ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 5941–5960 of 10,187, best-graded first.

B

70/100

Warren Park Health & Living Ctr

Chicago, IL · Cook County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
2.56 /day
Staff turnover
24%
Serious cites
0

Warren Park runs lean on the floor: 2.56 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday coverage. That staffing shortfall sits alongside 35 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, plus a $37,668 fine. The counterweight is stability, 24.4% turnover is well under the 45.8% national figure, and the December 2025 inspection is recent. With 127 beds under corporate for-profit ownership, ask directly how many nurses are on duty on a Saturday evening before you decide.

B

70/100

Warren Barr North Shore

Highland Park, IL · Lake County

CMS 3/5 215 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
27%
Serious cites
0

Warren Barr North Shore runs about 3.22 nurse hours per resident day, roughly 17% under the national average of 3.86, and weekends dip slightly below its own weekday staffing. That thin coverage shows in the CMS staffing rating of 2 out of 5. Turnover is a genuine bright spot at 27%, well under the 45.8% national figure, so the people who are there tend to stay. The inspection record is mixed: a 4 out of 5 health inspection rating from a recent August 2025 survey, but 29 deficiencies on file, four of them serious enough to reach harm or jeopardy level. Two fines total $24,397. For-profit, limited liability ownership, 215 beds.

B

70/100

Pavilion Of South Shore

Chicago, IL · Cook County

CMS 3/5 118 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
23%
Serious cites
0

Pavilion of South Shore runs 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip about 12% below its own weekday staffing. The corporate-owned home has 52 deficiencies on its current record, including four at the harm or jeopardy level and four abuse-related, plus three fines totaling $105,248. Its last inspection was February 2025. One number stands out the other way: turnover is 23.2%, well below the 45.8% national average, meaning the staff who are there tend to stay. That stability is real, but it doesn't offset thin weekend coverage, a 2/5 inspection rating, or the deficiency history.

B

70/100

H & J Vonderlieth Lvg Ctr, The

Mount Pulaski, IL · Logan County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
36%
Serious cites
0

H & J Vonderlieth runs lean on nurse hours, 3.45 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday coverage, which is worth asking about if your family member needs help on Saturdays and Sundays. Turnover is 36.2%, better than the 45.8% national figure, so the aides and nurses here tend to stay longer than at many homes. The inspection record is genuinely strong: six deficiencies, none at the harm level, with one abuse-related citation and a December 2025 survey. Quality measure scores sit at 2 out of 5, so ask which measures dragged that down before you decide.

B

70/100

Aliya Of Evanston

Evanston, IL · Cook County

CMS 4/5 57 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
53%
Serious cites
0

Aliya of Evanston runs 57 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing you'd want to know about. Total nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national average, and the federal staffing star comes in at 2 out of 5, with annual turnover at 52.8% against a national 45.8%. Inspection history is where it gets more serious: 29 deficiencies on the current record, three of them at harm or jeopardy level and five abuse-related, plus a $52,199 fine. Quality measures score well and weekend staffing holds near weekday levels, but a recent November 2025 inspection found enough problems to matter.

B

70/100

Manor Court Of Peoria

Peoria, IL · Peoria County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
61%
Serious cites
0

Manor Court of Peoria runs a nonprofit operation with 50 beds, and the daily nurse staffing of 4.65 hours per resident sits about 20 percent above the national average. That's a real cushion, though weekends dip roughly 11 percent below weekdays, so coverage isn't perfectly even. The concerning part is the inspection record: 43 deficiencies, including five at the harm or jeopardy level and one tied to abuse, plus a $140,847 fine and 60.7 percent annual turnover that runs well past the 45.8 percent national figure. Staffing helps, but frequent turnover can undercut consistent care, and that recent May 2024 inspection with those harm-level findings is what a family should ask about directly.

B

70/100

Saline Care Nursing & Rehab

Harrisburg, IL · Saline County

CMS 3/5 142 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
32%
Serious cites
0

Saline Care runs 142 beds under for-profit LLC ownership, and its staffing sits well under what most homes provide: 2.97 nurse hours per resident day against a national average of 3.86. Weekends are thinner still, about 9% below the home's own weekday coverage. The inspection history is the strong point, a recent April 2025 survey and a five-star health inspection rating, though the current record still carries 12 deficiencies, including one at the harm level and one tied to abuse. Quality measures score 1 out of 5. Turnover at 32% is better than the 45.8% national figure, which matters for consistency of care, but it doesn't offset thin daily coverage.

B

70/100

Spring Creek

Joliet, IL · Will County

CMS 4/5 168 beds For-profit Medicaid
Nurse hours
2.67 /day
Staff turnover
18%
Serious cites
0

Spring Creek runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less direct care than typical. Weekends dip further, about 14% below the home's own weekday staffing, which is when gaps tend to matter most. The trade-off isn't turnover: at 18.2%, it's well under the national 45.8%. What pulls the record down is the inspection side, 35 deficiencies, three at harm or jeopardy level and two tied to abuse, plus a $19,135 fine. Ownership is for-profit corporate, 168 beds, rated 2 of 5 on staffing and 3 on both inspections and quality measures. The last survey was December 2025, recent enough to reflect current conditions. Ask about weekend coverage and the abuse findings before deciding.

B

70/100

Alden Estates Cts Of Huntley

Huntley, IL · Mc Henry County

CMS 2/5 170 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
43%
Serious cites
0

Alden Estates Cts Of Huntley runs 170 beds under corporate ownership, and its nurses provide 3.61 hours of care per resident each day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 10% below its own weekday level. The inspection history is the bigger concern: 27 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, plus three fines totaling $183,372. Turnover at 43% sits slightly better than the 45.8% national figure, and the most recent inspection is recent enough to be current. What stands out is the gap between decent quality scores and a citation record that has repeatedly found real harm.

B

70/100

Mercyhealth Javon Bea Hospital -Snf

Rockford, IL · Winnebago County

CMS 4/5 17 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Mercyhealth Javon Bea Hospital-SNF is tiny, just 17 certified beds, and it's run by a nonprofit corporation, which often means the money goes back into the building rather than to shareholders. Inspectors gave it a perfect record: zero deficiencies on the current books, none at the harm level, no abuse citations, and the last visit was recent, in October 2024. That's genuinely rare. The catch is staffing, which sits at the bottom of the federal scale. With so few residents, nurses may have more time per person than the ratio suggests, but the government's own measure doesn't reflect that. Strong oversight, thin staffing, that's the trade-off here.

B

70/100

Beaumont Rehabilitation And Healthcare Center

Anderson, IN · Madison County

CMS 2/5 200 beds Non-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
53%
Serious cites
0

Beaumont Rehabilitation and Healthcare Center runs 200 certified beds in Anderson, and the numbers families should weigh sit mostly on the staffing and inspection side. Nurse staffing is 3.11 hours per resident day, roughly 19 percent under the national average, weekend coverage dips below its own weekday level, and more than half the nursing staff turned over in a year. The inspection record shows 40 deficiencies, including two at the harm level and four tied to abuse, with one fine of $14,901 and a survey completed in September 2025. Quality measures score well, which reflects resident care outcomes on paper, but that contrast is worth asking about directly when you visit.

B

70/100

Brickyard Healthcare - Brandywine Care Center

Greenfield, IN · Hancock County

CMS 2/5 128 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
59%
Serious cites
0

Brickyard Healthcare's Brandywine Care Center runs 128 beds in Greenfield under corporate ownership, and the numbers worth your attention are the workforce ones. Nurse staffing sits just under the national average at 3.83 hours per resident day, and weekends drop roughly 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 58.8% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The record shows 42 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was March 16, 2026. Quality measures score well, but inspections and staffing do not.

B

70/100

Brickyard Healthcare - Portage Care Center

Portage, IN · Porter County

CMS 2/5 186 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Brickyard Healthcare - Portage Care Center runs 186 certified beds under corporate ownership, and the numbers to focus on are the staffing ones. Nurse coverage sits at 3.38 hours per resident day, about 12% under the national average, and it drops roughly another 13% on weekends, so the thinnest coverage lands when families tend to visit. Staff turnover, at 45.4%, is essentially the national rate, meaning the people who remain are working short more often than not. The inspection record backs that up: 31 deficiencies, one at the harm or jeopardy level and one abuse-related, with a 2-out-of-5 health inspection rating. The 5-out-of-5 quality measure score reflects how residents are being cared for day to day, but it doesn't offset a staffing rating of 1. Ask about weekend coverage before you decide.

B

70/100

Serenity Spring Senior Living At Northwood

Jasper, IN · Dubois County

CMS 1/5 107 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
40%
Serious cites
0

Serenity Spring Senior Living At Northwood runs 107 beds under corporate ownership, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 40% is better than the 45.8% national figure, which matters for continuity of care. What stands out more is the inspection record: 38 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The most recent inspection was June 13, 2025, so that record is current, not stale.

B

70/100

Waters Of Fort Wayne Skilled Nursing Facility, The

Fort Wayne, IN · Allen County

CMS 3/5 77 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
60%
Serious cites
0

The Waters of Fort Wayne runs 77 certified beds under for-profit corporate ownership, and its staffing is the number that stands out, 3.59 nurse hours per resident day, roughly 7% under the national average, with weekends about 7% thinner than weekdays. Annual turnover of 59.5% sits well above the 45.8% national figure, which means the people showing up are often new. The current record carries 18 deficiencies, none at harm or jeopardy level but one abuse-related. Inspectors were last in on July 2, 2025, so the record is recent. Quality measures score well; staffing doesn't.

B

70/100

Majestic Care Of West Allen

Fort Wayne, IN · Allen County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
2.89 /day
Staff turnover
51%
Serious cites
0

Majestic Care of West Allen runs 96 beds in Fort Wayne under corporate ownership, and the staffing numbers are the first thing worth knowing: 2.89 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage drops another 13% from its own weekday level, and annual turnover sits at 50.7%, higher than the 45.8% national figure. The current inspection record shows 16 deficiencies, including one at the harm or jeopardy level, with a single fine of $21,645. Its quality measure score is strong, but that's built on documentation, not on the hands available at the bedside.

B

70/100

Hickory Creek At Peru

Peru, IN · Miami County

CMS 4/5 36 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
61%
Serious cites
0

Hickory Creek At Peru runs 36 beds as a for-profit corporation, and the numbers pull in two directions. Clinical quality measures look strong and the health inspection record is solid, a recent December 2025 inspection with 19 deficiencies on file, none of them causing harm or tied to abuse. Staffing is the weak spot: 3.58 nurse hours per resident day sits about 7% under the national average, weekends drop roughly 11% below the home's own weekday levels, and turnover runs 61.3% against a national 45.8%. That churn matters more in a small building, where the same few aides cycle through and familiarity with residents is harder to hold onto.

B

70/100

Waters Of Chesterfield Skilled Nursing Facility

Chesterfield, IN · Madison County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
55%
Serious cites
0

Waters Of Chesterfield runs about 3.35 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5, and in turnover: 54.8% of staff left over the year, compared with 45.8% nationally. The inspection record is a different story, 14 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with a recent visit in March 2026. Quality measures score 5 out of 5. So you're looking at a for-profit limited liability company that documents care well but runs lean, and lean staffing is what families feel day to day.

B

70/100

Waldron Rehabilitation And Healthcare Center

Waldron, IN · Shelby County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
60%
Serious cites
0

Waldron Rehabilitation and Healthcare Center runs 71 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.40 nurse hours per resident day, it sits about 12 percent under the national average of 3.86, and weekends drop roughly 9 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 60 percent against a national 45.8, which means aides and nurses cycle through faster than average. The inspection record shows 41 deficiencies, six of them abuse-related, though none rose to harm or jeopardy. One genuine strength: the quality measure rating is high. The last inspection was December 2025, so the picture is current.

B

70/100

Hawthorne Healthcare Center

Indianapolis, IN · Marion County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
56%
Serious cites
0

Hawthorne Healthcare Center runs 88 certified beds on Indianapolis's east side, under for-profit corporate ownership. Nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average, and weekends dip about 4 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover of 55.7 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. The current inspection record carries 27 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Federal quality measures look strong at 5 stars, but staffing scores 2, and the most recent inspection was in December 2025.

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.

Before you shortlist