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 6161–6180 of 10,187, best-graded first.

C

69.5/100

Kindred Hospital - Louisville

Louisville, KY · Jefferson County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
6.62 /day
Staff turnover
39%
Serious cites
0

Kindred Hospital - Louisville runs 47 beds as a for-profit partnership, and its nurse staffing comes in at 6.62 hours per resident day, roughly 71% above the national average of 3.86. That sounds impressive until you look at how it's spread: weekends run about 15% thinner than weekdays, so the coverage families actually visit isn't the coverage on paper. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and the home avoids the worst marks on quality measures, though its inspection record shows 10 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $64,799 fine. The most recent inspection was December 31, 2025.

C

69.5/100

Medilodge Of East Lansing

East Lansing, MI · Ingham County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.94 /day
Staff turnover
46%
Serious cites
0

Medilodge of East Lansing runs 99 certified beds as a for-profit corporation, and its strongest suit is raw nurse staffing: 4.94 hours per resident day, roughly 28% above the national average. But weekends drop about 18% below its own weekday level, so the coverage your relative gets depends heavily on the calendar. Staff turnover sits at 46.2%, essentially the national average of 45.8%, not a crisis, not stability either. The inspection record is where things get concerning: 38 deficiencies, three at harm or jeopardy level, one abuse-related, with the most recent inspection on January 9, 2026. Quality measures score well, but the recent inspection and deficiency count carry more weight.

C

69.5/100

Belle Fountain Nursing & Rehabilitation Center

Riverview, MI · Wayne County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
61%
Serious cites
0

Belle Fountain runs 91 beds in Riverview under corporate for-profit ownership, and its staffing numbers are the first thing to look at. Total nurse hours sit just above the national average, 3.91 versus 3.86, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 60.7% against a national 45.8%. That churn matters more than the headline staffing figure. The inspection record shows 24 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $4,194. Quality measures score well, but the staffing and health inspection ratings sit at 2 out of 5, and the most recent inspection was March 2025. Ask about weekend coverage and how they keep consistent aides on the floor.

C

69.5/100

Ms Care Center Of Alcorn County, Inc-Snf

Corinth, MS · Alcorn County

CMS 1/5 119 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at this 119-bed for-profit home in Corinth runs 4.51 hours per resident day, roughly 17 percent above the national average, and its 42.3 percent turnover is a touch better than the 45.8 percent norm. That’s the good news, and it’s real. The rest is harder: 28 deficiencies on the current record, six of them at harm or jeopardy level and two tied to abuse, with three fines totaling $25,376. Weekend staffing drops about 22 percent below weekdays, so the hours that look strong on paper thin out when families visit. The last inspection was April 2026.

C

69.5/100

Gideon Care Center

Gideon, MO · New Madrid County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
—
Serious cites
0

Gideon Care Center runs lean on nurse staffing, 3.33 hours per resident day against a national average of 3.86, roughly 14% below, and weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is genuinely strong: a perfect health inspection rating, last survey in March 2026, zero deficiencies at the harm or jeopardy level, and no abuse citations among the 19 on file. Quality measures land mid-range. The tension is straightforward: good survey results and thin daily staffing can both be true, and staffing is what residents live with every shift, not once a year. Corporate-owned, 72 beds.

C

69.5/100

Aspire Senior Living Roaring River

Cassville, MO · Barry County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
—
Serious cites
0

Aspire Senior Living Roaring River runs 90 certified beds in Cassville under for-profit LLC ownership, and its record shows why the federal inspection score sits at the bottom. Inspectors have cited 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Two fines totaling $46,303 are on file. Nurse staffing runs 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday coverage. Quality measures score better than the inspection or staffing ratings. Ownership is for-profit through a limited liability company, and the last inspection was March 1, 2024.

C

69.5/100

The Valley Health And Rehab

Hamilton, MT · Ravalli County

CMS 2/5 58 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
—
Serious cites
0

Valley Health and Rehab is a for-profit, LLC-owned home with 58 certified beds in Hamilton. Its 29 deficiencies include four tied to abuse and three serious enough to put residents in harm's way, and two fines totaling $28,644 sit on the record. That inspection history is the real story here, the 2-star health inspection rating reflects it. Nurse staffing averages 3.70 hours per resident day, about 4% under the national figure, and weekends run roughly 8% thinner than weekdays, so coverage dips when it's already below average. The 3-star quality measure score offers some balance, but this record deserves close questions before you decide.

C

69.5/100

Alaris Health At Belgrove

Kearny, NJ · Hudson County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
—
Serious cites
0

Alaris Health At Belgrove runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The inspection record shows 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $25,635 fine. CMS gave 2 of 5 stars for both health inspections and staffing, with quality measures at 3. The most recent inspection was May 7, 2026. If you're weighing this one, ask directly how the abuse deficiency was resolved and what weekend coverage actually looks like.

C

69.5/100

Complete Care At Prospect Heights Llc

Hackensack, NJ · Bergen County

CMS 2/5 196 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
46%
Serious cites
0

At 196 beds in Hackensack, Complete Care At Prospect Heights runs on 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 15% below its own weekday staffing. Turnover sits at 45.9%, essentially tracking the national rate, so the issue isn't retention so much as how many hands are scheduled per shift. The inspection record is the harder part: 33 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus six fines totaling $59,312, with the most recent inspection dated January 29, 2026. The 5/5 quality measure score comes largely from resident assessments, which can look strong even when the staffing and inspection stars don't.

C

69.5/100

Northrise Wellness & Rehabilitation

Las Cruces, NM · Dona Ana County

CMS 2/5 31 beds For-profit
Nurse hours
4.88 /day
Staff turnover
77%
Serious cites
0

Northrise Wellness & Rehabilitation runs 31 certified beds in Las Cruces under corporate for-profit ownership, and the staffing picture is genuinely mixed. Total nurse coverage sits at 4.88 hours per resident day, roughly 26% above the national average, but weekends drop about 19% below the home's own weekday level, and turnover is 76.7% against a national 45.8%, meaning most of the people providing that care are new to the building. The current inspection record shows 58 deficiencies, none at harm or jeopardy level, two tied to abuse. State surveyors last visited in January 2025, and all three CMS star categories land at three out of five.

C

69.5/100

Beechtree Center For Rehabilitation And Nursing

Ithaca, NY · Tompkins County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
49%
Serious cites
0

Beechtree runs about 15% leaner on nursing hours than the typical American nursing home, and the gap widens on weekends, when staffing drops roughly 19% below its own weekday levels. That thin weekend coverage matters more than the raw daily average suggests, because care needs don't take Saturdays off. Roughly half the nursing staff turned over in the past year, 49.1%, a bit worse than the national 45.8%, which makes it harder to hold onto experienced aides who know the residents. Inspectors were last in on August 29, 2025, and the home carries 20 deficiencies, though none rose to harm or jeopardy and none involved abuse. A for-profit corporation owns the 120 beds.

C

69.5/100

Evergreen Commons Rehabilitation And Nursing Ctr

East Greenbush, NY · Rensselaer County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
46%
Serious cites
0

Evergreen Commons runs about 2.90 nurse staffing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 17 percent under its own weekday levels, so coverage is thinnest exactly when families tend to visit. The 240-bed for-profit home carries 19 deficiencies on its current record, two of them abuse-related, though none rose to the harm or jeopardy level, and it has paid one fine of $13,065. Staff turnover of 45.5 percent sits right at the national figure, meaning roughly half the workforce turns over each year. Its last inspection was January 11, 2024.

C

69.5/100

Newark Manor Nursing Home Inc

Newark, NY · Wayne County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
54%
Serious cites
0

Newark Manor runs 60 beds under corporate for-profit ownership, and its staffing numbers are the main thing to know. At 3.60 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 16% below what the home itself staffs on weekdays. Annual turnover hits 54.3%, well above the 45.8% national figure, which means familiar faces are hard to count on. The tradeoff is that state inspectors gave it 4 of 5 stars, with eight deficiencies on record and none involving harm, jeopardy, or abuse. So the care environment looks orderly on paper, but the people delivering it change often and thin out on weekends.

C

69.5/100

Glens Falls Center For Rehabilitation And Nursing

Glens Falls, NY · Warren County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
46%
Serious cites
0

Glens Falls Center runs 120 beds under corporate ownership, and its staffing sits slightly under the national average, 3.76 nurse hours per resident day against 3.86. That gap looks small until you see weekends drop roughly 23% below the home's own weekday levels, meaning coverage thins out exactly when families tend to visit. Turnover is 46.4%, a touch above the national 45.8%, so the faces around your relative may change fairly often. Inspectors logged 15 deficiencies, none rising to harm or jeopardy, though two involve abuse. The last full inspection was December 2023, so the record is reasonably current. Nothing here is alarming on its own; together, they describe a home that meets the basics without much cushion.

C

69.5/100

Orchard Rehabilitation & Nursing Center

Medina, NY · Orleans County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
54%
Serious cites
0

Orchard Rehabilitation & Nursing Center runs 160 certified beds in Medina under for-profit limited liability ownership. Its 3.15 nursing hours per resident day sit about 18% below the national average of 3.86, and weekends drop roughly 21% below the home's own weekday staffing, so coverage thins out right when families tend to visit. Annual turnover of 53.8% tops the national 45.8% figure, meaning more than half the nursing staff leaves within a year. Inspectors last visited in April 2024 and logged 18 deficiencies, none at harm or jeopardy level but one tied to abuse.

C

69.5/100

Seneca Nursing & Rehabilitation Center, Llc

Waterloo, NY · Seneca County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
48%
Serious cites
0

Seneca Nursing & Rehabilitation Center runs 120 beds in Waterloo under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 22% below the home's own weekday levels, so coverage thins out right when families tend to visit. Staff turnover is 47.7%, slightly above the national 45.8%. The inspection record is the stronger side: 15 deficiencies with none at harm or jeopardy level, though two are abuse-related, and the most recent inspection came in June 2025. Quality measures rate mid-range. If you're weighing this one, ask specifically how weekend coverage is handled.

C

69.5/100

Capstone Center For Rehabilitation And Nursing

Amsterdam, NY · Montgomery County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
53%
Serious cites
0

Capstone Center for Rehabilitation and Nursing runs 120 beds in Amsterdam under for-profit LLC ownership, and its nursing hours come in at 3.17 per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 22% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Annual turnover sits at 52.5%, well above the 45.8% national figure, and the current record carries 30 deficiencies, including one at the harm level and one tied to abuse, plus a $47,879 fine. The last inspection was December 10, 2024. That combination, low hours, weekend dips, high turnover, and a serious deficiency history, is what drives the middling grade.

C

69.5/100

The Greens At Lincolnton

Lincolnton, NC · Lincoln County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
52%
Serious cites
0

The Greens at Lincolnton runs 3.70 nurse hours per resident per day, about 4% under the national average, and weekend coverage drops roughly 17% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52% against a national 45.8%, meaning more than half the nursing staff turns over in a year. On its current record: 18 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and four fines totaling $32,387. That combination, below-average staffing, high turnover, and a recent inspection in February 2026, is what pulls the inspection and staffing ratings down to 2 out of 5.

C

69.5/100

Pruitthealth-Trent

New Bern, NC · Craven County

CMS 1/5 116 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
18%
Serious cites
0

Pruitthealth-Trent runs 116 certified beds in New Bern under for-profit LLC ownership, and its inspection record is the part that stands out: 16 deficiencies on file, two of them serious enough to involve actual harm or jeopardy, with two fines totaling $16,152. The most recent inspection was May 2026, so that history is current. Nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average, and weekends drop about 17% below the home's own weekday levels, that gap matters most when families visit. One genuine bright spot: turnover is 17.6%, well under the 45.8% national figure, so the people caring for residents tend to stay.

C

69.5/100

Pruitthealth-Union Pointe

Monroe, NC · Union County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
47%
Serious cites
0

Pruitthealth-Union Pointe runs 90 certified beds in Monroe under for-profit limited liability ownership, and its numbers pull in two directions. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, though weekends run about 15% thinner than weekdays and annual turnover of 47.2% means the faces change often. The trouble shows up on the inspection side: 31 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, with two fines totaling $197,532. The most recent inspection was in May 2025. Quality and staffing measures score reasonably; the health inspection record is where a family's questions should focus.

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