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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 6701–6720 of 10,187, best-graded first.

C

67.5/100

Cortland Park Rehabilitation And Nursing Center

Cortland, NY · Cortland County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
66%
Serious cites
0

Cortland Park runs on thin staffing. At 3.10 nurse hours per resident day, it sits about 20 percent under the national average, and weekends drop roughly another 20 percent below its own weekday levels, so care gets thinnest exactly when families tend to visit. Turnover tells a related story: 66.1 percent of staff leave each year, well above the 45.8 percent national figure, meaning the people caring for residents are often new. The inspection record is genuinely solid, 13 deficiencies, none at harm or jeopardy level, none abuse-related, with a survey as recent as May 2025. Licensed beds total 120 under for-profit partnership ownership. Strong inspections, shaky daily coverage.

C

67.5/100

Brookhaven Rehab & Health Care Center L L C

Far Rockaway, NY · Queens County

CMS 2/5 298 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
40%
Serious cites
0

Brookhaven runs 298 beds in Far Rockaway under individual for-profit ownership, and its numbers pull in different directions. Nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average, and weekends drop about 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 39.8%, which is actually better than the 45.8% national figure. The current record shows 25 deficiencies, none at harm or jeopardy level, but five tied to abuse. Inspectors last visited in March 2024, and the health inspection rating sits at 2 out of 5.

C

67.5/100

Good Samaritan Society - Park River

Park River, ND · Walsh County

CMS 2/5 44 beds Non-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
47%
Serious cites
0

Good Samaritan Society - Park River runs 44 certified beds as a nonprofit, and its last inspection was in August 2025. The staffing picture is mixed: 3.02 nurse hours per resident day sits roughly 22% under the national average of 3.86, and weekends dip about 17% below the home's own weekday coverage. Turnover runs 47.4%, slightly above the national 45.8%. On the record: 29 deficiencies, none at harm or jeopardy level, though one is abuse-related, plus a single $42,181 fine. Federal ratings put staffing at 4 of 5 stars but inspections and quality measures at 2 each. The takeaway: adequate hands on weekdays, thinner on weekends, with inspection findings that warrant a closer look.

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67.5/100

Delhi Post-Acute

Cincinnati, OH · Hamilton County

CMS 1/5 116 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
—
Serious cites
0

Delhi Post-Acute runs 116 certified beds in Cincinnati, and the staffing numbers are the first thing to look at. Total nurse coverage sits at 3.50 hours per resident day, about 9% under the national average of 3.86, with weekends dipping roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record shows 40 deficiencies, four tied to abuse, none at the harm or jeopardy level, and the last full inspection was in May 2024. Quality measures score well, but that reflects resident outcomes, not the hands available day to day.

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67.5/100

O'brien Memorial Health Care C

Masury, OH · Trumbull County

CMS 3/5 87 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
49%
Serious cites
0

O'Brien Memorial runs 3.50 nurse hours per resident day, roughly 9% under the national average, and weekends dip about 15% below its own weekday staffing. Staff turnover sits at 48.7%, a few points above the national figure, so the people caring for residents keep changing. The inspection record shows 22 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with one fine of $68,952. The last inspection was March 2026, so the picture is current. Corporate-owned, 87 beds, mid-range marks on inspections, quality measures, and staffing. The honest read: adequate on paper, but thin weekend coverage and a heavy deficiency list are worth asking about directly.

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67.5/100

Parkview Care Center

Fremont, OH · Sandusky County

CMS 2/5 38 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
75%
Serious cites
0

Parkview Care Center runs 38 beds in Fremont under corporate ownership, and the numbers show real strain. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 18% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover tells its own story: 75% of staff leave each year against a national rate near 46%. The inspection record is where things get serious. Fifty deficiencies are on file, including three at the harm or jeopardy level and four tied to abuse, with $138,397 in fines across two penalties. The last inspection was March 2025.

C

67.5/100

Gardens At Celina

Celina, OH · Mercer County

CMS 4/5 25 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
58%
Serious cites
0

The Gardens at Celina runs 25 beds in Mercer County under for-profit LLC ownership, and its inspection record is the strong part: a 4-out-of-5 health inspection rating with 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Where it slips is staffing, which CMS rates 2 out of 5. Total nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and weekends run roughly 17% thinner than weekdays. Annual turnover is 58.1% against a national 45.8%, so more than half the nursing staff leaves each year. Inspectors were last on site in December 2025, so the record is current.

C

67.5/100

Windsor House At Champion

Champion, OH · Trumbull County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
39%
Serious cites
0

Windsor House At Champion runs about 3.35 nurse hours per resident each day, roughly 13% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thinner coverage is the main reason its staffing rating sits at just two stars. Turnover is a relative bright spot at 39.4%, better than the 45.8% national figure, but it doesn't offset 22 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse. The last inspection was in January 2025, so the findings are recent. With 100 certified beds under corporate ownership, this is a home where the staffing numbers and inspection history deserve close attention before you decide.

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67.5/100

Twinbrook Healthcare And Rehabilitation Center

Erie, PA · Erie County

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

Twinbrook runs 118 beds under corporate for-profit ownership, and its inspection record shows 37 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level. The health inspection rating sits at 2 out of 5, and quality measures land at 2 out of 5 as well, so both the survey side and the clinical side come in below what you'd want to see. The most recent inspection was April 16, 2026. Nearly three dozen findings on the current record, even with no high-severity citations, points to a lot of small things slipping at once rather than one dramatic failure. Worth asking about staffing levels and how that abuse-related citation was resolved.

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67.5/100

Corry Manor

Corry, PA · Erie County

CMS 1/5 121 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
42%
Serious cites
0

Corry Manor runs on 3.27 nursing hours per resident per day, about 15% under the national average, and weekends drop roughly another 15% below its own weekday level. That thin coverage is the main story: state inspectors cited 34 deficiencies on the current record, one tied to abuse, with no harm-level findings, and the last inspection was recent, in September 2025. Staff turnover sits at 41.8%, a bit better than the 45.8% national figure, which matters for consistency of care. The corporate owner runs this for profit, and the staffing rating reflects those hours directly.

C

67.5/100

Brentwood Health Center

Warwick, RI · Kent County

CMS 2/5 96 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
—
Serious cites
0

Brentwood Health Center runs 96 certified beds in Warwick under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 7% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. On inspections, the record shows 35 deficiencies, including two at harm or jeopardy level and one abuse-related, with a 2-out-of-5 health inspection rating and a 2-out-of-5 quality measure rating. The last inspection was July 25, 2025, so the findings are recent rather than stale. Ask about the abuse citation and weekend coverage before deciding.

C

67.5/100

Southpointe Healthcare And Rehabilitation

Greenville, SC · Greenville County

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

Southpointe runs lean on nursing staff, 3.14 hours per resident day against a national average of 3.86, and weekends thin out even further, down about 16% from its own weekday coverage. That staffing picture helps explain a 1-out-of-5 CMS staffing rating, and it's paired with a 53.2% annual turnover rate, well above the national 45.8%. The current inspection record carries 17 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $14,433 fine. The most recent inspection was March 27, 2026, so the findings are recent. Corporate for-profit ownership, 120 certified beds in Greenville.

C

67.5/100

Opus Post Acute Rehabilitation

West Columbia, SC · Lexington County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
50%
Serious cites
0

Opus Post Acute Rehabilitation runs 98 beds in West Columbia under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap looks small until you see weekends, when coverage drops roughly 16% below the home's own weekday level, exactly when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, so the people caring for your relative are changing often. The current record carries 15 deficiencies, including one at the harm level and one tied to abuse, plus $12,043 in fines across two penalties. Its last inspection was January 29, 2026, so that picture is recent.

C

67.5/100

Good Samaritan Society Canton

Canton, SD · Lincoln County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
54%
Serious cites
0

Good Samaritan Society Canton runs 56 certified beds as a nonprofit, and its 3.28 nurse staffing hours per resident day sit about 15% under the national average of 3.86. Weekends drop roughly 16% below its own weekday levels, and annual turnover of 54.2% tops the national figure of 45.8%, so even the four-out-of-five staffing star looks thinner once you see who's actually on the floor. The current record carries 8 deficiencies, 2 serious enough to involve harm or jeopardy, and $19,615 in fines across two penalties. A May 2025 inspection is recent, and there's no abuse history, but a one-out-of-five quality measure rating points to real gaps in resident care.

C

67.5/100

Golden Palms Rehabilitation And Retirement

Harlingen, TX · Cameron County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
48%
Serious cites
0

Golden Palms runs 3.44 nurse hours per resident day, about 11 percent under the national average, and weekends drop roughly 16 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since care doesn't pause on Saturdays. The inspection record shows 23 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, along with three fines totaling $15,997. Staff turnover sits at 47.8 percent, slightly above the national figure, which means the aides and nurses who know your family member are often new. The most recent inspection was April 15, 2026, so the picture is current rather than stale.

C

67.5/100

Avir At Memorial

Denison, TX · Grayson County

CMS 1/5 136 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
—
Serious cites
0

The Terrace at Denison runs 136 beds under for-profit LLC ownership, and its nursing hours come in around 3.43 per resident day, roughly 11 percent under the national average, with weekends running about 14 percent thinner than weekdays. That staffing picture matches the one-star CMS staffing rating, and the inspection record backs it up: 37 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $47,097 fine. The quality measure rating sits at 4 stars, but strong clinical numbers don't offset thin coverage and a two-star inspection history. The most recent inspection was September 11, 2025, so the record is current.

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67.5/100

Northern Oaks Living & Rehabilitation Center

Abilene, TX · Taylor County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.02 /day
Staff turnover
—
Serious cites
0

Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.

C

67.5/100

Rocky Mountain Care - Riverton

Riverton, UT · Salt Lake County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
54%
Serious cites
0

Rocky Mountain Care - Riverton runs 40 certified beds as a nonprofit, and its overall nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average. But the shape of that coverage matters: weekends drop about 15% below its own weekday level, and staff turnover hits 53.7% against a national 45.8%, so the people providing care keep changing. The current record shows 17 deficiencies, including one at the harm or jeopardy level, with six fines totaling $33,212. The last inspection was September 26, 2024. CMS gives the home 5 stars on quality measures but only 2 on staffing, and its inspection record landed at 3. What you're looking at is a small nonprofit that scores well on clinical measures while carrying real compliance history and a thin weekend bench.

C

67.5/100

Riverside Lifelong H & R Warwick Forest

Newport News, VA · Newport News City County

CMS 2/5 209 beds Non-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
—
Serious cites
0

Riverside Lifelong in Newport News runs 209 beds under nonprofit ownership, and the staffing numbers are the first thing to look at. At 3.38 nurse hours per resident per day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level. The inspection record is the bigger concern: 58 deficiencies, 4 of them serious enough to cause harm or jeopardy, with the most recent inspection in December 2023. Quality measures rate mid-range, but a 1-star inspection rating and 2-star staffing tell you where the problems cluster. The single fine of $10,358 is modest, the deficiency pattern is what stands out.

C

67.5/100

Kempsville Health & Rehab Center

Virginia Beach, VA · Virginia Beach City County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
54%
Serious cites
0

Kempsville Health & Rehab Center is a for-profit, LLC-owned home in Virginia Beach with 90 certified beds, and its staffing is the first thing that stands out. Nurses provide 3.17 hours per resident per day, roughly 18% below the national average, and weekend coverage drops about 19% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Annual turnover sits at 54.1%, well above the 45.8% national figure, and the one-star staffing rating reflects that. The inspection record shows 34 deficiencies, including one at the harm or jeopardy level and five tied to abuse.

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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