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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 6341–6360 of 10,187, best-graded first.

C

69/100

London Health & Rehab Center

London, OH · Madison County

CMS 3/5 78 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

London Health & Rehab Center runs on 3.27 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below its own weekday coverage. That thin schedule is the main reason its staffing rating sits at 2 out of 5. The record shows 20 deficiencies, none at the level of actual harm or jeopardy, though two are tied to abuse. Staff turnover is 45.7 percent, essentially the national norm. A May 2025 inspection is recent, and the quality measure score is strong at 4 out of 5. This is a for-profit limited liability company with 78 beds. Ask about weekend nurse coverage before you decide.

C

69/100

Riverview

Columbus, OH · Franklin County

CMS 3/5 145 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
42%
Serious cites
0

Riverview runs 145 certified beds in Columbus under for-profit LLC ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when oversight tends to be lightest. The inspection record is where the real weight sits: 35 deficiencies, two of them at harm or jeopardy level and two abuse-related, with a single fine totaling $168,656. Staff turnover at 41.5% is actually better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection rating. The most recent inspection was May 1, 2025. Ask about those two harm-level findings and how the home has corrected them.

C

69/100

Hanover Healthcare Center

Massillon, OH · Stark County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
51%
Serious cites
0

Hanover Healthcare Center runs 125 beds in Massillon under corporate ownership, and the numbers tell a split story. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends drop about 12 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 57 deficiencies, four serious enough to put residents in harm's way, nine tied to abuse, and $84,143 in fines, with a one-star health inspection rating to match. Staff turnover at 51 percent runs above the national 45.8 percent, which means caregivers cycle through faster than residents can get to know them.

C

69/100

Countryside Manor Nursing And Rehabilitation Llc

Fremont, OH · Sandusky County

CMS 1/5 82 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
73%
Serious cites
0

Countryside Manor runs on 4.28 nurse hours per resident day, roughly 11% above the national average, and its quality measure score is strong at 4 out of 5 stars. But those numbers sit on top of a 1-star inspection record with 46 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $32,938. Staff turnover is the real problem: 73.3% a year against a national average of 45.8%, with weekend staffing about 15% thinner than weekdays. People are leaving faster than they can be replaced, and the inspection record reflects it.

C

69/100

Embassy Of Logan

Logan, OH · Hocking County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
47%
Serious cites
0

The numbers on Embassy of Logan tell a mixed story. Nurse staffing sits at 3.08 hours per resident day, about a fifth below the national average, and weekends run roughly 9% thinner than weekdays, so coverage is tightest exactly when families often visit. Staff turnover is 47.4%, slightly above the national rate, which means caregivers cycle through fairly quickly. The inspection record carries 25 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was in March 2026, so the picture is current. Quality measures score well, but staffing is where this home lags.

C

69/100

Arlington Care Center

Newark, OH · Licking County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
43%
Serious cites
0

Arlington Care Center runs about 3.39 nurse staffing hours per resident day, roughly 12% under the national average of 3.86, and weekends dip another 10% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover sits at 43.3%, a touch better than the 45.8% national figure, which is mild reassurance given how often caregivers change. The 11 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection came in February 2026. Inspections look solid; daily staffing is where the numbers fall short.

C

69/100

Allen View Healthcare Center

Springfield, OH · Clark County

CMS 1/5 124 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
53%
Serious cites
0

Allen View Healthcare Center runs 124 certified beds in Springfield under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.25 nurse hours per resident day, it sits about 16% under the national average of 3.86, weekends drop roughly another 10% below its own weekday levels, and annual turnover of 52.5% tops the national rate of 45.8%, meaning the people showing up are often new. Its health inspection rating is 1 out of 5, with 63 deficiencies on record, none at harm level but two tied to abuse. The quality measure rating of 4 suggests some clinical metrics look fine, but a recent April 2025 inspection and thin, churning staff tell the more relevant story.

C

69/100

Pickaway Manor Care Center

Circleville, OH · Pickaway County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
42%
Serious cites
0

Pickaway Manor runs about 99 beds under limited-liability, for-profit ownership, and the staffing numbers tell a mixed story: 3.75 nurse hours per resident day sits just under the national average of 3.86, and weekends drop roughly 11% below the home's own weekday coverage. That thinner weekend schedule matters because the inspection record is the real concern here, 21 deficiencies, two of them serious enough to involve harm or jeopardy, and a single fine of $38,155. The most recent inspection was in January 2026. Staff turnover, at 42%, actually comes in slightly better than the 45.8% national figure, so retention isn't the weak point. The quality measure score looks strong on paper, but quality metrics are self-reported, and the survey history and weekend staffing are what families should weigh most.

C

69/100

Ayden Healthcare Of Rosemount Pavilion

Portsmouth, OH · Scioto County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
51%
Serious cites
0

Ayden Healthcare of Rosemount Pavilion runs 117 certified beds in Portsmouth under corporate for-profit ownership, and the staffing numbers are where the story sits. At 3.15 nurse hours per resident day, this home lands roughly 18 percent under the national average of 3.86, and weekend coverage drops another 10 percent below its own weekday pace, so the thinnest shifts come when families tend to visit. Annual turnover of 51.4 percent tops the national 45.8 percent, which means many of the aides and nurses you'd meet are still new to the building. The record shows 42 deficiencies, including one at harm or jeopardy level and three tied to abuse. Quality measures score well; staffing is the weak point.

C

69/100

Arbors At Marietta

Marietta, OH · Washington County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Arbors At Marietta runs 133 certified beds in Washington County, and the nurse staffing number is genuinely better than most: 4.42 hours per resident day against a national average of 3.86. But look at the weekends, when coverage drops about 13% from its own weekday level, so the hours aren't spread evenly across the week. The inspection record is where the trouble sits, 80 deficiencies on file, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $79,853 fine, with the most recent inspection in April 2025. Staff turnover at 47.2% edges just past the national rate of 45.8%, which matters more in a for-profit building leaning on that staffing margin.

C

69/100

Vista Center Of Boardman

Boardman, OH · Mahoning County

CMS 1/5 60 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
49%
Serious cites
0

Vista Center Of Boardman runs a 60-bed for-profit operation in Mahoning County, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 9% below its own weekday coverage, and annual turnover hits 48.9% against a national 45.8%. The inspection record is the bigger concern: 55 deficiencies on file, including one at the harm or jeopardy level and five tied to abuse, plus a $45,997 fine. The most recent inspection was February 2026, so the record is current rather than stale. Quality and staffing measures both land mid-range, but that inspection history is where the real risk sits.

C

69/100

Sanctuary At Wilmington Place

Dayton, OH · Montgomery County

CMS 2/5 63 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
68%
Serious cites
0

Sanctuary At Wilmington Place runs 63 certified beds in Dayton under nonprofit ownership, and its nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 12% below what the home staffs on weekdays, and annual turnover hits 67.5% against a national 45.8%, so the aides and nurses caring for your family member are likely newer and stretched thinner than average. The current inspection record shows 41 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse; the most recent inspection was June 2, 2025. Quality measures score well, but the staffing and inspection numbers are what carry weight here.

C

69/100

Grande Pointe Healthcare Commu

Richmond Heights, OH · Cuyahoga County

CMS 2/5 176 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
44%
Serious cites
0

Grande Pointe runs 3.27 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 33 deficiencies, three at harm or jeopardy level, five tied to abuse, and $137,255 in fines across three penalties. Staff turnover, at 44.2%, is actually a touch better than average, so the problem isn't retention so much as how few hands are on deck. Cuyahoga County families comparing homes should weigh that inspection history and weekend staffing gap carefully before deciding.

C

69/100

Sycamore Run Nursing And Rehab Ctr

Millersburg, OH · Holmes County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
44%
Serious cites
0

Sycamore Run runs 108 certified beds in Millersburg under corporate, for-profit ownership, and its staffing is the number that stands out: 3.62 nurse hours per resident day, roughly 6% under the national average, with weekends about 12% thinner than its own weekdays. Annual turnover of 44.3% is right at the national figure, so the home isn't bleeding staff faster than most. Inspections look reasonably steady, a 4-out-of-5 health inspection rating and zero deficiencies at the harm or jeopardy level on the current record, though 20 total deficiencies include five tied to abuse, which is worth asking about directly. The last inspection was January 16, 2025.

C

69/100

Continuing Healthcare Of Shadyside

Shadyside, OH · Belmont County

CMS 1/5 88 beds For-profit Medicaid
Nurse hours
2.62 /day
Staff turnover
41%
Serious cites
0

Continuing Healthcare of Shadyside runs on 2.62 nurse hours per resident day, roughly a third less than the national average, and that shortfall is baked into a one-star federal staffing rating. The current record carries 37 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with the most recent inspection in April 2025. Turnover sits at 41.2%, a bit better than the national rate, so the problem isn't churn, it's how few hands are scheduled, especially on weekends, when coverage drops about 9% below the weekday level. For 88 beds under corporate ownership, the numbers point to a home where the daily margin for error is thin.

C

69/100

Marion Valley Post Acute

Marion, OH · Marion County

CMS 1/5 135 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
38%
Serious cites
0

Marion Valley Post Acute runs lean on nursing staff, 3.15 hours per resident per day against a national average of 3.86, and weekends drop roughly 9% below its own weekday coverage. That thin schedule shows up in the federal stars: one out of five for staffing, and one for health inspections. Turnover sits at 37.8%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hands are on deck and how the state surveyors scored the place. The record carries 40 deficiencies, three tied to abuse, though none reached harm or jeopardy. A July 2025 inspection is recent, and quality measures land at three stars.

C

69/100

Oaks Of Brecksville

Brecksville, OH · Cuyahoga County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
51%
Serious cites
0

Oaks of Brecksville runs on thin staffing for an 80-bed for-profit home. At 3.76 nurse hours per resident day it sits slightly under the national average, and weekends drop about 10% below its own weekday pace, meaning the thinnest coverage lands when families visit and when backup is hardest to reach. Annual turnover of 51.2% tops the national rate, so CNAs and nurses cycle through faster than average. The inspection record shows nine deficiencies, two serious enough to put residents at risk of harm and one tied to abuse, with an $8,057 fine on file. The most recent state visit was January 2025, so the picture is current. Quality measures score well; staffing and follow-through are where the gaps show.

C

69/100

Woods On French Creek Nursing & Rehab Center The

Avon, OH · Lorain County

CMS 5/5 74 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
50%
Serious cites
0

Woods On French Creek in Avon runs a 74-bed for-profit operation, and the staffing numbers are where your attention should go first. At 3.07 nurse hours per resident day, it sits about 21% under the national average of 3.86, with weekends dipping roughly 6% below its own weekday coverage and turnover at 50%. Inspections look strong on paper, a 4/5 health inspection rating, last visit in August 2023, but the record carries 24 deficiencies, including two at the harm level and two tied to abuse. Quality measures earn 5/5, which tells you the clinical tracking is solid even as daily coverage lags. Ask about weekend and evening staffing specifically before you decide.

C

69/100

Hudson Springs Nursing And Rehab

Stow, OH · Summit County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
69%
Serious cites
0

Hudson Springs runs 4.13 nurse hours per resident day, which is above the national average of 3.86, but that headline number hides a staffing pattern worth asking about: weekends run about 10% thinner than weekdays, and annual turnover sits at 68.7% against a national 45.8%. That churn matters more than the raw hours, because it means the people providing care keep changing. The home’s record shows 37 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with its last inspection in April 2026. A 4-out-of-5 quality measure score doesn’t cancel out a 2-out-of-5 staffing rating or that deficiency record. If you’re considering this one, ask directly how they cover weekends and what changed after that harm-level finding.

C

69/100

Mentor Ridge Health And Rehabilitation

Mentor, OH · Lake County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
52%
Serious cites
0

Mentor Ridge Health and Rehabilitation sits in Lake County with 99 certified beds under corporate for-profit ownership, and its inspection record is genuinely strong, five deficiencies on file, none at the harm or jeopardy level, no abuse findings, and a survey that wrapped up recently in February 2026. Where the picture shifts is staffing, which is the thinnest part of this home's profile: 3.71 nurse hours per resident day lands about 4% under the national average, and weekends drop roughly 9% below its own weekday levels. Annual turnover runs 52.2% against a national 45.8%, so the people present are often new. Strong inspections, shakier day-to-day coverage, worth asking how weekends are actually staffed before you decide.

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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