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 6681–6700 of 10,187, best-graded first.

C

67.5/100

Signature Healthcare At Summerfield Rehab & Wellne

Louisville, KY · Jefferson County

CMS 2/5 165 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
65%
Serious cites
0

Nurse staffing at this 165-bed for-profit home runs 3.98 hours per resident day, slightly above the national average of 3.86, but weekends drop roughly 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The bigger issue is the inspection record: 28 deficiencies, five serious enough to put residents in harm's way, and two fines totaling $182,488, all as of a May 2025 visit. Staff turnover sits at 64.7% against a national 45.8%, meaning nearly two-thirds of the caregiver workforce turns over each year. Strong quality-measure scores don't offset that kind of churn and oversight history.

C

67.5/100

Heritage Manor Of Houma

Houma, LA · Terrebonne County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
46%
Serious cites
0

Heritage Manor Of Houma runs 120 certified beds as a for-profit LLC, and its recent inspection history is genuinely strong, 18 deficiencies on record, none at the harm level, none abuse-related, with a 4/5 inspection rating and a visit as recent as July 2025. The trouble sits elsewhere. Nurse staffing comes in at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 19% below the home's own weekday coverage. Annual turnover of 46.2% edges just past the national rate. A 1/5 quality measure rating suggests the clinical outcomes aren't matching what the clean inspections imply, and staffing at 2/5 tells the same story.

C

67.5/100

Landmark Of Lake Charles

Lake Charles, LA · Calcasieu County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
59%
Serious cites
0

Landmark of Lake Charles runs 130 beds under corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, about 6% above the national average. That's the strongest part of the picture, and it earns a 4 out of 5 staffing rating. But weekends drop roughly 20% below the home's own weekday coverage, and annual turnover hits 58.6% against a national 45.8%. Inspections from September 2025 turned up 16 deficiencies, none at harm or jeopardy level and none abuse-related. The quality measure score is 1 out of 5, which is where the overall picture weakens considerably.

C

67.5/100

Regency House Of Alexandria

Alexandria, LA · Rapides County

CMS 1/5 58 beds For-profit
Nurse hours
3.78 /day
Staff turnover
72%
Serious cites
0

Regency House of Alexandria runs 58 certified beds under corporate ownership, and its staffing numbers are the first thing to look at. Nurse coverage sits at 3.78 hours per resident day, a bit under the national average, but the bigger issue is weekends, when staffing drops roughly 21% below what the home runs Monday through Friday. Annual turnover hits 71.8%, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. The current inspection record shows 39 deficiencies, including one abuse-related citation, though none rose to the harm level. The last inspection was in March 2026. Quality measures score well, but weak staffing and high turnover are the real story here.

C

67.5/100

Courtney Manor

Bad Axe, MI · Huron County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
51%
Serious cites
0

Court Manor in Bad Axe runs on thin nursing coverage, 2.69 hours per resident per day against a national average of 3.86, and weekends dip about 19% below what the home already provides on weekdays. Staff turnover sits at 50.7%, higher than the 45.8% national figure, so the people caring for residents are changing often. That shows up in the inspection record: 34 deficiencies, two of them serious enough to involve harm or jeopardy, and a two-star health inspection rating. Quality measures score well at four stars, but staffing earns one. For-profit, individually owned, recently inspected in January 2026.

C

67.5/100

Medilodge Of Westwood

Kalamazoo, MI · Kalamazoo County

CMS 1/5 97 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
52%
Serious cites
0

Medilodge Of Westwood runs 97 beds in Kalamazoo under for-profit LLC ownership, and its current inspection record is the number that stands out: 86 deficiencies, seven of them serious enough to put residents in harm's way and nine tied to abuse. Staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends drop about 17% below what the home itself staffs on weekdays. Annual turnover is 52.3%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The last inspection was June 2025, and CMS has fined the home $65,535 across two actions. Quality measures score better than its inspection history does, but the gap between them is worth asking about directly.

C

67.5/100

Mission Point Nursing & Physical Rehabilitation Ce

Hancock, MI · Houghton County

CMS 1/5 39 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
63%
Serious cites
0

Mission Point Nursing in Hancock runs a 39-bed for-profit home where the bedside staffing numbers look decent on paper, 3.99 nurse hours per resident day, a bit above the national average, but weekends drop about 16% below its own weekday level, and annual turnover hits 62.7% against a national 45.8%. Those two facts together mean the person caring for your relative on a Sunday is often new and still learning the building. The inspection record is the bigger problem: 52 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus a $180,775 fine. The most recent inspection was July 2025. Quality measure scores look strong; the direct-care and oversight record does not.

C

67.5/100

Cura Of Long Prairie

Long Prairie, MN · Todd County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Cura Of Long Prairie is a 60-bed nonprofit in Todd County, and its inspection record is the strongest thing it has going. Seven deficiencies on the current record, none at the harm level and none abuse-related, with a survey done as recently as June 2026. Nurse staffing runs 4.75 hours per resident day, about 23 percent above the national average, though weekends drop roughly 6 percent below the home's own weekday level. The softer spots are the quality measure star rating, which sits at 2 out of 5, and a staffing star rating of 3 despite those total hours, worth asking about, since hours don't always land where residents feel them.

C

67.5/100

Cura Of Sauk Centre

Sauk Centre, MN · Stearns County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
100%
Serious cites
0

Cura Of Sauk Centre runs 60 certified beds as a nonprofit, and its nurse staffing sits at 4.44 hours per resident day, roughly 15% above the national average. That sounds good on paper, but the number hides a problem: weekends run about 16% thinner than weekdays, so coverage depends heavily on when you visit or call. The bigger issue is turnover. Every direct-care position effectively turned over in the past year, versus about 46% nationally, which means your family member's aides are likely new and still learning the building. Thirteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and the most recent inspection was in March 2026. Quality measures scored 2 out of 5.

C

67.5/100

Green Lea Senior Living

Mabel, MN · Fillmore County

CMS 1/5 41 beds For-profit Medicaid
Nurse hours
2.37 /day
Staff turnover
—
Serious cites
0

Green Lea Senior Living runs 2.37 nurse hours per resident day, roughly 39 percent under the national average of 3.86, with weekends about 6 percent thinner than weekdays, so the thinnest coverage lands when families tend to visit. The inspection record is heavy: 38 deficiencies, two of them at harm or jeopardy level and four tied to abuse, and the most recent inspection in June 2025 didn't clear that. A 4/5 quality measure score sits oddly beside a 1/5 on staffing and a 1/5 on health inspections, which tells you charted care metrics look better than the day-to-day reality of who's actually on the floor. Corporate for-profit ownership, 41 beds.

C

67.5/100

Landmark Of Collins

Collins, MS · Covington County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
68%
Serious cites
0

Landmark of Collins runs a 60-bed for-profit home in Covington County with a recent inspection on record and no deficiencies at the harm or jeopardy level, that part is genuinely reassuring, and the four-star health inspection rating backs it up. The staffing picture is more mixed. Total nurse hours sit slightly above the national average, but weekend coverage drops about 19% below the home's own weekday level, which matters most when families visit and problems surface. Annual turnover at 67.7% is well above the 45.8% national average, meaning the people caring for residents change often. CMS rates quality measures just 2 out of 5. Clean inspections, but watch the weekends and the revolving door.

C

67.5/100

Aspire Senior Living Joplin

Joplin, MO · Newton County

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

Aspire Senior Living Joplin runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.34 nurse hours per resident per day, it sits about 13% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record backs that up: 48 deficiencies on file, including four abuse-related, and a 1/5 health inspection star rating from CMS. Quality measures score well at 4/5, and the most recent inspection was May 2025, so the record is current rather than stale. Ask specifically about weekend nurse coverage and how the abuse-related citations were resolved.

C

67.5/100

Aspire Senior Living Jonesburg

Jonesburg, MO · Montgomery County

CMS 1/5 81 beds For-profit Medicaid
Nurse hours
1.79 /day
Staff turnover
50%
Serious cites
0

Aspire Senior Living Jonesburg runs on thin staffing. At 1.79 nurse hours per resident day, it's about 54% below the national average of 3.86, and weekends drop roughly 19% below its own weekday levels. That's the kind of gap that shows up as slower call-light response and less time for hands-on care. The 50% annual turnover, above the 45.8% national figure, means aides are constantly new. The current record carries 41 deficiencies, including one at the harm level and three tied to abuse. Ownership is for-profit, through a limited liability company. A 4/5 quality measure score sits on the books, but with a 1/5 staffing rating and a 2/5 inspection rating, those quality numbers deserve a closer look.

C

67.5/100

Medicalodges Nevada

Nevada, MO · Vernon County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
71%
Serious cites
0

Medicalodges Nevada runs 4.12 nurse hours per resident per day, about 7% above the national average, and that's the strongest part of its record. The catch is who's there to deliver it: turnover sits at 70.6% a year against a national 45.8%, and weekend staffing drops roughly 17% below weekday levels, so the coverage that looks good on paper may not feel steady week to week. The home carries 26 deficiencies from its June 2024 inspection, two of them abuse-related, with no harm-level citations, and it holds two stars each on health inspections and quality measures. A for-profit corporation owns its 100 certified beds.

C

67.5/100

Citizens Memorial Healthcare Facility

Bolivar, MO · Polk County

CMS 2/5 111 beds Non-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
43%
Serious cites
0

Citizens Memorial Healthcare Facility in Bolivar runs 111 certified beds as a nonprofit, and its staffing tells a mixed story. At 3.16 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 18% below its own weekday coverage. Turnover, at 42.5%, is actually a bit better than the 45.8% national figure. The inspection record carries 25 deficiencies, including one at the harm level, though none are abuse-related, and the most recent survey was in December 2025. Quality measure scores are the weak spot here, landing at 1 out of 5 stars.

C

67.5/100

Aspire Senior Living East Prairie

East Prairie, MO · Mississippi County

CMS 3/5 52 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Aspire Senior Living East Prairie runs 52 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: a 4-out-of-5 health inspection rating with no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.45 hours per resident day, roughly 11% under the national average, and weekends run about 19% below the home's own weekday level. Annual turnover of 64.9% is well above the 45.8% national figure, and there's one abuse-related deficiency on the current record. Quality measures rate 2 out of 5. Inspections look solid; daily staffing consistency is the question worth asking about.

C

67.5/100

Forsyth Rehabilitation & Health Care Center

Forsyth, MO · Taney County

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

Forsyth Care Center runs 2.90 nurse hours per resident per day against a national average of 3.86, so the people on staff are covering a lot more ground per person than is typical. Weekends get thinner still, about 16% below weekday coverage, which matters most when families visit and notice who's available. The good news sitting next to that: turnover of 36.5% is well below the national 45.8%, meaning the staff who remain tend to stick around. Twenty-five deficiencies appear on the current record, none at the harm level but two tied to abuse, and the last inspection closed in November 2025. A for-profit corporate owner, 120 certified beds.

C

67.5/100

Fountainbleau Nursing Center

Festus, MO · Jefferson County

CMS 4/5 116 beds For-profit Medicaid
Nurse hours
2.66 /day
Staff turnover
44%
Serious cites
0

Fountainbleau Nursing Center runs 116 certified beds in Festus under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.66 nurse hours per resident day, roughly 31 percent below the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 44.1 percent, close to the national 45.8 percent, so retention isn't the outlier here, raw hours are. The current inspection record shows 20 deficiencies, none at the harm or jeopardy level but two tied to abuse, with the last inspection dated February 12, 2026.

C

67.5/100

Stonebridge Owensville

Owensville, MO · Gasconade County

CMS 3/5 131 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
51%
Serious cites
0

Stonebridge Owensville runs 131 certified beds under corporate ownership, and its staffing is the number worth sitting with. At 3.44 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 19% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.8% runs above the 45.8% national figure, meaning more than half the nursing staff turns over each year. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $20,383 in fines across two penalties. Its last inspection was August 2024.

C

67.5/100

Winchester Nursing Center, Inc

Bernie, MO · Stoddard County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
56%
Serious cites
0

Winchester Nursing Center runs about 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and the gap widens on weekends, about 16% thinner than its own weekday coverage. Staff turnover sits at 55.6% against a national 45.8%, so nearly six in ten caregivers leave within a year, which matters for whether aides and nurses know your mother's routine. The good news is the inspection record: a 5/5 health inspection rating, last surveyed July 2025, with seven deficiencies on file but none at the harm level and none abuse-related. The corporation that owns it keeps the building clean on paper; the question is whether the floor stays covered.

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