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 6581–6600 of 10,187, best-graded first.

C

68/100

Rochester Manor

Rochester, NH · Strafford County

CMS 2/5 108 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
33%
Serious cites
0

Rochester Manor runs a 108-bed operation as a for-profit LLC, and nurse staffing sits around 3.2 hours per resident day, roughly 17% below the national figure, with weekends dropping another 12% below its own weekday coverage. Turnover runs lower than the national average, which helps, but the inspection record is the real concern: 15 deficiencies, including one at the harm level and three tied to abuse. The most recent inspection came in June 2025. All three CMS star categories land at 2 out of 5. If you're weighing this one, ask specifically about weekend nurse coverage and how the abuse-related findings were resolved.

C

68/100

Oceanside Skilled Nursing And Rehabilitation

Hampton, NH · Rockingham County

CMS 1/5 117 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
24%
Serious cites
0

Oceanside Skilled Nursing and Rehabilitation runs 117 certified beds in Hampton under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends drop about 13 percent below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is the bright spot at 23.7 percent, well under the 45.8 percent national figure. What offsets that is the inspection record: 17 deficiencies, one serious enough to reach harm or jeopardy level, and a single $14,521 fine. The most recent inspection was January 29, 2026.

C

68/100

Wynwood Rehabilitation And Healthcare Center

Cinnaminson, NJ · Burlington County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
65%
Serious cites
0

Wynwood Rehabilitation and Healthcare Center runs 114 certified beds in Cinnaminson under for-profit LLC ownership, and its record shows real strain. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and weekends dip roughly 6% below its own weekday levels, so coverage thins exactly when families tend to visit. Annual turnover is 64.5% against a national 45.8%, meaning most of the aides and nurses your relative meets this year likely won't be there next year. The inspection history is the harder number: 27 deficiencies on the current record, four at harm or jeopardy level and three tied to abuse, with a $103,300 fine attached. The most recent inspection was December 9, 2025, so this picture is current, not stale.

C

68/100

Complete Care At Shrewsbury Llc

Shrewsbury, NJ · Monmouth County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
47%
Serious cites
0

Complete Care At Shrewsbury is a for-profit LLC home with 140 certified beds in Monmouth County, and its numbers pull in different directions. The quality measure rating is strong at 5 out of 5, but staffing sits at 3.72 nurse hours per resident day, about 4% under the national average, with weekends running roughly 4% thinner than weekdays, and turnover at 47.1% edges past the national 45.8%. The inspection record is the heavier concern: 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $53,780 fine and a 2-out-of-5 health inspection rating from the most recent survey in September 2025. Good quality scores don't erase a thin, churning staff and a serious inspection history.

C

68/100

Aristacare At Cherry Hill

Cherry Hill, NJ · Camden County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
67%
Serious cites
0

Aristacare At Cherry Hill runs 140 beds under for-profit LLC ownership, and its staffing numbers sit below where they should be. Nurses provide 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below the home's own weekday coverage. Annual turnover hits 66.7%, well above the 45.8% national figure, which means the people caring for residents are frequently new or on their way out. The inspection record is the harder read: 53 deficiencies, including six tied to abuse, and a one-star health inspection rating. Quality measures score well at five stars, but stable, adequate staffing is what keeps those numbers from slipping. A recent August 2025 inspection means the state has been watching closely.

C

68/100

Rolling Hills Care Center

Lebanon, NJ · Hunterdon County

CMS 1/5 67 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
40%
Serious cites
0

Rolling Hills Care Center is a 67-bed for-profit in Lebanon, and the numbers pull in different directions. The health inspection record is the weak spot, a one-star rating, 25 deficiencies with two at the harm level, and $43,001 in fines across two penalties, though nothing abuse-related. Staffing sits at 3.37 nurse hours per resident day, roughly 13% under the national average, and weekends run about 5% thinner than weekdays. Turnover is the bright spot: 39.6%, better than the 45.8% national figure, which matters for consistency of care. Quality measures score well, but that inspection history from February 2025 is the thing to ask about directly.

C

68/100

Excel Care At Egg Harbor

Egg Harbor Township, NJ · Atlantic County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
71%
Serious cites
0

Excel Care At Egg Harbor runs on 3.53 nurse hours per resident day, about 9% under the national average of 3.86, and weekend coverage drops roughly another 10% below its own weekday level. That thinner weekend presence matters, because the home's 70.8% annual staff turnover is well above the national 45.8%, a resident's regular aide is likelier than not to change within the year. The current record shows 21 deficiencies, including one at the harm level and one abuse-related, plus a single $18,119 fine. The last inspection was January 31, 2025. Its quality measure scores look strong, but those come from reported data; the staffing and inspection numbers describe what families actually encounter day to day.

C

68/100

Northwoods Rehab And Nursing Center At Moravia

Moravia, NY · Cayuga County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
64%
Serious cites
0

Northwoods Rehab and Nursing Center at Moravia is a small for-profit home, 40 beds, and its staffing numbers sit under the national average: 3.58 nurse hours per resident day against 3.86 nationally, with weekends running about 9% thinner than weekdays. That gap matters more in a building this size, where there's less slack to absorb an absence. Turnover is the bigger flag at 64.2%, well above the 45.8% national figure, and a stable aide who knows your mother's routines is often the difference between a good day and a fall. The 20 deficiencies on record include one abuse-related citation, though none rose to harm or immediate jeopardy, and the last inspection was recent, in November 2025.

C

68/100

The Pines At Glens Falls Ctr For Nursing & Rehab

Glens Falls, NY · Warren County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
58%
Serious cites
0

The Pines at Glens Falls runs 3.29 nurse staffing hours per resident day, about 15% under the national average, and weekend coverage drops roughly 13% below what it manages on weekdays. Staff turnover sits at 57.8% against a national 45.8%, so familiar faces are hard to count on. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 2026. The quality measure stars look strong here, but that number reflects clinical metrics rather than day-to-day presence of aides and nurses. For a 120-bed for-profit LLC, the question worth asking on a tour is who actually shows up on a Saturday.

C

68/100

Fishkill Center For Rehabilitation And Nursing

Beacon, NY · Dutchess County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
38%
Serious cites
0

Fishkill Center runs 160 beds in Beacon under corporate ownership, and its inspection record is the first thing to flag: 30 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, plus a $44,500 CMS fine. The last inspection was February 2025, so this is a recent picture, not an old one. Staffing sits at 3.43 nurse hours per resident day, about 11% under the national average, and weekends dip roughly 12% below its own weekday level. Turnover of 37.8% actually beats the national 45.8%, which is worth something. The quality measure score looks strong, but it sits alongside a staffing rating of 2 and an inspection rating of 1.

C

68/100

Willow Creek Nursing And Rehabilitation Center

Goldsboro, NC · Wayne County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
59%
Serious cites
0

Willow Creek runs 200 certified beds in Goldsboro under for-profit limited liability ownership, and the numbers split in two directions. The clinical quality measures look strong at four stars, but nurse staffing sits at 3.58 hours per resident day against a national average of 3.86, and weekends dip about 7% below the home's own weekday coverage. Staff turnover is 59.2%, well above the 45.8% national figure, which matters because caregivers who leave take familiarity with residents with them. The inspection record shows 19 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus $15,358 in fines across three penalties. The most recent inspection was March 2026.

C

68/100

Yadkin Nursing And Care Center

Yadkinville, NC · Yadkin County

CMS 5/5 147 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
60%
Serious cites
0

Yadkin Nursing and Care Center sits in Yadkinville with 147 certified beds and a corporate for-profit owner. The inspection record looks strong on paper, a five-out-of-five health inspection rating, only two deficiencies on file, and the most recent survey from March 2026. What pulls the numbers down is staffing: 3.27 nurse hours per resident day, roughly 15 percent under the national average of 3.86, with weekend coverage dropping about 12 percent below its own weekday level. Annual turnover runs 59.5 percent against a national 45.8 percent. One deficiency reached the harm level, and there's a single fine of $8,018 on record.

C

68/100

Goldsboro Rehabilitation And Healthcare Center

Goldsboro, NC · Wayne County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
36%
Serious cites
0

Goldsboro Rehabilitation runs 130 beds as a for-profit corporation, and its staffing sits at 3.36 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 7 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 36.1 percent, which actually beats the 45.8 percent national figure, so this isn't a churning building. The inspection record shows 9 deficiencies, including 1 at the harm or jeopardy level, with $16,153 in fines and a survey completed in December 2025, so the picture is current. Quality measures score 2 out of 5, the weakest of its three CMS ratings.

C

68/100

Piney Grove Nursing And Rehabilitation Center

Kernersville, NC · Forsyth County

CMS 3/5 92 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
66%
Serious cites
0

Piney Grove runs a 92-bed for-profit operation in Kernersville, and the staffing numbers are roughly at the national mark, 3.81 nurse hours per resident day against 3.86 nationally, with weekends dipping about 5% below its own weekday coverage. The bigger issue is retention: 66.1% annual turnover, well above the 45.8% national average, which means unfamiliar faces on the floor more often than you'd want. Fourteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, one tied to abuse. Two fines totaling $10,699 have been levied, and the last inspection was recent, in January 2026.

C

68/100

Pinehurst Healthcare & Rehabilitation Center

Pinehurst, NC · Moore County

CMS 2/5 144 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
56%
Serious cites
0

Pinehurst Healthcare & Rehabilitation Center runs 144 certified beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, and annual turnover sits at 56.1% against a national 45.8%, so the same faces aren't always there. Inspections turned up 17 deficiencies, one serious enough to involve harm or jeopardy, with one fine totaling $9,620. The last inspection was April 30, 2026. Quality measures score well, but the hours of hands-on care per resident are the piece families feel day to day.

C

68/100

Highfield Nursing And Rehabilitation

Cary, NC · Wake County

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

Highfield runs on 3.13 nurse hours per resident day, roughly 19% under the national average, and weekends dip about 13% below what the home itself staffs on weekdays. Annual turnover sits at 53.2%, well above the 45.8% national figure, which means the people showing up are often new. Inspectors have cited 20 deficiencies, four of them at harm or jeopardy level and three tied to abuse, with two fines totaling $175,559 and a 2/5 health inspection rating. Ownership is for-profit corporate. A 4/5 on quality measures doesn't offset a 1/5 staffing rating, especially with a March 2026 inspection already driving the enforcement record.

C

68/100

Adams Farm Living & Rehabilitation

Jamestown, NC · Guilford County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
57%
Serious cites
0

Adams Farm Living & Rehabilitation runs 120 beds in Jamestown under corporate ownership, and the numbers split in two directions. The care itself measures decently, a 4-out-of-5 on quality measures and a 3-out-of-5 on health inspections, with no abuse citations on the current record. But look at who's delivering that care. Nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average, and the federal staffing rating lands at the bottom of the scale. Weekend coverage drops about 13 percent below the home's own weekday level, and annual turnover hits 56.8 percent against a national 45.8. Eight deficiencies are on file, three serious enough to involve harm or jeopardy, plus one fine of $24,252.

C

68/100

Lakeside Health & Rehab Center

Huntersville, NC · Mecklenburg County

CMS 4/5 114 beds Government Medicaid
Nurse hours
3.44 /day
Staff turnover
77%
Serious cites
0

Lakeside Health & Rehab Center runs 114 certified beds in Huntersville under federal government ownership, and the numbers split in two directions. The clinical quality measures look strong, but staffing sits at 3.44 hours per resident per day against a national average of 3.86, roughly 11% below, and weekends drop about 14% below the home's own weekday level. Staff turnover is the sharper concern: 77.2% annually, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection came in December 2025. Good outcomes depend on consistent hands, and this home struggles to keep them.

C

68/100

Monterey Care Center

Grove City, OH · Franklin County

CMS 2/5 148 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
56%
Serious cites
0

Monterey Care Center runs on thinner staffing than most homes its size, 3.49 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below what the building manages Monday through Friday. That gap matters, because 55.6% of staff left last year versus 45.8% nationally, and a 1-out-of-5 staffing rating from CMS reflects it. The 32 deficiencies on the current record include one at the harm level and one tied to abuse, which pulls the health inspection rating to 2 out of 5 despite a perfect 5 on quality measures. The last full inspection was November 2024, so the record is reasonably current. A for-profit LLC owns the place. Ask about weekend coverage and who's actually on the floor.

C

68/100

Candlewood Healthcare And Rehabilitation

East Cleveland, OH · Cuyahoga County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
37%
Serious cites
0

Candlewood runs lean on nursing hours, 3.26 per resident day, about 16% under the national average, and weekends are thinner still, roughly 10% below its own weekday coverage. That staffing picture is the main reason its CMS staffing rating sits at 1 out of 5, even though the quality measure score is perfect at 5. Turnover is 36.7%, actually better than the 45.8% national figure, and the most recent inspection was July 31, 2025. But the record shows 31 deficiencies, including one at the harm level and three tied to abuse, plus a $29,488 fine. For-profit, LLC-owned, 116 beds.

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