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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 681–700 of 10,187, best-graded first.

A

88/100

Oaks At Denville, The

Denville, NJ · Morris County

CMS 4/5 84 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
44%
Serious cites
0

The Oaks at Denville runs a nonprofit home in Morris County with 84 beds, and its staffing is the standout fact here: 5.13 nurse hours per resident day, roughly a third more than the national average, with a perfect staffing star rating to match. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and weekend coverage dips only about 6% below weekdays, which is a fairly modest drop. What pulls the record down is inspections, a 3-out-of-5 rating and 24 deficiencies on the current record, including one at the harm or jeopardy level, from a survey completed January 31, 2025. No abuse-related citations appear. Strong hands-on care, a longer paper trail of problems.

A

88/100

Alaris Health At Cedar Grove

Cedar Grove, NJ · Essex County

CMS 4/5 230 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
51%
Serious cites
0

Alaris Health at Cedar Grove runs 230 beds under for-profit LLC ownership in Essex County, and the staffing picture is mixed in ways worth understanding. Total nurse coverage sits at 4.15 hours per resident day, roughly 7% above the national average of 3.86, but weekends drop about 8% below the home's own weekday level, so the weekday numbers that lift the average aren't what a Saturday shift looks like. Annual turnover is 51%, higher than the 45.8% national figure, which means a meaningful share of the people providing that care are new to the building. The inspection record carries 42 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, though the most recent survey was September 2025 and quality measures score well.

A

88/100

Family Of Caring Healthcare At Ridgewood

Ridgewood, NJ · Bergen County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
32%
Serious cites
0

Family Of Caring Healthcare at Ridgewood runs a tight ship on staffing. Its 4.39 nurse hours per resident day sits about 14% above the national average, and weekend coverage barely dips from weekday levels, a gap that trips up plenty of homes. Staff turnover is 31.6%, well under the national 45.8%, which suggests people stick around long enough to know the residents. The tradeoff is a longer deficiency list: 16 citations on the current record, though none at the harm level and none abuse-related. The last inspection was May 2025, so the picture is recent. For-profit, LLC-owned, 96 beds, a midsize Bergen County home whose numbers mostly hold up.

A

88/100

Careone At Madison Avenue

Morristown, NJ · Morris County

CMS 3/5 178 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
21%
Serious cites
0

Careone At Madison Avenue runs 4.03 nurse hours per resident day, a bit above the national average, and its staff turnover sits at 21% against a national 45.8%, that retention is unusual and matters more than most families realize. The catch is weekends, when staffing drops roughly 7% below the home's own weekday level, so coverage isn't perfectly steady across the week. Its last health inspection came in April 2025 and produced 21 deficiencies, none at the harm or jeopardy level and none abuse-related, which is the difference between paperwork problems and resident safety problems. Quality measures score high, though the inspection record suggests the home doesn't always hit that mark.

A

88/100

Las Estancias By Pure Health

Albuquerque, NM · Bernalillo County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
33%
Serious cites
0

Las Estancias sits on Albuquerque's west side with 120 certified beds and a for-profit corporate owner, and the numbers behind its grade tell a fairly steady story. Nurse staffing runs 3.94 hours per resident day, a bit above the national average, though weekends drop about 14% below what the home provides on weekdays, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Annual turnover of 32.5% is well below the national rate of 45.8%, which suggests a more stable crew than many places. The record isn't spotless: 29 deficiencies, one serious enough to involve harm or jeopardy, with no abuse findings. Its last inspection was February 2025.

A

88/100

Beth Abraham Center For Rehabilitation And Nursing

Bronx, NY · Bronx County

CMS 3/5 448 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
23%
Serious cites
0

Beth Abraham runs 4.13 nurse hours per resident day, about 7% above the national average, and its staff turnover of 23.2% is roughly half the national rate, that retention matters more than a single inspection cycle. The trade-off shows up in oversight: 19 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy, and the last inspection was in February 2024. Weekend staffing dips about 8% below its own weekday level, which is worth asking about if your family visits Saturdays and Sundays. A for-profit LLC with 448 beds, rated 2 out of 5 on health inspections but 5 on quality measures.

A

88/100

Teresian House Nursing Home Co Inc

Albany, NY · Albany County

CMS 3/5 302 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
34%
Serious cites
0

Teresian House runs 302 beds as a nonprofit, and its staffing sits just a hair above the national average at 3.88 nurse hours per resident day. That margin is thin, and weekends dip about 8% below its own weekday coverage, so ask how that gap gets filled. Turnover of 33.5% is notably better than the 45.8% national figure, which matters for consistency of care. The inspection record is the weaker side: a 2/5 health inspection rating, 26 deficiencies, including one at harm or jeopardy level and three abuse-related, with the most recent inspection in November 2024. Quality measures scored 5/5, staffing 4/5, the day-to-day care looks stronger than the paperwork history.

A

88/100

Wesley Pines Retirement Community

Lumberton, NC · Robeson County

CMS 4/5 62 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
27%
Serious cites
0

Wesley Pines runs a leaner operation than most: 4.17 nurse hours per resident day against a national average near 3.86, and weekend staffing that dips only about 9% below weekdays. Staff turnover sits at 26.6%, well under the national 45.8%, a real advantage in a county where finding and keeping nurses is hard. The trade-offs show up elsewhere. Nine deficiencies are on file, two tied to abuse, though none rose to the level of documented harm or jeopardy, and the last inspection was recent, in January 2026. Quality measures score at the top of CMS's scale, which is worth noticing for a corporation-owned home of this size.

A

88/100

The Rosewood Health Center

Raleigh, NC · Wake County

CMS 5/5 57 beds Non-profit
Nurse hours
5.98 /day
Staff turnover
21%
Serious cites
0

The Rosewood Health Center runs on unusually deep staffing for a 57-bed nonprofit in Raleigh, 5.98 nurse hours per resident day against a national average of 3.86, and a 21.3% turnover rate that's less than half the national figure. That kind of retention matters, because it means the people caring for your family member have usually been there a while. Its four deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in June 2025, so the picture is current rather than stale. The weaker spot is the quality measure rating, which sits at 2 out of 5, worth asking about directly when you visit.

A

88/100

Parkview Health And Rehabilitation Center

Chapel Hill, NC · Durham County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
32%
Serious cites
0

Parkview Health and Rehabilitation Center runs 108 certified beds in Chapel Hill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, only four deficiencies on the current record, and none of them at the harm or jeopardy level. The caveat sits in the day-to-day staffing. At 3.70 nurse hours per resident day, this home runs about 4% under the national average, and weekends dip roughly 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31.8% against a national 45.8%, meaning the staff who are there tend to stay.

A

88/100

Good Samaritan Society Augusta Place A Prospera Co

Bismarck, ND · Burleigh County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
22%
Serious cites
0

Good Samaritan Society Augusta Place runs a tight ship on staffing. Nurses give residents 4.43 hours of care per day, about 15 percent more than the national average, and only 22.4 percent of staff left last year, roughly half the national turnover rate. That combination of low turnover and high hours is rare, and it's the main reason this home rates as well as it does. The tradeoffs show up elsewhere: 13 deficiencies on the current record, two of them serious enough to put residents at risk of harm, plus $16,036 in fines. Weekend staffing also drops about 12 percent below weekday levels. Inspectors last visited in February 2026, so the record is recent.

A

88/100

Laurels Of Worthington, The

Worthington, OH · Franklin County

CMS 4/5 95 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
26%
Serious cites
0

The Laurels of Worthington runs 95 beds under corporate ownership, and its nursing hours come in around 12 percent under the national average, with weekends thinner still. That gap matters most on Saturdays and Sundays, when fewer hands are on the floor. Turnover is the bright spot: 25.7 percent against a national average near 46 percent, so the staff who are there tend to stay. The inspection record shows 31 deficiencies, none at the level of harm or immediate jeopardy, though one is abuse-related. State surveyors last visited in November 2024. Quality measures score well, which suggests residents' clinical outcomes hold up despite the leaner daily staffing.

A

88/100

Brookhaven Nursing & Rehabilitation Center

Brookville, OH · Montgomery County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
30%
Serious cites
0

Brookhaven runs a tight operation. Nurse staffing sits at 3.92 hours per resident day, just above the national mark, and the 29.9% turnover rate is far better than the 45.8% typical nationwide, that stability matters more than a single good week of coverage, though weekend hours do run about 11% under weekday levels. The inspection record backs it up: 14 deficiencies on file, none at the harm level, none abuse-related, with the most recent survey completed in April 2026. For-profit individual ownership doesn't guarantee anything either way, but the numbers here suggest a home that mostly does what it says.

A

88/100

Willows At Willard The

Willard, OH · Huron County

CMS 5/5 69 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
32%
Serious cites
0

Staffing at Willows At Willard runs a little under four hours of nurse time per resident each day, roughly 4% below the national average, with weekends dipping another 2% below its own weekday pattern. The bigger number is turnover: 32.4% against a national average of 45.8%, which suggests people stay here longer than they do at most homes. State inspectors have cited 13 deficiencies, none reaching harm or jeopardy and none tied to abuse, and the most recent inspection was in April 2026. A for-profit corporation owns the 69-bed building, and quality measures score well above average.

A

88/100

Union City Care Center

Union City, OH · Darke County

CMS 4/5 43 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
30%
Serious cites
0

Union City Care Center runs 43 beds as a for-profit corporation, and its strongest numbers are in outcomes: a 4-out-of-5 health inspection rating, 5 out of 5 on quality measures, and staff turnover at 30%, well under the 45.8% national average. What pulls it down is daily staffing. At 3.32 nurse hours per resident day, it sits about 14% below the national average of 3.86, and weekends dip roughly 5% below its own weekday level. The 20 cited deficiencies include none at the harm or jeopardy level, though 5 are abuse-related. Its last inspection was April 13, 2023.

A

88/100

Parkvue Health Care Center

Sandusky, OH · Erie County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
54%
Serious cites
0

Parkvue Health Care Center runs about 4.27 nursing hours per resident day, roughly 11% above the national average, which is the number that matters most for day-to-day care. Weekend staffing dips about 9% below its own weekday level, though, and annual turnover sits at 54.4% against a national 45.8%, so the care is there on paper, with more churn behind it than average. Inspections back that up: a 4/5 health inspection rating, 16 deficiencies on record but none at the harm level and none abuse-related, and a recent March 2026 survey. For-profit corporate ownership, 84 beds. Solid, not spotless.

A

88/100

Oak Pointe Nursing & Rehabilitation

Baltic, OH · Holmes County

CMS 5/5 85 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
9%
Serious cites
0

Oak Pointe runs lean on nursing hours, 3.60 per resident day, roughly 7 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. So the daily coverage isn't generous, and it thins out further on Saturdays and Sundays. What stands out is retention: 9.1 percent annual turnover against a national average near 46 percent means the same caregivers are largely still there year to year, which matters more for consistency of care than a fraction of an hour on paper. The record backs that up, 11 deficiencies, none at harm or jeopardy level, none abuse-related, a 5-star inspection rating, and a May 2025 survey that isn't stale.

A

88/100

Otterbein Middletown

Franklin, OH · Warren County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Otterbein Middletown runs about 4.19 nurse hours per resident each day, roughly 9% above the national average, and its staff turnover sits at 28% against a national 45.8%, that retention matters more than any single number here. The church-affiliated nonprofit carries 19 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was January 8, 2026. Weekend staffing dips about 6% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays.

A

88/100

Cypress Pointe Health Campus

Englewood, OH · Montgomery County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
31%
Serious cites
0

Cypress Pointe runs about 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staff turnover sits at 31.3% against a national 45.8%, that retention matters more than any single inspection score, since it means the people caring for your relative tend to stick around. Weekends run about 10% leaner than weekdays, so if you visit on a Saturday, expect a slightly thinner crew. The home carries 10 deficiencies, one serious enough to involve harm or jeopardy, but nothing abuse-related, and its last inspection was recent. Corporate for-profit ownership, 70 beds.

A

88/100

Glisan Post Acute

Portland, OR · Multnomah County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
48%
Serious cites
0

Glisan Post Acute runs a for-profit operation with 100 certified beds, and the staffing numbers are the first thing that jumps out: 4.74 nurse hours per resident day, about 23% above the national average. That's genuinely good, though weekend coverage dips roughly 12% below weekday levels, so care can thin out when families visit. Turnover sits at 48.1%, a bit above the national 45.8%, which means the faces around your relative may change often. The bigger concern is the inspection record: 34 deficiencies, three at harm or jeopardy level, and a two-star health inspection rating, even with a recent March 2026 visit.

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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