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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 5901–5920 of 10,187, best-graded first.

B

70/100

Vasona Creek Healthcare Center

Los Gatos, CA · Santa Clara County

CMS 2/5 148 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
54%
Serious cites
0

Vasona Creek runs 148 beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.71 nurse hours per resident day, it sits about 4% under the national average, and weekends dip roughly 3% below its own weekday level. Annual turnover of 54% is well above the 45.8% national figure, which means caregivers are cycling through faster than average. The current record shows 80 deficiencies, three tied to abuse, though none at the harm or jeopardy level, and the last inspection was in October 2024. Quality measures score well, but the staffing picture and that deficiency count are what pull the overall picture down.

B

70/100

Golden San Andreas Care Center

San Andreas, CA · Calaveras County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
50%
Serious cites
0

Golden San Andreas Care Center runs 99 certified beds under a for-profit limited liability company, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86. That's the strongest part of the picture, but weekends drop about 12% below the home's own weekday level, and annual turnover hits 49.5% against a national 45.8%. The inspection record is where things get harder to talk around: 86 deficiencies on file, six at harm or jeopardy level, four tied to abuse, plus three fines totaling $91,172. The last inspection was February 2025. High staffing numbers can coexist with serious findings, and here they do.

B

70/100

City View Post Acute

San Francisco, CA · San Francisco County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
38%
Serious cites
0

City View Post Acute runs 180 beds in San Francisco under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, so the care you see on a Tuesday may not match a Sunday. Staff turnover is 38.2%, better than the national 45.8%, which suggests some stability. What pulls the record down is the inspection side: 47 deficiencies on file, including 7 tied to abuse, plus a $42,528 fine and a two-star health inspection rating, though nothing reached harm or jeopardy level. The most recent inspection was May 2026, so the picture is current.

B

70/100

Beachwood Post-Acute & Rehab

Santa Monica, CA · Los Angeles County

CMS 1/5 227 beds For-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
31%
Serious cites
0

Beachwood Post-Acute & Rehab has real staffing going for it: 4.68 nurse hours per resident per day, roughly a fifth above the national average, and turnover at 30.5% is well below the 45.8% norm, a sign people stay. Weekends dip about 9% from weekday coverage, but that's the least of it. The inspection record is the problem: 118 deficiencies, five at harm or jeopardy level, 11 abuse-related, and two fines totaling $177,718. The most recent inspection was June 27, 2025, so this isn't stale history. For-profit LLC ownership, 227 beds. Staffing can't offset that deficiency count, ask pointed questions about the abuse citations before considering this one.

B

70/100

Arlington Gardens Care Center

Riverside, CA · Riverside County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
47%
Serious cites
0

Arlington Gardens runs 4.14 nurse hours per resident per day, roughly 7% above the national average, but weekends drop about 9% below its own weekday staffing. That gap matters because 61 deficiencies sit on the current record, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $8,281. The 47.2% annual turnover lands just above the national 45.8%. CMS gives the home 5 stars for quality measures and 2 stars each for staffing and health inspections, and the last inspection was January 8, 2026. It's a for-profit limited liability company with 99 certified beds.

B

70/100

University Park Care Center

Pueblo, CO · Pueblo County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
51%
Serious cites
0

University Park Care Center runs 180 certified beds in Pueblo under for-profit limited liability ownership, and its staffing numbers are the first thing worth knowing. Nurses provide 3.15 hours per resident day, roughly 18 percent under the national average, and weekend coverage drops about another 10 percent below the home's own weekday levels. Turnover sits at 50.5 percent against a national average of 45.8 percent. The inspection record shows 24 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with one fine of $22,653 and the last inspection in June 2024. CMS rates the quality measures 5 out of 5 but staffing only 2 out of 5, that gap tells you where the risk sits. Ask about weekend coverage and turnover before you visit.

B

70/100

Pelican Pointe Health And Rehabilitation Center

Windsor, CO · Weld County

CMS 1/5 104 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
54%
Serious cites
0

Pelican Pointe runs 3.33 nursing hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday level. That thinner weekend coverage matters when you're the one calling on a Saturday. Staff turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. The current inspection record carries 43 deficiencies, four at harm or jeopardy level and six tied to abuse, plus $71,640 in fines across four penalties. The most recent inspection was January 15, 2026, so the picture is current rather than stale.

B

70/100

Valley Rehabilitation And Healthcare Center, The

Mancos, CO · Montezuma County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
2.81 /day
Staff turnover
51%
Serious cites
0

Valley Rehabilitation and Healthcare Center runs 2.81 nurse hours per resident day, well under the national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekends drop further, about 13% below its own weekday staffing, and annual turnover sits at 51%, above the 45.8% national figure. Inspectors last visited in June 2024 and logged 13 deficiencies, two serious enough to reach harm or jeopardy level. The quality star rating looks strong on paper, but that's largely built from self-reported measures, while the staffing rating tells a different story. One fine totaling $8,278 is on record, and no deficiencies involved abuse.

B

70/100

Aviva At Fitzsimons

Aurora, CO · Adams County

CMS 4/5 100 beds For-profit
Nurse hours
4.92 /day
Staff turnover
61%
Serious cites
0

Aviva At Fitzsimons runs a for-profit shop with 100 beds in Aurora, and the staffing numbers tell two stories at once. Aide and nurse time totals 4.92 hours per resident day, roughly 27% above the national average, which is real coverage on paper. What undercuts it is churn: 61.4% annual turnover against a national 45.8%, meaning a large share of the people providing that care are new or on their way out, and weekends run about 7% thinner than weekdays. Inspectors have cited 24 deficiencies, two serious enough to put residents at risk of harm, and fined the home $14,743 across two penalties. The most recent inspection was October 2024.

B

70/100

Complete Care At Fox Hill

Vernon, CT · Capitol County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
37%
Serious cites
0

Complete Care At Fox Hill runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average of 3.86. Weekends dip about 9 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record carries 43 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse; CMS has fined the home once, for $16,801. Staff turnover is 37.4 percent, better than the 45.8 percent national figure. The most recent inspection was March 3, 2026, and the home's two-out-of-five stars for health inspections and staffing reflect what that record shows.

B

70/100

Complete Care At Harrington Court

Colchester, CT · Capitol County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
49%
Serious cites
0

Complete Care at Harrington Court runs on thin staffing, 3.17 nurse hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday levels. That gap shows up in the numbers: a one-star CMS staffing rating, and turnover near 49% means nearly half the nursing staff leaves within a year, making consistent care hard to sustain. The inspection record is heavy too, 48 deficiencies, including six tied to abuse and one serious enough to risk harm, plus a $25,974 fine. Quality measures score well, but those depend on steady hands delivering the care. A for-profit limited liability company owns the 130-bed home; its last inspection was in April 2025.

B

70/100

Autumn Lake Healthcare At New Britain

New Britain, CT · Capitol County

CMS 5/5 282 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
48%
Serious cites
0

Autumn Lake Healthcare At New Britain runs 282 beds under for-profit LLC ownership, and its recent inspection record is genuinely strong, a 4-out-of-5 health inspection rating with 26 deficiencies on file, none of them at the harm or jeopardy level, though one is abuse-related. Where the picture darkens is staffing: 3.39 nurse hours per resident day sits about 12% under the national average, weekends run roughly 8% lighter than weekdays, and turnover hits 48.1%, slightly above the national 45.8%. So you have a home that inspects well and scores well on quality measures, but asks residents to get by on leaner day-to-day coverage than most.

B

70/100

Apple Rehab Shelton Lakes

Shelton, CT · Greater Bridgeport County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
34%
Serious cites
0

Apple Rehab Shelton Lakes runs 106 beds under corporate ownership, and its staffing sits at 3.53 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 8% below its own weekday levels. Turnover is the brighter spot at 34.4%, better than the 45.8% national figure, which suggests some consistency in who's showing up. The inspection record is where you'd want to ask questions: 50 deficiencies, two tied to abuse, though none rose to harm or jeopardy. Its most recent inspection came in December 2024, so the picture is current. Quality measures scored 1 out of 5, meaning clinical outcomes lag even where staffing looks adequate on paper. Ask about weekend coverage and how those abuse deficiencies were resolved.

B

70/100

Shore Acres Care Center And Rehab

Saint Petersburg, FL · Pinellas County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Shore Acres runs 109 certified beds under for-profit LLC ownership in Pinellas County, and its last full health inspection came through in May 2024, recent enough that the record reflects how the home operates now. The 15 deficiencies on file sound like a lot until you notice none were cited at the harm or jeopardy level, and none were abuse-related; that pattern usually points to documentation and process problems rather than residents being put in danger. The middle-of-the-road inspection rating is the main thing holding this one back, and with a for-profit operator, staffing levels are worth asking about directly before you visit.

B

70/100

Aviata At Lakeside Oaks

Dunedin, FL · Pinellas County

CMS 2/5 93 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
48%
Serious cites
0

Aviata At Lakeside Oaks runs 93 beds in Dunedin under corporate ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 8% below the home's own weekday levels, and annual turnover of 48.2% edges past the national 45.8%, so the people caring for residents keep changing. The inspection record is the bigger concern: 18 deficiencies, including one at the harm-or-jeopardy level and one abuse-related, with a single $8,788 fine and a 2-out-of-5 health inspection rating. The last inspection was January 25, 2024. Quality measures score well at 4/5, but that reflects resident outcomes, not the care environment itself. Ask about the abuse deficiency and weekend coverage specifically when you visit.

B

70/100

South Campus Care Center And Rehab

Leesburg, FL · Lake County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
57%
Serious cites
0

South Campus Care Center runs about 3.61 nurse hours per resident each day, roughly 7% under the national average, and weekends drop another 9% below its own weekday staffing. That thinner weekend coverage matters because turnover sits at 56.5% against a national 45.8%, more than half the nursing staff leaving in a year. The good news is the record itself: 27 deficiencies, but none at the harm or jeopardy level and none abuse-related, with an inspection as recent as January 2026. Quality measures earned 4 of 5 stars, so clinical outcomes look better than the staffing numbers suggest. For a 120-bed for-profit LLC, ask directly how they cover weekends and how they're holding onto aides.

B

70/100

Aviata At Tallahassee

Tallahassee, FL · Leon County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
64%
Serious cites
0

Aviata At Tallahassee runs on thinner staffing than most homes in the country, 3.33 nurse hours per resident day against a national average of 3.86. Weekends dip about 6% below its own weekday levels, and 64% of staff turned over in the past year, well above the 45.8% national figure. Its current inspection record carries 30 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, and inspectors last visited in September 2025. Quality measures score well, but the staffing and inspection numbers are where the real story sits. This is a for-profit limited liability company operating 180 certified beds.

B

70/100

West Volusia Healthcare And Rehabilitation Center

Deltona, FL · Volusia County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
49%
Serious cites
0

West Volusia runs on thinner nursing coverage than most homes in the country, 3.14 nurse hours per resident each day against a national average of 3.86. That gap matters most on weekends, when staffing dips slightly below the home's own weekday level and there are simply fewer hands on deck. The inspection record shows 21 deficiencies, one tied to abuse, plus 16 fines adding up to $88,215; the most recent visit was in January 2025. Staff turnover sits at 48.8%, a bit above the national rate. Resident care measures score well, but the staffing and inspection numbers are where the real story sits.

B

70/100

Terrace At Bishop's Glen, The

Holly Hill, FL · Volusia County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
66%
Serious cites
0

The Terrace at Bishop's Glen in Holly Hill runs 60 certified beds under for-profit LLC ownership, and its strongest asset is a clean recent inspection record, surveyed in June 2025, with 12 total deficiencies, just one at the harm level and none related to abuse. The trouble sits in staffing, where CMS gives it 1 out of 5 stars and annual turnover hits 65.5% against a national average of 45.8%. Quality measures and health inspection both score 4 out of 5, so the care being documented looks solid, but a building replacing roughly two-thirds of its workers every year is a hard place to keep consistent. One fine, $8,512, is on record.

B

70/100

Cedarbrook Health And Rehabilitation Center

Fort Myers, FL · Lee County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
70%
Serious cites
0

Cedarbrook runs about 3.41 nurse hours per resident per day, roughly 12% under the national average of 3.86, and weekends drop another 8% below its own weekday coverage. That thin staffing shows up in turnover: 69.5% of staff leave each year against a national rate of 45.8%, which means the people caring for your family member are often new and still learning the building. The inspection history is the harder read, 30 deficiencies on the current record, one serious enough to reach harm or jeopardy level, plus a $16,801 fine, with the last inspection in November 2024. The quality measure star rating of 5/5 sits oddly against all this, and it's worth asking how the home achieves those clinical numbers when staffing runs below average and workers cycle through so quickly.

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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