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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 521–540 of 10,187, best-graded first.

A

89/100

St. Andrew Post-Acute Rehabilitation Center

Tampa, FL · Hillsborough County

CMS 2/5 45 beds For-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
42%
Serious cites
0

St. Andrew Post-Acute Rehabilitation Center is a 45-bed for-profit home in Tampa, and the staffing numbers are the first thing that stands out. At 4.67 nurse hours per resident day, it runs about 21 percent above the national average, and weekend coverage barely dips below weekdays. Turnover sits at 41.7 percent, a bit better than the 45.8 percent national figure. What holds it back is the inspection record: 20 deficiencies on file, though none involved harm or abuse, and the health inspection rating is 2 out of 5. The last survey was September 5, 2024, so it's reasonably current. Strong care numbers paired with a middling inspection history is the honest picture here.

A

89/100

Pruitthealth - Santa Rosa

Milton, FL · Santa Rosa County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
38%
Serious cites
0

Pruitthealth - Santa Rosa runs 120 beds in Milton under corporate for-profit ownership, and the numbers suggest a home that's been run carefully. Nurse staffing sits at 3.75 hours per resident day, about 3% under the national average, close enough to call it a rounding difference. Weekends dip roughly 11% below weekday coverage, and 37.7% of staff turned over last year, which is actually better than the 45.8% national rate. The current record shows 6 deficiencies, none at harm or jeopardy level, though one is abuse-related. That last inspection was March 27, 2026. Four stars on health inspections, five on quality measures, four on staffing: consistent across the board, with the weekend gap worth asking about directly.

A

89/100

Life Care Center Of New Port Richey

New Port Richey, FL · Pasco County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
37%
Serious cites
0

Life Care Center of New Port Richey runs 113 certified beds under corporate for-profit ownership, and the staffing picture is solidly above average: 3.98 total nurse hours per resident day against a national figure of 3.86. Turnover sits at 37.4%, well under the 45.8% national rate, which matters for continuity of care. The trade-offs show up elsewhere. Weekend staffing drops roughly 8% below the home's own weekday level, and a current record of 24 deficiencies, none at harm or jeopardy level, none abuse-related, points to paperwork and process problems rather than resident safety failures. The last inspection was March 5, 2025, so the record is recent. Quality measures score 5/5 while health inspections score 3/5, a split worth understanding before you visit.

A

89/100

Freedom Pointe Health Center

The Villages, FL · Lake County

CMS 4/5 72 beds For-profit
Nurse hours
4.61 /day
Staff turnover
33%
Serious cites
0

Freedom Pointe Health Center runs on 4.61 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.9% sits well below the 45.8% national figure, a combination that usually means caregivers stay long enough to know the residents. Weekend staffing drops about 13% from weekday levels, so ask how that plays out on Saturdays and Sundays. The 17 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in January 2026. Three of four CMS star categories land at 4 out of 5.

A

89/100

Sierra Lakes Nursing & Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
16%
Serious cites
0

Sierra Lakes runs 180 certified beds under individual for-profit ownership, and its inspection record is the real problem here: 28 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. That's what drives a 1-out-of-5 health inspection rating, and it matters more than the quality measure score of 4 out of 5, which comes from resident assessment data rather than a surveyor's eyes. Staffing sits at 3.74 hours per resident day, a bit under the national average, with weekends about 8% thinner than weekdays. The genuinely good number is turnover at 15.8% against a national 45.8%, stable caregivers, but they're stretched. The last inspection was January 15, 2026, so the record is current.

A

89/100

Oaks Health Ctr At The Marshes Of Skidaway Island

Savannah, GA · Chatham County

CMS 4/5 23 beds Non-profit
Nurse hours
6.26 /day
Staff turnover
32%
Serious cites
0

The Oaks Health Center at the Marshes of Skidaway Island runs on unusually deep staffing for a 23-bed nonprofit home, 6.26 nurse hours per resident day, roughly 62% above the national figure. Turnover sits at 31.8%, well under the 45.8% national average, and weekend coverage dips only about 6% below weekdays, so care doesn't thin out when families tend to visit. What holds it back from the top tier is its inspection record: five deficiencies, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $8,788. Nothing abuse-related appears. The most recent inspection was March 2026.

A

89/100

Marsh's Edge

Saint Simons Island, GA · Glynn County

CMS 5/5 20 beds For-profit
Nurse hours
10.54 /day
Staff turnover
55%
Serious cites
0

Marsh's Edge runs a small 20-bed operation, and its nurse staffing sits at 10.54 hours per resident day, roughly triple the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover is 55.2%, nearly ten points above the national 45.8%, which means the people caring for residents change often. On the regulatory side, the record is clean where it counts: two total deficiencies, none involving harm or abuse, and the last inspection was May 2025. The for-profit LLC ownership and strong inspection history round out a picture of a well-staffed home with a retention problem.

A

89/100

Life Care Center Of Treasure Valley

Boise, ID · Ada County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Treasure Valley runs 120 certified beds in Boise under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.90 nurse hours per resident day. That edge is thin, though, and weekends run about 11% leaner than weekdays, so coverage isn't even across the week. Turnover lands at 39.2%, better than the 45.8% national figure, which suggests workers tend to stick around longer here than at the typical home. The current record shows 30 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. A June 2025 inspection keeps that record recent.

A

89/100

Greencroft Healthcare

Goshen, IN · Elkhart County

CMS 2/5 214 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
43%
Serious cites
0

Greencroft Healthcare runs 214 certified beds in Goshen as a nonprofit, and the staffing picture is genuinely solid: 4.35 nursing hours per resident day, roughly 13% above the national average, with weekend coverage only about 7% lighter than weekdays. Turnover sits at 42.8%, a bit better than the 45.8% national figure. The trouble is inspections. A 1-out-of-5 health inspection rating, 38 deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, with the last survey dated May 2025. Strong staffing and a 5-out-of-5 quality measure score don't erase that citation history, ask pointed questions about the harm-level findings and what changed since.

A

89/100

The Suites At Western Home Communities

Cedar Falls, IA · Black Hawk County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
44%
Serious cites
0

The Suites At Western Home Communities runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and weekend staffing only dips about 5% below weekday levels, a small gap, which matters because weekends are where a lot of homes quietly thin out. Turnover sits at 43.6%, slightly better than the 45.8% national figure but still meaning nearly half the nursing staff turning over in a year. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. With a nonprofit owner, a recent March 2026 inspection, and 4s across health inspection and quality measures alongside that 5 on staffing, the numbers point to a home that's well-staffed and currently in good standing.

A

89/100

Good Samaritan - Parsons

Parsons, KS · Labette County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
21%
Serious cites
0

Good Samaritan Society - Parsons runs a tight nursing operation for a 45-bed nonprofit in Labette County. Nurses deliver 4.30 hours of care per resident per day, roughly 11 percent above the national average, and staff turnover sits at 21.2 percent, less than half the national rate of 45.8 percent. That kind of retention shows up in consistent care, though weekend staffing drops about 14 percent below weekday levels, so families should ask who's covering Saturdays and Sundays. The inspection record isn't spotless: 11 deficiencies on file, one serious enough to reach harm or jeopardy level, with no abuse citations. The most recent state visit came in April 2025. Quality measure scores lag behind the strong staffing and inspection marks.

A

89/100

Brookdale Rosehill

Shawnee, KS · Johnson County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
40%
Serious cites
0

Brookdale Rosehill runs 92 certified beds in Shawnee, and the numbers hold up better than most. Nurse staffing sits at 3.94 hours per resident day, just above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits Saturdays. Staff turnover is 40%, below the national 45.8%, which suggests people stay. The 36 deficiencies on record sound like a lot until you see none reached harm or jeopardy level and none involved abuse; that's paperwork and process issues, not resident safety. The last inspection was December 2025, so the picture is current. Corporate for-profit ownership, but the direct-care numbers are what families actually feel.

A

89/100

Twin Oaks Health And Rehab

Lansing, KS · Leavenworth County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
43%
Serious cites
0

Twin Oaks runs a for-profit partnership in Lansing with 70 certified beds, and the staffing numbers are the first thing worth noticing: 4.37 nurse hours per resident day, about 13% above the national average. Weekend coverage dips roughly 4% below its own weekday level, so care thins out a little on Saturdays and Sundays. Annual turnover sits at 43%, slightly better than the 45.8% national figure. The current inspection record shows 18 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, plus a single fine of $14,521. The most recent state inspection was August 29, 2024, so the picture is fairly fresh.

A

89/100

Cedar Ridge Health Campus

Cynthiana, KY · Harrison County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
44%
Serious cites
0

Cedar Ridge runs about 53 certified beds in Cynthiana under corporate for-profit ownership, and the staffing numbers are quietly decent: 3.99 nurse hours per resident day, a bit above the national average, with weekend coverage dropping roughly 8% from weekday levels. Turnover sits at 43.9%, slightly better than the national 45.8%. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measure and staffing ratings both land at 4 or better out of 5. What you're looking at is a home that isn't perfect on paper but has no serious problems in the numbers that matter most.

A

89/100

Riverside Care & Rehabilitation Center

Calhoun, KY · Mc Lean County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
44%
Serious cites
0

Riverside Care & Rehabilitation Center runs 79 certified beds in Calhoun under for-profit LLC ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.88 hours per resident day, barely above the national average, but weekends drop about 13% below its own weekday level, so coverage thins out when families tend to visit. Turnover at 43.5% edges below the national rate of 45.8%, which matters less than it sounds since nearly half the staff still leaves each year. Four deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. Strong marks on health inspections and quality measures round out a record without obvious red flags.

A

89/100

Westport Place Health Campus

Louisville, KY · Jefferson County

CMS 5/5 64 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
37%
Serious cites
0

Westport Place Health Campus runs on 4.37 nursing hours per resident per day, roughly 13 percent above the national average, though weekends drop about 14 percent below its own weekday staffing. That dip matters more than the headline number, since weekends are when problems tend to surface. Staff turnover sits at 36.9 percent, meaningfully better than the 45.8 percent national figure, a real signal that workers are sticking around. The inspection record is clean where it counts: eight deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey from February 2026. At 64 beds and corporate for-profit ownership, this is a small building with steady staffing and no serious safety findings on file.

A

89/100

The Springs At Stony Brook

Louisville, KY · Jefferson County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

The Springs At Stony Brook runs about 4.08 nurse hours per resident per day, roughly 6% above the national average of 3.86, though weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 38.2%, better than the 45.8% national figure, which matters for consistency of care. The current record shows three deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025, recent enough to trust what's on file. Quality measures scored 5/5 and staffing 4/5 under CMS, and this for-profit corporate home holds 66 certified beds.

A

89/100

Wilson Health Care Center

Gaithersburg, MD · Montgomery County

CMS 5/5 285 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
14%
Serious cites
0

Wilson Health Care Center sits in Gaithersburg with 285 certified beds and a nonprofit owner, and the staffing numbers are the real story here: 4.12 nurse hours per resident day, about 7 percent above the national average. Weekend coverage dips roughly 11 percent below its own weekday level, so ask how that plays out on a Saturday. Turnover is 13.5 percent against a national average near 46 percent, which matters for whether you see the same faces month to month. The current record shows 32 deficiencies, none at harm or jeopardy level, but 4 are abuse-related, worth asking about directly. Inspectors were last in on April 10, 2025.

A

89/100

Asbury Solomons

Solomons, MD · Calvert County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
35%
Serious cites
0

Asbury Solomons runs on thin nurse staffing, 3.83 hours per resident day, just under the national figure of 3.86, and weekends are leaner still, about 13% below its own weekday coverage. What stands out more is retention: turnover of 35.3% sits well under the 45.8% national average, which matters because familiar aides tend to notice changes in a resident sooner. Inspections in June 2025 produced 23 deficiencies, none at the harm or jeopardy level, though three were abuse-related, worth asking about directly. The five-star marks on health inspections and quality measures reflect real performance, but the abuse citations and weekend dips are the details a tour won't show you.

A

89/100

Winchester Rehabilitation And Nursing Center

Winchester, MA · Middlesex County

CMS 5/5 121 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
28%
Serious cites
0

Winchester Rehabilitation And Nursing Center, a for-profit LLC home with 121 certified beds, carries a 5/5 CMS staffing rating, and it's earned: 4.38 nurse hours per resident day sits about 13% above the national average of 3.86. Turnover tells a similar story, 28% annual staff turnover against a national average near 46% means the people caring for residents tend to stay. Weekend staffing dips roughly 14% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The health inspection record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection dated February 2026. For a for-profit home, that combination of staffing depth, retention, and a clean harm record is uncommon.

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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