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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 41 to 60 of 10,187, best-graded first.

A

97/100

La Palma Nursing Center

Anaheim, CA · Orange County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
5.68 /day
Staff turnover
27%
Serious cites
0

La Palma Nursing Center runs on unusually heavy staffing for a 72-bed for-profit home in Anaheim, 5.68 nurse hours per resident day, roughly 47% above the national average, and turnover at 27.3% sits well under the 45.8% national figure. Weekend coverage does dip about 12% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The 62 deficiencies on record look alarming until you notice none reached harm or jeopardy, though two are abuse-related and worth asking about directly. A September 2025 inspection is recent, and the 5/5 quality measure rating suggests clinical outcomes are holding up.

A

97/100

San Luis Transitional Care

San Luis Obispo, CA · San Luis Obispo County

CMS 5/523 bedsFor-profit
Nurse hours
6.98 /day
Staff turnover
44%
Serious cites
0

San Luis Transitional Care is a small for-profit home, 23 beds, with a recent inspection and a clean record on serious problems: seven deficiencies total, none causing harm or jeopardy, none tied to abuse. Its inspection and quality measure ratings both come in at the top of CMS's scale, and staff turnover runs slightly below the national average. The catch is staffing. CMS rates that dimension at the bottom of its scale, which matters more in a 23-bed home, where there's less slack to absorb a callout or a heavy shift. Families weighing this one should ask directly how many aides are on the floor at night and on weekends, because the paperwork looks strong and the coverage is the open question.

A

97/100

Oakview Skilled Nursing

Thousand Oaks, CA · Ventura County

CMS 5/548 bedsFor-profit
Nurse hours
5.73 /day
Staff turnover
21%
Serious cites
0

Oakview Skilled Nursing runs 48 beds in Thousand Oaks under for-profit partnership ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 5.73 hours per resident day, roughly half again the national average of 3.86, and weekend coverage dips only about 12% below its own weekday level, a modest drop rather than the sharp falloff many homes show. Staff turnover is 21.1% against a national 45.8%, so the people caring for residents tend to stay. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection completed January 31, 2025.

A

97/100

Lakeside Special Care Center

Lakeside, CA · San Diego County

CMS 5/594 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
32%
Serious cites
0

Lakeside Special Care Center runs 4.20 nurse hours per resident per day, roughly 9% above the national average, and its staff turnover of 31.7% is well below the 45.8% national figure, a sign people tend to stay. Weekend staffing drops about 13% from weekday levels, so ask how that plays out on Saturdays. The 12 deficiencies on record include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspectors were last in on February 13, 2025, and the home holds top marks in all three CMS categories. It's a for-profit limited liability company with 94 certified beds.

A

96/100

The Terraces Of Phoenix

Phoenix, AZ · Maricopa County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
21%
Serious cites
0

The Terraces of Phoenix runs on unusually steady staffing for a nursing home, 4.75 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 11% below weekdays. That consistency matters more than any single number here. Annual turnover sits at 20.6%, less than half the national rate of 45.8%, meaning the people caring for residents tend to still be there next year. The current inspection record shows 13 deficiencies, two tied to abuse, but none rose to harm or jeopardy level, and the most recent survey was in June 2025. As a nonprofit with 64 beds, it's small enough that the numbers reflect a specific place, not a chain average.

A

96/100

Vi At Grayhawk, A Vi And Plaza Companies Community

Scottsdale, AZ · Maricopa County

CMS 5/536 bedsFor-profit
Nurse hours
5.29 /day
Staff turnover
28%
Serious cites
0

Vi at Grayhawk runs 36 certified beds in Scottsdale under for-profit partnership ownership, and the nurse staffing number is the first thing that stands out: 5.29 hours per resident day against a national average of 3.86. Weekend coverage dips about 13% below its own weekday level, which is common but worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 28%, well under the 45.8% national figure, and the inspection record shows just two deficiencies, neither at the harm level and none abuse-related, with the most recent survey in September 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five.

A

96/100

Crestpark Helena, Llc

Helena, AR · Phillips County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
4.90 /day
Staff turnover
21%
Serious cites
0

Crestpark Helena runs a hundred certified beds in Phillips County under for-profit LLC ownership, and the staffing numbers are the story here. At 4.90 nurse hours per resident day, it sits roughly 27% above the national average, with a 5-out-of-5 CMS staffing rating and turnover at 20.9%, less than half the national 45.8%. Weekend coverage does dip about 11% below its own weekday levels, so ask how that plays out on Saturdays. Twenty deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related, which is worth a direct question on hiring and supervision. Inspections are recent, September 2025, and both health inspection and quality measures came in at 4 out of 5.

A

96/100

Vi At Highlands Ranch Skilled Nursing

Highlands Ranch, CO · Douglas County

CMS 5/524 bedsFor-profit
Nurse hours
5.89 /day
Staff turnover
43%
Serious cites
0

Vi at Highlands Ranch runs 5.89 nurse hours per resident per day, roughly half again the national average of 3.86, and the weekend dip is mild at about 8 percent. The current record shows three deficiencies, none of them involving harm or abuse, and the last inspection was September 2024. Turnover sits at 43.2 percent, slightly better than the 45.8 percent national figure, against a 24-bed for-profit corporate operation. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five, which lines up with what the numbers show: strong daily coverage, a clean inspection history, and staffing that holds up through the weekend.

A

96/100

Essex Meadows Health Center

Essex, CT · Lower Ct River Vly County

CMS 5/545 bedsFor-profit
Nurse hours
5.00 /day
Staff turnover
35%
Serious cites
0

Essex Meadows runs on 5.00 nurse hours per resident day, roughly 29% above the national average, and its staff turnover of 34.5% sits well below the 45.8% national figure, that combination is why its staffing picture holds up. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 17 deficiencies, none at the harm or jeopardy level, but four tied to abuse, which is worth asking about directly. A state inspection in January 2025 was recent enough to reflect current conditions. It's a for-profit LLC with 45 beds, meaning smaller scale and less margin for error when a shift runs thin.

A

96/100

Willowbrooke Court Skilled Center At Manor House

Seaford, DE · Sussex County

CMS 5/515 bedsNon-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
23%
Serious cites
0

Willowbrooke Court runs just 15 certified beds, which tends to mean staff know residents individually, and the numbers back that up. Nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, though weekend coverage dips roughly 12% below what the home staffs during the week, a gap worth asking about. Turnover is the standout: 23.1% against a national average near 46%, so the people caring for your family member are more likely to still be there next year. Seven deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with a May 2025 inspection.

A

96/100

Vi At Aventura

Aventura, FL · Miami-Dade County

CMS 5/540 bedsFor-profit
Nurse hours
5.03 /day
Staff turnover
16%
Serious cites
0

Vi at Aventura runs 5.03 nursing hours per resident per day, roughly a third more than the typical American nursing home, and its staff turnover sits at 15.6% against a national average near 46%. That combination, more hands and far fewer people leaving, is uncommon. Weekend staffing dips about 7% below weekday levels, a normal pattern, and seven deficiencies on record with none at harm level and none tied to abuse. The most recent inspection was September 2025. It's a small, for-profit corporate home: 40 certified beds, five stars on health inspections, quality measures, and staffing alike.

A

96/100

Renaissance At The Terraces

Bonita Springs, FL · Lee County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.94 /day
Staff turnover
16%
Serious cites
0

Renaissance At The Terraces runs on unusually deep staffing for a 40-bed nonprofit in Bonita Springs, 5.94 nurse hours per resident day, roughly 54% above the national average, and weekend coverage dips only about 9% below its own weekday level. Turnover sits at 16.3% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in inspections: a 3-out-of-5 health inspection rating, with nine deficiencies on record, though none at the harm level and none abuse-related. The most recent inspection was July 2024, so the picture is current. Quality measures score 4 out of 5.

A

96/100

Westminster Baldwin Park

Orlando, FL · Orange County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.45 /day
Staff turnover
20%
Serious cites
0

Westminster Baldwin Park runs about 5.45 nurse hours per resident day, roughly 41% above the national average, and weekend staffing dips only about 14% below its own weekday level, which matters because weekend coverage is where a lot of homes quietly fall apart. Annual turnover sits at 20% against a national average near 46%, so the people caring for residents tend to stay. The inspection record shows eight deficiencies with none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. This is a 40-bed nonprofit, and the numbers suggest steady, well-staffed care rather than anything flashy.

A

96/100

Hilo Benioff Medical Center

Hilo, HI · Hawaii County

CMS 4/552 bedsGovernmentMedicaid
Nurse hours
5.34 /day
Staff turnover
31%
Serious cites
0

Hilo Benioff Medical Center runs 5.34 nurse hours per resident day, roughly 38% above the national average, and its staffing ratio holds up better than most, weekend hours dip about 14% below weekdays, which is worth knowing if you're planning visits or worrying about coverage on a Sunday. Turnover sits at 30.8%, well under the 45.8% national figure, so the people caring for your family member are more likely to still be there next year. The tradeoff shows up in the inspection record: 23 deficiencies, including one at the harm level and two abuse-related, with the most recent survey in February 2025. State-owned, 52 beds, and quality scores that beat its inspection scores.

A

96/100

Harry And Jeanette Weinberg Care Center

Kaneohe, HI · Honolulu County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
31%
Serious cites
0

The Weinberg Care Center in Kaneohe runs on a nonprofit model with 44 certified beds, and the numbers behind its record hold up under scrutiny. Nurse staffing sits at 4.07 hours per resident day, about 5% above the national average, though weekend coverage dips roughly 11% below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover is 30.8%, notably lower than the 45.8% national figure, which suggests a more stable caregiving team than most homes manage. Inspectors found 19 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed January 30, 2025. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

96/100

Mather Evanston, The

Evanston, IL · Cook County

CMS 5/537 bedsNon-profit
Nurse hours
5.86 /day
Staff turnover
28%
Serious cites
0

Mather Evanston runs on 5.86 nurse staffing hours per resident day, roughly half again the national average, and its staff turnover of 27.8% sits well under the 45.8% typical elsewhere, people tend to stay. The trade-off is modest: weekends run about 8% leaner than weekdays, so ask how that plays out on a Sunday. Seven deficiencies on record, none at the harm level and none abuse-related, with a clean inspection in March 2025. As a nonprofit with 37 beds, it's small enough that you can reasonably expect to know the people caring for your relative.

A

96/100

Springs At Monarch Landing, The

Naperville, IL · Du Page County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
37%
Serious cites
0

The Springs at Monarch Landing is a for-profit LLC home in Naperville with 96 certified beds, and its numbers hold up under scrutiny. Nurse staffing runs 5.15 hours per resident day, roughly a third above the national average, and weekend coverage dips only about 10% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover sits at 36.8%, meaningfully better than the 45.8% national figure. On the inspection side, 11 deficiencies appear on the current record, but none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed in July 2024. All three CMS star ratings land at 5 out of 5.

A

96/100

Marquette

Indianapolis, IN · Marion County

CMS 5/557 bedsNon-profit
Nurse hours
4.43 /day
Staff turnover
24%
Serious cites
0

Marquette runs on a non-profit model with 57 beds in Indianapolis, and the staffing numbers stand out first: 4.43 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 23.7% against a national average near 46%, meaning the people caring for residents tend to stay. The tradeoff is a longer deficiency record, 15 citations on file, two serious enough to reach harm or jeopardy level, though none involve abuse. The most recent inspection was February 2026. Steady staffing and strong quality marks don't erase those two serious findings; they just tell you where to focus your questions.

A

96/100

Four Seasons Retirement Center

Columbus, IN · Bartholomew County

CMS 5/530 bedsNon-profit
Nurse hours
5.00 /day
Staff turnover
20%
Serious cites
0

Four Seasons runs about 5 hours of nursing care per resident per day, roughly 30% above the national average, and weekend coverage dips only about 13% from its own weekday level, a modest drop, not a staffing cliff. Staff turnover sits at 20%, well under the national 45.8%, which matters for residents who need consistent faces. The home carries 8 deficiencies on its current record, none at the harm level and none tied to abuse, with its most recent inspection dated June 2025. It's a small nonprofit, 30 beds, so read those numbers as a snapshot of a stable, well-staffed operation rather than a guarantee about what any single week feels like.

A

96/100

Towne House Retirement Community

Fort Wayne, IN · Allen County

CMS 5/532 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
28%
Serious cites
0

Towne House in Fort Wayne runs on a nonprofit model with 32 certified beds, and the staffing numbers stand out right away: 5.23 nurse hours per resident per day, roughly a third more than the national average of 3.86. Weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays. Staff turnover sits at 27.8% against a national average near 46%, which suggests people tend to stay. The inspection record is clean where it matters, five deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in May 2026. Quality measures score well too, and the health inspection side is as strong as it gets.

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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