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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 5921–5940 of 10,187, best-graded first.

B

70/100

Abbey Rehabilitation And Nursing Center

Saint Petersburg, FL · Pinellas County

CMS 1/5 132 beds Non-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
53%
Serious cites
0

Abbey Rehabilitation And Nursing Center is a 132-bed nonprofit home in Saint Petersburg, and the numbers split in two directions. Nurses provide 3.22 hours per resident per day, about 17 percent under the national average, with weekends running thinner still, and staff turnover sits at 52.7 percent, meaning roughly half the caregivers leave within a year. The inspection record is the harder problem: 32 deficiencies, six serious enough to put residents in harm's way, five tied to abuse, and $139,355 in fines, against a one-star health inspection rating. A four-star staffing score and three-star quality measures don't offset that, especially with the most recent inspection in April 2026.

B

70/100

Pinellas Point Nursing And Rehab Center

Saint Petersburg, FL · Pinellas County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
59%
Serious cites
0

Pinellas Point runs 60 beds in Saint Petersburg under corporate ownership, and its last full health inspection was in May 2024. The record shows 17 deficiencies, four of them serious enough to cause harm or put residents in jeopardy, plus one abuse-related finding, and a single fine that reached $290,823. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends. What stands out most is the turnover: 59.1% of nursing staff leaving in a year, against 45.8% nationally, in a building already cited for harm-level problems. The quality measure score looks strong, but steady caregivers matter more when the inspection record reads like this.

B

70/100

Westgate Health And Rehabilitation Center

West Palm Beach, FL · Palm Beach County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
59%
Serious cites
0

Westgate runs lean on nursing hours: 3.35 per resident day against a national average of 3.86. Weekends thin out further, about 6% below the home's own weekday coverage. Staff turnover sits at 58.8%, well above the 45.8% national figure, which matters because unfamiliar caregivers miss subtle changes. The current record shows 26 deficiencies, none at harm or jeopardy level, but one tied to abuse, a single flag worth asking about directly. The most recent inspection was August 2025, so the picture is reasonably current. Quality measures score well; staffing is where the gap shows.

B

70/100

Aviata At Jacksonville

Jacksonville, FL · Duval County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
58%
Serious cites
0

Aviata At Jacksonville runs a 116-bed for-profit home where nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops about 6% below the home's own weekday level, and annual turnover of 57.7% sits well above the 45.8% national figure, so familiar faces are not a given. The inspection record shows 22 deficiencies, none at the harm level but one tied to abuse, plus a single fine of $4,778. State surveyors were last in on December 11, 2025, and the home holds mid-range marks across health inspection, quality measures, and staffing.

B

70/100

Lakeside Center For Rehabilitation And Healing

Jacksonville, FL · Duval County

CMS 5/5 122 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
61%
Serious cites
0

Lakeside Center runs 122 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a four-star health inspection rating, eight deficiencies on the current record with none at the harm or jeopardy level and none abuse-related, and a recent survey from October 2025. Where it slips is staffing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and its staffing star rating lands at 2 out of 5. Weekend coverage drops roughly 6% below its own weekday level, and annual turnover hits 61% against a national 45.8%. Good inspections, thinner day-to-day coverage, worth asking about direct-care hours on weekends before deciding.

B

70/100

Lady Lake Specialty Care Center And Rehab

Lady Lake, FL · Lake County

CMS 1/5 145 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
60%
Serious cites
0

Lady Lake Specialty Care Center runs 145 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses give 3.52 hours per resident each day, about 9% under the national average, and weekends drop roughly 7% below what the home itself staffs on weekdays. Annual turnover hits 60.2% against a national 45.8%, so aides and nurses are cycling out faster than most places. Inspectors cited 26 deficiencies on the current record, two of them serious enough to put residents at harm or jeopardy, though none involved abuse. The last inspection was December 18, 2025, so the record is recent. Quality measures score well, but that's the piece families notice least when call lights go unanswered.

B

70/100

Solaris Healthcare College Park

Orlando, FL · Orange County

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

Solaris Healthcare College Park runs 108 beds under for-profit LLC ownership, and its staffing numbers sit below where you'd want them. Nurses provide 3.65 hours per resident day against a national average of 3.86, weekends dip roughly 9% below weekdays, and turnover hits 50.4%, higher than the 45.8% national figure. The inspection record shows 20 deficiencies, three of them at harm or jeopardy level and two tied to abuse, with $46,804 in fines across three penalties. A May 2025 inspection is recent, and the 3/5 health inspection and 4/5 quality ratings aren't the problem, the 2/5 staffing rating is, and it lines up with what the hours and turnover show.

B

70/100

Award Care At Sarasota

Sarasota, FL · Sarasota County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
65%
Serious cites
0

Aviata At Sarasota runs on thinner nurse coverage than most homes, 3.47 hours per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday level. That matters because staffing is where problems usually start: the home carries 36 deficiencies on its current record, three serious enough to reach harm or jeopardy, three tied to abuse, and seven fines totaling $39,846. Its health inspection rating sits at the lowest rung, and annual turnover of 64.6% means nearly two of every three caregivers left last year, well above the 45.8% national figure. The quality measure score is strong, but strong outcome numbers are hard to sustain when the people delivering care keep changing.

B

70/100

Lake Wales Health And Rehabilitation Center

Lake Wales, FL · Polk County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
44%
Serious cites
0

Lake Wales Health And Rehabilitation Center runs 3.51 nursing hours per resident per day, roughly 9% under the national average, and weekends drop about 4% below what the home staffs during the week. Turnover sits at 43.5%, slightly better than the national 45.8%, so the staffing picture isn't the main problem here. The inspection record is: a one-star health inspection rating, 34 deficiencies on file, three of them at harm or jeopardy level and two tied to abuse, plus a $46,800 fine. The most recent inspection was June 2024. A for-profit corporation operates the 100-bed home. Quality and staffing measures both came in at three stars, so the gap between those and the inspection history is worth asking about directly.

B

70/100

Nhc Healthcare Rossville

Rossville, GA · Walker County

CMS 2/5 112 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
58%
Serious cites
0

Nhc Healthcare Rossville runs on 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends dip another 13% below what the home staffs on weekdays. That thin coverage sits behind a 57.5% annual turnover rate, well above the 45.8% national figure, meaning aides and nurses are cycling out faster than most places. The inspection record is where the real trouble shows: 15 deficiencies on file, five serious enough to endanger residents, four tied to abuse, and a $57,077 fine. Its quality-measure scores look strong, but those reflect charted care, not the hands available to deliver it.

B

70/100

Delmar Gardens Of Gwinnett

Lawrenceville, GA · Gwinnett County

CMS 3/5 67 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
45%
Serious cites
0

Delmar Gardens Of Gwinnett runs 67 certified beds under corporate ownership, and its staffing score sits at the bottom of CMS's five-star scale, one star, which is the number worth asking about when you tour. The 16 deficiencies on file include one abuse-related citation, though none reached harm or jeopardy level, and state inspectors were last in the building in August 2025. Staff turnover lands at 44.9%, essentially matching the national rate of 45.8%, so retention here isn't the problem staffing hours appear to be. Quality measures come in at two stars, inspection history at three.

B

70/100

Heritage Inn Health And Rehabilitation

Statesboro, GA · Bulloch County

CMS 4/5 92 beds Non-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
41%
Serious cites
0

Heritage Inn runs lean on nursing hours, 2.95 per resident day against a national average of 3.86, roughly a quarter below what's typical. That gap matters most on weekends, when coverage drops another 9% below the home's own weekday level. Turnover sits at 40.8%, a bit better than the national 45.8%, so the staff who are there tend to stay. The inspection record is the strong point: 8 deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent survey was in June 2025. Quality measure scores come in at 2 out of 5 stars, which is worth asking about directly.

B

70/100

Cherry Blossom Health And Rehabilitation

Macon, GA · Bibb County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
61%
Serious cites
0

Cherry Blossom Health and Rehabilitation runs 82 certified beds in Macon under nonprofit ownership. Its last inspection was in March 2026 and turned up 21 deficiencies, four of them abuse-related, though none rose to actual harm or jeopardy. Nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, and weekends drop about 10% below the home's own weekday coverage. Annual turnover hits 60.9% against a national 45.8%, nearly a third higher. Inspections came back mid-range while quality measures scored well above it; staffing is the weak spot. High turnover and thin weekend coverage are the numbers worth asking about directly.

B

70/100

Harmony Health And Rehabilitation

Fitzgerald, GA · Ben Hill County

CMS 1/5 167 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
54%
Serious cites
0

Harmony Health and Rehabilitation runs 167 beds in Fitzgerald under for-profit LLC ownership, and the staffing numbers tell a familiar story: 3.49 nurse hours per resident day, about 10% under the national average, with weekends dipping another 10% below its own weekday levels. Turnover sits at 53.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 22 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related, and one fine of $4,017. Its most recent inspection was March 2026, so the picture is current rather than stale.

B

70/100

Comfort Creek Nursing And Rehabilitation Center

Wadley, GA · Jefferson County

CMS 1/5 98 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
32%
Serious cites
0

Comfort Creek runs on thin nursing coverage, 2.84 hours per resident day against a national average of 3.86, and weekends get even leaner, dropping about 6% below its own weekday level. That matters most when something goes wrong between Friday and Monday. Its inspection record is the real concern: 25 deficiencies currently on file, two of them serious enough to reach harm or jeopardy, plus one abuse-related finding and a $15,880 fine. The last full inspection was April 30, 2026, so this is a recent picture, not an old one. Staff turnover at 32.3% actually beats the national 45.8%, and quality measures land at 3 stars. Ownership is a for-profit limited liability company.

B

70/100

Pruitthealth - Old Capitol

Louisville, GA · Burke County

CMS 1/5 143 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
32%
Serious cites
0

Pruitthealth - Old Capitol runs 143 certified beds in Louisville under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, and weekends run about 7% thinner than weekdays, exactly when families tend to visit and notice. Turnover is 32.4%, better than the 45.8% national figure, so the staff who are there tend to stay. The trouble is compliance: 13 deficiencies on the current record, three at harm or jeopardy level, one tied to abuse, plus four fines totaling $28,179. The most recent inspection closed in November 2025. Quality measures score well; the inspection history is what drags this home down.

B

70/100

Pearl Of Hinsdale, The

Hinsdale, IL · Du Page County

CMS 4/5 202 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
46%
Serious cites
0

Pearl of Hinsdale runs 202 certified beds under for-profit LLC ownership, and its staffing sits below what you'd want to see: 3.41 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday levels. Turnover is 45.5%, basically dead-on the national figure, so that's not the problem here. The inspection record tells more, 39 deficiencies, including one at the harm level and two tied to abuse, though the most recent inspection in January 2026 earned a four-star health rating. That gap between a recent strong survey and a heavier historical record is worth asking about directly.

B

70/100

Jacksonville Skld Nur & Rehab

Jacksonville, IL · Morgan County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
37%
Serious cites
0

Jacksonville Skld Nur & Rehab runs about 3.22 nurse hours per resident day, roughly 17% under the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the staffing star rating, which sits at 2 out of 5. What complicates the picture is turnover: 37% annually, better than the 45.8% national figure, so the people who stay tend to stay. Inspections are recent, June 2025, and the health inspection and quality ratings both land at 4 out of 5. But 27 deficiencies are on the current record, three involving harm or jeopardy and one tied to abuse, with $23,027 in fines across two penalties.

B

70/100

Oakview Nursing & Rehab

Mount Carmel, IL · Wabash County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

Oakview runs lean on nurse staffing, 3.09 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time, and weekends dip about 6% below its own weekday level. Turnover is 37.7%, actually better than the 45.8% national figure, so the people who stay seem to stay. What stands out is the inspection record: 21 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,660. A recent inspection in April 2026 and a strong health inspection star rating don't erase those harm-level findings, and a below-average quality measure score sits alongside them. For a family weighing this one, the numbers say ask hard questions about what those abuse-related deficiencies involved.

B

70/100

Heritage Health-Hoopeston

Hoopeston, IL · Vermilion County

CMS 4/5 75 beds Non-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
30%
Serious cites
0

Heritage Health-Hoopeston runs on about 2.97 nursing hours per resident per day, which is roughly a quarter below the national average of 3.86, and weekends drop another 11% below its own weekday level. That thinner coverage matters because the current record shows 32 deficiencies, including 3 at the harm or jeopardy level and 5 tied to abuse. Staff turnover is 29.5%, notably better than the 45.8% national figure, so the people who stay seem to be staying, but the health inspection rating sits at 3 out of 5 and the quality measures at 2, with the last inspection dated June 5, 2024.

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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