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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 7041–7060 of 10,187, best-graded first.

C

66/100

Menifee Meadows Nursing & Rehab Llc

Frenchburg, KY · Menifee County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
56%
Serious cites
0

Menifee Meadows runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekend coverage dips about 2% below its own weekday levels, and annual turnover is 55.7% against a national 45.8%, which means the aides and nurses on the floor keep changing. The current record shows 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse. The last health inspection was December 2024. CMS rates quality measures 1 out of 5 stars, so short-term outcomes and clinical tracking are the weak spot here, even though the inspection and staffing stars land at 3. Worth asking about before you visit.

C

66/100

Pierremont Healthcare Center

Shreveport, LA · Caddo County

CMS 1/5 180 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
51%
Serious cites
0

Pierremont Healthcare Center runs 180 certified beds in Shreveport under corporate for-profit ownership. Its nurse staffing sits right at the national average, and weekends drop about 11% below its own weekday levels, but with 51.2% annual turnover, the people providing that care keep changing. The inspection record is where this home stands out: 45 deficiencies on file, eight of them serious enough to put residents at harm or immediate jeopardy, three tied to abuse, and four fines totaling $422,178. Inspectors were last in on February 12, 2026. A family looking here should ask how the abuse-related findings were resolved and who's actually on the floor on Saturdays.

C

66/100

Flannery Oaks Guest House

Baton Rouge, LA · E. Baton Rouge County

CMS 1/5 130 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
55%
Serious cites
0

Flannery Oaks runs on less nursing time than most homes in the country, about three hours per resident per day, roughly a fifth below the national average, with weekends thinner still. That's the number behind its staffing rating, and it pairs with a 54.7% annual turnover rate, meaning more than half the nursing staff leaves each year. The inspection record shows 31 deficiencies, two tied to abuse, though none reached the level of actual harm. A 130-bed for-profit run by a corporation, it was last inspected in July 2025. Quality measures score better than staffing and inspections here, so ask about day-to-day coverage before deciding.

C

66/100

Roseview Nursing And Rehabilitation Center

Shreveport, LA · Caddo County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
57%
Serious cites
0

Roseview runs on thinner staffing than most homes nationally, 3.76 nurse hours per resident day against a 3.86 average, and weekends get leaner still, dropping roughly 11% below its own weekday coverage. That matters more when you consider the 56.9% annual turnover, well above the 45.8% national figure, meaning many of the people providing daily care are relatively new to the building. The inspection record backs up the concern: 18 deficiencies, two serious enough to involve harm or jeopardy, two tied to abuse, plus $24,219 in fines. A recent January 2026 inspection and middling marks on both health inspections and quality measures suggest a home that needs a close look before you decide.

C

66/100

Deridder Retirement & Rehab Center

Deridder, LA · Beauregard County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
42%
Serious cites
0

Deridder Retirement & Rehab Center runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% below the national average of 3.86. Weekends drop another 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The home's 42.3% annual turnover is a shade better than the 45.8% national figure, but its record carries 19 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $24,119 in fines across two penalties. Its last inspection came in December 2025, so the picture is recent. Worth asking about those abuse deficiencies and weekend coverage directly.

C

66/100

Cedar Ridge Center

Skowhegan, ME · Somerset County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
47%
Serious cites
0

Cedar Ridge Center runs 75 beds in Skowhegan under corporate for-profit ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday levels, and turnover runs at 47.1 percent, a touch above the national 45.8 percent. The current inspection record carries 44 deficiencies, none flagged at harm or jeopardy level, but one tied to abuse. CMS rates the home 3 out of 5 on health inspections and staffing, and 2 out of 5 on quality measures. The most recent inspection was April 16, 2026.

C

66/100

Autumn Lake Healthcare At Calvert Manor

Rising Sun, MD · Cecil County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
49%
Serious cites
0

Autumn Lake Healthcare at Calvert Manor runs 144 certified beds in Rising Sun under for-profit LLC ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and annual turnover is 49.3% against a 45.8% national rate, so the same shortfall tends to recur rather than resolve. The current record carries 33 deficiencies, none at the harm or jeopardy level but two tied to abuse; the last inspection was April 2, 2025. Federal ratings sit at three stars for health inspections and quality measures, two for staffing. If you're weighing this one, ask how the 3-to-11 shift and weekends are actually covered.

C

66/100

Center For Extended Care At Amherst

Amherst, MA · Hampshire County

CMS 1/5 134 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
39%
Serious cites
0

Center For Extended Care At Amherst runs 134 certified beds under for-profit partnership ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14% under the national figure of 3.86, with weekends about 3% thinner than weekdays. Turnover of 39.3% is better than the 45.8% national average, so the workforce is comparatively stable, but the inspection record is where this home struggles: 34 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $28,915. The most recent inspection was June 2025, and the low health inspection rating reflects how much has accumulated on that record.

C

66/100

Nemasket Rehabilitation And Healthcare Center

Middleborough, MA · Plymouth County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
49%
Serious cites
0

Nemasket Rehabilitation runs 3.52 nurse hours per resident day, roughly 9% under the national average, and the gap widens on weekends when staffing drops about 13% below its own weekday levels. That thin coverage shows up in the federal staffing rating, which sits at the bottom of the scale, and in a turnover rate of 48.5%, higher than the 45.8% national figure. Inspections are a different story: a recent March 2025 survey and 17 deficiencies on record with none at the harm level, though two are abuse-related. The for-profit operator has kept serious health and safety citations off the books, but the daily caregiving hours are where this home comes up short.

C

66/100

Adviniacare At Provincetown

Provincetown, MA · Barnstable County

CMS 1/5 41 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
48%
Serious cites
0

Adviniacare At Provincetown runs 41 beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, which matters when you're the family member calling on a Sunday. Turnover is 48.1%, above the national 45.8%. The inspection record shows 37 deficiencies, including three at harm or jeopardy level and one abuse-related, with a single fine of $11,782 and a health inspection rating of 2 out of 5. The most recent inspection was March 2025, so the picture is current. Quality measures score 3 out of 5.

C

66/100

Care One At Millbury

Millbury, MA · Worcester County

CMS 1/5 154 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
46%
Serious cites
0

Care One At Millbury runs 154 beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 8% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 45.7%, essentially the national average, so that's not the outlier here. The inspection record is: 37 deficiencies, five at harm or jeopardy level, three fines totaling $95,138, and a 1-out-of-5 health inspection rating as of the April 2025 survey. Quality measures score well at 4/5, but that's resident care data, not the building's safety record.

C

66/100

Optalis Health & Rehabilitation Of Bloomfield Hill

Bloomfield Hills, MI · Oakland County

CMS 1/5 159 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
91%
Serious cites
0

Optalis Health & Rehabilitation of Bloomfield Hills runs 159 certified beds as a for-profit partnership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 10% thinner than weekdays, so coverage tightens exactly when families tend to visit. Staff turnover is the bigger problem: 91.2%, double the national rate. Inspectors have cited 79 deficiencies, including three at the harm or jeopardy level and five abuse-related, with one fine of $45,935 on record. If you're considering this home, ask how they're holding onto caregivers.

C

66/100

Burcham Hills Retirement Center

East Lansing, MI · Ingham County

CMS 1/5 133 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
66%
Serious cites
0

Burcham Hills runs on more nursing hours than most places, about 4.49 per resident per day against a national average near 3.86, but those hours thin out on weekends and the staff doing them turn over at 65.9% a year, well above the 45.8% norm. The inspection record is where the trouble concentrates: 53 deficiencies, seven serious enough to put residents in harm's way, five tied to abuse, and a $37,557 fine, with the most recent look coming in May 2025. A nonprofit corporation owns the 133-bed building. Strong bedside hours can't outweigh that kind of citation history, especially when the people providing the care keep leaving.

C

66/100

Optalis Health And Rehabilitation Of Kingsford

Kingsford, MI · Dickinson County

CMS 1/5 107 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
46%
Serious cites
0

Optalis Health And Rehabilitation Of Kingsford runs 107 certified beds under for-profit LLC ownership, and nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 11% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover is 45.5%, essentially matching the national 45.8%, so that's not the issue here. The inspection record is: 58 deficiencies, four at harm or jeopardy level, and $130,734 in fines across four penalties, with the most recent inspection in June 2025. Quality measures score well, but the health inspection side is where the trouble concentrates.

C

66/100

The Villa At Silverbell Estates

Orion, MI · Oakland County

CMS 2/5 106 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
57%
Serious cites
0

The Villa At Silverbell Estates runs 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage slips about 9% below its own weekday levels. Annual staff turnover sits at 57.4% against a national 45.8%, meaning more than half the nursing staff leaves each year. Its inspection record carries 46 deficiencies, including four at the harm or jeopardy level and five tied to abuse, with one fine of $36,030 and a most recent inspection on May 5, 2026. The quality measure stars look strong, but those reflect resident assessments, not the staffing and inspection problems underneath.

C

66/100

Woodward Hills Health And Rehabilitation Center

Bloomfield Hills, MI · Oakland County

CMS 2/5 190 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
56%
Serious cites
0

Woodward Hills runs 190 beds as a for-profit corporation, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86, with weekends about 14% thinner than weekdays. The bigger concern is its inspection record: 63 deficiencies, five at the harm or jeopardy level and six tied to abuse, with two fines totaling $56,072 and a one-out-of-five health inspection rating. Staff turnover is 55.9%, well above the 45.8% national average, though its quality measure rating is a perfect five. That gap between how residents' care is measured and how the building is actually run is worth asking about directly.

C

66/100

Bayshore Residence And Rehabilitation Center

Duluth, MN · St. Louis County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
58%
Serious cites
0

Bayshore Residence and Rehabilitation Center runs 140 beds in Duluth under for-profit LLC ownership, and the staffing numbers tell two stories. Its 3.56 nurse hours per resident day sit about 8% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover hits 58% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the harder part: 37 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,398 in fines, all from an April 2025 inspection. On paper the staffing star looks strong, but the same record shows real problems.

C

66/100

The Estates At Rush City Llc

Rush City, MN · Chisago County

CMS 2/5 41 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
72%
Serious cites
0

The Estates at Rush City runs 41 beds under for-profit partnership ownership, and its staffing sits slightly under the national average at 3.78 nurse hours per resident day, close enough to typical, but weekends drop about 10% below its own weekday coverage, which is when problems tend to surface. The bigger number is turnover: 72% of staff leave each year against a national rate near 46%, meaning nearly three-quarters of the people caring for residents are new to the building annually. Its inspection record shows 21 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was in January 2026. Quality measure scores land at 1 out of 5 stars.

C

66/100

The Emeralds At Grand Rapids Llc

Grand Rapids, MN · Itasca County

CMS 1/5 77 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
49%
Serious cites
0

The Emeralds At Grand Rapids runs 3.47 nursing hours per resident day, about 10 percent under the national average of 3.86, and weekends drop roughly 8 percent below its own weekday staffing. That thinner coverage matters more given a turnover rate of 48.9 percent, above the 45.8 percent national figure, and a CMS health inspection rating of 1 out of 5. The record shows 58 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with fines of $38,522 across three penalties. The most recent inspection was March 2025. For-profit corporate ownership, and families should ask directly how the home covers weekends and what's changed since that inspection.

C

66/100

Benedictine Care Community

Ada, MN · Norman County

CMS 1/5 49 beds Non-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
60%
Serious cites
0

Benedictine Care Community runs 49 beds in Ada under nonprofit ownership, and the numbers say the care side needs a closer look. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger flag: 60.4% of staff leave each year against a national average near 46%, which means the people showing up are often new. Inspections back that up, 28 deficiencies on record, two at harm or jeopardy level, two tied to abuse, and one fine of $154,460. The most recent inspection was June 2026, so the picture is current, not stale. Worth asking about staffing plans and how they hold the line on weekends.

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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