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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 6661–6680 of 10,187, best-graded first.

C

68/100

Edgewood Rehabilitation And Care Center

Mesquite, TX · Dallas County

CMS 4/5 142 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
59%
Serious cites
0

Edgewood Rehabilitation and Care Center is a for-profit limited liability company in Mesquite with 142 certified beds, and its numbers tell two different stories. The state health inspection in May 2025 produced 18 deficiencies, none rising to harm or jeopardy, though one was abuse-related, enough to hold a 4 out of 5 inspection rating and a 5 out of 5 on quality measures. Staffing is where the picture dims: 3.30 nurse hours per resident day sits about 15% under the national average, weekend coverage drops roughly 11% below weekdays, and turnover runs 58.8% against a national 45.8%. Strong inspection results and weak staffing don't cancel out, they just tell you where the risk is.

C

68/100

The Broadmoor At Creekside Park

The Woodlands, TX · Montgomery County

CMS 3/5 112 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

The Broadmoor At Creekside Park runs 3.46 nurse hours per resident day, about ten percent under the national average, and weekend coverage dips roughly eight percent below its own weekday level, so the thinnest shifts come when families are most likely to visit. Staff turnover sits at 55.2 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year, and that churn shows up in a two-out-of-five staffing rating and a two-out-of-five health inspection rating. The current record carries 29 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus $52,412 in fines. The five-out-of-five quality measure score reflects charted clinical care, not the inspection or staffing picture.

C

68/100

Houston Transitional Care

Houston, TX · Harris County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
60%
Serious cites
0

Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.

C

68/100

Springtown Park Rehabilitation And Care Center

Springtown, TX · Parker County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
63%
Serious cites
0

Springtown Park runs a lean nursing floor: 3.19 nurse hours per resident day against a national average of 3.86, with weekends roughly 8% thinner than weekdays. That gap shows up in the federal staffing star, which lands at the lowest mark even as inspection and quality measures both hit the top. Turnover tells the same story, 63.4% of nursing staff leaving annually, well above the 45.8% national rate, and chronic churn is often what a family feels as inconsistent care rather than anything visible on a tour. The 20 deficiencies on record carry no harm or abuse findings, and the most recent inspection was in December 2025, so the compliance picture is current.

C

67.5/100

Ridgecrest Health And Rehabilitation

Jonesboro, AR · Craighead County

CMS 1/5 135 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
67%
Serious cites
0

Ridgecrest runs 135 beds in Jonesboro under corporate ownership, and its staffing sits right at the edge of average: 3.94 nurse hours per resident day against a national 3.86. That thin margin matters less than what happens on weekends, when coverage drops roughly 17% below the home's own weekday level. Annual turnover of 67.1% is the bigger signal, well above the 45.8% national figure, meaning the people caring for residents are frequently new. Inspections in December 2025 turned up 43 deficiencies, none at harm or jeopardy level and none abuse-related, which is a real distinction. The health inspection and staffing ratings both land at 2 out of 5, while quality measures reach 3.

C

67.5/100

Brighton Place Spring Valley

Spring Valley, CA · San Diego County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
—
Serious cites
0

Brighton Place Spring Valley runs 4.08 nurse hours per resident day, about 6% above the national average of 3.86, which sounds reassuring until you look closer: CMS gives the staffing a single star, and weekend coverage drops roughly 11% below its own weekday level. The inspection record shows 34 deficiencies, none at harm or jeopardy level, but two tied to abuse, and that May 2025 inspection is recent enough to still reflect current conditions. For-profit LLC ownership matters here mainly for how staffing decisions get made. The quality measure stars look decent, yet the numbers behind them suggest a home where weekday care is steadier than weekends, and where the state has found plenty to write up without finding immediate danger.

C

67.5/100

Bay Vista Healthcare & Wellness Centre, Lp

Long Beach, CA · Los Angeles County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
—
Serious cites
0

Bay Vista runs 70 beds in Long Beach under for-profit LLC ownership, and its nurse staffing sits at 4.22 hours per resident day, roughly 9% above the national average of 3.86. That sounds decent until you look at the inspection record: 56 deficiencies, five of them serious enough to reach harm or jeopardy level, and five tied to abuse. Two fines totaling $33,030 are on file. Weekend staffing slips about 5% below weekdays, so coverage thins out exactly when families tend to visit. The most recent inspection was June 26, 2025. A 2/5 inspection rating alongside 3/5 marks for quality measures and staffing tells you the care may be adequate on paper, but the compliance history is the real story here.

C

67.5/100

Capri Health And Rehabilitation Center

Venice, FL · Sarasota County

CMS 2/5 129 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
—
Serious cites
0

Capri Health and Rehabilitation Center is a 129-bed for-profit home in Venice, and the numbers pull in two directions. The quality measures look strong, but staffing sits at 3.53 nurse hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, which is when falls and infections tend to happen. Inspections are the bigger concern: 35 deficiencies on the current record, 4 serious enough to cause harm or jeopardy, 3 tied to abuse, and an $89,544 fine. A 1-star inspection rating with a September 2024 survey date means state surveyors have documented repeated problems. Ask to see the plan of correction before you decide.

C

67.5/100

Garden View Health And Rehabilitation Center

Vero Beach, FL · Indian River County

CMS 1/5 72 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
52%
Serious cites
0

Garden View runs 4.03 nurse hours per resident day, a bit above the national average, but that number shrinks on weekends, about 15% below its own weekday level. Staff turnover is 51.9%, higher than the 45.8% national figure, and the health inspection rating sits at 1 out of 5, with 30 deficiencies on the current record including two at harm or jeopardy level and one abuse-related, plus a $60,225 fine. The last inspection was July 2025. Quality measures score well at 4 out of 5, but staffing earns 2 out of 5 and the inspection history is the real story. The corporation that owns it has had repeated problems documented by federal inspectors.

C

67.5/100

Briarwood Health Center By Harborview, Llc

Tucker, GA · De Kalb County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
42%
Serious cites
0

Briarwood runs 100 certified beds in Tucker under for-profit LLC ownership, and its staffing is the weak spot, 3.65 nurse hours per resident day sits about 6% under the national average, and weekends drop roughly 19% below what the home itself staffs Monday through Friday. That thin weekend coverage is worth asking about directly, since it's when families often can't visit. Turnover at 42.1% is a little better than the 45.8% national figure, and the April 2025 inspection produced 11 deficiencies with none at the harm level, though one was abuse-related. The four-star inspection rating and three-star quality measures look better than the one-star staffing rating, so the gap between how the place inspects and how it's staffed is the real story.

C

67.5/100

Pruitthealth - Valdosta, Llc

Valdosta, GA · Lowndes County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
49%
Serious cites
0

Pruitthealth - Valdosta runs 98 certified beds as a for-profit corporate home, and its staffing numbers are the first thing to look at. Nurses provide 3.21 hours per resident per day, about 17 percent under the national average, and weekends drop roughly 19 percent below its own weekday staffing, so coverage gets thinner exactly when families tend to visit. Annual turnover sits at 49.4 percent, slightly worse than the 45.8 percent national figure, which means caregivers are frequently new to the building. The current inspection record shows 17 deficiencies, none at harm or jeopardy level, though two are abuse-related. The last inspection was June 13, 2025, so the picture is reasonably current. Quality measures score well; staffing does not.

C

67.5/100

Cartersville Center For Nursing And Healing

Cartersville, GA · Bartow County

CMS 2/5 118 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
46%
Serious cites
0

Cartersville Center for Nursing and Healing runs 118 certified beds under individual for-profit ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average. Weekends drop about 15% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 45.8%, right at the national average, so that's not the problem here. The bigger issue is the record: 38 deficiencies, two tied to abuse, and CMS scored inspections and quality measures both at 2 out of 5. The last inspection was December 2025, so the picture is current. Nothing here is catastrophic, no harm-level citations, but the inspection and quality numbers are the weak spots, not the nursing hours alone.

C

67.5/100

Pruitthealth - Covington

Covington, GA · Newton County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
40%
Serious cites
0

Pruitthealth - Covington runs 71 certified beds under corporate for-profit ownership, and the staffing picture is the weak spot. At 3.19 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 17% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover at 40% is better than the 45.8% national figure, which matters for continuity. Inspections look solid: a 4/5 health inspection rating and nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related. A recent April 2026 inspection keeps that record current. Quality measures rate 3/5. The gap between good inspection results and thin daily staffing is the real story here.

C

67.5/100

Tucker Operating Company Llc

Tucker, GA · De Kalb County

CMS 2/5 136 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
70%
Serious cites
0

Tucker Operating Company runs 136 beds as a for-profit owned by an individual, and the nurse staffing number looks good on paper, 4.49 hours per resident day, roughly 16% above the national average. But weekends drop about 16% below its own weekday level, and annual turnover sits at 69.7% against a national 45.8%, so the people delivering that care change constantly. The inspection record shows 21 deficiencies, two tied to abuse, though none at the harm or jeopardy level, and one $30,000 fine. A 2/5 inspection rating against a 4/5 quality measure rating is the tension here: the care processes chart well, but the surveyor findings and turnover tell a rougher story.

C

67.5/100

Cascadia Of Lewiston

Lewiston, ID · Nez Perce County

CMS 4/5 34 beds For-profit
Nurse hours
4.31 /day
Staff turnover
68%
Serious cites
0

Cascadia of Lewiston runs 34 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating and a perfect 5/5 on quality measures. The problem sits in staffing, where CMS gives it just 1/5. Total nurse hours come in around 4.31 per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday levels, and annual turnover hits 68.4% against a national 45.8%. Its current record carries 21 deficiencies, including one at the harm level and three tied to abuse. A recent inspection in May 2026 keeps the picture current. Good care metrics, thin and unstable staffing.

C

67.5/100

Alden Des Plaines Rehab & Hc

Des Plaines, IL · Cook County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
41%
Serious cites
0

Alden Des Plaines runs 4.04 nurse hours per resident day, a bit above the national average of 3.86, and its 41% turnover is lower than the typical 45.8%. The staffing star rating still lands at 2 out of 5 because weekend coverage drops roughly 16% below weekday levels, and that gap matters when families visit on Saturdays and Sundays. Inspections look solid on the surface, with 4/5 stars and a visit as recent as July 2025, but the record carries 18 deficiencies, three of them serious enough to involve harm or jeopardy, plus one fine of $28,893. For-profit corporate ownership rounds out the picture.

C

67.5/100

Morning Breeze Retirement Community And Healthcare

Greensburg, IN · Decatur County

CMS 3/5 64 beds Non-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
49%
Serious cites
0

Morning Breeze runs lean on nursing hours, 3.31 per resident per day against a national average of 3.86, and weekends dip about 16% below what the home staffs on weekdays. Annual turnover sits at 49.1%, a bit above the 45.8% national figure, so the people who are there keep changing. The good news is the inspection record: 10 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. A nonprofit corporation owns the 64-bed building. What you have is a home that's stayed out of serious trouble and scores well on quality measures, but whose day-to-day staffing is thin enough that weekend coverage is the thing to ask about directly.

C

67.5/100

Spring Mill Health Campus

Merrillville, IN · Lake County

CMS 1/5 64 beds Non-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
—
Serious cites
0

Spring Mill Health Campus runs 3.77 total nurse hours per resident day, a bit under the national average, and weekends drop roughly 12% below its own weekday staffing. That's the pattern behind its staffing rating of 1 out of 5. The inspection record shows 38 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in December 2025. Quality measures come in at 2 out of 5, and the home is a nonprofit corporation with 64 certified beds. The consistent story here is thin daily staffing, especially on weekends, rather than a record of serious harm.

C

67.5/100

Accura Healthcare Of Onawa

Onawa, IA · Monona County

CMS 2/5 46 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
50%
Serious cites
0

Accura Healthcare Of Onawa runs 46 beds under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag: 3.22 nurse hours per resident day, roughly 16 percent under the national average, with weekend coverage dropping about 19 percent below its own weekday level. That matters because 50 percent of staff turned over in the past year, above the 45.8 percent national figure, so the people providing that care keep changing. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection in May 2025. CMS gave middling marks across its three categories, which tells you this home isn't failing outright but isn't steady either.

C

67.5/100

Accura Healthcare Of Pleasantville, Llc

Pleasantville, IA · Marion County

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

Accura Healthcare of Pleasantville runs 46 certified beds as a for-profit corporation, and the staffing numbers are the first thing I'd flag: 3.45 nurse hours per resident day, roughly 11% under the national average, with weekends dipping about 15% below its own weekday coverage. Annual turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for your family member are cycling through quickly. The inspection history is the heavier concern, 45 deficiencies on record, three at harm or jeopardy level and four tied to abuse, plus a $28,724 fine. That record earned a one-star health inspection rating, and the most recent survey was April 2026.

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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