend coverage drops roughly 14% below the home's own weekday levels, and annual turnover is 51.4%, well above the 45.8% national figure. The inspection record is the bigger concern. Thirty-eight deficiencies are on file, including three tied to abuse and one at the harm or jeopardy level, with a single $16,350 fine. The last inspection was April 30, 2026. Quality measures score well, but a one-star health inspection rating and 38 deficiencies tell you where the trouble lives.

B

72/100

Serenity Transitional Care

Twin Falls, ID · Twin Falls County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
68%
Serious cites
0

Serenity Transitional Care sits just above the national average for nurse staffing, 3.91 hours per resident day against 3.86, but that margin is thin, and weekend coverage runs about 8% below what the home staffs on weekdays, so the hours a resident actually gets can dip right when families tend to visit. The bigger number is turnover: 68.3% of staff leave each year, well above the 45.8% national rate, which means the people providing care change often. Eighteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was May 2025, and regulators gave the home middle marks for health inspections and staffing.

B

72/100

Grove Of Fox Valley,The

Aurora, IL · Kane County

CMS 4/5 158 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
41%
Serious cites
0

The Grove Of Fox Valley runs 158 certified beds in Aurora under individual for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage dips about 4% below what the home manages on weekdays, so the thinnest shifts get thinner. Turnover is 40.5%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours run light. The inspection record is mixed: 26 deficiencies on file, including two at harm or jeopardy level and two abuse-related, but the most recent inspection came back in March 2026 and earned 4 of 5 stars on health inspections. Quality measures score 3 of 5.

B

72/100

Arc At Chillicothe

Chillicothe, IL · Peoria County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
42%
Serious cites
0

Arc At Chillicothe runs on 2.84 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 8% below its own weekday numbers. The 106-bed for-profit home has 30 deficiencies on record, including one at harm or jeopardy level and three tied to abuse. Turnover sits at 41.5%, a bit better than the national 45.8%. CMS gave it three stars for inspections and four for quality measures, but one star for staffing. That staffing number is the story here, it's the piece families feel most directly, in call-button response times and help at meals.

B

72/100

Pana Health And Rehab Center

Pana, IL · Christian County

CMS 5/5 128 beds For-profit Medicaid
Nurse hours
2.78 /day
Staff turnover
27%
Serious cites
0

Pana Health and Rehab runs lean on nursing hours, 2.78 per resident day against a national average of 3.86, and weekends dip roughly 9% below its own weekday staffing. That thin coverage is the main tension in the numbers, because the home otherwise looks solid on paper: a 5/5 inspection rating, a clean record of zero harm-level deficiencies, and turnover at 26.9% that's well below the national 45.8%, suggesting a staff that tends to stay. Two abuse-related deficiencies out of 14 total are worth asking about directly, and the 2/5 staffing star is the clearest signal that daily coverage, not inspection history, is where the risk sits.

B

72/100

Gillespie Health & Rehab Ctr

Gillespie, IL · Macoupin County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
13%
Serious cites
0

Gillespie Health & Rehab runs about 2.94 nurse hours per resident per day; the national average is 3.86, so that's roughly a quarter less hands-on time than most homes. Weekends drop another 11% below its own weekday staffing, which matters because that's when families often visit and problems surface with fewer people on the floor. The trade-off is that turnover sits at 12.5% against a national 45.8%, staff here tend to stay, which helps continuity even if the raw hours are thin. The current record shows 12 deficiencies, none at harm level and none abuse-related, and the last inspection was in April 2025.

B

72/100

Alden Estates Of Naperville

Naperville, IL · Du Page County

CMS 3/5 203 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
28%
Serious cites
0

Alden Estates of Naperville runs 203 beds under corporate ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average, with weekends about 9% leaner than its own weekdays. Turnover is the bright spot: 28.1% against a national 45.8% means aides and nurses tend to stay, which matters for residents who need consistent hands. But the inspection record cuts the other way: 52 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $9,256 fine, all from a June 2024 inspection. Three stars across staffing, quality measures, and health inspections tells you it's adequate, not exceptional.

B

72/100

St James Wellness Rehab Villas

Crete, IL · Will County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
35%
Serious cites
0

St. James Wellness Rehab Villas runs on 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip another 11% under its own weekday levels. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though turnover at 34.8% is better than the 45.8% national figure. The 35 deficiencies on record include none flagged for harm or abuse, and the last inspection was recent, in December 2024. It's a for-profit limited liability company with 110 beds, and the quality and inspection scores land mid-range.

B

72/100

Aliya Of Palatine

Palatine, IL · Cook County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
45%
Serious cites
0

Aliya Of Palatine runs 69 certified beds in Cook County under corporate for-profit ownership, and its staffing is the number that stands out: 2.87 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekends drop another 9 percent below its own weekday levels, so coverage thins out right when families tend to visit. Staff turnover sits at 45.3 percent, essentially matching the national rate, so this isn't a retention crisis, there just aren't enough hours scheduled. Inspections from July 2024 produced 18 deficiencies, none at the harm level but one abuse-related. Strong marks on health inspection and quality measures coexist with that thin staffing line.

B

72/100

Waterford Care Center, The

Chicago, IL · Cook County

CMS 3/5 141 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
25%
Serious cites
0

Waterford Care Center runs on 2.96 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly another 10% beneath its own weekday level. That thin coverage shows up in the federal staffing rating, which sits at 2 out of 5. The inspection record lists 40 deficiencies, including one at the harm level and two tied to abuse, though the most recent inspection was in January 2026, so that picture is current rather than stale. Turnover is the one bright spot at 25.3%, well under the 45.8% national figure. For-profit corporate ownership, 141 beds, and a recent inspection make this a home to ask hard questions about.

B

72/100

Lakewood Nrsg & Rehab Center

Plainfield, IL · Will County

CMS 3/5 131 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
39%
Serious cites
0

Lakewood runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 12% below its own weekday coverage. That staffing pattern sits behind a two-star CMS staffing rating, and the inspection record is heavier than most: 35 deficiencies, three of them serious enough to put residents at risk of harm, plus a single $84,925 fine. Staff turnover at 38.7% is actually better than the national 45.8%, so retention isn't the weak spot here. The five-star quality measure score reflects reported clinical metrics, but it's worth asking how those numbers hold up when the floor is short-staffed.

B

72/100

Lemont Nursing & Rehab Center

Lemont, IL · Cook County

CMS 4/5 173 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
46%
Serious cites
0

The numbers here pull in two directions. On the care side, Lemont Nursing & Rehab scores well, a 4 out of 5 on health inspections with its most recent visit in January 2026, and a perfect 5 on quality measures. Where it falls apart is staffing: 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 9% thinner than weekdays. That staffing shortfall is the main reason the home lands at a C despite the strong inspection and quality scores. Turnover sits at 45.5%, essentially matching the national rate, so retention isn't the outlier, raw hours per resident are. The 38 deficiencies on record, one at harm level, add weight.

B

72/100

Goldwater Pontiac Nursing Home

Pontiac, IL · Livingston County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
43%
Serious cites
0

Goldwater Pontiac runs 90 beds under corporate ownership, and its biggest problem shows up in the staffing numbers: 3.24 nurse hours per resident day, roughly 16 percent under the national average, with weekends running about 10 percent thinner than weekdays. That thin coverage anchors its one-star staffing rating, even as its quality measures score well and turnover, at 43.3 percent, sits slightly better than the national rate. The inspection record is where families should look hardest, 30 deficiencies, including one at the harm level and five tied to abuse, with the last state visit in May 2024. Quality numbers can look steady while daily coverage stays lean. Ask about weekend nurse coverage and how those abuse deficiencies were resolved.

B

72/100

Citadel Of Northbrook, The

Northbrook, IL · Cook County

CMS 4/5 158 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
32%
Serious cites
0

Citadel of Northbrook runs 158 beds under for-profit LLC ownership, and its nursing hours come in around 3.55 per resident day, roughly 8% under the national average of 3.86, with weekends dipping about 9% below its own weekday coverage. That thin weekend margin matters more than the headline number, since it's when families tend to visit and when problems surface. Staff turnover sits at 32.4%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 26 deficiencies, five at harm or jeopardy level, one abuse-related, and $25,126 in fines across two penalties. The most recent inspection was February 2025, so the picture is current.

B

72/100

Manor Court Of Peru

Peru, IL · La Salle County

CMS 4/5 130 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
34%
Serious cites
0

Manor Court of Peru runs about 3.53 nursing hours per resident per day, roughly 9% under the national average of 3.86, and weekend staffing dips about 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 34.3%, which is meaningfully better than the 45.8% national figure, and that stability matters for residents who need consistent caregivers. The inspection record shows nine deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $39,245; the last inspection was in August 2025. A non-profit corporation owns the 130-bed home. The staffing numbers and that one high-level deficiency are the main things pulling the picture down.

B

72/100

Waters Of Rushville Skilled Nursing Facility, The

Rushville, IN · Rush County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
54%
Serious cites
0

If you're weighing Waters of Rushville for a family member, the staffing numbers are the first thing to sit with. At 3.08 nurse hours per resident per day, this home runs about a fifth below the national average of 3.86, and weekends dip roughly 9% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 53.6% tops the national 45.8%, meaning familiar faces cycle through. The 31 deficiencies on record include nothing flagged at harm or jeopardy level and no abuse findings, which matters, and the last inspection was recent. Clinical quality measures look strong. It's a for-profit limited liability company, and the gap between its quality scores and its staffing tells the real story.

B

72/100

Riverwalk Village

Noblesville, IN · Hamilton County

CMS 4/5 169 beds Non-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
47%
Serious cites
0

Riverwalk Village runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops about another 10% below its own weekday level. That thin staffing shows up in the numbers: staff turnover sits at 47.2%, a bit above the national 45.8%, and 23 deficiencies are on the current record, three of them abuse-related, though none rose to harm or jeopardy. The tradeoff is real, a 4/5 inspection rating and 5/5 quality measures, with the most recent inspection dated January 20, 2026. Nonprofit ownership under a corporation. If you're considering it, ask how the 1/5 staffing rating actually feels on evenings and weekends, when the weekday cushion disappears.

B

72/100

Riverview Village

Clarksville, IN · Clark County

CMS 3/5 130 beds Government Medicaid
Nurse hours
3.28 /day
Staff turnover
36%
Serious cites
0

Riverview Village is county-owned, and its inspection record is the strongest part of the story: a recent June 2025 survey with ten deficiencies total, just one at the harm level, and none tied to abuse. Quality measures also hold up. Where it slips is staffing, 3.28 nurse hours per resident day sits about 15% under the national average, and weekends run roughly 14% thinner than weekdays, so coverage gaps tend to land when families visit. Turnover at 36.2% is better than the 45.8% national figure, which matters for consistency of care. The tradeoff is real: solid oversight, thinner daily coverage.

B

72/100

Westminster Village Kentuckiana

Clarksville, IN · Clark County

CMS 2/5 94 beds Government Medicaid
Nurse hours
4.12 /day
Staff turnover
53%
Serious cites
0

Westminster Village Kentuckiana runs on county government ownership and 94 certified beds, with nurse staffing at 4.12 hours per resident day, roughly 7% above the national average. That headline number softens on weekends, when coverage drops about 13% below the home's own weekday level, and annual turnover sits at 53% against a national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey dates to January 2026. CMS rates health inspections and quality measures both 2 out of 5, staffing 3 out of 5. Decent weekday hours, a thinner weekend, and steady turnover are what's actually driving the grade here.

B

72/100

Hillcrest Village

Jeffersonville, IN · Clark County

CMS 3/5 149 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
50%
Serious cites
0

Hillcrest Village runs 149 beds in Jeffersonville under corporate ownership, and its nursing hours come in around 14% under the national average. Weekend coverage drops about 9% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Annual turnover sits at 50%, roughly four points above the national figure. Inspections tell a mixed story: the health inspection rating is 2 out of 5, with 29 deficiencies on record, none at harm level but three tied to abuse. Quality measures score 5 out of 5, and the most recent inspection was February 2026. Strong clinical numbers on paper, but the staffing and health inspection results are where the caution lies. Ask about weekend coverage and turnover before deciding.

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