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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 7021–7040 of 10,187, best-graded first.

C

66/100

Duquoin Nursing & Rehab

Du Quoin, IL · Perry County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
41%
Serious cites
0

Du Quoin Nursing & Rehab is a 72-bed for-profit home in Perry County, and its inspection record looks better than the rest of its file. The most recent state visit came in August 2025 and produced a 4-out-of-5 inspection rating, but 18 deficiencies sit on the current record, including two that rose to the level of actual harm or jeopardy and four tied to abuse. Staffing runs about 12% below the national average at 3.39 nurse hours per resident day, and weekends dip slightly below the home's own weekday level. Turnover of 41.3% is better than the 45.8% national figure, though the quality measure rating of 1 out of 5 suggests residents' clinical outcomes are not tracking with that stability.

C

66/100

Staunton Health And Rehab Ctr

Staunton, IL · Macoupin County

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

Staunton Health and Rehab runs 23 deficiencies on its current record, none at harm or jeopardy level, but three tied to abuse, which is the kind of thing worth asking about directly. The inspection history itself is recent and decent, a 4 out of 5 on CMS health inspections, and the last survey was April 2025. What drags the picture down is staffing: 3.35 nurse hours per resident day, about 13% under the national average, with weekends running roughly 11% thinner than weekdays. Annual turnover hits 54.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. Corporate-owned and for-profit, 90 beds. Ask who's on the floor on Sunday.

C

66/100

Pekin Manor

Pekin, IL · Tazewell County

CMS 4/5 130 beds Non-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
52%
Serious cites
0

Pekin Manor runs a nonprofit operation with 130 beds, and its nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average. That's a real strength, though weekend coverage dips about 5% below weekday levels, and annual turnover of 51.6% tops the national figure of 45.8%, so the faces around residents change more than you'd like. The inspection record shows 23 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, with a $9,110 fine on file. The most recent state visit was September 2024. Quality and staffing measures both land at 2 out of 5 stars despite the decent hours per resident.

C

66/100

Elevate Care North Branch

Niles, IL · Cook County

CMS 2/5 212 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
41%
Serious cites
0

Elevate Care North Branch runs 212 beds in Niles, and its nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends drop about 15 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 41.4 percent, a bit better than the 45.8 percent national figure. The inspection record is the heavier problem: 56 deficiencies, 11 of them at harm or jeopardy level, two tied to abuse, and four fines totaling $234,006. The most recent inspection was April 18, 2025.

C

66/100

Robinson Rehab And Nursing

Robinson, IL · Crawford County

CMS 3/5 67 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
48%
Serious cites
0

Robinson Rehab and Nursing runs 3.51 nursing hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday coverage. That thin weekend margin matters most when a resident needs help on a Saturday night. Staff turnover sits at 47.6%, slightly above the 45.8% national figure, and the 19 deficiencies on record include three at the harm or jeopardy level. One fine totaling $14,015 has been levied. The for-profit partnership was inspected most recently on November 21, 2025, so the record is current rather than stale. Ask about weekend coverage and how long direct-care staff tend to stay.

C

66/100

Grove Of Skokie, The

Skokie, IL · Cook County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
2.44 /day
Staff turnover
17%
Serious cites
0

The Grove Of Skokie runs a five-star health inspection record with its most recent survey in May 2025, and only 10 deficiencies on file, two of them serious enough to cause harm. That inspection performance is genuinely strong. The problem sits elsewhere: nurse staffing at 2.44 hours per resident day runs about 37 percent under the national average, and the quality measure score is weak too. One thing that stands out is turnover, 16.7 percent against a national average near 46 percent, which suggests the aides and nurses who are there tend to stay. Weekend coverage holds close to weekday levels, so the shortfall isn't a weekend problem. It's a staffing number that stays low all week.

C

66/100

Allure Of Prophetstown

Prophetstown, IL · Whiteside County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
36%
Serious cites
0

Allure Of Prophetstown runs on thinner nursing coverage than most homes, 3.71 nurse hours per resident day against a national average of 3.86, and weekends drop about 5% below what it manages during the week, when families often visit. The inspection record is the heavier problem: 34 deficiencies, five of them serious enough to put residents at harm or jeopardy, three tied to abuse, and a $45,133 fine. Staff turnover of 35.7% actually beats the national figure of 45.8%, so the people who stay may know the building. But a for-profit corporation, a recent September 2025 inspection, and low marks across health, quality, and staffing tell you where the trouble sits.

C

66/100

Helia Healthcare Of Benton

Benton, IL · Franklin County

CMS 3/5 83 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
48%
Serious cites
0

Helia Healthcare of Benton runs on thin staffing: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 6% below its own weekday coverage. The 47.8% turnover rate is a bit worse than the national figure, and CMS gives staffing a single star. Inspections are the bright spot, a five-star health inspection rating, a clean record on abuse, and the last visit came in May 2025. Still, five deficiencies sit on the current record, one serious enough to involve harm or jeopardy. Corporate ownership, a low staffing score, and that one high-level citation are what hold the overall picture back.

C

66/100

Park Terrace Village

Evansville, IN · Vanderburgh County

CMS 2/5 96 beds Non-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
60%
Serious cites
0

Park Terrace Village runs 96 beds in Evansville as a nonprofit, and the numbers tell a mixed story. Staffing sits at 3.78 nurse hours per resident day, just under the national average, but weekends drop about 11% below the home's own weekday level, and turnover runs 60.3% against a national 45.8%, which is a lot of churn for a building this size. The health inspection record shows 34 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. Quality measures score well, staffing scores poorly, and the two pull against each other.

C

66/100

Core Of Bedford

Bedford, IN · Lawrence County

CMS 2/5 37 beds Non-profit Medicaid
Nurse hours
2.75 /day
Staff turnover
55%
Serious cites
0

Core Of Bedford runs 37 beds as a nonprofit, and its last health inspection in March 2026 turned up 13 deficiencies, one of them serious enough to reach harm or jeopardy level. Nurse staffing sits at 2.75 hours per resident per day against a national average of 3.86, roughly 29% below, and weekends drop about 8% below what the home staffs on weekdays. Annual turnover is 54.8% compared with 45.8% nationally, which means more than half the nursing staff leaves each year. The inspection and quality measure ratings land mid-range, but the staffing rating sits at the bottom. For a family weighing a move here, that gap between adequate care ratings and thin, churning coverage is the thing to ask about directly.

C

66/100

Waters Of Muncie, The

Muncie, IN · Delaware County

CMS 2/5 72 beds Government Medicaid
Nurse hours
3.56 /day
Staff turnover
57%
Serious cites
0

The Waters of Muncie runs on 3.56 nurse hours per resident day, about 8 percent under the national average, and weekends dip another 8 percent below its own weekdays. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, and turnover of 56.7 percent means well over half the nursing staff leaves each year. Its 31 deficiencies include six tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection was in March 2025. Quality measures look strong at 5 out of 5, and it's city or county owned, but the inspection record and the hours on the floor are the numbers worth weighing.

C

66/100

Timbers Of Jasper The

Jasper, IN · Dubois County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
47%
Serious cites
0

The Timbers of Jasper runs 94 beds under corporate ownership, and its nursing hours come in around 3.46 per resident day, roughly a tenth below the national average of 3.86. Weekends thin out further, about 14% under the home's own weekday staffing, so a Saturday shift isn't the same as a Tuesday. Staff turnover sits at 46.6%, a touch above the national 45.8%. Inspections are the stronger side here: a 4-out-of-5 health inspection rating, most recently surveyed January 30, 2026, with 16 deficiencies on record, two serious enough to involve harm or jeopardy, none abuse-related, and one fine totaling $16,777. The staffing rating of 2 out of 5 is what pulls the overall picture down.

C

66/100

Flatrock River Lodge

Rushville, IN · Rush County

CMS 3/5 63 beds Government Medicaid
Nurse hours
3.88 /day
Staff turnover
53%
Serious cites
0

Flatrock River Lodge sits in Rush County as a city- or county-run home with 63 certified beds, and its inspection record is genuinely its strong point, a four-star health inspection rating, nine deficiencies on the books, none of them causing harm or involving abuse, and a survey completed in April 2026. Staffing is where the picture gets thinner. Total nurse hours land at 3.88 per resident day, barely nudging past the national average of 3.86, and the federal staffing rating comes in at just one star, with weekend coverage running about 3% below weekday levels. Turnover of 53.1% outpaces the 45.8% national figure, meaning new faces cycle through often.

C

66/100

Owen Valley Rehabilitation And Healthcare Center

Spencer, IN · Owen County

CMS 4/5 113 beds Non-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
56%
Serious cites
0

Owen Valley runs on a noticeably thinner nursing staff than most homes its size, 3.08 hours per resident day against a national average of 3.86. That gap shows up on weekends too, when coverage drops about 10% below what it is during the week. Annual turnover sits at 55.7%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record, at least, is clean where it matters: seven deficiencies, none causing harm and none tied to abuse, and the last state visit was in early 2026. Quality measures score well. It's a non-profit corporation with 113 beds. The tension here is straightforward, good outcomes and a recent clean inspection, resting on staffing that runs lean.

C

66/100

Sage Bluff Health And Rehab Center

Fort Wayne, IN · Allen County

CMS 3/5 84 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
74%
Serious cites
0

Sage Bluff Health and Rehab Center runs 84 certified beds in Fort Wayne under corporate for-profit ownership, and the numbers tell a split story. Nurse staffing sits at 3.34 hours per resident day, roughly 14 percent under the national average, and weekends drop about 12 percent below the home's own weekday level. Staff turnover is 73.6 percent against a national 45.8, that's a lot of churn for a building this size. On paper, though, the place looks strong: 4 out of 5 stars on health inspections and quality measures, with 16 deficiencies on record and none at the harm or jeopardy level. The catch is that 3 of those 16 are abuse-related, and the staffing star tells you the ratios aren't keeping pace.

C

66/100

Good Samaritan - Algona

Algona, IA · Kossuth County

CMS 3/5 72 beds Non-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
42%
Serious cites
0

Good Samaritan, Algona runs 72 certified beds as a nonprofit corporation, and it last cleared inspection in December 2025. Its nurses give 3.06 hours of care per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure. The current record carries 27 deficiencies, three at harm or jeopardy level and four tied to abuse, plus one fine of $7,070. Quality measures scored 2 of 5 stars, so what's on paper is a home getting thinner weekday coverage than most and carrying a heavier-than-typical enforcement history.

C

66/100

Horizon Post Acute

Wichita, KS · Sedgwick County

CMS 1/5 75 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
—
Serious cites
0

Legacy At College Hill runs 75 certified beds in Wichita under for-profit LLC ownership, and its nurse staffing comes in at 3.84 hours per resident day, essentially right at the national average of 3.86. That sounds fine until you notice weekends run about 17 percent leaner than weekdays, which is when families tend to visit and when problems often surface. The bigger concern is the inspection record: 63 deficiencies, six of them serious enough to cause harm or jeopardy, three tied to abuse. Two fines totaling $43,188 and a 1-out-of-5 health inspection rating point to a home that has struggled to stay in compliance, even though its quality and staffing scores sit in the middle.

C

66/100

Topeka Presbyterian Manor

Topeka, KS · Shawnee County

CMS 1/5 68 beds Non-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
47%
Serious cites
0

Topeka Presbyterian Manor runs a genuine split: the nursing hours are there, 4.54 per resident day against a national average of 3.86, and that earns a top-tier staffing rating. Weekend coverage dips about 8% below its own weekday level, though it stays respectable. The problems sit elsewhere. On the current record there are 33 deficiencies, five of them serious enough to put residents in harm's way and one tied to abuse, with four fines totaling $56,260. Health inspection and quality measure ratings both land at the bottom of the scale. Staff turnover, at 47.4%, runs slightly worse than the national figure. Good hours, troubled oversight, the staffing is not where the risk lives here.

C

66/100

Brighton Place West

Topeka, KS · Shawnee County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
2.41 /day
Staff turnover
60%
Serious cites
0

Brighton Place West runs on thin staffing: 2.41 nurse hours per resident per day against a national average of 3.86, with weekends about 9% leaner than weekdays. That gap shows up in the federal staffing rating, which lands at the lowest tier, and in a 59.5% annual turnover rate that sits well above the 45.8% national figure. On paper the quality measures look strong, but 20 deficiencies on the current record, two serious enough to involve harm or jeopardy, and a $16,820 fine tell a different story. The last inspection was in October 2024, so the record is recent. For-profit corporate ownership, 50 beds.

C

66/100

Letcher Manor

Whitesburg, KY · Letcher County

CMS 2/5 142 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
46%
Serious cites
0

Letcher Manor runs 142 certified beds in Whitesburg under corporate for-profit ownership, and its staffing is the number that stands out: 3.47 nurse hours per resident per day, roughly 10% under the national average of 3.86, with weekends dipping about another 10% below its own weekday level. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5 stars. Turnover is 46.2%, essentially in line with the 45.8% national figure, so the issue isn't churn so much as how many hands are scheduled. The current record lists 12 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was February 27, 2025.

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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