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.
Cordova Health and Rehabilitation runs 114 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average of 3.86. That looks good until you notice weekends drop roughly 25% below the home's own weekday coverage, and annual turnover hits 57.4% against a national 45.8%.
The inspection record is where the real trouble shows. Thirteen deficiencies are on file, including two at the harm or jeopardy level and three tied to abuse. CMS has fined the home once, for $76,242, and the most recent inspection was November 20, 2024. Strong quality and staffing stars don't offset that inspection history, ask direct questions about those abuse deficiencies before you visit.
Nhc Healthcare, Anniston runs 151 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.47 hours per resident day, about 10% under the national average of 3.86. Weekends dip roughly another 10% below its own weekday levels, so coverage gets thinnest exactly when families tend to visit. The current inspection record shows 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $11,057 and a survey completed in October 2024. Staff turnover is 46%, essentially matching the national rate of 45.8%. Note the split in the federal stars: quality measures earn 4 out of 5, staffing earns 4, but health inspections earn only 2, the direct-care record is where the problems concentrate.
Crowne Health Care of Eufaula runs 180 certified beds under corporate ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekend coverage dropping about 19% below what it manages on weekdays. Turnover is the brighter spot at 34.4%, well under the national 45.8%. The inspection record is where the concerns pile up: 15 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $42,884 fine. That last inspection was November 2022, so the picture is dated. Families weighing this one should ask what's changed since.
Birmingham Nursing and Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends drop about 24% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 63.2%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Its inspection record is the harder read: 20 deficiencies, four at harm or jeopardy level, five tied to abuse, plus $74,848 in fines and a June 2024 inspection. Strong quality-measure scores don't offset that.
Lighthouse runs a solid staffing operation on paper, 4.29 nurse hours per resident day, about eleven percent above the national average, and turnover at 29.7% is well below the 45.8% national figure, suggesting people actually stay. That's the strong part. The concern is oversight: fourteen deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, against a health inspection rating of 2 out of 5. The last inspection was January 2020, so the record is years old and may not reflect current conditions either way. Weekend staffing drops roughly 20% below weekday levels, which matters for a 68-bed for-profit home. Good staffing numbers don't cancel out a thin inspection history.
The Health Center at Research Park runs about 3.46 nurse hours per resident day, roughly 10% under the national average, and weekend coverage falls nearly a fifth below its own weekday level, so the gap between a Tuesday and a Sunday is real. Staff turnover sits at 54.7% against a national 45.8%, which means more than half the nursing staff leaves each year. Its current record carries 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $69,011; the last inspection was June 2024. Ownership is a for-profit corporation.
Polaris Extended Care runs one of the more lopsided profiles you'll see in Anchorage: nurse staffing at 4.61 hours per resident day sits about 19% above the national average, and CMS gives it 5 out of 5 stars for that. But staffing is only part of the story. The health inspection record is the problem, 82 deficiencies, including 10 at the harm or jeopardy level and 5 tied to abuse, with $231,865 in fines across four penalties. Weekend staffing also drops about 16% below its own weekday level, so the coverage isn't even all week. The most recent inspection was May 2025, so this is current, not old history.
Santa Rosa Care Center runs about 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends dip another 13% below its own weekday levels. Annual turnover sits at 58.2% against a 45.8% national figure, so the staff cycling through the building is changing faster than at the typical home. Its inspection record shows 28 deficiencies, including one at the harm level and 12 tied to abuse, with the most recent inspection in August 2025. The quality measure score comes in strong, but that reflects charted clinical outcomes rather than day-to-day staffing or the survey history behind it.
Desert Terrace runs on leaner nursing hours than most homes, 3.35 per resident day against a national average of 3.86, and weekends drop about 11% below what the building staffs during the week. That matters because turnover sits at 55.4%, well above the 45.8% national figure, so the people covering those thinner weekend shifts are often new. The five-star quality measure rating looks strong on paper, but the inspection record tells a different story: 23 deficiencies, five tied to abuse, and a two-star health inspection score from a visit in late September 2025. None of those deficiencies rose to the level of actual harm, which is worth knowing. Corporate-owned, 108 beds, and a staffing picture that runs below average across the board.
Handmaker Home for the Aging carries a one-star health inspection rating and 51 deficiencies on its current record, including 16 tied to abuse and one at the harm or jeopardy level. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Staffing sits at 3.90 nurse hours per resident day, barely above the national average, but turnover runs 68% against a national 45.8%, and weekend coverage drops about 9% below weekday levels. The five-star quality measure score doesn't offset a record this heavy. If you're considering this Tucson home, ask directly what's changed since the October 2024 inspection.
Casas Adobes runs about 3.97 nurse hours per resident day, a bit above the national average, but weekends drop roughly 13% below its own weekday coverage, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 50.5%, higher than the 45.8% national figure, which matters for whether your parent sees the same aides from month to month. The health inspection record is the real concern: 19 deficiencies, seven of them abuse-related, even though none rose to harm or jeopardy level, and the last inspection was in May 2026. The quality measure stars look strong, but the inspection side is where you'd want to ask hard questions before choosing this 230-bed for-profit home.
Heritage Court Post Acute runs 108 beds in Scottsdale under corporate ownership, and the numbers pull in two directions. Clinical quality measures score near the top, and the April 2025 inspection found no deficiencies at the harm level, but there are 18 deficiencies on record, three tied to abuse, and nurse staffing sits about 14% under the national average at 3.31 hours per resident day. Weekend coverage drops roughly 12% below the home's own weekday level, which matters when families visit and needs don't pause. Annual turnover is 50.7%, above the 45.8% national figure, so the people caring for your relative change often. Ask how they staff weekends and what those abuse deficiencies involved before deciding.
Haven Of Sierra Vista runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.09 hours per resident day, roughly 20% under the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, and turnover is 46.6%, slightly above the national figure of 45.8%.
The current record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related. Health inspection rating is 2 out of 5; staffing is 1 out of 5. Quality measures score 5 out of 5, and the most recent inspection was December 10, 2025. The staffing shortfall is the number worth weighing hardest if you're comparing this home to others nearby.
Haven Of Flagstaff runs 3.35 nursing hours per resident day, roughly 13% under the national average, and weekends dip about 8% below its own weekday coverage. Turnover sits at 43.8%, a touch better than the 45.8% national figure, but the inspection record is the harder read: 24 deficiencies on file, including one at the harm level and nine tied to abuse, with a $13,098 fine and a 2-out-of-5 health inspection rating. The 5/5 quality measure score reflects resident care metrics, not the survey history. Last inspection was March 14, 2025, so the record is current. For-profit corporate ownership. If you're weighing this one, ask specifically about the abuse-related findings and how weekend staffing gets covered.
Bella Vita runs 176 certified beds under corporate for-profit ownership in Glendale, and its staffing sits almost exactly at the national average, 3.88 nurse hours per resident day against 3.86 nationwide. That average hides a gap, though: weekends run about 11% leaner than weekdays, so coverage depends on when you visit. Turnover at 44.5% is slightly better than the national 45.8%, which is a small point in its favor. The bigger concern is the inspection record: 21 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $8,278 fine. The last inspection was October 31, 2024, so that record is recent.
Desert Cove runs 120 beds in Chandler under for-profit partnership ownership, and the staffing numbers are the first thing to notice. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, close, but the weekend picture is worse. Weekend staffing drops about 17% below its own weekday level, so care thins out exactly when families tend to visit.
Turnover runs 50%, above the 45.8% national figure, meaning nearly half the nursing staff leaves each year. The inspection record is the harder read: 37 deficiencies on file, including four tied to abuse, though none rose to harm or jeopardy level. The most recent inspection was November 19, 2025. Quality measures score well; the inspection side doesn't. Worth asking about weekend coverage and turnover directly.
Haven of Sandpointe runs 143 certified beds in Yuma under for-profit LLC ownership, and its staffing sits at 3.72 nurse hours per resident day, about 4% under the national figure of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 20.7% against a national 45.8%, meaning the caregivers you meet are more likely to still be there next year. What pulls the record down is the inspection side, 21 deficiencies on file, 7 tied to abuse, with the most recent visit in August 2025. None reached harm or jeopardy level, but that volume of findings, on a two-star health inspection, is the part worth asking about directly.
Haven Of Phoenix runs 114 certified beds under corporate for-profit ownership, and its staffing sits at 3.23 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 37.4%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The inspection record is the harder read: 20 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $8,278 fine. The last inspection was May 2026, so that record is recent. Quality measures score well, but the survey history is what pulls the overall picture down.
Mountain View Manor runs 116 certified beds in Prescott and is owned by an individual for profit. Its nurse staffing sits at 4.29 hours per resident day, about 11% above the national average, but weekend coverage drops roughly 9% below its own weekday level, and annual turnover is 51.4% against a national 45.8%. The current record carries 45 deficiencies, 10 of them abuse-related, with none flagged at harm or jeopardy level. The most recent inspection was February 28, 2025. What stands out is the gap between how the place is staffed on paper and how it performed on its last health inspection, which CMS rated 1 out of 5.
Haven Of Camp Verde runs 58 beds under for-profit LLC ownership, and its staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 11% below its own weekday coverage, and annual turnover is 51.1%, against a 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $18,252. Its last inspection was May 28, 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits. Ask about weekend coverage and turnover before you decide.
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?