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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 6781–6800 of 10,187, best-graded first.

C

67/100

Waters Of Columbia City Skilled Nursing Facility

Columbia City, IN · Whitley County

CMS 3/5 84 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
56%
Serious cites
0

Nurse staffing at Waters of Columbia City runs about 3.09 hours per resident per day, roughly 20% under the national average, and weekends drop about 12% below its own weekday levels. Turnover sits at 56.3%, well above the 45.8% national figure, meaning more than half the nursing staff leaves in a year. The current inspection record shows 17 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $60,590. Its last inspection was in December 2025. Quality measures score well, but that reflects charted care, not the hands available day to day. If you're comparing homes, ask how they cover weekends and what keeps staff from leaving.

C

67/100

Chateau Rehabilitation And Healthcare Center

Fort Wayne, IN · Allen County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
64%
Serious cites
0

Chateau Rehabilitation and Healthcare Center is a 99-bed for-profit in Fort Wayne, and the numbers worth your attention are on the staffing side. Nurses provide 3.65 hours per resident per day against a national average of 3.86, and weekends drop about 11 percent below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. Staff turnover sits at 63.6 percent, well above the 45.8 percent national figure, which means the aides and nurses caring for your relative are likely to change often. The current inspection record carries 37 deficiencies, one involving harm or jeopardy and one abuse-related, plus a $109,257 fine. The quality measure rating of 4 out of 5 is a genuine bright spot; the 1-out-of-5 inspection rating and recent July 2025 survey are the counterweight.

C

67/100

Rensselaer Care Center

Rensselaer, IN · Jasper County

CMS 1/5 120 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
61%
Serious cites
0

Rensselaer Care Center runs on county government money, and the numbers show a building stretched thin. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 8% below its own weekday level, meaning the thinnest coverage lands when families are most likely to visit. Staff turnover of 60.5% is well above the national 45.8%, so the people at the bedside change often. The bigger problem is the inspection record: 44 deficiencies, two at harm or jeopardy level, two tied to abuse, and a $128,311 fine. Quality measures score well, but consistent staffing and safe care are what matter most day to day.

C

67/100

Colonial Nursing Home

Crown Point, IN · Lake County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
59%
Serious cites
0

Colonial Nursing Home runs 55 beds in Crown Point under individual for-profit ownership, and its staffing sits about one percent under the national average at 3.83 nurse hours per resident day. That thin margin hides a bigger problem: weekend coverage drops roughly eight percent below the home's own weekday level, and annual turnover hits 59% against a national average of 45.8%. The 35 deficiencies on record carry no harm-level or abuse findings, and the most recent inspection was in June 2025, so the state has looked recently. Staffing scored better than quality measures or inspections, but a home losing six of every ten caregivers a year struggles to keep consistent hands on residents.

C

67/100

Ignite Medical Resort Dyer Llc

Dyer, IN · Lake County

CMS 1/5 100 beds For-profit
Nurse hours
4.18 /day
Staff turnover
51%
Serious cites
0

Ignite Medical Resort Dyer runs 100 certified beds under corporate for-profit ownership, and its staffing sits at 4.18 nurse hours per resident day, roughly 8% above the national average of 3.86. That sounds reassuring until you notice weekends drop about 11% below the home's own weekday coverage, and annual turnover hits 50.8% against a 45.8% national figure, meaning the people at the bedside keep changing. The inspection record is the harder problem: 72 deficiencies, including one at the harm-or-jeopardy level and one abuse-related, with a single fine of $8,281 and a health inspection rating of 1 out of 5. A recent April 2025 inspection doesn't offset that history, and quality measures alone won't carry it.

C

67/100

Rolling Hills Health And Rehab

Wichita, KS · Sedgwick County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
44%
Serious cites
0

Rolling Hills runs 85 beds in Wichita under for-profit LLC ownership, and its three CMS star ratings all land at the middle of the scale. Nurse staffing sits at 3.82 hours per resident day, a hair under the national average, and weekends run about 14% thinner than weekdays, worth knowing if your family visits or calls on Saturdays and Sundays. The current inspection record shows 21 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $39,118. Turnover at 43.8% is slightly better than the national figure, and the most recent inspection was in November 2024.

C

67/100

Advena Living Of Cherryvale

Cherryvale, KS · Montgomery County

CMS 1/5 45 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
35%
Serious cites
0

Advena Living of Cherryvale runs 45 certified beds under for-profit LLC ownership, and its nursing hours land around 3.10 per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 15% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Staff turnover sits at 35.3%, which is actually better than the 45.8% national figure, suggesting people here stay longer than at many peers. But the record shows 28 deficiencies, including one abuse-related citation, with no harm-level findings. Its quality measure rating is 1 out of 5, inspection history 3 out of 5, and the last survey was September 2025.

C

67/100

Eskridge Care And Rehab

Eskridge, KS · Wabaunsee County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
2.41 /day
Staff turnover
49%
Serious cites
0

Eskridge Care and Rehab runs 60 certified beds under for-profit LLC ownership, and the staffing numbers are where the story sits. At 2.41 nurse hours per resident day, it's about 37% below the national average of 3.86, and weekends drop roughly 8% below its own weekday coverage. Annual turnover of 48.8% sits a bit above the national 45.8%. On the record: 25 deficiencies, one at harm or jeopardy level, no abuse citations, and a single fine of $13,397. The last inspection was April 22, 2026, so the picture is current. CMS gives it 3 stars for staffing, 3 for health inspections, and 4 for quality measures, decent marks on care outcomes, thinner on the hands delivering it.

C

67/100

Harlan Health And Rehabilitation Center

Harlan, KY · Harlan County

CMS 1/5 143 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
46%
Serious cites
0

Harlan Health and Rehabilitation Center runs 4.19 nurse hours per resident day, about 8% above the national average, and that staffing shows up as a 4-out-of-5 CMS staffing star. The catch is consistency: weekends run roughly 8% thinner than weekdays, and turnover sits at 45.7%, essentially the national rate, meaning the faces change about as often here as anywhere. Clinical quality measures score 1 out of 5, and inspectors cited 12 deficiencies on the current record, three serious enough to involve harm or jeopardy. Two fines totaling $10,868 are on file, with the most recent inspection in March 2025. This for-profit corporation home has adequate hands on deck, but the care results and inspection record don't match that staffing strength.

C

67/100

Bradford Square Nursing And Rehabilitation Center

Frankfort, KY · Franklin County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
52%
Serious cites
0

Bradford Square runs 100 certified beds under corporate for-profit ownership, and its staffing sits right at the edge of average, 3.93 nurse hours per resident day, barely above the national 3.86. That thin margin gets thinner on weekends, when coverage drops about 10% below the home's own weekday levels. Turnover tells a bigger story: 51.5% of staff leave annually, against a national rate of 45.8%. The inspection record shows 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $13,627 fine. Its most recent inspection was March 26, 2026. CMS rates the home 2 out of 5 on both quality measures and staffing.

C

67/100

Chautauqua Health And Rehabilitation

Owensboro, KY · Daviess County

CMS 3/5 145 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
49%
Serious cites
0

Chautauqua Health And Rehabilitation runs 145 certified beds in Owensboro under for-profit partnership ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends dip roughly 6% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. Staff turnover of 49.1% outpaces the national 45.8%, so the people providing that care are often new. The inspection record is the harder read: 34 deficiencies, four at harm or jeopardy level, three tied to abuse, and a one-star health inspection rating from CMS with the most recent survey in April 2025. If you're considering this home, ask pointed questions about those abuse-related findings and how weekend coverage is actually staffed.

C

67/100

Mountain Ridge Health And Rehabilitation

Monticello, KY · Wayne County

CMS 1/5 59 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
35%
Serious cites
0

Mountain Ridge runs 3.38 nurse hours per resident day, roughly 12% under the national average, and weekend coverage dips another 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover at 35.4% is better than the 45.8% national figure, which matters, but it hasn't kept the home out of trouble: 19 deficiencies on the current record, four serious enough to involve harm or jeopardy and four tied to abuse. Inspectors were last on site in September 2024, and three fines totaling $13,426 have accumulated. Corporate ownership has not translated into strong survey results here.

C

67/100

Princeton Nursing & Rehabilitation

Princeton, KY · Caldwell County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
41%
Serious cites
0

Princeton Nursing & Rehabilitation runs 104 certified beds under for-profit LLC ownership, and its staffing sits at 3.29 nurse hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 12% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover at 40.8% is actually a bit better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though one is abuse-related. A recent January 2026 inspection and a 4/5 health inspection rating suggest the physical care environment is being watched closely, but the 1/5 quality measure rating and 2/5 staffing rating tell you where the strain shows.

C

67/100

Lee County Care & Rehabilitation Center

Beattyville, KY · Lee County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
39%
Serious cites
0

Lee County Care & Rehabilitation Center runs 109 certified beds in Beattyville under corporate, for-profit ownership. Its last health inspection, in August 2024, came back clean enough for a five-star rating, and the current record shows just two deficiencies, neither at the harm level and none tied to abuse, that's a genuinely strong inspection picture. The staffing side is thinner. At 3.43 nurse hours per resident day, the home sits about 11% under the national average, and weekends drop roughly another 11% below its own weekday coverage. Turnover, at 39.4%, is actually better than the 45.8% national figure, which suggests some stability. What holds the overall picture back is quality measures, where the home earns two stars.

C

67/100

Fordsville Nursing And Rehabilitation Center

Fordsville, KY · Ohio County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
43%
Serious cites
0

Fordsville Nursing and Rehabilitation Center runs on thinner staffing than most homes, 3.39 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays. Turnover sits at 42.9%, slightly better than the 45.8% national figure, so the people who are there tend to stay. The current record shows 12 deficiencies, none rising to harm or jeopardy, though one is abuse-related. A 4-out-of-5 inspection rating and a December 2025 survey are real strengths, but the 2-out-of-5 quality measure score is the number worth asking about, because it speaks to how residents are actually doing day to day.

C

67/100

Henderson Nursing And Rehabilitation Center

Henderson, KY · Henderson County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
43%
Serious cites
0

Henderson Nursing and Rehabilitation Center runs on thinner staffing than most homes, 3.10 nurse hours per resident each day against a national average of 3.86, with weekends dropping roughly another 14% below its own weekday coverage. The federal staffing rating reflects that gap at 1 out of 5 stars. Inspections from May 2025 turned up 15 deficiencies, none serious enough to reach harm or jeopardy and none tied to abuse, which is why its health and quality ratings sit mid-range. Staff turnover of 42.5% is actually slightly better than the national figure, so the problem isn't retention so much as how few hands are scheduled per resident.

C

67/100

Claiborne Healthcare Center

Shreveport, LA · Caddo County

CMS 1/5 81 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
45%
Serious cites
0

Claiborne Healthcare Center is an 81-bed for-profit home in Shreveport where the inspection record is the main problem. Thirty-nine deficiencies sit on the current record, including five at the harm or jeopardy level and five tied to abuse, and the most recent inspection was in March 2026, so this isn't a stale file. Three fines total $128,887. Staffing sits at 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends run about 12 percent thinner than weekdays. Turnover at 44.8 percent is essentially average. For a family weighing this one, the staffing numbers are thin and the enforcement history is heavy.

C

67/100

Lacombe Nursing Centre

Lacombe, LA · St. Tammany County

CMS 2/5 98 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
43%
Serious cites
0

Lacombe Nursing Centre runs about 3.39 nurse hours per resident per day, roughly 12% under the national average, and weekends drop another 13% below its own weekday staffing. That thinner weekend coverage matters because the quality measure rating sits at 1 out of 5 and staffing at 2 out of 5, even though turnover at 43.2% is slightly better than the 45.8% national figure. The current record shows 26 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in July 2025. A for-profit limited liability company operates the 98-bed home.

C

67/100

Kinder Retirement And Rehabilitation Center

Kinder, LA · Allen County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
49%
Serious cites
0

Kinder Retirement and Rehabilitation Center runs 3.35 nurse hours per resident day against a national average of 3.86, roughly 13% leaner, and weekends drop about 14% below its own weekday staffing. Turnover sits at 48.7%, a few points above the national 45.8%, so the faces around a 100-bed for-profit LLC change fairly often. The current record carries 19 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $14,015 fine. The last inspection was August 2025, so the picture is recent, not stale. Quality measures score 1 out of 5 even as staffing scores 3, which tells you the gaps show up in resident outcomes rather than raw hours alone. Ask about weekend coverage and that abuse citation directly.

C

67/100

Plantation Oaks Nursing & Rehabilitation Center

Wisner, LA · Franklin County

CMS 2/5 76 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
23%
Serious cites
0

Plantation Oaks runs lean on the floor: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That thinner weekend schedule matters more when you look at the inspection record, 21 deficiencies, two of them at harm or jeopardy level and three tied to abuse, plus a single $128,001 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, so the people who stay seem to stay. But with a 2/5 staffing rating and a September 2024 inspection, the state's findings carry weight here.

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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