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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 5661–5680 of 10,187, best-graded first.

B

71/100

Pahrump Health And Rehabilitation

Pahrump, NV · Nye County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
44%
Serious cites
0

Pahrump Health and Rehabilitation runs a 120-bed for-profit operation, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends are thinner still, about 6 percent below its own weekday coverage, so the stretches when families tend to visit are the ones with the least help on hand. Staff turnover of 44 percent lands close to the national figure of 45.8 percent, meaning the workforce churns about as fast as everywhere else. Inspectors cited 23 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and fined the home twice for a combined $40,427. The most recent inspection was December 19, 2025.

B

71/100

Skye Canyon Post Acute

Las Vegas, NV · Clark County

CMS 5/5 45 beds For-profit
Nurse hours
5.11 /day
Staff turnover
68%
Serious cites
0

Skye Canyon Post Acute runs a high staffing number, 5.11 nurse hours per resident day, roughly a third more than the national average, and its last inspection came back clean at the harm level, with 14 deficiencies on record and none involving actual injury. Two things pull against that. Weekend coverage drops about 14% below its own weekday level, so the strong average doesn't hold every day of the week. And turnover sits at 68.4% against a national 45.8%, meaning most of the aides and nurses you'd meet are relatively new. The state inspection history looks solid; the question is whether the staff caring for your family member sticks around long enough to know them.

B

71/100

Edgewood Centre (The)

Portsmouth, NH · Rockingham County

CMS 3/5 156 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
46%
Serious cites
0

Edgewood Centre runs 156 certified beds in Portsmouth under for-profit corporate ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10 percent under the national average of 3.86. Weekends dip about 6 percent below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover lands at 46.2 percent, essentially matching the national rate of 45.8 percent, meaning nearly half the nursing team turns over in a year. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Federal ratings put staffing at 2 out of 5 stars, with inspection and quality measures at 3 each.

B

71/100

Elm Wood Center At Claremont

Claremont, NH · Sullivan County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
51%
Serious cites
0

Elm Wood Center runs 68 beds under corporate ownership, and its staffing is the number to sit with: 3.18 nurse hours per resident day against a national average of 3.86, roughly 18 percent below. Weekends dip about 11 percent below its own weekday coverage, and 51 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people on the floor keep changing. The health inspection record shows 29 deficiencies, none at harm or jeopardy level, but one tied to abuse. State inspectors were last in on August 1, 2025. Quality measures score well; staffing and inspections don't.

B

71/100

Ridgewood Center, Genesis Healthcare

Bedford, NH · Hillsborough County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Ridgewood Center runs 150 certified beds in Bedford under Genesis Healthcare, a for-profit limited liability company. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 9% below its own weekday levels. Turnover is 38%, better than the 45.8% national figure. The inspection record is where the concern concentrates: 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $15,646 fine and a 2/5 health inspection star, though the most recent inspection was in February 2026. Staffing scores 4/5 by CMS's own measure, quality measures 3/5.

B

71/100

Harris Hill Center, Genesis Healthcare

Concord, NH · Merrimack County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
51%
Serious cites
0

Harris Hill Center runs about 12% thinner on nursing hours than the national average, and weekends get thinner still, roughly 14% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems can sit longer. Annual turnover of 50.7% means more than half the nursing staff leaves each year, against a national rate near 46%. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related; the single fine totals $15,646. The last inspection was in April 2026, so the record is reasonably fresh. Corporate for-profit ownership, 85 beds, and a staffing rating reflecting those numbers.

B

71/100

Pine Acres Rehabilitation And Healthcare

Madison, NJ · Morris County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
59%
Serious cites
0

Pine Acres runs lean on nursing hours, 3.79 per resident day, a bit under the national average, and the gap widens on weekends, when coverage drops roughly 13% below its own weekday level. That staffing picture is the weak spot here, and the 58.8% annual turnover rate, well above the national 45.8%, tells you keeping caregivers is an ongoing problem. The good news is the care itself: a 4-out-of-5 health inspection rating, a clean record of 12 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and a recent January 2026 inspection. Quality measures score 5 out of 5. The staffing is the thing to ask about directly, particularly who's on the floor on Saturdays and Sundays.

B

71/100

Complete Care At Cedar Grove

Cedar Grove, NJ · Essex County

CMS 4/5 190 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
67%
Serious cites
0

Complete Care At Cedar Grove runs 190 beds under corporate ownership, and the staffing numbers are the first thing I'd flag. At 3.55 nurse hours per resident day, it sits about 8% under the national average, and weekends dip roughly 4% below its own weekday level. That thin margin matters most when someone needs help on a Saturday. Turnover is the bigger concern: 67.2% annually against a national 45.8%, meaning nearly seven in ten staff left within the year. Inspections look steadier, 19 deficiencies on record, none involving harm or abuse, with the last visit in late 2024. Clinical quality measures score well, but those depend on consistent hands delivering the care.

B

71/100

Complete Care At Voorhees, Llc

Voorhees, NJ · Camden County

CMS 4/5 190 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
56%
Serious cites
0

Complete Care at Voorhees is a 190-bed for-profit home in Camden County, and the numbers tell two different stories. Its quality measure score is perfect, 5 out of 5, but the health inspection record is as low as CMS goes, with 35 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. Nurse staffing runs 3.53 hours per resident day, roughly 9% under the national average, and weekend coverage dips about 5% below its own weekday level. Annual turnover sits at 56.4%, well above the 45.8% national figure. The last inspection was in January 2025, so the record is current, and the lone fine totals $23,520.

B

71/100

Complete Care At Clark Llc

Clark, NJ · Union County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
38%
Serious cites
0

Complete Care at Clark runs 140 beds under corporate ownership, and its inspection record is decent, a four-star health inspection rating, last survey in May 2025, with 15 deficiencies on file. One of those rose to harm or jeopardy level, and one is abuse-related, which is the kind of thing worth asking about directly. The bigger gap is staffing: 3.49 nurse hours per resident day sits about 10% under the national average, weekends run roughly 5% leaner than weekdays, and CMS gives it one star there. Turnover, at 37.8%, is actually better than the 45.8% national figure.

B

71/100

Cranbury Center

Monroe Township, NJ · Middlesex County

CMS 2/5 154 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
53%
Serious cites
0

Cranbury Center runs 154 beds in Monroe Township under corporate ownership, and the numbers to focus on are staffing and safety. Nurses give residents 3.21 hours of care per day, about 17% under the national average, and weekends drop roughly 13% below the home's own weekday level. Staff turnover sits at 52.5% against a national 45.8%. The inspection record shows 20 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with $10,361 in fines and a December 2025 inspection. Two stars each for health inspections and staffing say the same thing the deficiency count does: this home has unresolved problems, and families should ask pointed questions before choosing it.

B

71/100

Complete Care At Wall Llc

Wall, NJ · Monmouth County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
56%
Serious cites
0

Complete Care at Wall is a 130-bed for-profit home in Monmouth County, and the staffing numbers are the first thing to look at. Nurses provide 3.78 hours per resident per day, slightly under the national average, and weekend coverage drops about 8% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 55.7% sits well above the national 45.8%, which means aides and nurses are cycling through steadily. On inspections, the record shows 18 deficiencies, including two at the harm level and two tied to abuse, with a one-star inspection rating. The five-star quality measure score reflects reported clinical outcomes, but the inspection and staffing picture tells a different story.

B

71/100

Total Rehab Moorestown

Moorestown, NJ · Burlington County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
51%
Serious cites
0

Total Rehab Moorestown runs 124 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.57 hours per resident day, roughly 18% above the national average of 3.86. That's a real strength. The catch is consistency: weekends drop about 11% below the home's own weekday levels, and annual turnover sits at 50.6%, higher than the 45.8% national figure. On inspections, CMS rated it 2 out of 5 stars, with 17 deficiencies on the current record, none at harm or jeopardy level, none abuse-related, and one fine totaling $25,090. The most recent inspection was April 2025. Quality measures scored 5 out of 5, so the clinical picture looks better than the inspection history suggests.

B

71/100

Rio Rancho Center

Rio Rancho, NM · Sandoval County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
54%
Serious cites
0

Rio Rancho Center runs on 3.18 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 11% below what the home staffs on weekdays. That thin coverage lines up with a 54.1% annual turnover rate, well above the 45.8% national figure, so the people showing up are changing often. The inspection record shows 74 deficiencies, five tied to abuse, though none rose to harm or jeopardy level, and the last state visit was February 2025. Nearly every part of this home's record points the same direction: not enough consistent hands on deck, and a history of problems that keep recurring.

B

71/100

Canyon Transitional Rehabilitation Center, Llc

Albuquerque, NM · Bernalillo County

CMS 5/5 74 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
47%
Serious cites
0

Canyon Transitional Rehabilitation in Albuquerque runs 3.61 nurse hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 9% below its own weekday staffing. That pattern matters because nursing homes are often thinnest exactly when families visit. The home has a recent clean inspection, and its 37 deficiencies are all low-level except one abuse-related citation, with none at harm or jeopardy level. Turnover sits at 47%, slightly above the 45.8% national mark, meaning nearly half the nursing staff leaves each year. With 74 beds under for-profit LLC ownership, the numbers point to a home that passes inspections but runs lean on direct care.

B

71/100

Grants Wellness & Rehabilitation Llc

Grants, NM · Cibola County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
58%
Serious cites
0

Grants Wellness & Rehabilitation runs about 3.05 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 11% under its own weekday coverage. Annual turnover sits at 58.3%, well above the 45.8% national figure, so the people caring for residents change often. The 31 deficiencies on record include two at the harm or jeopardy level and one tied to abuse, with a single fine of $10,839. What keeps this from looking worse is the inspection side: a recent November 2025 survey and strong quality-measure scores. The care that's measured can look good while the hands available to deliver it stay thin.

B

71/100

Bloomfield Nursing And Rehabilitation Center

Bloomfield, NM · San Juan County

CMS 3/5 95 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
55%
Serious cites
0

Bloomfield Nursing and Rehabilitation Center runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thinner weekend coverage matters in a 95-bed building, because licensed nurses are the people who catch changes before they become hospital trips. Staff turnover sits at 54.8% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. Inspections in January 2026 turned up 44 deficiencies, three of them serious enough to put residents in harm's way, plus two fines totaling $73,226. Corporate-owned, for-profit, mid-range on every CMS measure, the numbers describe a home that passes minimums without much cushion.

B

71/100

Sarah Neuman Center For Rehabilitation And Nursing

Mamaroneck, NY · Westchester County

CMS 2/5 300 beds Non-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
38%
Serious cites
0

Sarah Neuman Center runs 300 beds in Mamaroneck under nonprofit ownership, and its numbers pull in different directions. The quality measure rating sits at the top of the scale, but the health inspection record is at the bottom, 31 deficiencies currently, including two at harm or jeopardy level and five tied to abuse, with a $163,020 fine on the books and a January 2025 inspection. Staffing is the quieter concern: 3.22 nurse hours per resident day, roughly 17% under the national average, and weekends run about 10% thinner than weekdays. Turnover at 38% is better than the 45.8% national figure, but it doesn't offset thin coverage on the floor.

B

71/100

Peninsula Nursing And Rehabilitation Center

Far Rockaway, NY · Queens County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
40%
Serious cites
0

Peninsula Nursing and Rehabilitation Center is a 200-bed for-profit home in Far Rockaway where the day-to-day numbers tell two different stories. Nurses provide 3.28 hours of care per resident per day, about 15% under the national average, and staffing thins out further on weekends, roughly 11% below the home's own weekday level. Turnover sits at 39.8%, a bit better than the national 45.8%. The trouble shows up in inspections: 16 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse, plus an $81,387 fine. The last inspection was July 2024. Resident outcome measures look strong on paper, but a record with harm-level and abuse citations is the part worth asking about directly.

B

71/100

Fulton Commons Care Center Inc

East Meadow, NY · Nassau County

CMS 2/5 280 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
22%
Serious cites
0

Fulton Commons runs 280 beds in East Meadow under corporate ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. Weekends dip roughly 5% below weekdays, so coverage thins out exactly when families tend to visit. What stands out is retention: 21.6% turnover against a national average of 45.8%, meaning the aides and nurses here tend to stay. Inspections are another story, 20 deficiencies on the current record, one serious enough to involve harm, plus a single $8,401 fine, with the most recent survey from December 2024. The steady workforce and the inspection history tell different stories, and both matter.

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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