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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 581–600 of 10,187, best-graded first.

A

89/100

The Cove At La Jolla

La Jolla, CA · San Diego County

CMS 5/5 59 beds For-profit
Nurse hours
4.95 /day
Staff turnover
45%
Serious cites
0

The Cove at La Jolla runs on a fairly rich staffing budget, 4.95 nurse hours per resident day, roughly 28% above the national average, and that shows up in its four-out-of-five staffing star. Weekend coverage dips about 15% below its own weekday level, so care may thin out on Saturdays and Sundays. Staff turnover sits at 44.6%, essentially in line with the national 45.8%, so there's no unusual churn problem here. The home carries 21 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was in May 2025, and it's a for-profit corporation with 59 certified beds.

A

89/100

Arroyo Grande Care Center

Arroyo Grande, CA · San Luis Obispo County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
21%
Serious cites
0

Arroyo Grande Care Center sits in a county with plenty of options, and its numbers hold up well against them. Nurse staffing runs 4.48 hours per resident day, comfortably above the national mark, and the weekend dip is modest enough that care doesn't appear to fall off a cliff every Saturday. Ten deficiencies on record with none at harm or jeopardy level and nothing abuse-related, plus a clean five-star inspection rating and a survey from July 2025, suggest a home that stays on top of its obligations. Staff turnover of 21% is less than half the national rate, which matters more than any single score when you're thinking about who will actually be there month to month.

A

89/100

Bayshire Yorba Linda Post-Acute

Yorba Linda, CA · Orange County

CMS 3/5 45 beds For-profit
Nurse hours
4.89 /day
Staff turnover
26%
Serious cites
0

Bayshire Yorba Linda runs on 4.89 nurse hours per resident day, about 27% more than the national average, and its staff stick around, 26% turnover against a national rate near 46%. Weekend coverage holds steady rather than thinning out. The trade-off sits in its inspection history: 62 deficiencies on the current record, one tied to abuse, though none reached the level of actual harm or jeopardy, and fines total just $4,368. Its last inspection was in April 2026. With 45 beds and individual for-profit ownership, this is a small house where the care hours and the record don't tell the same story. Ask about that abuse citation directly.

A

89/100

Camden Postacute Care, Inc

Campbell, CA · Santa Clara County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
32%
Serious cites
0

Camden Postacute Care runs 60 beds in Campbell under for-profit LLC ownership, and its nursing hours sit right at the national average, 3.84 per resident day, with weekends dipping only about 3% below weekdays, which is a smaller drop-off than many homes show. The standout number is turnover: 31.6% versus a national average of 45.8%, meaning far fewer aides and nurses are walking out the door each year. On the record side, 41 deficiencies sounds like a lot until you see none reached harm or jeopardy level, though two were abuse-related. State inspectors were last in on May 16, 2025. Quality measures score well; staffing and inspections land in the middle.

A

89/100

Sherman Oaks Hospital Snf Dp

Sherman Oaks, CA · Los Angeles County

CMS 4/5 22 beds For-profit Medicaid
Nurse hours
8.71 /day
Staff turnover
5%
Serious cites
0

Sherman Oaks Hospital Snf Dp runs 22 certified beds under corporate for-profit ownership, and its nurse staffing sits at 8.71 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, but that's a minor wobble against a turnover rate of 4.5%, which is dramatically lower than the national 45.8% and suggests a stable crew rather than a revolving door. The tradeoff shows up in its record: 33 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent April 2025 inspection and solid marks on quality measures round out a home that's clearly well-staffed but not spotless on compliance.

A

89/100

Arrowhead Healthcare Center, Llc

San Bernardino, CA · San Bernardino County

CMS 4/5 58 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Arrowhead Healthcare Center runs 58 certified beds in San Bernardino under for-profit LLC ownership. Nurse staffing sits at 4.65 hours per resident day, roughly 20% above the national average, though weekends drop about 14% below the home's own weekday levels. Staff turnover is 30.6%, lower than the 45.8% national figure, which matters for consistency of care. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was April 2026. All three CMS star categories, health inspections, quality measures, and staffing, land at 4 out of 5. The picture is a smaller home with solid staffing and a clean harm record.

A

88.5/100

Woodhaven Manor Nursing Home

Demopolis, AL · Marengo County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
27%
Serious cites
0

Woodhaven Manor runs on a steady, well-staffed floor: 3.84 nurse hours per resident day sits essentially even with the national average of 3.86, and weekend coverage drops about 24% below its own weekday level, which is worth asking about since that's when families often visit. Turnover at 27.3% is dramatically better than the 45.8% national average, so the people caring for residents tend to stick around. The current record shows a single deficiency, none at harm level, none abuse-related, and the most recent inspection was March 2022, over three years ago as of today, which means that clean record is somewhat dated. A for-profit corporation owns the 75-bed home.

A

88.5/100

Sante Of Mesa

Mesa, AZ · Maricopa County

CMS 5/5 70 beds For-profit
Nurse hours
5.03 /day
Staff turnover
36%
Serious cites
0

Sante Of Mesa runs 70 certified beds under for-profit LLC ownership, and its nurse staffing sits around 5.03 hours per resident day, roughly 30% above the national average of 3.86. That helps explain the top staffing mark from CMS. Turnover runs 36% against a national 45.8%, and weekend coverage dips about 16% below its own weekday level, so care isn't perfectly even across the week. The inspection record shows 12 deficiencies, none at harm or jeopardy level, though one is abuse-related; total fines come to $3,146. The last inspection was September 2025, and the health inspection and quality measures both hold up well.

A

88.5/100

Waterbury Center For Nursing & Rehabilitation Llc

Waterbury, CT · Naugatuck Vly County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
30%
Serious cites
0

Waterbury Center runs on a for-profit partnership model with 120 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.88 hours per resident day, just barely above the national average, but weekends drop about 19% below weekday levels, which is where gaps tend to show up. Turnover at 30.2% is notably better than the 45.8% national figure, suggesting a more stable workforce than most. On inspections, the home holds a 4-star rating with 32 deficiencies on record, none rising to harm or jeopardy, though 5 are abuse-related. The last inspection was December 2024, so the picture is recent.

A

88.5/100

Meadows Park Health And Rehabilitation

Vidalia, GA · Toombs County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
28%
Serious cites
0

Meadows Park runs on a nonprofit model in Vidalia, and the numbers mostly hold up. Nurse staffing sits at 3.92 hours per resident day, just a hair above the national average of 3.86, but the real story is who stays: turnover is 27.6% against a national average of 45.8%, so the aides and nurses here tend to stick around. Weekend coverage does dip about 20% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. Four deficiencies on record, none involving harm or abuse, and the last inspection was May 2025.

A

88.5/100

Good Samaritan - Villisca

Villisca, IA · Montgomery County

CMS 3/5 46 beds Non-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
32%
Serious cites
0

Good Samaritan - Villisca runs 46 beds as a nonprofit, and its staff turnover of 32.4% sits well below the national average of 45.8%, that kind of retention matters when you're relying on the same people to notice changes in a resident's condition. Nurse staffing, though, is 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 18% lighter than weekdays, so coverage thins out exactly when families tend to visit. The current inspection record carries 18 deficiencies, including one at the harm level and two related to abuse, with the last inspection dated January 29, 2026.

A

88.5/100

Mission Point Nursing & Physical Rehabilitation Of

Big Rapids, MI · Mecosta County

CMS 4/5 78 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
29%
Serious cites
0

Mission Point in Big Rapids runs 78 certified beds under corporate for-profit ownership, and its staffing sits at 3.73 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends are thinner still, about 19% below the home's own weekday coverage, so a Saturday or Sunday visit may feel different from a Tuesday. Turnover is the bright spot: 29% against a national 45.8%, meaning the people caring for residents tend to stick around. Inspections are recent, July 2025, with 25 deficiencies on record but none at harm or jeopardy level, though one is abuse-related. Its quality measure rating is 5/5 while health inspection sits at 3/5.

A

88.5/100

Medilodge Of Rogers City

Rogers City, MI · Presque Isle County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
39%
Serious cites
0

Medilodge Of Rogers City runs 90 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average of 3.86. Weekends are the bigger gap: staffing drops roughly 18% below what the home runs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 39.2%, which is actually better than the 45.8% national figure, and CMS gives the home 5 stars for staffing and 4 for quality measures. The caution sits in the inspection record: 15 deficiencies, including 1 at the harm or jeopardy level and 2 tied to abuse, with the most recent inspection in May 2025.

A

88.5/100

Medilodge Of Green View

Alpena, MI · Alpena County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
45%
Serious cites
0

Medilodge of Green View runs 39 beds in Alpena under corporate for-profit ownership, and its nurse staffing sits at 4.43 hours per resident day, roughly 15% above the national average. That helps explain the top staffing rating, though weekend coverage drops about 23% below the home's own weekday levels, so care may feel thinner on Saturdays and Sundays. Staff turnover is 45%, essentially matching the national rate. The current record shows 10 deficiencies, including one at the harm or jeopardy level and one abuse-related citation; the most recent inspection was July 31, 2025.

A

88.5/100

Medilodge Of Okemos

Okemos, MI · Ingham County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
41%
Serious cites
0

Medilodge of Okemos runs on 4.24 nurse hours per resident day, roughly 10% above the national average, and that staffing holds up across all three CMS ratings at 4 out of 5. The caveat is the weekend: coverage drops about 17% below what the building runs Monday through Friday, so a Saturday fall gets a thinner response than a Tuesday one. Turnover sits at 41.1%, better than the 45.8% national figure but still meaning two in five caregivers were new within the year. The 22 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy. The last inspection was September 2025.

A

88.5/100

Mary Free Bed Sub-Acute Rehabilitation

Grand Rapids, MI · Kent County

CMS 4/5 48 beds Non-profit
Nurse hours
5.35 /day
Staff turnover
44%
Serious cites
0

Mary Free Bed Sub-Acute Rehabilitation runs 48 certified beds in Grand Rapids under for-profit partnership ownership, and its staffing is the clearest strength: 5.35 nurse hours per resident day, roughly 39% above the national average of 3.86. That margin matters less on weekends, when coverage drops about 18% below the home's own weekday level. Staff turnover sits at 43.5%, slightly better than the 45.8% national figure. Inspections in April 2025 turned up 13 deficiencies, one serious enough to reach harm or jeopardy level, though none involved abuse. Quality and staffing each earned 4 out of 5 stars from CMS, while health inspections came in at 3.

A

88.5/100

Milaca Elim Meadows Health Care Center

Milaca, MN · Mille Lacs County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
4.50 /day
Staff turnover
—
Serious cites
0

Milaca Elim Meadows runs on a nonprofit model with 70 certified beds, and its staffing sits at 4.50 nurse hours per resident day, roughly 17 percent above the national average of 3.86. That margin matters most on weekends, where hours dip about 11 percent below the home's own weekday pace, so ask how weekend coverage actually looks on the days your family visits. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none tied to abuse, with the most recent survey completed in December 2025. Quality measures score at the top of CMS's scale, while inspections and staffing each land one notch below.

A

88.5/100

Good Samaritan Society - Jackson

Jackson, MN · Jackson County

CMS 4/5 46 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
31%
Serious cites
0

Good Samaritan Society - Jackson runs on 4.07 nurse hours per resident per day, roughly 5% above the national average, and that staffing shows up in a 30.8% turnover rate, well under the 45.8% national figure, which matters because stable caregivers know the residents. Weekends are the soft spot: staffing drops about 17% below its own weekday level, so coverage isn't evenly spread across the week. The current record carries 15 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Inspections are recent, from September 2024, so the picture reflects how the home operates now.

A

88.5/100

Essentia Health Virginia Care Cent

Virginia, MN · St. Louis County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
41%
Serious cites
0

Essentia Health Virginia Care Cent runs 40 certified beds as a nonprofit, and its nurse staffing sits at 5.08 hours per resident day, roughly 32% above the national average of 3.86. That's the number driving its staffing star rating of 5/5, though weekend coverage drops about 18% below its own weekday level, so the daily experience can vary. Staff turnover is 40.7%, a bit better than the 45.8% national figure. The home carries 9 deficiencies on its current record with none at the harm or jeopardy level and none abuse-related, and it was last inspected March 26, 2026. Inspection rating is 4/5, quality measures 3/5.

A

88.5/100

Essentia Health Grace Home

Graceville, MN · Big Stone County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
36%
Serious cites
0

Essentia Health Grace Home runs a tight 30-bed operation in Graceville, and the staffing numbers are the story here: 4.42 nurse hours per resident day, well above the national average, with turnover at 36% compared to roughly 46% nationally. That combination matters, enough hands on deck, and staff who tend to stay. The catch is weekends, when coverage drops about a fifth below the home's own weekday level, so a Saturday shift may look thinner than a Tuesday. Eleven deficiencies on record, one serious enough to involve harm or jeopardy, none abuse-related, and the most recent inspection was in March 2026. Quality measures land mid-range, inspections stronger. Worth asking how the weekend gap actually plays out on the floor.

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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