ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 7281–7300 of 10,187, best-graded first.

C

65/100

Rosewood Rehabilitation Center

Reno, NV · Washoe County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
58%
Serious cites
0

Rosewood Rehabilitation Center runs 99 certified beds in Reno under corporate for-profit ownership, and the staffing numbers are the place to start. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average of 3.86, and weekends dip about 14 percent below its own weekday level. Staff turnover is 58 percent against a national 45.8 percent, and CMS rates staffing 1 out of 5 stars. The inspection record is heavier still: 62 deficiencies, including 10 tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in December 2025. Its quality measure score is strong at 4 out of 5 stars, which makes the thin staffing the more pressing question for anyone weighing a move here.

C

65/100

Oasis Nursing & Rehab Of Green Valley

Henderson, NV · Clark County

CMS 1/5 242 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
42%
Serious cites
0

Oasis Nursing & Rehab Of Green Valley runs 242 beds in Henderson under for-profit LLC ownership. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends run about 7% thinner than weekdays, a small gap, but worth asking about if your family visits on Saturdays. Turnover is 42.3%, which is actually below the national rate. The inspection record is where the picture gets cloudier: 34 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The most recent inspection was September 2025, so the record is current. Quality measure scores came in at 2 out of 5 stars, the weakest mark across the three CMS categories, which typically reflects resident outcomes rather than the building itself.

C

65/100

Derry Center For Rehabilitation And Healthcare

Derry, NH · Rockingham County

CMS 2/5 62 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
42%
Serious cites
0

Derry Center for Rehabilitation and Healthcare runs 62 certified beds in Derry, under for-profit individual ownership. Its nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average of 3.86, that gap is the main thing driving its lowest CMS star rating. Weekends thin out further, about 13 percent below its own weekday level, so coverage is lightest exactly when families tend to visit. Turnover lands at 41.5 percent, a bit better than the 45.8 percent national figure, so the people who stay appear to stick around. The home carries 12 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its last inspection was December 11, 2025.

C

65/100

Complete Care At Brick Llc

Brick, NJ · Ocean County

CMS 3/5 137 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
72%
Serious cites
0

Complete Care at Brick runs 137 beds under a for-profit limited liability company, and the staffing numbers are the first thing worth noticing. Nurses provide 3.54 hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 9% below the home's own weekday coverage. Annual turnover sits at 71.9% against a national average of 45.8%, most of the people caring for your family member are new, or will be soon. The record shows 30 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Quality measures score well. The gap is staffing: consistently thin coverage, thinning further on weekends, sustained by a workforce that keeps leaving.

C

65/100

Lovington Healthcare Llc

Lovington, NM · Lea County

CMS 3/5 62 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
58%
Serious cites
0

Lovington Healthcare runs 62 beds under corporate ownership, and its nurse staffing sits at 3.06 hours per resident per day, roughly a fifth below the national average of 3.86. Weekends drop about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 57.7% against a 45.8% national figure, which means more than half the nursing staff turns over in a year. The inspection record shows 32 deficiencies, none at harm or jeopardy level, but one tied to abuse; the most recent inspection was May 2025. Quality measures score well, though the staffing numbers are what shape daily life.

C

65/100

La Vida Buena Healthcare

Las Vegas, NM · San Miguel County

CMS 2/5 102 beds For-profit Medicaid
Nurse hours
2.78 /day
Staff turnover
41%
Serious cites
0

La Vida Buena runs on 2.78 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 10% below its own weekdays. The inspection history is the harder problem: 78 deficiencies on record, three at harm or jeopardy level, seven tied to abuse, plus nine fines totaling $112,429. Its last inspection was June 2024. Turnover at 40.7% is slightly better than the national 45.8%, and residents' quality measures score well, but a one-star inspection rating with abuse citations on file is the number a family should weigh hardest.

C

65/100

Mayfair Care Center

Hempstead, NY · Nassau County

CMS 1/5 200 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
30%
Serious cites
0

Mayfair Care Center runs 200 certified beds in Hempstead under for-profit corporate ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average of 3.86, with weekend coverage dropping another 8 percent below its own weekday levels. That thinner weekend floor matters because the home carries 23 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus a $41,308 CMS fine and a two-out-of-five inspection rating. Turnover at 29.5 percent is genuinely better than the 45.8 percent national figure, which suggests some stability in the workforce. The last inspection was September 25, 2024; quality measures score one out of five.

C

65/100

Elderwood At North Creek

North Creek, NY · Warren County

CMS 2/5 82 beds For-profit Medicaid
Nurse hours
2.50 /day
Staff turnover
39%
Serious cites
0

Elderwood At North Creek runs 82 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.50 hours per resident day, roughly 35 percent under the national average of 3.86. Weekends dip about 12 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 38.5 percent, which is actually better than the 45.8 percent national figure, and the 12 deficiencies on record include none at the harm level and none tied to abuse. The tradeoff shows up in the staffing and quality stars, where the home scores 1 and 2 out of 5, while its last inspection was September 2024.

C

65/100

The Grand Rehabilitation And Nursing At Pawling

Pawling, NY · Dutchess County

CMS 2/5 122 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
53%
Serious cites
0

The Grand Rehabilitation and Nursing at Pawling runs on thinner nurse staffing than most homes, 3.45 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday levels, which is when families tend to visit and notice. Turnover sits at 53.4%, well above the 45.8% national figure, so the people caring for residents change often. Its inspection record carries 27 deficiencies, including one at the harm level and one abuse-related, with a $10,519 fine, and the last inspection was in April 2023. For-profit corporate ownership, 122 beds.

C

65/100

Essex Center For Rehabilitation And Healthcare

Elizabethtown, NY · Essex County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
82%
Serious cites
0

You're looking at a hundred-bed for-profit home in Elizabethtown where the numbers tell two different stories. The clinical quality measures look decent, and 19 deficiencies with none at the harm level isn't alarming on its own, but three of those are abuse-related, and that's the kind of thing you ask about directly. What stands out more is the workforce: nurses provide about 3.25 hours of care per resident per day, roughly 16 percent under the national average, and weekends run thinner than weekdays. Staff turnover near 82 percent, against a national 46, means the people showing up are often new. Inspectors last visited in November 2024. Ask how they hold staffing steady on Saturdays.

C

65/100

Elderwood At Lockport

Lockport, NY · Niagara County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
52%
Serious cites
0

Elderwood At Lockport runs 3.54 nurse hours per resident per day, about 8% under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 51.5% against a 45.8% national figure, so the people caring for residents are changing often. Ten deficiencies are on the current record, one serious enough to reach harm or jeopardy level, and a single fine has totaled $94,185. The last inspection was May 2025, so the picture is reasonably recent. For-profit LLC ownership, 126 beds, and staffing that trails the benchmark by a small but steady margin, that's the pattern worth weighing against the location and your own visits.

C

65/100

Latta Road Nursing Home East

Rochester, NY · Monroe County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
46%
Serious cites
0

Latta Road Nursing Home East runs a 40-bed operation in Rochester, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, about 10% under the national average, and weekends dip roughly 8% below what the home itself manages on weekdays, meaning coverage thins out right when families tend to visit. Staff turnover lands at 45.7%, essentially matching the national rate, so that's not the outlier here. What stands out more is the inspection record: 17 deficiencies currently on file, including one at the harm or jeopardy level and two tied to abuse, along with a single fine of $8,979. The last inspection was in April 2025, so the picture is reasonably current rather than stale.

C

65/100

Hilltop Health And Rehabilitation

Rutherfordton, NC · Rutherford County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
61%
Serious cites
0

Hilltop runs lean on nurses, 3.05 hours per resident per day against a national average of 3.86, and weekends drop another 11% below its own weekday pace. Turnover sits at 61% when the national figure is 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record shows a recent visit, a four-star health inspection and quality measure rating, but also 12 deficiencies with two at harm or jeopardy level, plus one $7,530 fine. It's a for-profit LLC. The care scores look decent on paper; the staffing numbers behind them don't hold up the same way.

C

65/100

Pelican Health At Charlotte

Charlotte, NC · Mecklenburg County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
73%
Serious cites
0

Pelican Health At Charlotte runs 120 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.32 hours per resident per day, roughly 14% under the national average, and weekends drop another 12% below the home's own weekday levels, so care gets thinnest exactly when families tend to visit. Staff turnover is 73.2%, well above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record backs this up: 41 deficiencies, six at harm or jeopardy level, one abuse-related, and $88,270 in fines across seven penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the poorest performers. The quality measure score looks strong on paper, but that data comes largely from the home's own reporting.

C

65/100

Westfield Rehabilitation And Health Center

Sanford, NC · Lee County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
49%
Serious cites
0

Westfield runs leaner on nursing hours than most homes, 3.31 per resident day against a national average of 3.86, with weekends dropping roughly another 9% below its own weekday levels. That gap shows up in the staffing rating, and nearly half the nursing staff turned over in the past year, slightly worse than the typical home. The tradeoff is a clean recent inspection history: 12 deficiencies on record, just one serious enough to reach harm or jeopardy, no abuse findings, and a single fine of $8,278. So you're looking at a home that generally passes muster with regulators but may stretch thin on day-to-day coverage, especially on Saturdays and Sundays.

C

65/100

King Health And Rehabilitation Center

King, NC · Stokes County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
60%
Serious cites
0

King Health and Rehabilitation Center runs 96 certified beds in Stokes County under for-profit LLC ownership, and the staffing numbers are where the concern sits. At 2.98 nurse hours per resident day, it's roughly 23% under the national average, with weekends dipping about 8% below its own weekday coverage. Annual turnover of 59.8% is well above the 45.8% national figure, meaning the people providing daily care are frequently new to the building. On the inspection side, the current record shows 19 deficiencies, including three at the harm or jeopardy level and one abuse-related citation. CMS rated its quality measures at 4 out of 5 stars, so the clinical outcomes data isn't the problem, it's the staffing and the violation history surrounding it. The most recent inspection was April 16, 2025.

C

65/100

Treyburn Rehabilitation Center

Durham, NC · Durham County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
69%
Serious cites
0

Treyburn Rehabilitation Center runs 132 beds in Durham under for-profit LLC ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.66 hours per resident day, about 5% under the national average, and it thins out further on weekends. The bigger concern is turnover: 69.2% annually against a national rate of 45.8%, which means the people caring for residents are constantly changing. The inspection record backs that up. Twenty-six deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $124,534. The last inspection was in March 2025, and the health inspection rating sits at 2 out of 5. Strong quality measure scores don't offset what the staffing and inspection records show.

C

65/100

Oak Grove Healthcare

Rutherfordton, NC · Rutherford County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
54%
Serious cites
0

Oak Grove Healthcare runs 60 certified beds in Rutherfordton under corporate ownership, and the numbers pull in two directions. Its last inspection, in December 2025, produced five deficiencies with none at the harm or jeopardy level, and CMS gives the home top marks on health inspections, a genuinely strong record on that front. Staffing is where the picture changes: 3.04 nurse hours per resident day sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and annual turnover of 54% outpaces the 45.8% national figure. The two-star quality measure rating adds another caution. Fewer hands and steady churn can matter more day to day than a clean inspection.

C

65/100

Southwood Nursing And Retirement

Clinton, NC · Sampson County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
63%
Serious cites
0

Southwood runs lean on nursing staff, 3.34 hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday coverage. Annual turnover of 63.4% sits well above the 45.8% national figure, meaning nearly two-thirds of the nursing staff leaves each year, which is a real problem for residents who rely on familiar caregivers. The health inspection record is comparatively stronger: a 4 out of 5 star rating, six deficiencies total, two serious enough to cause harm, and no abuse findings. It's a 100-bed for-profit corporate home in Clinton where the clinical care record looks better than the staffing numbers behind it.

C

65/100

Ramseur Rehabilitation And Healthcare Center

Ramseur, NC · Randolph County

CMS 2/5 90 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
51%
Serious cites
0

Ramseur Rehabilitation and Healthcare Center runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 12% below its own weekday levels. That matters when you're deciding whether a Saturday fall gets a fast response. The record shows 28 deficiencies, four of them serious enough to cite harm or jeopardy, three tied to abuse. Two fines total $102,656, and the most recent inspection was in August 2025. Staff turnover sits at 51.4%, above the 45.8% national figure, so the people caring for residents are often new to the building. It's a for-profit corporation, 90 certified beds, with staffing and inspection ratings both at 2 out of 5.

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.

Before you shortlist