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 6361–6380 of 10,187, best-graded first.

C

69/100

Glenwood Skilled Nursing And Therapy

Glenpool, OK · Tulsa County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
69%
Serious cites
0

Glenwood runs 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86, and weekends drop another 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 69.4% against a national 45.8%, which means more than two-thirds of the nursing staff leaves each year. The inspection record shows 17 deficiencies, including one at the harm level and one tied to abuse, with a single fine of $7,713; the last inspection was March 2024. For-profit partnership ownership, a 2/5 on both staffing and quality measures, and a 3/5 inspection rating round out the picture.

C

69/100

The Wilshire Skilled Nursing And Therapy

Oklahoma City, OK · Oklahoma County

CMS 3/5 56 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
70%
Serious cites
0

The Wilshire Skilled Nursing and Therapy runs 56 beds in Oklahoma City under for-profit partnership ownership, and its inspection record is the strongest card it holds, a four-star health inspection rating with 12 deficiencies on file, none at harm or jeopardy level and none abuse-related. Staffing is thinner: 3.75 nurse hours per resident day, about 3% under the national average, and weekends drop roughly 11% below the home's own weekday coverage. The bigger concern is turnover at 69.8%, well above the 45.8% national figure. That churn matters more than the small staffing gap, because consistent caregivers know residents' routines and catch changes early. Ask how the home retains CNAs and who covers weekends before deciding.

C

69/100

Purcell Care Center

Purcell, OK · Mcclain County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
65%
Serious cites
0

Purcell Care Center runs 105 beds under individual for-profit ownership, and its last health inspection came through cleanly enough to earn four stars, eleven deficiencies on record, none at the harm level, though one is abuse-related. The staffing picture is where it gets shaky. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 5% below its own weekday level. Annual turnover of 65.2% is well above the 45.8% national figure, which tells you aides and nurses are cycling through steadily. Quality measures land at two stars. The inspection history looks better than the day-to-day care capacity suggests.

C

69/100

Blue River Healthcare, Inc

Tishomingo, OK · Johnston County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
66%
Serious cites
0

Blue River Healthcare runs a tight ship on inspections, a five-star health inspection record with eight deficiencies on file, none rising to harm or jeopardy, though one is abuse-related. That's a strong paper trail. Staffing is where it gets uneven: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 14% below its own weekday level, and turnover hits 66% against a national 45.8%. Quality measures land at two stars despite the inspection success. The pattern is a home that passes review but struggles to hold staff and keep care consistent day to day, especially on weekends.

C

69/100

Emerald Care Center Claremore

Claremore, OK · Rogers County

CMS 2/5 129 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Emerald Care Center Claremore runs 3.43 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 4% below its own weekday level. That thin margin shows up in the numbers: 56.2% annual staff turnover against a national 45.8%, meaning more than half the nursing staff turns over each year. The current record carries 47 deficiencies, five tied to abuse, though none rose to harm or jeopardy level. Inspectors were last on site December 18, 2025. This is a for-profit limited liability company with 129 certified beds, and both its health inspection and quality measure ratings sit at two out of five stars.

C

69/100

Accela Rehab And Care Center At Somerton

Philadelphia, PA · Philadelphia County

CMS 1/5 225 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
50%
Serious cites
0

Accela Rehab and Care Center at Somerton runs 225 beds in Philadelphia under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average, and weekends dip about 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hits 50%, above the 45.8% national figure. Inspections in March 2025 produced 53 deficiencies on the current record, including one at the harm level and three tied to abuse, with $12,740 in fines. The low staffing star reflects all of this.

C

69/100

Hermitage Nursing And Rehabilitation

Hermitage, PA · Mercer County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
49%
Serious cites
0

Hermitage Nursing and Rehabilitation runs 2.96 nursing hours per resident per day, about 23% under the national average of 3.86, and weekend staffing dips another 6% below its own weekday level. That thin coverage is the main thing driving the staff rating down, and it shows in the turnover number: 49.4% of staff left over the year, compared with 45.8% nationally. The inspection record is a different story. Seventeen deficiencies on file, but none at the harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. So you're looking at a for-profit home that passes its inspections cleanly while running lean on the floor.

C

69/100

Hilltop Healthcare And Rehabilitation Center

Altoona, PA · Blair County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
41%
Serious cites
0

Hilltop runs lean on nursing hours: 3.40 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday staffing. Turnover sits at 40.8%, which is actually lower than the 45.8% national figure, so the people who stay seem to stay. The bigger concern is the inspection record, 43 deficiencies, one abuse-related, and a two-star health inspection rating, with the last survey in December 2025. For a 133-bed for-profit home owned by an individual, that combination of thin daily staffing and a long deficiency list is what pulls its standing down.

C

69/100

Robert Packer Hospital Skilled Care And Rehabilit

Towanda, PA · Bradford County

CMS 2/5 68 beds Non-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
23%
Serious cites
0

Robert Packer Hospital Skilled Care and Rehab runs 68 certified beds in Towanda under nonprofit ownership, and its staffing record is the strongest part of the story: turnover sits at 23% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. That stability comes with a caveat, weekend coverage drops roughly 30% below weekday levels, and total nurse time lands just under the national figure. The inspection record is thinner than you'd want: 18 deficiencies, including one tied to abuse and one at the harm level, plus a $33,027 fine, with the most recent survey in January 2026.

C

69/100

Ivory Wellness Center

Norristown, PA · Montgomery County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
37%
Serious cites
0

Ivory Wellness Center runs 120 certified beds in Norristown, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends dropping about 8% below its own weekday coverage. Turnover is 36.9%, which is actually better than the 45.8% national figure, though it comes alongside 68 deficiencies on the current record, including five at the harm or jeopardy level and four tied to abuse. Inspectors were last in on December 3, 2025, and one fine totaling $25,324 is on file. The inspection history is where the concern concentrates, not the retention numbers.

C

69/100

Milford Rehabilitation And Healthcare Center

Milford, PA · Pike County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
36%
Serious cites
0

Milford Rehabilitation and Healthcare Center is an 80-bed for-profit home in Pike County, and its inspection record is the thing to look at first. The current file shows 49 deficiencies, including one at the harm or jeopardy level and three related to abuse, that's a heavy set of citations for a building this size, and it's why the health inspection rating sits at 2 out of 5. Staff turnover runs better than average, 36.1% against 45.8% nationally, so the workforce is steadier than most. But a single fine of $61,593 and that abuse count are worth asking the administrator about directly, along with what's changed since the May 2026 inspection.

C

69/100

Cathedral Village

Philadelphia, PA · Philadelphia County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
54%
Serious cites
0

Cathedral Village runs about 4.00 nurse hours per resident day, a bit above the national average, and weekends dip roughly 6% below its own weekday coverage. That's a real gap if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 54.1% against a national 45.8%, so the people caring for your relative are likelier than average to be new or on their way out. The record also shows 17 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with two fines totaling $208,039. Inspections were recent and the care measures look decent, but the enforcement history is the part worth asking about directly.

C

69/100

Belvedere Center, Genesis Healthcare, The

Chester, PA · Delaware County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
27%
Serious cites
0

Belvedere Center runs 150 certified beds under Genesis Healthcare, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends drop about 9 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The stronger number here is turnover: 27.2 percent against a national average of 45.8 percent, meaning aides and nurses are staying longer than is typical. Against that, the inspection record carries 21 deficiencies, three at harm or jeopardy level and two tied to abuse, plus two fines totaling $89,766. The most recent inspection was August 2025, so the record is current rather than stale.

C

69/100

Richland Nursing And Rehab

Johnstown, PA · Cambria County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Richland Nursing and Rehab runs about 3.58 nurse hours per resident per day, roughly 7% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. That thinner weekend coverage matters most for a 97-bed home, since that's when families often visit and when fewer eyes are on residents. Turnover sits at 43.2%, slightly better than the 45.8% national figure, so the staffing picture isn't a retention crisis, it's a coverage one. The current record shows 36 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. State surveyors rated health inspections and quality measures at 3 out of 5 stars each, but staffing came in at 2.

C

69/100

Oak Hill Rehabilitation & Healthcare Center

Greensburg, PA · Westmoreland County

CMS 3/5 48 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
79%
Serious cites
0

Oak Hill runs 48 beds under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 6% below its own weekday levels. The bigger concern is turnover: 78.8% annually, well above the 45.8% national figure, which means the people showing up are often new. Its inspection record carries 62 deficiencies, including two tied to abuse, and the health inspection rating is 1 out of 5, even though the quality measure score is perfect and staffing sits at 2. That split tells you the care processes look fine on paper while the day-to-day oversight and workforce stability are where families should ask hard questions.

C

69/100

Logan Square Rehabilitation And Healthcare Center

Philadelphia, PA · Philadelphia County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
43%
Serious cites
0

Logan Square Rehabilitation and Healthcare Center runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, a hair better than the 45.8% national figure, which is the one staffing-related number here that isn't working against it. Twenty-eight deficiencies appear on the current record, one serious enough to involve harm or jeopardy, with a single $43,154 fine and a January 2026 inspection. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.

C

69/100

Highland View Rehabilitation & Healthcare Center

Brockway, PA · Jefferson County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
56%
Serious cites
0

Staff turnover at Highland View sits at 55.6 percent a year, nearly ten points above the national average of 45.8 percent. That's a lot of churn for a 50-bed building, and it matters because aides who don't stay don't learn your mother's routine or catch the small changes that signal trouble. The inspection record is stronger than that number suggests: 7 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Last inspection was February 13, 2026. This for-profit corporate home earns 4 out of 5 stars on both health inspections and quality measures. Ask what the abuse deficiency involved and how long aides typically last.

C

69/100

Grand Islander Center

Middletown, RI · Newport County

CMS 2/5 146 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
50%
Serious cites
0

Grand Islander Center runs 146 beds in Middletown under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 6% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.5% tops the national figure of 45.8%, meaning the aides and nurses caring for your relative are cycling out at a faster clip than usual. The inspection record backs that up: 40 deficiencies on file, two of them serious enough to involve harm or jeopardy, and $33,150 in fines across two penalties. The last inspection was May 2025, so the picture is current.

C

69/100

Pruitthealth- Conway At Conway Medical Center

Conway, SC · Horry County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
62%
Serious cites
0

Pruitthealth-Conway runs 88 beds inside Conway Medical Center, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends drop another 15% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.4% against a national 45.8%, meaning more than half the nursing team leaves within a year. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated May 8, 2026. Corporate for-profit ownership, a two-star health inspection rating, and three stars each for staffing and quality measures round out the picture.

C

69/100

Trevecca Center For Rehabilitation And Healing Llc

Nashville, TN · Davidson County

CMS 3/5 240 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
49%
Serious cites
0

Trevecca Center runs 240 beds in Nashville under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day sits about 10% under the national average of 3.86, and weekends drop roughly 13% below its own weekday coverage. Turnover lands at 48.7%, a bit above the 45.8% national figure. The good news is that its 14 deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was in June 2023. Quality measures score well; staffing is where families should ask hard questions about who's actually on the floor on a Saturday.

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