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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 5241–5260 of 10,187, best-graded first.

B

72/100

Heritage Manor West

Shreveport, LA · Caddo County

CMS 1/5 140 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
43%
Serious cites
0

Heritage Manor West runs 140 certified beds under for-profit LLC ownership, and its staffing sits right at the line, 3.80 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. Turnover comes in at 42.6%, actually a bit better than the 45.8% national figure. What drags the picture down is the quality measure side, which scores 1 out of 5, while health inspections land at a middling 3. The current record shows 17 deficiencies, though none at harm or jeopardy level and none tied to abuse, and the last inspection was March 11, 2026.

B

72/100

Riverbend Nursing And Rehabilitation Center, Inc.

Belle Chasse, LA · Plaquemines County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
41%
Serious cites
0

Riverbend runs 120 beds in Belle Chasse under corporate ownership, and the staffing picture is mixed. Nurses provide 3.72 hours per resident day, about 4% under the national average, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 41.1%, better than the 45.8% national figure, which matters for consistency of care. On inspections, the home scores well: a 4-out-of-5 star rating and a recent September 2025 visit, with 31 deficiencies on record but none at the harm level. One is abuse-related, which is worth asking about directly. The quality measure rating of 1 out of 5 is the outlier here, the clinical data doesn't match the strong inspection showing.

B

72/100

Heritage Nursing Center

Haynesville, LA · Claiborne County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
43%
Serious cites
0

Heritage Nursing Center runs 82 beds in Haynesville under corporate ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, which matters when families visit and needs don't pause. Turnover is 42.9%, slightly better than the 45.8% national figure, and the inspection record shows 10 deficiencies with none at harm level, though one is abuse-related. A 4/5 inspection rating and a 1/5 quality measure rating pull in opposite directions; the most recent inspection was May 2026. Ask about weekend coverage and that abuse citation directly.

B

72/100

Consolata Rehab And Wellness Center On The Teche

New Iberia, LA · Iberia County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
71%
Serious cites
0

Consolata runs 114 beds in New Iberia under corporate for-profit ownership, and the numbers point to a staffing problem more than a care-quality one. Nurses provide 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 10% leaner than weekdays, a gap families often notice first. Turnover sits at 71.2% against a national 45.8%, meaning most of the people caring for your relative are relatively new. The health inspection record is the weakest piece: 48 deficiencies, one abuse-related, and a 1-star inspection rating, though none rose to actual harm or jeopardy. The quality measure score is strong, which suggests the day-to-day care can be good when staffing holds.

B

72/100

Winship Green Center For Health & Rehab, Llc

Bath, ME · Sagadahoc County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
54%
Serious cites
0

Winship Green runs a 72-bed for-profit home in Bath, and the staffing numbers are a mixed bag. Total nurse coverage sits at 3.90 hours per resident day, just barely above the national average of 3.86, but weekends drop about 8% below its own weekday levels, so coverage thins out when families tend to visit. Annual turnover of 54.1% is well above the 45.8% national average, meaning you'll likely see unfamiliar faces. The current record shows 30 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in July 2024. Federal ratings land at 3 stars for health inspections and 2 stars each for quality measures and staffing.

B

72/100

Seal Rock Healthcare

Saco, ME · York County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
56%
Serious cites
0

Seal Rock Healthcare runs 105 certified beds in Saco under corporate for-profit ownership, and its staffing is the strongest part of the picture: 4.48 nurse hours per resident day, about 16% above the national average. That cushion thins on weekends, which run roughly 7% below the home's own weekday level, a gap families often notice when visiting Saturday or Sunday. Turnover sits at 56.3%, well above the 45.8% national average, so the people providing that care keep changing. The inspection record is the heavier concern: 29 deficiencies, one at harm or jeopardy level and one abuse-related, plus a $75,433 fine. The most recent inspection was April 3, 2026.

B

72/100

Dexter Health Care

Dexter, ME · Penobscot County

CMS 3/5 53 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
57%
Serious cites
0

Dexter Health Care runs 53 certified beds under corporate ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. Weekends drop roughly 15% below its own weekday coverage, though, so the care a resident gets Saturday may look thinner than what they get Tuesday. The record shows 40 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse. Staff turnover is 56.7%, well above the 45.8% national figure, and the last inspection was September 2025. One fine totaling $10,033 is on file. Staffing is the strong point here; the inspection and quality ratings are both 2 out of 5.

B

72/100

Complete Care At Springbrook

Silver Spring, MD · Montgomery County

CMS 3/5 93 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
38%
Serious cites
0

Complete Care At Springbrook runs about 3.45 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekend coverage dips another 8% below what it does on weekdays. The inspection record is where the real concern sits: 47 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with the last health inspection dating to September 2020. That's a long gap, and it means the picture regulators have is old. Turnover, at 37.8%, is actually better than the national 45.8%, and the quality measure score is solid. But thin staffing and a stale, crowded deficiency history are hard to overlook.

B

72/100

Towson Rehabilitation And Healthcare Center

Towson, MD · Baltimore County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
48%
Serious cites
0

Towson Rehabilitation and Healthcare Center runs 132 certified beds under for-profit limited liability ownership, and its staffing numbers are the first thing worth noting. At 3.35 nurse hours per resident day, it sits roughly 13 percent under the national average of 3.86, and weekends drop about 9 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. The clinical quality scores look strong, but the inspection record tells a different story: 44 deficiencies, including one at the harm level and five tied to abuse, plus a $10,036 fine. Staff turnover of 48.4 percent runs slightly above the national 45.8 percent. The most recent inspection was February 2026.

B

72/100

Green Acres Nursing And Rehab

La Plata, MD · Charles County

CMS 5/5 170 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
51%
Serious cites
0

Green Acres runs on thinner nursing coverage than most homes, 3.48 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below what the building staffs on weekdays. That gap matters, since 51.3% of staff left over the past year, higher than the 45.8% national rate. The 45 deficiencies on record include five tied to abuse, though none rose to harm or jeopardy, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, which tells you the clinical metrics look better than the day-to-day inspection and staffing picture. Last inspected January 20, 2026.

B

72/100

Sterling Care Rockville Nursing

Rockville, MD · Montgomery County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
46%
Serious cites
0

Sterling Care Rockville sits right at the national average for total nurse staffing, 3.86 hours per resident day, but that average hides a problem: weekends run about 14 percent thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. The staffing star rating lands at 2 out of 5, and turnover is 46.2 percent, essentially the national rate, meaning nearly half the nursing staff turns over in a year. Twenty-nine deficiencies appear on the current record, four of them abuse-related, though none reached the harm or jeopardy level. The last inspection was January 22, 2025, so the record is recent. Quality measures score well; staffing doesn't match.

B

72/100

Autumn Lake Healthcare At Riverview

Essex, MD · Baltimore County

CMS 3/5 238 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
35%
Serious cites
0

Autumn Lake Healthcare at Riverview runs 238 beds in Essex, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is 35.1%, which is actually better than the 45.8% national figure, and the home's 41 deficiencies include none at the harm or jeopardy level, though 4 are abuse-related. The last inspection was June 3, 2025, and CMS rated its quality measures 4 out of 5. It's a for-profit limited liability company, so weigh the modest staffing shortfall against the steadier retention.

B

72/100

Autumn Lake Healthcare At Overlea

Baltimore, MD · Baltimore City County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
42%
Serious cites
0

Autumn Lake Healthcare At Overlea runs 160 certified beds under corporate ownership, and its inspection record is the place to start: 64 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. The health inspection rating sits at 2 out of 5, though the most recent visit was in April 2025, so the picture is current. Nurse staffing averages 3.25 hours per resident day, roughly 16 percent under the national figure, and weekends run about 6 percent thinner than weekdays. Turnover, at 42.4 percent, is actually slightly better than the national rate. Resident care measures rate 4 out of 5, but thin coverage and that deficiency history are the bigger story.

B

72/100

Allegany Health Nursing And Rehab

Cumberland, MD · Allegany County

CMS 4/5 153 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
28%
Serious cites
0

Allegany Health Nursing and Rehab runs 153 beds in Cumberland under for-profit LLC ownership, and the staffing numbers are where the story starts. At 3.35 nurse hours per resident day, it sits roughly 13% under the national average of 3.86, and weekends drop about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out in the other direction is turnover: 28.1% against a national average of 45.8%, meaning workers here tend to stay. The inspection record is mixed, a 4/5 health inspection star, but 23 deficiencies on file, including 2 at harm or jeopardy level and 5 tied to abuse, plus $18,636 in fines across two penalties. The most recent inspection was April 2026.

B

72/100

Autumn Lake Healthcare At Spa Creek

Annapolis, MD · Anne Arundel County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
53%
Serious cites
0

Autumn Lake Healthcare at Spa Creek runs 130 beds under for-profit LLC ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, and annual turnover is 52.5% against a national 45.8%, so the aides and nurses your relative sees may change often. The inspection record is the bigger concern: 73 deficiencies, one at harm or jeopardy level, five tied to abuse, with the most recent inspection in August 2025. Its quality measure score is strong, but that reflects charted care, not the staffing and inspection problems underneath.

B

72/100

Encore At Turf Valley

Ellicott City, MD · Howard County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
60%
Serious cites
0

Encore At Turf Valley runs 91 certified beds in Ellicott City under corporate for-profit ownership, and its nurse staffing sits at 4.39 hours per resident day, roughly 14% above the national average of 3.86. That's a real strength. But weekends dip about 13% below the home's own weekday coverage, and annual turnover hits 60.4% against a national average of 45.8%, so the people providing that care keep changing. The current inspection record shows 33 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspections are recent, dated May 2025. The federal quality measure score sits at 2 out of 5, which doesn't match the stronger staffing picture.

B

72/100

The Nursing And Rehab Center At Stadium Place

Baltimore, MD · Baltimore City County

CMS 2/5 49 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
51%
Serious cites
0

The Nursing and Rehab Center at Stadium Place runs 49 beds under corporate ownership, and its staffing is thinner than most: 3.61 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 15% below its own weekday levels. Annual turnover sits at 51%, higher than the 45.8% national figure, which means the people caring for residents are often new to the building. The inspection record is the heavier concern, 60 deficiencies, including one at the harm level and two tied to abuse, from a July 2025 survey. Quality measures score well, but that reflects charted care, not the hands available each shift.

B

72/100

Charlwell House Health And Rehabilitation

Norwood, MA · Norfolk County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
27%
Serious cites
0

Charlwell House runs on about 3.36 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip another 8 percent below its own weekday levels. What stands out is the inspection record: 63 deficiencies, four of them serious enough to cause harm or jeopardy, plus one tied to abuse, and the health inspection rating sits at 2 out of 5. Turnover is genuinely low, 27 percent against a national 45.8, and staffing earns 4 stars despite the thin hours. It's a for-profit LLC with 124 beds, last inspected in May 2025. The quality measure score of 1 out of 5 is the piece families should ask about directly.

B

72/100

Care One At Northampton

Northampton, MA · Hampshire County

CMS 4/5 125 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
50%
Serious cites
0

Care One At Northampton runs 125 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.58 nurse hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That thinner weekend coverage matters, because that's often when families visit and when problems surface. Annual turnover hits 50%, above the 45.8% national figure, so the people caring for residents change over fairly often. The inspection record shows 21 deficiencies, three serious enough to reach harm or jeopardy level and one tied to abuse, plus two fines totaling $39,819. Its quality measure rating is strong, but that reflects charted care, not the staffing and inspection problems underneath.

B

72/100

North Adams Commons Nursing & Rehabilitation Cente

North Adams, MA · Berkshire County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
44%
Serious cites
0

North Adams Commons runs a nonprofit home with 119 beds, and the health inspection record is the strongest part of the picture, a five-star rating there, with the most recent inspection in December 2025 and 14 deficiencies on file, none of them causing harm or involving abuse. Staffing is a different story: 3.87 nurse hours per resident day sits essentially at the national average of 3.86, and the two-star staffing rating reflects that. Weekend coverage drops about 14% below weekday levels, and turnover runs 44%, just under the national 45.8%. Quality measures land at three stars. So what you have is a clean inspection history paired with staffing that's merely average and thins out on weekends.

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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