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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 6281–6300 of 10,187, best-graded first.

C

69/100

Morganfield Nursing And Rehabilitation Center

Morganfield, KY · Union County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
40%
Serious cites
0

Morganfield Nursing and Rehabilitation Center runs 60 certified beds under for-profit LLC ownership, and its inspection record is genuinely clean, a 5/5 health inspection rating, just 7 deficiencies on file, none of them involving harm or abuse, and a survey as recent as January 2026. The softer spots are staffing and quality measures: 3.47 nurse hours per resident day sits about 10% under the national average, weekend coverage dips roughly 13% below weekday levels, and the 2/5 quality measure rating suggests the clinical numbers families tend to ask about aren't where they should be. Turnover at 40.4% is better than the 45.8% national figure, which helps continuity. The inspection side looks strong; the day-to-day care metrics are what pull it down.

C

69/100

Bedford Springs Health And Rehabilitation

Bedford, KY · Trimble County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
39%
Serious cites
0

Bedford Springs runs lean on nursing hours, 3.41 per resident per day against a national average of 3.86, and weekends drop about 15% below its own weekday staffing. That's the number behind its two-star staffing rating. Turnover, though, is better than most: 38.8% against a national 45.8%, which suggests the aides and nurses who are there tend to stay. The inspection record is decent, four stars, and the last visit was in April 2025, with eight deficiencies on file and none involving harm or abuse. It's a for-profit LLC with 60 beds. The tradeoff here is thinner daily coverage set against a stable workforce and a clean harm record; if your family member needs frequent hands-on help, ask how weekends are actually covered.

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69/100

Corbin Health And Rehabilitation Center

Corbin, KY · Whitley County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
49%
Serious cites
0

Corbin Health And Rehabilitation Center runs 100 certified beds under corporate for-profit ownership, and its staffing is genuinely its strong suit, 4.19 nurse hours per resident day, roughly 8% above the national average, which earned a 4 out of 5 on CMS's staffing measure. Inspections tell a different story. The health inspection rating sits at 2 out of 5, with six deficiencies on the current record, three serious enough to reach harm or jeopardy level and two tied to abuse. Quality measures come in at 1 out of 5. Staff turnover runs 48.7%, a few points above the national rate, and weekend coverage drops about 10% below weekday levels. Fines total $15,593.

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69/100

Richwood Nursing & Rehab

La Grange, KY · Oldham County

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

Richwood Nursing & Rehab runs 4.40 nurse hours per resident day, roughly 14% above the national average of 3.86, and weekends dip only about 7% below its own weekday staffing. The clinical numbers look decent on paper, with 13 deficiencies on the current record, one at the harm or jeopardy level and none tied to abuse, plus a single fine of $8,788. Turnover tells a different story: 48.6% of staff leave each year, worse than the 45.8% national figure, and a 2/5 inspection rating from a March 2025 visit points to real gaps. For-profit limited liability ownership rounds out the picture.

C

69/100

Lexington House

Alexandria, LA · Rapides County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
48%
Serious cites
0

Lexington House runs 130 beds in Alexandria under corporate ownership, and its staffing sits slightly above the national average at 3.99 nurse hours per resident day. That margin shrinks on weekends, which run about 11% leaner than weekdays, and turnover is 47.9%, a bit worse than the 45.8% national figure. The bigger issue is the inspection record: 24 deficiencies, including one at the harm level and one tied to abuse, plus a $9,945 fine. CMS rates its health inspections 2 out of 5 and its quality measures just 1 out of 5, even though staffing earns a 3. The most recent inspection was May 2025, so the record is current.

C

69/100

Avalon Place

Monroe, LA · Ouachita County

CMS 2/5 113 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
50%
Serious cites
0

Avalon Place runs 113 certified beds in Monroe under for-profit partnership ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends dipping about 10% below its own weekday levels. Annual turnover hits 50%, higher than the 45.8% national figure, so consistent caregivers are harder to keep. The current inspection record shows 31 deficiencies, none at harm or jeopardy level but one abuse-related, and the most recent survey was December 3, 2025. CMS rates quality measures 1 out of 5 stars and staffing 2 out of 5, against a middle 3 for health inspections.

C

69/100

Woodlawn Rehabilitation & Nursing Center

Skowhegan, ME · Somerset County

CMS 1/5 46 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
54%
Serious cites
0

Woodlawn Rehabilitation & Nursing Center runs 46 certified beds in Skowhegan under corporate for-profit ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 13% under the national average, with weekends running about 6% thinner than its own weekdays. That gap shows up in the numbers: 54% annual turnover, well above the 45.8% national figure, and CMS scoring it 2 out of 5 on both staffing and health inspections. The inspection record carries 53 deficiencies, including one at the harm level and two tied to abuse, plus an $8,018 fine. The most recent inspection was July 31, 2025, so the record is current rather than stale, worth asking about directly before you decide.

C

69/100

Orchard Park Rehab & Living Center

Farmington, ME · Franklin County

CMS 2/5 38 beds For-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
68%
Serious cites
0

Orchard Park runs 4.30 nurse hours per resident day, about 11% above the national average, which is why its staffing rating lands at 4 out of 5. But look at who's delivering that care: turnover sits at 68.3% against a national average of 45.8%, and weekend coverage drops roughly 12% below weekdays, so the familiar faces thin out exactly when families tend to visit. The current record carries 31 deficiencies, including two tied to abuse, though none rose to harm or jeopardy. State inspectors were last in on January 22, 2026, and the 2/5 marks on health inspections and quality measures pull down what the staffing numbers build up.

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69/100

Autumn Lake Healthcare At Parkville

Baltimore, MD · Baltimore County

CMS 4/5 135 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
52%
Serious cites
0

Autumn Lake Healthcare at Parkville runs 135 beds under corporate ownership, and its inspection record is the strongest part of the story: a recent July 2025 survey and solid ratings on health inspections and quality measures. The trouble sits in staffing. At 3.25 nurse hours per resident day, it comes in about 16% under the national average, and weekend coverage drops roughly 9% below its own weekday level, so the thinnest shifts are when families tend to visit. Annual turnover of 51.5% runs above the national 45.8%, which matters because familiar caregivers notice changes. Thirty-seven deficiencies, including one at harm level and two abuse-related, round out a record worth asking about directly.

C

69/100

Hartley Nursing And Rehab

Pocomoke City, MD · Worcester County

CMS 3/5 73 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
41%
Serious cites
0

Hartley Nursing and Rehab is a 73-bed for-profit in Pocomoke City, and its staffing is the number that matters most: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends running about 13% below its own weekday level. That thin weekend coverage is worth asking about directly, since care needs don't take Saturdays off. The inspection record shows 37 deficiencies, including one at the harm level and two tied to abuse. Turnover at 41.3% is slightly better than the national 45.8%, which helps, but a recent January 2026 inspection means the record is current. Ask how the abuse deficiencies were resolved and who covers weekends.

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69/100

Complete Care At Laplata Llc

Laplata, MD · Charles County

CMS 1/5 142 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
47%
Serious cites
0

Complete Care at Laplata runs 142 certified beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 11 percent below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record carries 58 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with $21,548 in fines across two penalties. Staff turnover of 46.5 percent tracks just above the national figure. The most recent inspection was March 24, 2025, so the picture is current rather than stale.

C

69/100

Sterling Care Bethesda

Bethesda, MD · Montgomery County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
48%
Serious cites
0

Sterling Care Bethesda runs 200 certified beds under for-profit LLC ownership, and its staffing numbers are the main thing to know. At 3.08 nurse hours per resident day, it sits about 20% under the national average of 3.86, and weekends dip roughly 12% below its own weekday levels, gaps families often notice on Saturdays and Sundays. Turnover is 47.9%, slightly above the 45.8% national figure. Its record shows 38 deficiencies, none at harm or jeopardy level, but three tied to abuse. Inspections are current as of April 2026, and quality measures score well even as staffing lags. Worth asking about weekend coverage directly.

C

69/100

Care One At Redstone

East Longmeadow, MA · Hampden County

CMS 2/5 254 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
47%
Serious cites
0

Care One At Redstone runs 254 beds in East Longmeadow under for-profit LLC ownership, and the numbers suggest a building that struggles with the basics. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends dip roughly 9% below what the home itself manages on weekdays, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 51 deficiencies, four of them serious enough to involve harm or jeopardy, plus one tied to abuse. Staff turnover at 46.8% edges past the national rate, meaning aides and nurses cycle through steadily. A recent August 2025 inspection is a plus, but the pattern across staffing and survey history is worth weighing carefully.

C

69/100

Cape Heritage Rehabilitation & Health Care Center

Sandwich, MA · Barnstable County

CMS 2/5 123 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
40%
Serious cites
0

Cape Heritage runs about 3.1 nursing hours per resident day, roughly a fifth under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thinner coverage shows up in its CMS ratings: two stars each for staffing and health inspections, with 56 deficiencies on the current record, including three at the harm or jeopardy level and four tied to abuse. Turnover sits at 40.4%, which is actually a little better than the 45.8% national figure, and the most recent inspection was in May 2025, so the picture is fairly current. This is a for-profit limited liability company operating 123 certified beds.

C

69/100

The Guardian Center

Brockton, MA · Plymouth County

CMS 1/5 123 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
41%
Serious cites
0

The Guardian Center runs 3.29 nursing hours per resident day, roughly 15 percent under the national average of 3.86, and weekends dip about 10 percent below its own weekday numbers, so the thinnest coverage lands exactly when families tend to visit. Turnover at 41.1 percent is slightly better than the 45.8 percent national figure, but a 61-deficiency record with three at harm or jeopardy level and three abuse-related citations is a lot to carry, and the 1/5 quality measure rating reflects it. The last inspection was April 30, 2025, and the 2/5 inspection rating suggests those findings weren't minor paperwork issues.

C

69/100

Regalcare At Lowell

Lowell, MA · Middlesex County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
30%
Serious cites
0

Regalcare At Lowell holds 90 certified beds and is owned by a for-profit corporation. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 10% below the home's own weekday levels. Turnover among nursing staff is 30%, which is lower than the national 45.8%. That staffing picture earns 4 out of 5 stars from CMS. The problem sits elsewhere: 29 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, plus two fines totaling $91,558. The last inspection was March 10, 2026, and the health inspection rating is 1 out of 5.

C

69/100

Riverside Healthcare Center

St. Louis, MI · Gratiot County

CMS 2/5 39 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
46%
Serious cites
0

Riverside Healthcare Center runs about 2.97 nursing hours per resident per day, which is roughly a quarter below the national average of 3.86. Weekends dip further, about 6% under the home's own weekday staffing. Turnover sits at 45.9%, essentially identical to the national rate. The inspection record shows 37 deficiencies, one of them abuse-related, though none reached the harm or jeopardy level; the last inspection was in March 2025. Quality measures score 2 out of 5, the weakest of the three CMS ratings. For-profit corporate ownership and thin staffing are the main things shaping day-to-day care here.

C

69/100

Applewood Nursing Center, Inc

Woodhaven, MI · Wayne County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
47%
Serious cites
0

Applewood runs 150 certified beds in Woodhaven, and the numbers behind its record deserve a careful look before you decide. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, with weekends running roughly 8% thinner than weekdays, so the hours when families tend to visit are also the hours with the least coverage. Its inspection history is the harder problem: 41 deficiencies on the current record, four of them at the harm or jeopardy level, and two fines totaling $63,665. Staff turnover of 46.7% is slightly above the national rate, meaning familiar faces are not something you can count on.

C

69/100

River Valley Health And Rehabilitation Center Llc

Redwood Falls, MN · Redwood County

CMS 3/5 43 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
84%
Serious cites
0

River Valley Health and Rehabilitation Center runs 43 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends get thinner still, running about 12% below the home's own weekday level, so coverage dips exactly when families tend to visit. The bigger number to sit with is turnover: 83.7% annually against a national average of 45.8%, meaning most of the people caring for your relative are new to the building. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and four tied to abuse. The last inspection was March 24, 2026, with a single fine of $14,069.

C

69/100

Glenwood Village Care Center

Glenwood, MN · Pope County

CMS 2/5 64 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
93%
Serious cites
0

Glenwood Village Care Center runs a nonprofit home with 64 certified beds, and its nurses put in 4.17 hours per resident day, about 8 percent more than the national average. That sounds reassuring until you look at the weekend, where coverage drops roughly 10 percent below the home's own weekday level, and at turnover that hits 93.1 percent against a national figure near 46 percent. Nearly every aide and nurse you'd meet is relatively new. The current inspection record carries 32 deficiencies, including three serious enough to put residents in harm's way and two tied to abuse, with a $15,592 fine attached. The last full inspection was in May 2025. Stable, experienced hands are what make daily care reliable, and that's the piece missing here.

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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