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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 5721–5740 of 10,187, best-graded first.

B

71/100

West Village Post Acute

Greenville, SC · Greenville County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
53%
Serious cites
0

West Village Post Acute runs on thinner nurse coverage than most homes in the country, 3.28 hours per resident day against a national average of 3.86. Weekends are leaner still, about 13 percent below what the building staffs on weekdays, and more than half the nursing staff turned over in the past year, a rate above the national figure. Inspectors have logged 24 deficiencies, including one at the harm level and three tied to abuse, though the most recent visit was in January 2026, so the record is current. The company is a for-profit LLC with 132 certified beds.

B

71/100

Bennettsville Health And Rehabilitation Center

Bennettsville, SC · Marlboro County

CMS 1/5 110 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
28%
Serious cites
0

Bennettsville Health and Rehabilitation Center runs 3.21 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That thinner weekend coverage matters because the home carries 28 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, with $15,646 in fines across two penalties. Turnover is the one bright spot: 27.6% versus 45.8% nationally, so aides and nurses tend to stay. The last inspection was April 2025. A for-profit LLC operates its 110 beds, and federal ratings sit at two stars for both inspections and quality measures.

B

71/100

Fountain Springs Healthcare

Rapid City, SD · Pennington County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
54%
Serious cites
0

Fountain Springs runs 90 certified beds in Rapid City under for-profit limited liability ownership, and the nurse staffing numbers sit slightly under the national mark, 3.79 hours per resident day against 3.86. That gap is small, but weekend coverage drops about 11% below weekday levels, and turnover hits 53.7% compared to 45.8% nationally, meaning the faces around a resident change more often than at the typical home. The inspection record shows 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $22,526 in fines across two penalties. The most recent inspection was December 9, 2025, so the picture is current.

B

71/100

Standing Stone Care And Rehab

Monterey, TN · Putnam County

CMS 5/5 115 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
44%
Serious cites
0

Standing Stone runs a 115-bed for-profit operation in Monterey, and its staffing is the weak spot: 3.58 nurse hours per resident day, about 7% under the national average, with weekends roughly 12% thinner than weekdays. The 2-out-of-5 staffing rating reflects that, and turnover sits at 43.9%, actually a touch better than the national 45.8%, so retention isn't the problem; raw hours are. Inspections are the strong side: a 4-out-of-5 rating and a March 2025 visit, with 13 deficiencies on record, none at harm level, though four are abuse-related and worth asking about directly.

B

71/100

Woodbury Health And Rehabilitation Center

Woodbury, TN · Cannon County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
41%
Serious cites
0

Woodbury Health And Rehabilitation Center runs on thinner nursing coverage than most homes, 3.35 nurse hours per resident day against a national average of 3.86, and weekends dip about 5% below its own weekday numbers. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which matters for consistency even if the raw hours don't impress. The inspection record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the last state visit was April 2026, so the picture is current. Quality measures score well, but a two-star staffing rating and that deficiency count are the real story here.

B

71/100

Haywood Post Acute

Brownsville, TN · Haywood County

CMS 3/5 115 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
30%
Serious cites
0

Haywood Post Acute runs 115 beds in Brownsville under corporate for-profit ownership, and its staffing sits around 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 11% below its own weekday coverage. That thin margin is worth asking about directly, since aide coverage is what most affects daily care. Turnover at 30.3% is actually better than the national 45.8%, so the staff who are there tend to stay. Inspections in May 2025 turned up 16 deficiencies, including one at the harm level and two tied to abuse, plus a $10,033 fine. Ask the administrator how those abuse citations were resolved and who covers weekends.

B

71/100

Parks Health Center

Odessa, TX · Ector County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
66%
Serious cites
0

Parks Health Center sits in Odessa with 90 certified beds and a for-profit LLC owner that took over within the past year. The nurse staffing number looks fine on paper, 3.92 hours per resident day, just above the national average, but weekends run about 11% thinner than weekdays, and turnover is the real problem at 66.2% against a national 45.8%. That's a lot of new faces cycling through, and it's worth asking how they cover a weekend when someone calls in. The inspection record is the stronger side: 14 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the most recent survey was October 2024.

B

71/100

Cedar Ridge Rehabilitation And Healthcare Center

Pilot Point, TX · Denton County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
50%
Serious cites
0

Cedar Ridge runs about 108 certified beds in Pilot Point under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.57 nurse hours per resident day, it sits roughly 7 percent below the national average, and weekends dip another 5 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is nearly 50 percent, above the national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was April 2026, so the picture is relatively current.

B

71/100

Advanced Rehabilitation And Healthcare Of Vernon

Vernon, TX · Wilbarger County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
49%
Serious cites
0

Advanced Rehabilitation And Healthcare Of Vernon runs 120 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: 17 deficiencies on file but none at the harm or jeopardy level, none abuse-related, and a survey completed as recently as August 2025. Where it slips is staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends run roughly 12 percent thinner than its own weekdays. Annual turnover of 49 percent tops the national figure of 45.8. So you have a home that inspects cleanly but depends on a thin, churning workforce to get there, worth asking about on a tour.

B

71/100

Mountain View Center Genesis Healthcare

Rutland, VT · Rutland County

CMS 3/5 158 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
54%
Serious cites
0

Mountain View Center runs 158 certified beds in Rutland under corporate for-profit ownership, and its record shows a pattern worth understanding before you visit. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and weekends dip about 10% below the home's own weekday levels, so the coverage your family member gets on a Saturday may look thinner than what you'd see Monday through Friday. Annual turnover of 53.6% outpaces the national rate of 45.8%, which means familiar faces cycle out fairly often. The current deficiency record lists 31 findings, four at harm or jeopardy level and two abuse-related, with $40,350 in CMS fines across three events. The most recent inspection was June 2026.

B

71/100

Ridgecrest Manor Nursing & Rehabilitation

Duffield, VA · Scott County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
37%
Serious cites
0

Ridgecrest Manor runs leaner than most homes on daily nursing hours, 3.59 per resident against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. So the question isn't whether aides are stretched, but by how much on a Sunday. Turnover sits at 37%, actually better than the 45.8% national figure, which suggests some stability in who's showing up. The inspection record is where things get more complicated: 29 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the last full inspection in February 2024. A four-star health inspection rating alongside that count is the kind of split that's worth asking about directly when you tour.

B

71/100

Evergreen Health And Rehabilitation Center

Winchester, VA · Winchester City County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
50%
Serious cites
0

Evergreen Health and Rehabilitation Center runs 176 certified beds in Winchester under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, and annual turnover hits 49.7% against a national 45.8%, so consistent hands-on care is the real concern here. The inspection record shows 61 deficiencies, including two tied to abuse, though none at the harm or jeopardy level, with the last inspection dated January 10, 2024. CMS rates staffing and health inspections at 2 out of 5 stars each, while quality measures score 4 out of 5.

B

71/100

Bayside Of Poquoson Health And Rehab

Poquoson, VA · Poquoson County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
50%
Serious cites
0

Bayside of Poquoson runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover hit 50% last year against a 45.8% national rate, meaning half the caregivers cycled out. The inspection record carries 70 deficiencies, including one at harm or jeopardy level and two tied to abuse, with the most recent survey completed in August 2024. Federal ratings put health inspections and staffing at 2 out of 5 stars each, while quality measures scored 3.

B

71/100

Carriage Hill Health & Rehab Center

Fredericksburg, VA · Spotsylvania County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
49%
Serious cites
0

Carriage Hill runs 150 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.80 hours per resident day, slightly under the national average of 3.86. Weekends thin out further, roughly 11% below the home's own weekday coverage, and annual turnover hits 48.7% against a national 45.8%, so the people at the bedside keep changing. The inspection record is what stands out: 42 deficiencies, one serious enough to reach harm or jeopardy level, four tied to abuse. The last full inspection was June 2023, meaning that record has had time to age without a fresh look. All three CMS star ratings, health inspections, quality measures, staffing, land at 3 out of 5.

B

71/100

Highland Health And Rehabilitation Of Cascadia

Bellingham, WA · Whatcom County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
63%
Serious cites
0

Nurse staffing here runs 3.93 hours per resident day, just a hair above the national average of 3.86, so the day-to-day coverage looks adequate on paper. But weekends drop roughly 11% below the home's own weekday levels, and annual turnover sits at 62.5% against a national average of 45.8%, that's a lot of churn for 44 beds, and constant replacement makes it harder to keep consistent caregivers who know the residents. The inspection record carries 37 deficiencies, four of them serious enough to put residents in harm's way and one tied to abuse, with three fines totaling $63,697. The most recent inspection was August 2025, so the picture is current. For-profit corporate ownership rounds it out.

B

71/100

Birch Creek Post Acute & Rehabilitation

Tacoma, WA · Pierce County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
52%
Serious cites
0

Birch Creek runs 124 certified beds in Tacoma under for-profit LLC ownership, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86, with weekends roughly 11% leaner than weekdays. Turnover is the sharper problem: 51.7% of staff leave annually, against 45.8% nationally. The inspection record is what should give you pause. Seventy-five deficiencies are on file, three of them at harm or jeopardy level and ten tied to abuse. One fine totaling $30,240 has been levied, and the last inspection was March 13, 2026. A 1-out-of-5 health inspection rating captures that pattern better than any single number.

B

71/100

Huntington Health And Rehabilitation Center

Huntington, WV · Cabell County

CMS 2/5 186 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
55%
Serious cites
0

Huntington Health And Rehabilitation Center runs 186 certified beds under for-profit LLC ownership, and the numbers show a building that's stretched. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends drop roughly 9% below its own weekday levels, so the coverage families count on Saturday and Sunday is thinner than what the home provides midweek. Staff turnover lands at 54.6% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection history carries 54 deficiencies, none flagged at harm or jeopardy level and none abuse-related, with the most recent visit in April 2026. Two of five stars on both health inspections and staffing tell you where the pressure sits.

B

71/100

Kingwood Healthcare Center

Kingwood, WV · Preston County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
45%
Serious cites
0

Kingwood Healthcare Center runs on thinner staffing than most homes its size, about 3.21 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That 2-out-of-5 staffing rating reflects it. The inspection record is different: 38 deficiencies, but none at harm or jeopardy level, and a 4-out-of-5 health inspection rating, with the last survey in May 2026. Staff turnover of 45.1% sits right at the national average, so retention isn't the outlier here, hours per resident are. Corporate for-profit ownership, 120 beds. Worth asking how they cover a weekend shift before you decide.

B

71/100

Edenbrook Of Green Bay

Green Bay, WI · Brown County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
51%
Serious cites
0

Edenbrook Of Green Bay runs 90 beds under corporate for-profit ownership, and its staffing is the number that stands out: 3.68 nurse hours per resident day, about 5% under the national average, with weekends roughly 10% thinner than its own weekdays. Annual turnover sits at 51.2% against a national 45.8%, so nearly half the nursing staff turns over each year even as the home's quality measure score is strong at 4 of 5 stars. The current inspection record carries 31 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related; the most recent inspection was August 27, 2025.

B

71/100

Evergreen Health Services

Shawano, WI · Shawano County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
52%
Serious cites
0

Evergreen Health Services in Shawano runs 50 beds under for-profit LLC ownership, and its nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly another 10% below its own weekday coverage, and annual turnover hits 52.4% against a 45.8% national figure, so the faces around a resident change more often than average. The current inspection record carries 20 deficiencies, two of them serious enough to involve harm or jeopardy, along with a single $14,020 fine. The most recent inspection was May 29, 2025. Quality and staffing each earned three stars from CMS; health inspections earned two. If you're weighing this one, ask specifically how the two harm-level findings were corrected and how weekend coverage holds up.

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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