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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 541–560 of 10,187, best-graded first.

A

89/100

West Side House Ltc Facility

Worcester, MA · Worcester County

CMS 5/5 91 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
50%
Serious cites
0

West Side House runs about 4.26 nurse hours per resident day, roughly 10% above the national average, and it holds a five-star inspection record with no deficiencies at the harm or jeopardy level, a meaningful distinction when the current count is 13, including two tied to abuse. The catch is staffing shape: weekends run about 11% thinner than weekdays, and turnover sits at 50%, above the 45.8% national figure. A recent inspection in March 2026 means the survey history is current, not stale. Corporate for-profit ownership, 91 beds. The scores are strong; the turnover and weekend dip are the parts to ask about directly.

A

89/100

Victoria Haven Nursing Facility

Norwood, MA · Norfolk County

CMS 2/5 31 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
22%
Serious cites
0

Victoria Haven runs on a small crew, 31 beds, and the staffing numbers are genuinely strong: 4.58 nurse hours per resident day, about 19% above the national average, with a 5/5 staffing rating and turnover at 21.7% against a national 45.8%. That consistency matters, though weekends dip roughly 9% below weekday levels. The inspection record is where the picture darkens. A 1/5 health inspection rating, 39 deficiencies on file, two of them serious enough to reach harm or jeopardy, and a $40,641 fine. The last inspection was January 2026, so the record is current, not stale. Strong hands on deck, but a documented pattern of care problems those hands haven't solved.

A

89/100

Briarwood Nursing And Rehabilitation

Flint, MI · Genesee County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
41%
Serious cites
0

Briarwood is a 117-bed for-profit home in Flint, and the numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, and weekends run about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 40.6% is actually better than the national 45.8%, which matters for consistency of care. The inspection record is the weak spot: 42 deficiencies on file, one serious enough to involve harm or jeopardy, though none abuse-related. The most recent inspection was April 2025, so the picture is current. Quality measures score well and staffing holds up, but 42 deficiencies is a lot to carry.

A

89/100

Westlake Health Campus

Commerce, MI · Oakland County

CMS 4/5 61 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
34%
Serious cites
0

Westlake Health Campus runs a 61-bed for-profit home in Commerce, and its staffing is the clearest strength in the file: 4.19 nurse hours per resident day, roughly 9% above the national average, with a 5/5 CMS staffing rating and turnover at 34.3%, well under the 45.8% national figure. Weekend coverage does slip about 13% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is more mixed: 21 deficiencies on file, one serious enough to reach harm or jeopardy level, though none abuse-related. The most recent inspection was January 2026, so that picture is current, not stale.

A

89/100

The Oaks At Woodfield

Grand Blanc, MI · Genesee County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
42%
Serious cites
0

The Oaks At Woodfield runs about 4.26 nurse hours per resident per day, roughly 10% above the national average, though weekend coverage dips about 7% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 41.6%, a bit better than the 45.8% national figure, and the home has 20 deficiencies on its current record with none at the harm or jeopardy level, plus one abuse-related citation. Inspectors were last on site in May 2025, so the record is recent rather than stale. At 64 beds under individual for-profit ownership, quality measures and health inspection results both came back strong.

A

89/100

Edenbrook Of Edina

Minneapolis, MN · Hennepin County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
38%
Serious cites
0

Edenbrook Of Edina runs 4.01 nurse hours per resident day, a bit above the national average, and its staff turnover of 38.3% is lower than the 45.8% typical elsewhere, meaning caregivers here tend to stick around longer than at most homes. Weekends, though, dip roughly 10% below weekday coverage, so ask how that gap gets filled. The record isn't clean: 29 deficiencies, including six tied to abuse and one at the harm level, with a two-star health inspection rating. That last inspection was in January 2026, so the findings are recent. Quality measures score well and staffing is solid, but the inspection history is the part worth pressing on.

A

89/100

The Green Prairie Rehabilitation Center

Plainview, MN · Wabasha County

CMS 5/5 42 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
39%
Serious cites
0

The Green Prairie Rehabilitation Center runs 42 beds in Plainview under corporate for-profit ownership, and its last health inspection came in December 2025 with no deficiencies at the harm or jeopardy level, though one abuse-related citation is on the record among ten total. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, and weekends run about 11% leaner than weekdays. Turnover is 38.9%, which is actually better than the 45.8% national figure. Federal ratings put quality measures and staffing at the top of the scale, and inspection results close behind.

A

89/100

Assumption Home

Cold Spring, MN · Stearns County

CMS 5/5 76 beds Non-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
44%
Serious cites
0

Assumption Home in Cold Spring runs on church-affiliated nonprofit ownership and 76 certified beds, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average, though weekends dip roughly 12% below its own weekday levels. Turnover lands at 44.1%, slightly better than the 45.8% national figure. The inspection history is where you'll want to slow down: 15 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $17,345. The last inspection was November 2024. Strong staffing and quality marks coexist with real findings, so ask about the abuse citation and the weekend coverage gap directly.

A

89/100

Presbyterian Homes Of Bloomington

Bloomington, MN · Hennepin County

CMS 5/5 98 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
31%
Serious cites
0

Presbyterian Homes Of Bloomington runs a nonprofit home with 98 certified beds, and its nurse staffing sits at 4.80 hours per resident day, roughly 24% above the national average of 3.86. Weekend hours dip about 8% below its own weekday level, so coverage isn't perfectly even, but the floor stays well above average. Staff turnover is 30.8% against a national 45.8%, which matters for continuity of care. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. The weaker spot is the 2/5 quality measure rating; strong staffing and a clean harm record don't erase that.

A

89/100

Wilkinson County Senior Care

Centreville, MS · Wilkinson County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
35%
Serious cites
0

Wilkinson County Senior Care runs on unusually heavy staffing for a 60-bed home, 5.45 nurse hours per resident day, roughly 41% above the national average, and that shows up in a 4-out-of-5 staffing rating. Weekend coverage dips about 12% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 34.7%, better than the 45.8% national figure, and the home has a clean inspection record: 12 deficiencies, none at the harm or jeopardy level and none abuse-related, with its most recent inspection in August 2025. The 3-out-of-5 quality measure rating is the softer spot. It's a for-profit limited liability company.

A

89/100

Accura Healthcare Of Hartington

Hartington, NE · Cedar County

CMS 5/5 47 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
31%
Serious cites
0

Accura Healthcare of Hartington sits in a small Cedar County town, and its numbers are mostly steady. The building runs lean on nursing hours, 3.41 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so ask how that gap gets filled when a resident needs help on a Saturday. Turnover is the bright spot: 31.4% against a national 45.8%, which suggests people stay. Six deficiencies on record, none at harm level, one abuse-related, and a February 2026 inspection. For-profit, limited liability ownership. Worth a visit, worth asking about weekend staffing specifically.

A

89/100

Queen Of Peace Residence

Queens Village, NY · Queens County

CMS 5/5 53 beds Non-profit Medicaid
Nurse hours
7.17 /day
Staff turnover
29%
Serious cites
0

Queen of Peace Residence in Queens Village runs on a non-profit model with 53 certified beds, and its staffing is the standout: 7.17 nurse hours per resident day, roughly 86% above the national average. That's an unusual number, and it shows up in the staffing star rating. Weekend coverage dips about 5% below weekday levels, which is modest. Staff turnover sits at 28.6% against a national average near 46%, so people tend to stay. The record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in late 2025. Quality measure scores run lower, at 2 stars, which is worth asking about directly.

A

89/100

Smp Health - St Catherine North

Fargo, ND · Cass County

CMS 4/5 125 beds Non-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
31%
Serious cites
0

St. Catherine North is church-run and nonprofit, which tends to show up in how it treats staff, and it does here. Nurse staffing runs about 5.03 hours per resident day, roughly 30% above the national average, and turnover sits at 31.3% against a national 45.8%. Both numbers say people tend to stay. Weekends dip about 11% below the home's own weekday level, so ask how that plays out on a Sunday. The inspection record is more mixed: 12 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $6,168. The last inspection was in February 2026, so the picture is current. Strong staffing, decent but not spotless oversight.

A

89/100

Ohio Living Dorothy Love

Sidney, OH · Shelby County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
36%
Serious cites
0

Nurse staffing at Ohio Living Dorothy Love runs about 4.39 hours per resident day, roughly 14 percent above the national average, and that margin matters most on weekends, coverage there drops about 12 percent below the home's own weekday level. Staff turnover sits at 36.4 percent, well under the national 45.8 percent, which suggests people tend to stay. The 17 deficiencies on file include none at the harm or jeopardy level and none related to abuse, and the most recent inspection came in March 2025, so the record is current. Shelby County's nonprofit home doesn't have a clean sheet, but nothing in it points to danger.

A

89/100

Scioto Pointe

Columbus, OH · Franklin County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
20%
Serious cites
0

Scioto Pointe runs 99 certified beds in Columbus under corporate, for-profit ownership, and its staffing sits at 2.84 nurse hours per resident per day, about 27% under the national average of 3.86. Weekends dip roughly 12% below its own weekday coverage, so the thinnest shifts are predictable. Turnover is the bright spot: 19.6% against a national 45.8%, meaning the aides and nurses who are there tend to stay. Inspections tell a harder story, 41 deficiencies on the current record, one tied to abuse, and a one-star health inspection rating, though nothing rose to actual harm or jeopardy. The most recent inspection was April 2, 2026.

A

89/100

Brookdale Westlake Village

Westlake, OH · Cuyahoga County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
45%
Serious cites
0

Brookdale Westlake Village runs 60 certified beds in Cuyahoga County under corporate ownership, and the nurse staffing comes in around 4.27 hours per resident day, roughly 11% above the national average. That number slips on weekends, though, landing about 15% below what the same building provides Monday through Friday, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Staff turnover sits at 44.6%, basically level with the national figure, and the home's nine deficiencies include one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last inspection was October 2024.

A

89/100

Menlo Park Post Acute

Portland, OR · Multnomah County

CMS 2/5 83 beds For-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
40%
Serious cites
0

Menlo Park Post Acute runs on decent staffing numbers, 4.50 nurse hours per resident day, about 16% above the national average, with a 4-out-of-5 staffing rating and turnover at 39.5% compared to 45.8% nationally. Weekends dip roughly 10% below weekday coverage, worth asking about if your family visits then. The trouble sits in inspections: a 1-out-of-5 health inspection rating, 36 deficiencies on the current record, including three tied to abuse. None were cited at the harm or jeopardy level, and the most recent inspection was February 2026, so the record is current rather than stale. Strong quality measures and staffing are carrying a weak survey history here.

A

89/100

Timberline Post Acute

Albany, OR · Linn County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
43%
Serious cites
0

Timberline Post Acute runs 4.68 nurse hours per resident per day, about 21% above the national average, and its 43.2% turnover is slightly better than the typical American nursing home. Weekends thin out roughly 11% against its own weekday staffing, so ask how that plays out on a Sunday. The current record shows 20 deficiencies, none at the harm level, though two are abuse-related, worth asking about directly. A February 2026 inspection is recent. Corporate-owned and for-profit, 67 beds.

A

89/100

Valley West Health Care Center

Eugene, OR · Lane County

CMS 2/5 121 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
35%
Serious cites
0

Valley West runs on numbers that don't agree with each other. Nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average, and weekend coverage dips only about 10% below its own weekday level, better than many homes manage. Turnover is 34.9%, well under the 45.8% national figure, which suggests people stay. But the inspection record is the problem: 56 deficiencies overall, including 2 at the harm level and 4 tied to abuse, with a 2-out-of-5 health inspection rating. That's a corporate-owned building with a recent inspection and real quality marks on the clinical side, held back by a compliance history families should read closely.

A

89/100

Avamere Rehabilitation Of King City

Tigard, OR · Washington County

CMS 4/5 148 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
40%
Serious cites
0

Avamere Rehabilitation of King City sits in Tigard with 148 certified beds, run by a for-profit limited liability company. The nursing hours tell a decent story: 4.27 per resident day, roughly 11% above the national average, though weekend coverage dips about 11% below its own weekday levels. Staff turnover runs 39.8%, better than the 45.8% national figure. The current record shows 33 deficiencies, none at harm or jeopardy level but one abuse-related. Its last inspection was December 5, 2025. Quality measures score 5 out of 5, staffing 4 out of 5, health inspections 3 out of 5. So: strong clinical metrics, solid retention, and a clean harm record, with a recent inspection and that abuse citation worth asking about directly.

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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