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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 701–720 of 10,187, best-graded first.

A

88/100

Creekside Health And Rehabilitation Of Cascadia

Eugene, OR · Lane County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.88 /day
Staff turnover
48%
Serious cites
0

Creekside runs about 4.88 nurse hours per resident per day, roughly a quarter more staffing than the national average, and its inspection record shows nine deficiencies with none rising to harm or jeopardy and nothing abuse-related. Weekend coverage drops about 12% from weekday levels, which is common but worth asking about if your family visits Saturdays. Staff turnover sits at 48.1%, slightly above the national 45.8%, high, though close to typical for the industry. The last inspection was May 2026, so the record is recent. Corporate for-profit ownership is the main thing to weigh against those otherwise solid numbers.

A

88/100

The Dalles Health And Rehabilitation

The Dalles, OR · Wasco County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
5.06 /day
Staff turnover
48%
Serious cites
0

The Dalles Health and Rehabilitation runs on 5.06 nurse hours per resident per day, roughly 31% more than the national average of 3.86, a staffing level that stands out, though weekends run about 13% thinner than weekdays, so ask how coverage holds up on a Sunday. The 21 deficiencies on record, three of them at the harm or jeopardy level, temper that picture, and 48.1% annual turnover means the people providing that care are often new. The last inspection was December 2024, so the record is current. This is a for-profit corporate home where the direct-care hours are real and the oversight history is mixed.

A

88/100

Marquis Vermont Hills

Portland, OR · Multnomah County

CMS 5/5 73 beds For-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
36%
Serious cites
0

Marquis Vermont Hills runs on a corporate for-profit model with 73 beds, and the nurse staffing is the standout: 5.13 hours per resident day, roughly a third more than the national average. Weekend coverage dips about 12% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 36%, better than the 45.8% national figure, which matters for whether you see the same faces. Inspections came back clean on harm and jeopardy, though 13 deficiencies sit on the record, one tied to abuse, and the last visit was in May 2026.

A

88/100

Marquis Hope Village

Canby, OR · Clackamas County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
48%
Serious cites
0

Marquis Hope Village runs about 4.85 nurse hours per resident day, roughly a quarter more than the national average, and that staffing cushion shows up in its four-star staffing rating. Turnover sits at 48.4%, a bit above the national 45.8%, so the hands on deck are there but the faces change somewhat more often than average. The 14 deficiencies on record include none involving harm or jeopardy and none tied to abuse, and the last inspection was in May 2025. Weekend staffing dips about 8% below the facility's own weekday level. For a 50-bed for-profit, the record is steady rather than spotless.

A

88/100

Avalon Care Center - Scappoose

Scappoose, OR · Columbia County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
5.36 /day
Staff turnover
44%
Serious cites
0

Avalon Care Center - Scappoose runs 40 certified beds in Columbia County under corporate for-profit ownership, and its nurse staffing sits at 5.36 hours per resident day, roughly 39% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday levels, so ask how that gap gets filled. Staff turnover is 43.6%, slightly better than the 45.8% national figure. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, though the most recent inspection was December 2025 and the health inspection rating is 4 out of 5. Quality measures rate 3 out of 5.

A

88/100

Rolling Hills Healthcare And Rehabilitation Center

Millmont, PA · Union County

CMS 4/5 57 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
38%
Serious cites
0

Rolling Hills runs on 4.09 nurse hours per resident per day, roughly 6% above the national average, and its 38.1% turnover is better than the 45.8% norm, that kind of retention usually shows up in how consistently residents see the same faces. The trade-off is weekends, when staffing drops about 12% below its own weekday level. Fourteen deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related, and the last inspection was August 2025. This for-profit, individually owned home has clear strengths in its numbers and one weekend pattern worth asking about directly.

A

88/100

Nhc Healthcare - Sumter

Sumter, SC · Sumter County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
27%
Serious cites
0

Nhc Healthcare - Sumter runs 138 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean: four deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection dated April 2026. Staffing sits at 3.38 nurse hours per resident day, roughly 13 percent under the national average of 3.86, and weekends drop about 11 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. What offsets that is retention: 27.3 percent annual turnover against a national average of 45.8 percent means the aides and nurses here are more likely to still be around next year, which matters more for daily care than almost anything else on paper.

A

88/100

Broad Creek Care Center

Hilton Head Island, SC · Beaufort County

CMS 5/5 25 beds For-profit
Nurse hours
5.51 /day
Staff turnover
47%
Serious cites
0

Broad Creek Care Center is small, 25 beds, and it's putting 5.51 nursing hours behind each resident per day, roughly 43% more than the national average. That's a real difference if your family member needs hands-on help, though weekends run about 12% thinner than weekdays, so ask what Sunday afternoon actually looks like. Turnover sits at 47.4%, a touch above the national figure, which means the faces around your parent may keep changing even with the hours on paper. On the record: seven deficiencies, one serious enough to risk harm, two tied to abuse, and the last inspection was January 2026. Corporate-owned, for profit.

A

88/100

Wildewood Downs

Columbia, SC · Richland County

CMS 5/5 32 beds For-profit
Nurse hours
5.27 /day
Staff turnover
41%
Serious cites
0

Wildewood Downs runs on nursing hours, 5.27 per resident day, roughly a third more than the national average, and that shows up in its staffing rating, which sits at the top of CMS's scale. Weekend coverage dips about 10% below weekday levels, worth knowing if your visits fall on Saturdays or Sundays, and turnover at 41.2% is a bit better than the national 45.8%, though still means a good share of the faces change year to year. Nine deficiencies on record with none at harm or jeopardy level and none abuse-related, plus an inspection as recent as January 2026, suggests a home that's been looked at closely and come through cleanly. A for-profit LLC operates it.

A

88/100

Ashby Ponds Inc

Ashburn, VA · Loudoun County

CMS 4/5 44 beds Non-profit
Nurse hours
4.82 /day
Staff turnover
39%
Serious cites
0

Ashby Ponds runs a nonprofit shop in Loudoun County with 44 certified beds and enough nurses to make most homes look thin, 4.82 hours per resident day against a national average of 3.86. Staff turnover sits at 39%, better than the 45.8% typical elsewhere, though weekends run about 11% lighter than weekdays. The inspection record shows 17 deficiencies, none involving harm or abuse, with four fines totaling $9,438 and a February 2024 survey. The 3/5 inspection rating is the weak spot; the 5/5 staffing and 4/5 quality measures carry the rest.

A

88/100

The Oaks At Lakewood

Tacoma, WA · Pierce County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
29%
Serious cites
0

The Oaks At Lakewood sits at 80 certified beds under for-profit LLC ownership, and the numbers tell a fairly steady story. Nurse staffing runs 4.08 hours per resident day, about 6% above the national average, though weekends dip roughly 14% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 28.6%, well under the national 45.8%, which suggests people stay. The 28 deficiencies on record include two abuse-related citations, but none rose to harm or jeopardy level, and the most recent inspection was in January 2026.

A

88/100

Good Samaritan Health Care Ctr

Yakima, WA · Yakima County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
23%
Serious cites
0

Good Samaritan Health Care Center runs 105 certified beds in Yakima under individual for-profit ownership, and the staffing numbers here stand out for the right reasons. Nurses provide 4.46 hours per resident day, roughly 15% above the national average, and staff turnover sits at 22.8%, about half the national rate of 45.8%. That kind of retention matters, since it usually means caregivers who know the residents. Weekend coverage dips about 11% below weekday levels, which is worth asking about directly. The inspection record shows 30 deficiencies, none at the harm or jeopardy level, though five are abuse-related and deserve a specific question. The last inspection was in late 2025, so the record is current.

A

88/100

Park View Home

Woodville, WI · St. Croix County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
40%
Serious cites
0

Park View Home runs on a nonprofit model with 50 certified beds, and the staffing numbers are the story here: 4.38 nurse hours per resident day, roughly 13% above the national average, which is why it earned a five-star staffing rating. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The health inspection rating is 4 out of 5, with eight deficiencies on record, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was September 24, 2025, so the record is current.

A

88/100

Newcastle Place

Mequon, WI · Ozaukee County

CMS 3/5 47 beds Non-profit
Nurse hours
5.22 /day
Staff turnover
43%
Serious cites
0

Newcastle Place sits in Mequon with 47 certified beds under nonprofit ownership, and its staffing numbers stand out: 5.22 nurse hours per resident day, roughly 35% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, but turnover at 43.2% is slightly better than the 45.8% national figure. The trouble is the inspection record, 43 deficiencies, including 2 at harm or jeopardy level and 10 tied to abuse, with a $12,740 fine and a May 2026 inspection date. Strong bedside hours and a clean quality measure score don't cancel out that many serious findings.

A

88/100

Lodi Nursing & Rehabilitation

Lodi, CA · San Joaquin County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
27%
Serious cites
0

Lodi Nursing & Rehabilitation runs 74 certified beds under for-profit LLC ownership, and the staffing numbers are the strongest part of the picture: 4.14 nurse hours per resident day, roughly 7% above the national average of 3.86. Weekend staffing dips about 9% below weekday levels, which is common but worth asking about. Annual turnover of 26.8% sits well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up in the inspection record, 44 deficiencies on file, none at harm or jeopardy level, but one abuse-related citation. Federal health inspection rating comes in at 3 out of 5, while quality measures hit 5 out of 5 and staffing 4 out of 5. Most recent inspection was March 2026.

A

88/100

Pacific Post Acute

Santa Monica, CA · Los Angeles County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
35%
Serious cites
0

Pacific Post Acute runs 49 beds in Santa Monica under limited-liability, for-profit ownership, and the direct-care hours show it: 4.63 per resident day, roughly a fifth more than the national average, with turnover at 34.6% against a national 45.8%. Weekend staffing dips about 12% below its own weekday level, so ask how that plays out on Saturdays. The current record carries 42 deficiencies, none at harm or jeopardy level, two tied to abuse. The last inspection was April 3, 2026, so the picture is recent. Quality measures score well; staffing scores mid-range despite the hours.

A

88/100

Napa Valley Care Center

Napa, CA · Napa County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Napa Valley Care Center runs 130 certified beds under for-profit LLC ownership, and its staffing sits at 3.81 nurse hours per resident day, just under the national average of 3.86, with weekends running about 10% lighter than weekdays. What stands out is retention: 24.6% annual turnover against a national average of 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in its inspection record, 63 deficiencies, including two at the harm level and two abuse-related, plus one $30,259 fine, with the most recent inspection in July 2025. Quality measures score well; the health inspection side is where the trouble sits.

A

88/100

Vista View Post Acute

Vista, CA · San Diego County

CMS 4/5 176 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
31%
Serious cites
0

Vista View Post Acute runs 176 beds as a for-profit LLC, and its staffing sits slightly above the national average at 3.92 nurse hours per resident day. The bigger story is retention: 31.4% turnover against a 45.8% national average means far fewer unfamiliar faces than at a typical home, though weekend coverage dips about 8% below weekday levels. The tradeoff shows up in inspections. Its quality measures score well and staffing is solid, but 45 deficiencies on record, including one at harm or jeopardy level and three tied to abuse, pull the health inspection rating down to 2 out of 5. The most recent survey was May 2025, so that record is current.

A

88/100

Medical Hill Healthcare Center

Oakland, CA · Alameda County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
35%
Serious cites
0

Medical Hill Healthcare Center runs 3.94 nurse hours per resident day, just above the national average of 3.86, though weekend coverage drops roughly 9% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 34.8%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, so ask how those were resolved and what's changed since. A recent August 2025 inspection and five out of five on quality measures round out a solid picture, though the three-star staffing rating and for-profit LLC ownership are worth weighing.

A

88/100

Fruitvale Healthcare Center

Oakland, CA · Alameda County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
24%
Serious cites
0

Fruitvale Healthcare Center runs 140 certified beds in Oakland under for-profit partnership ownership, and the staffing picture is genuinely better than most: 4.09 nurse hours per resident day against a national average of 3.86, with weekend coverage only about 5% below weekday levels. Turnover sits at 24% while the national figure is 45.8%, which matters because consistent caregivers know residents. The inspection record is where it gets complicated. A five-star health inspection rating and a clean October 2024 visit sit alongside 25 deficiencies, including one at harm level and four tied to abuse, plus 18 fines totaling $105,627. Ask what those abuse deficiencies involved and what changed afterward.

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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