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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 721–740 of 10,187, best-graded first.

A

88/100

Garden Park Care Center

Garden Grove, CA · Orange County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
35%
Serious cites
0

Garden Park runs on more nursing hours than most homes, 4.31 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 34.8% versus roughly 46% nationally. Those are real advantages, and they show up in the five-star quality measure rating. The catch is consistency: weekend coverage dips about 8% below the home's own weekday levels, and a three-star inspection rating sits behind 70 deficiencies on record, three of them abuse-related, though none rose to the level of harm or jeopardy. The most recent inspection was in June 2025, so the picture is current. It's a for-profit limited liability company, which is worth knowing when you weigh how the place invests in care.

A

88/100

Asbury Park Nursing And Rehabilitation Center

Sacramento, CA · Sacramento County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
45%
Serious cites
0

Asbury Park runs 139 certified beds under a for-profit LLC, and the nursing hours tell a decent story: 4.41 per resident day against a national average of 3.86. Weekends dip roughly 9% below weekdays, so coverage thins out when families tend to visit. Staff turnover at 45.2% lands right at the national rate, meaning the people caring for your relative cycle through about as fast as anywhere else. The inspection record is where it gets uneven, 50 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was March 2026, so the picture is current. Quality measures score well; the health inspection side is what holds this one back.

A

88/100

University Retirement Community At Davis

Davis, CA · Yolo County

CMS 5/5 37 beds Non-profit
Nurse hours
4.83 /day
Staff turnover
38%
Serious cites
0

University Retirement Community At Davis runs a tight ship on staffing: 4.83 nurse hours per resident day, about a quarter above the national average, with weekend coverage dipping roughly 12% below its own weekday levels. Turnover sits at 37.8%, well under the national 45.8%, which suggests people stick around here longer than at the typical home. The tradeoff is on inspections. Eighteen deficiencies are on the current record, one serious enough to reach harm or jeopardy level, though none involve abuse. The last survey came in September 2025, so the picture is recent. For a small 37-bed nonprofit, the staffing and retention numbers are the strong points; the deficiency count is what keeps this from being a cleaner record.

A

88/100

Continuing Care At Highland Springs

Dallas, TX · Dallas County

CMS 3/5 44 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.

A

87.5/100

West Gate Village

Brewton, AL · Escambia County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
30%
Serious cites
0

West Gate Village runs on 4.79 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and its workers tend to stay, turnover near 30% against a national average closer to 46%. The trade-off shows up on weekends, when hours drop about 22% below the home's own weekday pace. State inspectors last visited in March 2022 and logged four deficiencies, none involving harm or abuse, which is a light record. Family-owned corporations don't always staff this way; this one does, at least on weekdays.

A

87.5/100

Crowne Health Care Of Greenville

Greenville, AL · Butler County

CMS 5/5 118 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
28%
Serious cites
0

Crowne Health Care Of Greenville runs on a corporate for-profit model, and staffing is where it stands out: 4.62 nurse hours per resident day, roughly 20% above the national average. Weekend coverage dips about 20% below its own weekday level, which is common but worth knowing if you visit on Saturdays or Sundays. Staff turnover sits at 27.6%, well under the national 45.8%. Five deficiencies appear on the current record, none involving harm or abuse. The health inspection rating is 4 out of 5, but the last full inspection was January 2022, so that picture is getting old, ask what's happened since.

A

87.5/100

Three Rivers Health And Rehabilitation Center

Marked Tree, AR · Poinsett County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
36%
Serious cites
0

Three Rivers runs a tight ship on some measures and a looser one on others. Total nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and weekends drop roughly 18% below what the home staffs during the week, so if you're visiting on a Saturday, that's the reality to expect. Turnover is the bright spot: 35.5% against a national 45.8%, meaning caregivers stick around longer than at the typical U.S. home. The tradeoff shows in the inspection record, 15 deficiencies, one serious enough to reach harm or jeopardy level, plus a $24,457 fine. No abuse findings, and the most recent inspection was April 2026.

A

87.5/100

Lawton Skilled Nursing & Rehabilitation Center

San Francisco, CA · San Francisco County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
40%
Serious cites
0

Lawton Skilled Nursing runs 4.36 nurse hours per resident per day, about 13% above the national average, and turnover sits at 40%, better than the typical 45.8%. Those are real advantages. But weekends drop roughly 15% below its own weekday staffing, so the coverage families see Monday isn't what shows up Saturday. The record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, and the most recent inspection is dated April 2026. This is a for-profit LLC with 68 beds. Strong inspection and quality scores, thinner weekend coverage, and a clean harm record for a mid-size for-profit, a reasonable picture with one gap worth asking about directly.

A

87.5/100

Arrowhead Springs Healthcare

San Bernardino, CA · San Bernardino County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Arrowhead Springs runs 119 certified beds in San Bernardino, and the staffing numbers are where it separates itself: 4.61 nurse hours per resident day against a national average of 3.86. Turnover sits at 25.2 percent, well under the 45.8 percent national figure, though weekend coverage drops about 16 percent from weekday levels, so ask how that plays out on Saturdays. The 32 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection closed in April 2025. Corporate for-profit ownership, four out of five stars across health inspections, quality measures, and staffing.

A

87.5/100

San Luis Care Center

Alamosa, CO · Alamosa County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
30%
Serious cites
0

San Luis Care Center runs leaner on nursing hours than most homes, 3.49 per resident day against a national average of 3.86, and weekends dip roughly 15% below what the home staffs on weekdays. That gap matters if a family member needs help on a Saturday. The tradeoff is stability: turnover sits at 30.4%, well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. Twelve deficiencies on record, none at the harm level and none abuse-related, with an inspection completed in June 2024. It's a for-profit limited liability company, and the numbers land above average across staffing, inspections, and quality measures.

A

87.5/100

Medicalodges Fort Scott

Fort Scott, KS · Bourbon County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
49%
Serious cites
0

Medicalodges Fort Scott runs 4.18 nurse hours per resident day, roughly 8% above the national average, and CMS gives it top marks on both staffing and quality measures. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and turnover sits at 48.8%, a bit worse than the 45.8% national figure. Its inspection record carries 58 deficiencies, three tied to abuse, though none rose to actual harm or jeopardy, and the most recent look came in February 2026. A for-profit corporation owns the 45-bed building. Strong daily staffing paired with a thin inspection history is the tension here.

A

87.5/100

Signature Healthcare At Jefferson Manor Rehab & We

Louisville, KY · Jefferson County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
41%
Serious cites
0

Signature Healthcare at Jefferson Manor runs about 3.95 nurse hours per resident day, slightly above the national average, and turnover sits at 40.6%, better than the 45.8% typical elsewhere. Weekend staffing drops roughly 17% below weekday levels, so coverage thins out when families tend to visit. The 14 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in July 2025. The CMS star ratings land at 4 for health inspections, 5 for quality measures, and 4 for staffing. For a 100-bed for-profit run by a limited liability company, the numbers suggest steady care with a predictable weekend dip worth asking about.

A

87.5/100

Hermitage Care And Rehabilitation Center

Owensboro, KY · Daviess County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
37%
Serious cites
0

Hermitage Care And Rehabilitation Center runs 92 certified beds in Owensboro under for-profit LLC ownership, and the numbers here are steady across the board. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends run about 17% lighter than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 36.8%, well below the national 45.8%, which suggests people stick around. The inspection record is the strongest signal: one deficiency total, none at harm or jeopardy level, none abuse-related, with the last inspection in April 2026. For a family weighing options, that's a clean recent history backed by consistent staffing.

A

87.5/100

Medilodge Of Leelanau

Suttons Bay, MI · Leelanau County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
45%
Serious cites
0

Medilodge Of Leelanau runs about 3.45 nursing hours per resident each day, roughly 11% under the national figure of 3.86, and weekends drop about 15% below what the home staffs on weekdays. Turnover sits at 44.6%, a hair under the national 45.8%, so retention here isn't the problem, coverage is thin at the margins. The current record shows 29 deficiencies, none at harm or jeopardy level, though three are abuse-related, which is worth asking about directly. The last inspection was March 2026, so the picture is recent. Strong quality measures and a for-profit LLC structure round out a home that looks adequate on paper but light on daily hands.

A

87.5/100

Medilodge Of Alpena

Alpena, MI · Alpena County

CMS 5/5 132 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
42%
Serious cites
0

Medilodge of Alpena runs 132 certified beds under individual for-profit ownership, and its inspection record is recent, the last visit was August 2025. The home carries 21 deficiencies, two of which rose to the harm or jeopardy level, though none involved abuse. Staffing sits at 3.86 nurse hours per resident day, essentially matching the national average, but weekends drop about 16% below the home's own weekday coverage, so care can thin out when families visit. Turnover at 41.7% is slightly better than the 45.8% national figure, which suggests less churn than many peers. CMS rates its inspection record 4 of 5 stars, quality measures 5, and staffing 4, solid marks with real room to watch on weekends and those two serious deficiencies.

A

87.5/100

Frazee Care Center

Frazee, MN · Becker County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
37%
Serious cites
0

Frazee Care Center runs on more nursing hours than most homes in the country, 4.33 per resident day against a national average of 3.86. That cushion matters, though weekends here are staffed about 16% lighter than weekdays, so ask how that plays out on a Saturday. The nonprofit's 36.8% turnover sits well below the 45.8% national figure, which suggests people stick around. Twelve deficiencies on record, none involving harm or abuse, and the most recent inspection was in January 2026. With 42 beds, it's small enough that you can get straight answers from the people actually on the floor.

A

87.5/100

Diversicare Of Tylertown

Tylertown, MS · Walthall County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Diversicare Of Tylertown runs 60 beds under for-profit LLC ownership, and the numbers behind its recent inspection record are mostly steady. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends run about 17% thinner than weekdays, worth asking about if your family visits Saturday or Sunday. Turnover lands at 43.6%, just under the national 45.8%, which for a smaller rural home is reasonable. The ten deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was January 2026, so the picture is current.

A

87.5/100

Pontotoc Health & Rehab Center

Pontotoc, MS · Pontotoc County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
35%
Serious cites
0

The numbers at Pontotoc Health & Rehab Center are mostly doing what you'd want them to. Nurse staffing runs 4.13 hours per resident per day, a little above the national average, and while weekends drop roughly 19% below the home's own weekday level, that's the pattern at most places. The standout figure is turnover: 34.6% against a national average near 46%, which matters because consistent caregivers know residents' routines. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, and a five-star health inspection rating from CMS as recently as December 2025. For-profit corporate ownership is worth knowing, but nothing here suggests the corners that ownership type sometimes cuts.

A

87.5/100

Clinton Healthcare Llc - Snf

Clinton, MS · Hinds County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
27%
Serious cites
0

Clinton Healthcare runs on 4.04 total nurse hours per resident per day, a bit above the national average, and its 27% turnover is well under the 45.8% typical elsewhere. The catch is weekends: coverage drops roughly a quarter below the home's own weekday levels, so care can thin out exactly when families tend to visit. On paper the record is steady, 20 deficiencies, none at harm or jeopardy level, with one abuse-related citation and an inspection dated November 2025. A for-profit LLC of this size carries that kind of inspection history; the staffing numbers, especially weekend consistency, are what a family should actually ask about.

A

87.5/100

Quitman County Health & Rehab Llc

Marks, MS · Quitman County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
39%
Serious cites
0

Quitman County Health & Rehab runs 4.62 nurse hours per resident per day, roughly a fifth more than the national average, and its staff turnover of 38.8% sits below the national rate of 45.8%, a sign people tend to stay. Weekends are thinner, though, with staffing about 24% under weekday levels, so a Saturday or Sunday visit may feel different from a Tuesday. The home carries 10 deficiencies on its current record, none of them at the harm level and none abuse-related, and its last inspection was in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, land at 4 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.

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