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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 5541–5560 of 10,187, best-graded first.

B

71.5/100

Clarksdale Nursing Center

Clarksdale, MS · Coahoma County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Clarksdale Nursing Center runs 60 certified beds under individual for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 16% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. Turnover is 37.5%, better than the 45.8% national figure, which matters for continuity of care. What pulls the record down is the inspection side: 19 deficiencies, two serious enough to reach harm or jeopardy level, plus one $10,036 fine, with the last inspection in August 2024. The quality measure rating sits at 2 of 5 stars.

B

71.5/100

Briar Hill Rest Home

Florence, MS · Rankin County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
53%
Serious cites
0

Briar Hill Rest Home runs 60 certified beds in Florence under for-profit LLC ownership, and the staffing numbers are its bright spot: 4.32 nurse hours per resident day, roughly 12% above the national average of 3.86. That helps explain a 4-out-of-5 staffing star. But look at what else is on the record. Quality measures sit at 1 out of 5, and the home carries 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Staff turnover is 52.9%, well above the 45.8% national figure, and weekend staffing dips about 16% below its own weekday level. One fine totaling $8,788 is on file. Its last inspection was January 22, 2026.

B

71.5/100

Park Place Transitional Care And Rehabilitation

Great Falls, MT · Cascade County

CMS 2/5 189 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
36%
Serious cites
0

Park Place runs 189 beds in Great Falls under for-profit LLC ownership, and the direct-care hours come in around 3.46 per resident day, roughly 10% under the national average, with weekends thinner still, about 18% below its own weekdays. Turnover sits at 36.2%, which is actually better than the 45.8% national figure, so the staffing picture isn't purely a retention problem. What stands out more is the inspection record: 36 deficiencies, five at harm or jeopardy level, three tied to abuse, and eight fines totaling $187,272, with the most recent inspection in April 2026.

B

71.5/100

Northcrest Rehab And Nursing Center

Napoleon, OH · Henry County

CMS 3/5 87 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
55%
Serious cites
0

Northcrest runs about 87 beds under a for-profit LLC, and its overall staffing sits just barely above the national average, a 1% edge that mostly disappears on weekends, when coverage drops roughly 17% below its own weekday level. That thin margin matters more given the 55.4% annual turnover, well above the 45.8% national figure, meaning the people at the bedside keep changing. Inspectors were last in on January 23, 2025, and the record shows 31 deficiencies, including two at the harm or jeopardy level and one abuse-related citation. The quality measure score of 4 out of 5 looks strong on paper, but the staffing and inspection numbers are what actually shape day-to-day care here.

B

71.5/100

Crestline Rehabilitation And Nursing Center

Crestline, OH · Crawford County

CMS 2/5 30 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
37%
Serious cites
0

Crestline Rehabilitation and Nursing Center is a 30-bed for-profit home, and its recent inspection history is the first thing to know: 30 deficiencies on record, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 16% thinner than weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover is the brighter spot at 36.8%, better than the national 45.8%. Its last inspection was June 2025, so the record is current. Small homes like this can be personal and attentive, but the staffing math and inspection count are the real story here.

B

71.5/100

Temple Manor Nursing Home

Temple, OK · Cotton County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
60%
Serious cites
0

Temple Manor runs on thin staffing. At 2.84 nurse hours per resident day, it sits about 27% below the national average of 3.86, and weekends drop roughly another 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover is 60% against a national 45.8%, meaning more than half the nursing staff turns over each year; that churn matters more when there's little slack in the schedule. What keeps this from being a grim picture is oversight: a January 2025 inspection, two deficiencies on record, none at harm level, no abuse citations, and top marks on both health inspection and quality measures. The building is clean on paper; the question is whether the people inside get enough time.

B

71.5/100

Myrtle Beach Manor

Myrtle Beach, SC · Horry County

CMS 3/5 60 beds For-profit
Nurse hours
4.90 /day
Staff turnover
—
Serious cites
0

Myrtle Beach Manor runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.90 hours per resident day, roughly 27% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 8% below its own weekday level, so the floor isn't as steady as the average suggests. The trouble is what inspections turned up. Eleven deficiencies sit on the current record, three of them serious enough to reach harm or jeopardy level, and CMS has fined the home three times for $27,834 total. The last inspection was November 20, 2025, so the picture is recent. Strong daily staffing hasn't translated into clean surveys here. Families should ask specifically what those three harm-level findings involved and how they've been corrected.

B

71.5/100

Pruitthealth- Rock Hill

Rock Hill, SC · York County

CMS 1/5 132 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
42%
Serious cites
0

Pruitthealth-Rock Hill runs 132 certified beds under corporate ownership, and its staffing sits at 2.99 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekends drop about 18 percent below what the home staffs on weekdays, so the coverage gap widens when families tend to visit. Turnover is 42.4 percent, slightly better than the 45.8 percent national figure, and the health inspection record is the real weak spot: 22 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection on February 19, 2026. Quality and staffing measures each land mid-range, but the inspection history is what a family should weigh hardest here.

B

71.5/100

Spring City Care And Rehabilitation Center

Spring City, TN · Rhea County

CMS 4/5 138 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
41%
Serious cites
0

Spring City Care and Rehabilitation Center runs 138 certified beds as a for-profit LLC, and its nurse staffing sits at 3.69 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 17% below its own weekday level, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 16 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the last health inspection dated March 1, 2023. Staff turnover, at 40.5%, is actually better than the 45.8% national figure. Quality measures score well; the staffing and inspection stars do not.

B

71.5/100

Camden Healthcare & Rehab Center

Camden, TN · Benton County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
45%
Serious cites
0

Camden Healthcare & Rehab Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.91 hours per resident day, barely above the national average of 3.86, with weekends running about 20% thinner than weekdays. Annual turnover of 44.8% is roughly in line with the national figure, so that's not the problem here. The inspection record is: 13 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, plus a single $105,447 fine. The most recent inspection was May 1, 2025, so the findings are current, not stale. Strong quality measure scores don't offset that inspection history.

B

71.5/100

Life Care Center Of Jefferson City

Jefferson City, TN · Jefferson County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
53%
Serious cites
0

Life Care Center of Jefferson City runs 121 certified beds under corporate for-profit ownership, and its staffing is the number that stands out. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 18% below its own weekday level, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover of 52.6% runs well above the 45.8% national figure, which means caregivers change often. Inspections in June 2025 turned up 12 deficiencies, none at the harm level and none abuse-related, and the health and quality ratings both land at three stars.

B

71.5/100

Cumberland Village Care

Lafollette, TN · Campbell County

CMS 4/5 182 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
26%
Serious cites
0

Cumberland Village Care runs 182 certified beds in Lafollette under for-profit LLC ownership, and its recent inspection history is genuinely solid, 16 deficiencies on record with none at the harm level, a four-star health inspection rating, and the last survey completed in January 2025. The staffing picture is where it gets thin: 3.32 nurse hours per resident day sits about 14% under the national average, weekends run roughly 16% lighter than weekdays, and that combination earned a two-star staffing rating. The turnover number is the interesting one, 26.1% against a national average of 45.8% means this home is holding onto its caregivers far better than most, so you'd want to ask where the staffing gap actually shows up: it's likely in daily coverage rather than retention.

B

71.5/100

Heritage Hall Big Stone Gap

Big Stone Gap, VA · Wise County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
27%
Serious cites
0

Heritage Hall Big Stone Gap runs about 180 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.11 nurse hours per resident day against a national average of 3.86, with weekends roughly 18% thinner than weekdays. That shortfall sits behind a 2-out-of-5 staffing rating, even as the home's quality measure score comes in at 5. Staff turnover is genuinely better than most, 26.6% against a national 45.8%, but the inspection record is heavy: 41 deficiencies, six at harm or jeopardy level, four tied to abuse, and $71,620 in fines. The last full inspection was February 2023, so that record is aging.

B

71.5/100

Martinsville Health And Rehab

Martinsville, VA · Martinsville City County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
—
Serious cites
0

Martinsville Health and Rehab runs 140 beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.94 hours per resident day versus 3.86. That margin is thin, and weekends run about 11% lighter than weekdays, so coverage depends heavily on when you visit. The inspection record is the bigger concern: 70 deficiencies, three at harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2026. If you're weighing this one, ask the administrator directly how those abuse deficiencies were resolved and what weekend staffing actually looks like on the floor.

B

71.5/100

Monroe Health & Rehab Center

Charlottesville, VA · Albemarle County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
45%
Serious cites
0

Monroe Health & Rehab Center runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average. Weekends drop another 16% below its own weekday levels, which matters if your family visits on Saturdays and Sundays. The current inspection record shows 32 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. Staff turnover at 45% lands almost exactly at the national figure. The last inspection was April 2026, so the record is recent. Quality scores look strong; the staffing and inspection numbers are where the concerns live.

B

71.5/100

Nova Health And Rehab

Weber City, VA · Scott County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
55%
Serious cites
0

Nova Health And Rehab runs 90 certified beds in Scott County under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with 13 deficiencies on the books, none at the harm or jeopardy level and none abuse-related. The last inspection was in June 2024, so the picture is reasonably current. Where it slips is staffing: 3.24 nurse hours per resident day sits about 16% under the national average of 3.86, weekends run roughly 15% thinner than weekdays, and turnover hits 55% against a national 45.8%. Quality measures land mid-range at three stars. Good care when inspectors look; thinner coverage the rest of the time.

B

71.5/100

Bailey-Boushay House

Seattle, WA · King County

CMS 3/5 35 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bailey-Boushay House is a 35-bed nonprofit in Seattle, and its inspection record shows 48 deficiencies with none rising to actual harm or jeopardy, but four abuse-related citations stand out, and that combination tells you the problems found were serious enough to document without crossing into immediate-danger territory. The last inspection was in May 2025, so the picture is current. With health inspection and quality measure ratings both at 3 out of 5, this home sits squarely in the middle of the federal pack rather than above it. For a small nonprofit with only 35 beds, 48 deficiencies is a lot of paperwork to accumulate. Ask to see the plan of correction for those four abuse citations specifically.

B

71.5/100

Raleigh Center

Daniels, WV · Raleigh County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
49%
Serious cites
0

Raleigh Center runs 68 certified beds in Daniels under corporate for-profit ownership, and the numbers show a home stretched thinner than average on the floor. Nurse staffing sits at 3.36 hours per resident day against a national figure of 3.86, and weekends drop roughly a fifth below the home's own weekday coverage, that's when gaps tend to show up. Annual turnover of 49.2% edges past the national 45.8%, so the people providing care are cycling through steadily. The health inspection record is mixed: 38 deficiencies total, none flagged at harm or jeopardy level, but four tied to abuse. Quality measures score well even as staffing scores poorly, a split worth asking about directly.

B

71.5/100

Rose Haven Retreat

Atlanta, TX · Cass County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
62%
Serious cites
0

Rose Haven Retreat carries a government-hospital-district ownership, and its 108 certified beds get more nursing time than most: 4.53 hours per resident day, roughly 17 percent above the national average of 3.86. That staffing edge is real, but weekends run about 16 percent leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Turnover sits at 62.3 percent against a national 45.8 percent, meaning the people at the bedside change often. The current record lists 33 deficiencies, including one at the harm level and two tied to abuse, with $8,281 in fines. The last inspection was May 7, 2025.

B

71.5/100

Avir At Walnut Springs

Seguin, TX · Guadalupe County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
58%
Serious cites
0

A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.

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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