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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 6041–6060 of 10,187, best-graded first.

B

70/100

Oak Hills Nursing Center

Lorain, OH · Lorain County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
50%
Serious cites
0

Oak Hills runs lean on nursing staff, 3.18 hours per resident day against a national average of 3.86, and weekends dip another 8% below its own weekday coverage. That's a real gap when a resident needs help on a Saturday. The clinical quality scores look strong, and the 22 deficiencies on record carry no harm or jeopardy findings and no abuse citations, so nothing here suggests danger. But the one-star staffing rating and 50% turnover, higher than the 45.8% national figure, mean the people providing care are stretched and often new. With 80 beds and a for-profit corporate owner, the pattern is worth asking about directly.

B

70/100

Westerville Post Acute

Westerville, OH · Franklin County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
28%
Serious cites
0

Westerville Post Acute runs on leaner nurse staffing than most homes, about 3.27 hours per resident day against a national average near 3.86, and weekends get thinner still, dropping roughly 12% below its own weekday coverage. What stands out on paper, though, is the inspection record: 64 deficiencies, three serious enough to put residents in harm's way, six tied to abuse, and two fines totaling more than $315,000 as recently as mid-2025. Staff turnover sits at 28.4%, actually well under the national 45.8%, so the same caregivers tend to stay, but stable staff haven't translated into a clean survey history at this for-profit, limited-liability operation.

B

70/100

Autumn Hills Care Center

Niles, OH · Trumbull County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
53%
Serious cites
0

Autumn Hills runs a 120-bed for-profit partnership in Niles, and the numbers split sharply depending on where you look. The clinical quality scores come back strong, but staffing sits at 3.00 nurse hours per resident day against a national average of 3.86, weekends run about 9% thinner than weekdays, and turnover hits 52.8%, well above the 45.8% national figure. Inspections paint a similar mixed picture: 41 deficiencies on record, one serious enough to reach harm or jeopardy level, with the most recent visit in May 2025. Nothing here is abuse-related, and quality measures hold up, but thin and churning staffing is the pattern worth weighing if you're comparing options.

B

70/100

Columbus Healthcare Center

Columbus, OH · Franklin County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
44%
Serious cites
0

Columbus Healthcare Center runs 100 certified beds under corporate ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86, with weekend coverage dipping another 6% below its own weekday levels. The inspection record is where the real trouble shows: 68 deficiencies on file, six of them serious enough to involve harm or jeopardy, plus three fines totaling $121,205. Staff turnover at 44.1% actually lands slightly below the national figure, so retention isn't the outlier here; the survey history is. A recent inspection date of March 2026 means the record is current, not stale, and the quality measure score of 5/5 sits oddly beside a 1/5 inspection rating.

B

70/100

Aventura At Walton Hills

Walton Hills, OH · Cuyahoga County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
49%
Serious cites
0

Aventura At Walton Hills runs on thinner nurse coverage than most homes, 3.17 hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That staffing shortfall shows up in the federal star rating, which sits at 1 out of 5. The inspection record is where the real weight is. Forty-five deficiencies are on file, including two at the level where residents were actually harmed or put in immediate jeopardy, plus four tied to abuse. Ownership is a for-profit limited liability company, and annual turnover runs 48.5%, above the 45.8% national figure, meaning the people providing care keep changing. The quality measure score is strong at 5 out of 5, but that reflects clinical data, not the hands available on a given shift.

B

70/100

Arbors At Streetsboro

Streetsboro, OH · Portage County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
66%
Serious cites
0

Arbors At Streetsboro runs 88 certified beds under for-profit LLC ownership, and its staffing sits slightly above the national average at 4.00 nurse hours per resident day. That edge shrinks on weekends, when coverage drops about 15% below the home's own weekday level, and turnover is the bigger concern: 65.8% of staff leaving annually against a national 45.8%. The inspection record is where things get serious, 55 deficiencies, four at harm or jeopardy level, eight abuse-related, and a one-star health inspection rating, though quality measures score 4/5 and the most recent inspection was March 2026. One fine totaling $10,842 is on record.

B

70/100

Wood Glen Alzheimer's Community

Dayton, OH · Montgomery County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
52%
Serious cites
0

Wood Glen runs on thin staffing. At 3.16 nurse hours per resident day, it sits roughly 18 percent below the national average, weekends dip about 8 percent below its own weekday levels, and more than half the nursing staff turns over each year, 52.1 percent against a national 45.8 percent. That combination matters more than usual here, because this is a dementia unit, where consistent caregivers and steady attention are the whole job. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse. A recent April 2026 inspection is a point in its favor, and the quality measure score is strong, but those measures lean on self-reported data that a 1-out-of-5 staffing rating doesn't support.

B

70/100

Swanton Valley Rehabilitation And Healthcare Cente

Swanton, OH · Fulton County

CMS 3/5 92 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
42%
Serious cites
0

Swanton Valley runs lean on direct care: 3.02 nurse hours per resident day, roughly 22% under the national average, with weekends about 7% thinner than weekdays. Turnover sits at 41.8%, a bit better than the national 45.8%, so the problem isn't retention so much as how few hands are scheduled on any given shift. The inspection record is the heavier concern: 39 deficiencies, including one at the harm level and three abuse-related, and a $18,880 fine. State surveyors last walked through in December 2024. For-profit ownership through an LLC. If you're touring, ask how many nurses are actually on the floor on a Saturday evening.

B

70/100

Willowood Care Center Of Brunswick

Brunswick, OH · Medina County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
56%
Serious cites
0

Willowood Care Center runs 100 certified beds in Brunswick under corporate for-profit ownership. Nurse staffing sits at 3.84 hours per resident day, essentially level with the national average of 3.86, though weekends drop about 12% below weekday coverage. Annual turnover is 55.9%, well above the 45.8% national figure. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was January 12, 2023. Quality measures score well while health inspection results land in the middle. The staffing number is the thing to weigh against that turnover rate, adequate on paper, but a workforce cycling through at that pace is worth asking about directly.

B

70/100

Oasis Center For Rehabilitation And Healing

Youngstown, OH · Mahoning County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
45%
Serious cites
0

Oasis Center For Rehabilitation And Healing runs 99 certified beds in Youngstown under for-profit limited liability ownership. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekend coverage drops about 13% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover at 44.9% is essentially the national rate, meaning roughly half the nursing staff leaves within a year. Inspections tell the harder story: 50 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, with a two-star health inspection rating. The last inspection was January 15, 2026, so the record is recent, not stale.

B

70/100

Samaritan Care Center And Villa

Medina, OH · Medina County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
69%
Serious cites
0

Samaritan Care Center and Villa sits in Medina, and the numbers tell a mixed story. The clinical quality measures look strong, but the staffing side is where the concern lives: 3.18 nurse hours per resident day runs about 18% under the national average, weekends dip further below weekdays, and 69% of staff turned over in a year against a national 45.8%. Twenty-one deficiencies sit on the current record, though none rose to the level of harm or jeopardy, and the last inspection came in June 2025. As a nonprofit, there's no owner extracting profit, but that doesn't erase a thin staffing picture. Ask how they cover weekends and what's driving people out the door.

B

70/100

Columbus Alzheimer's Care Ctr

Columbus, OH · Franklin County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
35%
Serious cites
0

Columbus Alzheimer's Care Ctr runs on a for-profit LLC model with 99 certified beds, and its last inspection in August 2024 left a record of 35 deficiencies, two at the harm or jeopardy level and three tied to abuse. That inspection history is the main reason the health inspection side lands at the bottom of CMS's scale, even though the quality measure score sits at the top. Staffing tells a more mixed story: 3.10 nurse hours per resident day, roughly 20 percent under the national average, and weekends run about 7 percent thinner than weekdays. Turnover, at 35.2 percent, is actually better than the 45.8 percent national figure. One fine on record, $26,685. Families weighing this placement should ask directly about the abuse-related findings and how weekend coverage is handled.

B

70/100

Riverside Nursing And Rehabilitation Center

Dayton, OH · Montgomery County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
32%
Serious cites
0

Riverside Nursing and Rehabilitation Center is a 180-bed for-profit home in Dayton, and the numbers split in two directions. The care side looks good on paper: a 5/5 quality measure rating and staff turnover at 32%, well below the 45.8% national average, suggest people tend to stay. But staffing sits at 3.18 nurse hours per resident day, about 18% under the national average of 3.86, and weekends run roughly 6% thinner than weekdays. The inspection record is where it gets harder to explain: 47 deficiencies, three at harm or jeopardy level, four tied to abuse, and $125,180 in fines, with a 1/5 inspection rating from a September 2025 visit.

B

70/100

Oak Creek Terrace Inc

Kettering, OH · Montgomery County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
57%
Serious cites
0

Oak Creek Terrace runs 69 certified beds in Kettering under corporate for-profit ownership, and the numbers pull in different directions. The quality measures look strong at 5 out of 5, and the health inspection record holds a middle 3, 21 deficiencies on file, but none rose to actual harm or jeopardy, and nothing abuse-related. Staffing is the weak spot: 1 out of 5 stars, and annual turnover of 57.1% against a national average of 45.8%, meaning more than half the staff left within the year. A recent inspection in May 2025 means the record is current. Strong clinical scores with thin, churning staffing is the tension worth asking about directly.

B

70/100

Altercare Of Louisville Ctr For Rehab & Nsg Care

Louisville, OH · Stark County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
54%
Serious cites
0

Altercare of Louisville runs 90 certified beds in Stark County under corporate for-profit ownership. The staffing numbers are the real story here: 2.96 total nurse hours per resident day sits roughly 23% below the national average of 3.86, weekends drop about another 10% below its own weekday levels, and annual turnover hits 53.9% against a national 45.8%. That combination, thin hours, thinner weekends, and more than half the staff leaving each year, shows up in the one-star staffing rating, even though resident quality measures score a perfect 5/5. Its inspection record carries 36 deficiencies, including one at harm or jeopardy level and two tied to abuse, with the most recent survey completed July 24, 2025. --- **Word count:** 123 words.

B

70/100

Vista Center, The

Lisbon, OH · Columbiana County

CMS 2/5 54 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
61%
Serious cites
0

The Vista Center in Lisbon runs on thinner nursing coverage than most homes, about 3.57 nurse hours per resident each day, a bit under the national figure, and weekends dip further below its own weekday pace. That strain shows in the numbers: 61% of staff left over the past year, well above the 45.8% national average, and its staffing rating sits at the bottom of CMS's scale. Inspections tell a similar story. The current record carries 62 deficiencies, including three tied to abuse, though none reached the level of actual harm or jeopardy. The last survey was January 2025. Quality measures score well, but that's where the good news mostly stops.

B

70/100

Vancrest Of New Carlisle

New Carlisle, OH · Clark County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
47%
Serious cites
0

Vancrest Of New Carlisle runs 86 certified beds under for-profit limited liability ownership, and its staffing numbers are the place to start. At 3.43 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekend coverage drops roughly 5% below its own weekday levels, meaning the thinnest shifts land when families tend to visit. Turnover is 46.7%, slightly above the national 45.8%. The current record carries 19 deficiencies, one serious enough to involve harm or jeopardy, though none are abuse-related. Inspectors were last on site in December 2025, so the findings are recent. Strong quality measure scores don't cancel out a staffing rating of 1 out of 5; ask how many aides are actually on the floor on a Saturday.

B

70/100

Riverside Landing Nursing And Rehabilitation

Mcconnelsville, OH · Morgan County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
68%
Serious cites
0

Riverside Landing runs 50 certified beds in Morgan County under corporate ownership, and the staffing numbers are where you should start. At 3.38 nurse hours per resident day, it sits roughly 12 percent under the national average, and weekends dip about 8 percent below its own weekday level, so coverage thins exactly when families tend to visit. The CMS staffing rating reflects that at 1 out of 5. Turnover is 67.9 percent a year, well above the 45.8 percent national figure, meaning caregivers cycle through quickly. The inspection record carries 71 deficiencies, including one at the harm level and eight tied to abuse, with a 2-out-of-5 health inspection rating. The 5-out-of-5 quality measure score stands in contrast to all of it.

B

70/100

Wadsworth Pointe

Wadsworth, OH · Medina County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
64%
Serious cites
0

Wadsworth Pointe runs a tight ship on inspections, a five-star health inspection rating, five deficiencies total, none of them causing harm or involving abuse, and a survey done as recently as January 2025. The trouble is the people doing the work. At 3.35 nurse hours per resident day, staffing lands about 13% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and turnover sits at 63.6% against a national 45.8%, meaning most of the aides and nurses you'd meet this year won't be there next year. A corporation owns the 64-bed building. Clean record, thin coverage, constant churn.

B

70/100

Highbanks Care Center

Columbus, OH · Franklin County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
61%
Serious cites
0

Highbanks runs a 56-bed for-profit home in Columbus where the clinical quality numbers look strong on paper, five stars on CMS quality measures and four on health inspections, with a clean record on harm-level and abuse deficiencies. The catch is staffing: 3.39 nurse hours per resident day, roughly 12% under the national average, and weekends drop another 9% below the home's own weekday coverage. Annual turnover sits at 60.7% against a national 45.8%, meaning most of the aides and nurses at the bedside are relatively new. Sixteen deficiencies on the current record is a lot of paperwork for a small building, even if none rose to actual harm.

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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