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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 5561–5580 of 10,187, best-graded first.

B

71.5/100

Stillhouse Rehabilitation And Healthcare Center

Paris, TX · Lamar County

CMS 2/5 150 beds Government Medicaid
Nurse hours
3.24 /day
Staff turnover
33%
Serious cites
0

Stillhouse Rehabilitation runs on thinner nursing coverage than most homes, 3.24 hours per resident day against a national average of 3.86, and weekends are leaner still, roughly 17% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover is a genuine bright spot at 32.8%, well under the 45.8% national figure, so the staff who are there tend to stay. But the inspection record carries 45 deficiencies, including one at the harm level and three tied to abuse, plus a $8,162 fine. As a hospital district facility, it answers to public ownership, which can mean more stable oversight.

B

71.5/100

Lakeside Nursing And Rehabilitation Center

San Antonio, TX · Bexar County

CMS 5/5 118 beds Government Medicaid
Nurse hours
3.33 /day
Staff turnover
37%
Serious cites
0

Lakeside runs on leaner nurse staffing than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dropping about 19% below its own weekday level. That gap is what drives the low staffing score, even though turnover at 36.8% is better than the 45.8% national figure. The inspection record is more concerning than the stars suggest: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $14,611 fine. A recent July 2025 inspection and strong quality measures don't cancel out three harm-level findings. Government hospital-district ownership hasn't kept the care problems off the record.

B

71.5/100

The Heights Of Alamo

Alamo, TX · Hidalgo County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
39%
Serious cites
0

The Heights of Alamo runs lean on direct care: 3.18 nurse hours per resident day against a national average of 3.86, with weekends dropping about 15% below its own weekday coverage. That thin weekend staffing matters most when residents need help and fewer hands are on the floor. Turnover sits at 38.9%, better than the 45.8% national figure, so the crew that is there tends to stay. Inspections in June 2025 produced a 4-star health rating and 5-star quality measures, but the record carries 12 deficiencies, including one at harm level and two tied to abuse, plus an $8,414 fine. Corporate-owned and for-profit, this is a home where care quality scores well while daily staffing is the weak point.

B

71/100

Limestone Nursing And Rehabilitation Center, Llc

Athens, AL · Limestone County

CMS 3/5 170 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
48%
Serious cites
0

Limestone Nursing and Rehabilitation Center runs 170 certified beds in Athens under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, and annual turnover is 48.3 percent, a few points above the 45.8 percent national figure. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with a three-out-of-five inspection rating and the same for quality measures. One thing worth noting: the last inspection on file dates to February 2020, so that three-star inspection score reflects a snapshot that hasn't been refreshed in years.

B

71/100

Diversicare Of Lanett

Lanett, AL · Chambers County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
50%
Serious cites
0

Diversicare Of Lanett runs on 2.81 nurse staffing hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level. Half the staff turned over in a year, a bit worse than the 45.8% national figure. On the plus side, inspections have been clean: four deficiencies on record, none at harm or jeopardy level, no abuse citations, and the last visit was March 2023. Quality measures land mid-pack. Ownership is corporate for-profit. The pattern here is a home that inspects well but runs lean day to day, worth asking how thin the weekend shifts actually get.

B

71/100

The Blossoms At White Hall Rehab & Nursing Center

White Hall, AR · Jefferson County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
53%
Serious cites
0

The Blossoms at White Hall runs on thinner staffing than most places, 3.15 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly another 7% below its own weekday level. That matters when you're thinking about response times and how much attention a resident gets on a Sunday. Turnover sits at 53.1%, well above the 45.8% national figure, so the aides and nurses cycling through are often new to the building and to the residents. The current record shows 35 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. State inspectors were last in on April 17, 2025.

B

71/100

The Springs Of Brinkley

Brinkley, AR · Monroe County

CMS 1/5 116 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
65%
Serious cites
0

The Springs of Brinkley has 116 beds and runs on a for-profit limited liability structure, and its nurse staffing sits at 4.29 hours per resident day, roughly 11% above the national average. That's the good news. Weekend coverage drops about 12% below its own weekday levels, and annual turnover hits 65.1% against a national 45.8%, so the people providing that care keep changing. The current inspection record carries 21 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, with $22,422 in fines across two events. The most recent inspection was March 19, 2026. Staffing numbers look steady on paper; the inspection history and turnover tell a different story.

B

71/100

Edgewater Skilled Nursing Center

Long Beach, CA · Los Angeles County

CMS 2/5 81 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
39%
Serious cites
0

Edgewater Skilled Nursing Center sits in Long Beach with 81 certified beds and a for-profit corporate owner. Nurse staffing runs 4.38 hours per resident day, about 13% above the national average, and turnover at 39.1% is better than the 45.8% norm, but weekend coverage drops roughly 13% below its own weekday level, so care thins out exactly when families tend to visit. The inspection record is where things get concerning: 76 deficiencies on file, including two at the harm level and two tied to abuse, plus $60,763 in fines. Two stars each for health inspections and quality measures, with the most recent inspection in March 2026.

B

71/100

Healthcare Center Of Orange County

Buena Park, CA · Orange County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
23%
Serious cites
0

Nurse staffing at Healthcare Center of Orange County runs 5.34 hours per resident day, well above the national average, and weekend coverage barely dips from weekday levels. That consistency is a real strength, and so is turnover of 22.7% against a national average near 46%, meaning aides and nurses here tend to stay. The trouble sits on the inspection side. The current record carries 88 deficiencies, including one at the harm level and four tied to abuse, and the last inspection was June 2025. A single fine of $8,278 is modest, but the volume and severity of findings are what hold this Buena Park home back despite the staffing numbers.

B

71/100

Huntington Valley Healthcare Center

Huntington Beach, CA · Orange County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
59%
Serious cites
0

Huntington Valley Healthcare Center has 144 certified beds and runs on a for-profit, limited-liability model. The staffing numbers look decent at first glance, 4.28 nurse hours per resident day, roughly 11% above the national average, but that average hides a weekend drop of about 8%, and turnover sits at 58.8% against a national 45.8%. The inspection record is where things get harder to explain: 114 deficiencies on file, including 9 tied to abuse and 2 at the harm or jeopardy level, plus a 1-out-of-5 health inspection rating. The most recent inspection was May 2026, and two fines total $16,556. Quality measures score well, but the survey history is the story here.

B

71/100

Yucaipa Hills Post Acute

Yucaipa, CA · San Bernardino County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
44%
Serious cites
0

Yucaipa Hills Post Acute runs 82 beds under for-profit limited liability ownership, and its staffing sits right at the national average, 3.86 nurse hours per resident day. That parity hides a weakness: weekend coverage drops about 8% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Turnover at 44.4% is a touch better than the 45.8% national figure, but the inspection record is where things get serious. Thirty-two deficiencies are on file, two at harm or jeopardy level and two tied to abuse, with $31,899 in fines across two penalties. The most recent inspection was January 2026, so the picture is current.

B

71/100

Amberwood Post Acute

Denver, CO · Denver County

CMS 2/5 88 beds For-profit Medicaid
Nurse hours
2.93 /day
Staff turnover
44%
Serious cites
0

Amberwood Post Acute runs 2.93 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip slightly below its own weekday level. Staff turnover sits at 44.1%, about even with the national figure, so the issue here isn't retention, it's how many hands are on deck during a shift. The record shows 39 deficiencies, including one at the harm level and two tied to abuse, with a $9,636 fine and the most recent inspection in October 2024. Its quality measure rating is strong at 4 out of 5, but the staffing and inspection ratings both come in at 2, which is the tension worth weighing if you're considering this one.

B

71/100

Fountain View Rehabilitation And Nursing Llc

Colorado Springs, CO · El Paso County

CMS 3/5 118 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
44%
Serious cites
0

Fountain View, a for-profit LLC operation with 90 certified beds in Colorado Springs, runs lean on nursing staff. At 3.04 hours per resident day, it sits roughly 21% under the national average, and weekends drop about 13% below its own weekday coverage. That schedule matters if your family visits on Saturdays and Sundays. Turnover lands at 44.3%, close to the 45.8% national figure, so retention here isn't the standout problem. The current record shows 17 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related. Its last inspection was September 2024, and CMS gave middle marks on health inspections and quality measures while staffing came in lowest.

B

71/100

Cherrelyn Healthcare Center

Littleton, CO · Arapahoe County

CMS 4/5 190 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
36%
Serious cites
0

Cherrelyn Healthcare Center runs 190 certified beds in Littleton under corporate for-profit ownership, and its staffing is the number that stands out. At 2.99 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 14% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover, at 36.2%, is actually better than the 45.8% national rate, which matters for consistency of care. The inspection record is mixed: a recent January 2025 survey and a 4-star health inspection rating, but 37 deficiencies on file, including 7 at harm or jeopardy level and 3 abuse-related. Ask about weekend coverage and those harm-level findings directly.

B

71/100

Arbor View Care Center, Llc

Arvada, CO · Jefferson County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
56%
Serious cites
0

Arbor View runs 3.42 nurse staffing hours per resident day, about 11% under the national average, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover sits at 56% against a national 45.8%, which means more than half the nursing staff left within a year. Inspections have logged 20 deficiencies, four serious enough to put residents in harm's way and one tied to abuse, with three fines totaling $22,271. The quality measures look strong, but they can't offset thin weekend coverage, heavy turnover, and a record that includes harm-level findings.

B

71/100

Civita Care Bayview

Waterford, CT · Southeastern Ct County

CMS 1/5 127 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
19%
Serious cites
0

Civita Care Bayview runs 127 beds under for-profit LLC ownership, and the numbers pull in opposite directions. Nurse staffing sits at 3.42 hours per resident day, about 12% under the national average, and weekends dip roughly 8% below its own weekday level, so coverage thins out right when families tend to visit. What stands out more is the inspection record: 41 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with the most recent inspection in December 2025. Staff turnover of 19.1% is actually well below the 45.8% national figure, which suggests the people there tend to stay. Two fines totaling $23,179 round out the compliance picture.

B

71/100

Lord Chamberlain Nursing & Rehabilitation Center

Stratford, CT · Greater Bridgeport County

CMS 2/5 190 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
26%
Serious cites
0

Lord Chamberlain runs about 190 certified beds under corporate ownership, and the staffing picture is mixed. Nurses provide 3.53 hours per resident day, roughly 9% under the national average, and weekends dip another 9% below the home's own weekday level, so coverage thins out exactly when families tend to visit. What stands out more is the deficiency record: 46 citations, including two at the harm or jeopardy level and three tied to abuse. That's a lot of findings for one building, and the state's last visit was in October 2024. Staff turnover, at 25.7%, is actually well below the national rate, which suggests the people who work here tend to stay.

B

71/100

Delaware Bay Rehabilitation And Healthcare Center

Georgetown, DE · Sussex County

CMS 2/5 139 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
49%
Serious cites
0

Delaware Bay Rehabilitation and Healthcare Center runs 139 certified beds in Georgetown under for-profit LLC ownership. Nurse staffing sits at 4.00 hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday levels, and turnover runs 49.3% against a national 45.8%, so the coverage looks steadier on paper than it likely feels on a Saturday. The inspection record is where the picture darkens: 38 deficiencies, four at harm or jeopardy level, two tied to abuse, and a $62,618 fine. A 2/5 health inspection rating against 3/5 marks for staffing and quality measures suggests the clinical care itself isn't the main trouble. Ask about weekend coverage and the abuse findings specifically.

B

71/100

Riverwood Center

Jacksonville, FL · Duval County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
47%
Serious cites
0

Riverwood Center runs 240 beds in Jacksonville under for-profit LLC ownership, and its 3.36 nurse hours per resident day sits about 13% under the national average of 3.86. Weekends dip roughly 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 47.1%, a touch above the 45.8% national figure, which means new faces are routine. Inspectors were last in on January 9, 2025, and the current record shows 27 deficiencies, including one at the harm level and none tied to abuse, plus a single $34,778 fine. The 2/5 inspection rating reflects that record; staffing and quality measures each came in at 3/5.

B

71/100

Fernandina Beach Rehabilitation And Nursing Center

Fernandina Beach, FL · Nassau County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
59%
Serious cites
0

Fernandina Beach Rehabilitation and Nursing Center runs 120 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.35 hours per resident day, about 13% under the national average, and weekend coverage drops roughly 8% below its own weekday level, that matters, since weekends are when families often visit and when problems can go unnoticed. Staff turnover hits 59% against a national 45.8%, meaning more than half the caregivers cycle out each year. Its quality measure rating is perfect at 5/5, but that sits alongside a 2/5 staffing rating and 17 deficiencies, including one at harm level and two abuse-related, plus $31,051 in fines. The inspection on record dates to April 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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