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.
Diablo Valley Post Acute runs 190 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day against a national average of 3.86, with turnover at 39.8% versus 45.8% nationally. Weekends dip about 10% below weekday coverage, so ask how that plays out on a Sunday. The trouble sits in inspections: 40 deficiencies on the current record, three serious enough to cause harm, four tied to abuse, and a $30,420 fine, all reflected in a 1-out-of-5 health inspection rating. Quality measures score 5 out of 5 and staffing 4 out of 5, which makes the inspection record the real question to press on when you visit.
Vernon Healthcare Center has a staffing number that looks fine on paper, 4.23 nurse hours per resident day, about 10% above the national average, but it drops roughly 10% on weekends, so the coverage your family sees Monday isn't what shows up Saturday. The inspection record is where this home really struggles: 103 deficiencies on file, four serious enough to put residents in harm's way, and 15 tied to abuse. Three fines total $178,438, and the most recent inspection was in January 2026. This is a for-profit LLC with 99 beds operating under a 1-star health inspection rating despite decent quality scores. Ask hard questions about the abuse deficiencies and weekend staffing before you consider it.
Oak Grove Post Acute has enough nurses on paper, 3.93 hours per resident day, just above the national average, but that's the one number that holds up. Weekend staffing drops roughly 8% below its own weekday level, and turnover sits at 48.4%, higher than the national rate. The real trouble is the inspection record: 135 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of serious problems, and the four fines total $40,283. Roughly 119 beds, for-profit, limited liability ownership. The last inspection was April 9, 2026.
Lodi Creek Post Acute runs 4.15 nurse hours per resident day, about 8% above the national average, and its 41.3% turnover is a bit better than the typical home. That staffing picture is the strongest thing here. The rest is more mixed: 49 deficiencies on record, including 4 tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors were last in on November 21, 2025. This is a for-profit LLC with 86 beds, and weekend coverage drops roughly 12% below its own weekday numbers, worth asking about directly if your family member needs care on Saturdays and Sundays.
Elk Grove Post Acute runs 136 beds under for-profit LLC ownership, and its nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average, with weekends about 4% thinner than weekdays. What stands out is retention: 23.2% turnover against a national 45.8% means far fewer familiar faces leaving each year. The trouble is the inspection record. Seventy-seven deficiencies, three at harm or jeopardy level, and eight tied to abuse is a lot to carry, and the two-out-of-five health inspection rating reflects it. Quality measures score well, but those come largely from resident assessments rather than surveyor findings. The last inspection was May 2026, so the record is current.
Marin Post Acute runs 168 beds in San Rafael under for-profit limited liability ownership, and its nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average of 3.86, with weekend coverage dropping about 8% below its own weekday levels. The inspection record is the heavier concern: 44 deficiencies, including 3 at the harm or jeopardy level and 6 abuse-related, against a 2/5 health inspection rating and a 2/5 staffing rating from CMS. Quality measures score 4/5, and the last inspection was December 4, 2025, so the record is recent. The staffing gap and the count of serious deficiencies are what pull the overall picture down despite the strong quality measure score.
Long Beach Healthcare Center runs 154 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average of 3.86. But weekends drop about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger issue is the inspection record: 104 deficiencies, including 5 at the harm or jeopardy level and 15 tied to abuse, with three fines totaling $74,841 and a 1-out-of-5 health inspection rating. Staff turnover (45.7%) is essentially the national average (45.8%). Quality measures rate 4 out of 5, but that doesn't offset a documented history this serious.
River City Post Acute runs 178 beds in Carmichael under a for-profit LLC, and the staffing numbers are thin: 3.54 nurse hours per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday level. Annual turnover sits at 52.2%, notably higher than the 45.8% national figure, so the people doing the work keep changing. The current record shows 92 deficiencies, none flagged at harm or jeopardy level, but 13 tied to abuse, and the last inspection was March 2026. Federal ratings land at one star for health inspections and two each for quality measures and staffing.
West Valley Post Acute sits in West Hills with 128 certified beds, run by a for-profit limited liability company. The staffing numbers are genuinely better than most: 4.29 nurse hours per resident day, about 11% above the national average, and turnover of 22% is roughly half the national rate, a sign people stay. But weekends run about 9% leaner than weekdays, and the inspection record is where the trouble lives: 83 deficiencies on file, three at harm or jeopardy level, five tied to abuse, and $71,200 in fines. The most recent inspection was August 2025. Strong daily staffing can't offset that kind of enforcement history.
New Vista runs a for-profit operation with 116 beds, and the nurse staffing number looks good on paper: 5.18 hours per resident day, about a third above the national average. The catch is who's delivering that care. Turnover sits at 68.6%, roughly half again the national rate, so the people at the bedside keep changing, and weekend coverage drops about 8% below the home's own weekday level.
The inspection record is the harder problem: 124 deficiencies on file, three serious enough to put residents in harm's way, nine tied to abuse, and eight fines totaling over $52,000. A five-star quality measure score sits alongside a one-star inspection rating. The most recent look came in February 2026.
Rocky Point Care Center runs 4.30 nurse hours per resident day, about 11% above the national average of 3.86, and its 41.8% turnover is a touch better than the 45.8% typical elsewhere. Those are real positives, and the staffing star reflects them. The trouble sits on the health inspection side: 40 deficiencies on record, including one at the harm or jeopardy level and four tied to abuse, with the most recent inspection dated March 13, 2026. Weekend staffing drops about 10% below its own weekday level, so coverage thins when families tend to visit. The quality measure star is strong, but quality measures are self-reported. The inspection record is the part worth asking about directly.
Newport Nursing and Rehabilitation Center runs 59 certified beds in Newport Beach under for-profit LLC ownership, and its staffing sits at 3.69 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage, so if your family visits primarily on Saturdays or Sundays, that gap is worth asking about directly. The inspection record shows 41 deficiencies, none at harm or jeopardy level, though three are abuse-related, a category that deserves a specific question about what happened and what changed. The most recent inspection was December 10, 2025, so the picture is current. Quality measures score well; staffing and inspection history are where the real questions live.
Inglewood Health Care Center runs 99 certified beds under for-profit limited liability ownership, and its staffing sits at 4.11 nurse hours per resident day, roughly 6% above the national average of 3.86, with weekend coverage dipping about 5% below its own weekday level. Turnover is 34.3%, better than the national 45.8%, so the same faces are more likely to stay. The trouble sits in the inspection record: 81 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus $27,356 in fines and a 1-out-of-5 health inspection rating, even though quality measures scored 5 out of 5. The most recent inspection was December 5, 2025.
South Coast Post Acute runs 255 beds in Santa Ana under for-profit LLC ownership. Its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends dip about 9% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the bright spot: 23.8% against a national 45.8%, meaning the people who are there tend to stay. The tradeoff is a long record: 92 deficiencies, including 8 tied to abuse, though none rose to the harm or jeopardy level. A February 2025 inspection is recent, and the 2/5 health inspection rating reflects what surveyors found.
Oakwood Healthcare Center sits at 99 certified beds in Chico, run by a for-profit limited liability company. The staffing numbers look decent on paper, 4.64 nurse hours per resident day, roughly 20% above the national average, but weekend coverage drops about 14% below its own weekday level, so the care you get depends on when you visit. The real trouble is the inspection record: 101 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus three fines totaling $76,946. A 1-out-of-5 health inspection rating with a recent August 2025 survey tells you regulators keep finding problems. Good staffing hours alone don't offset that pattern.
Delta Oaks Post Acute runs 4.70 nurse hours per resident day, roughly 22% above the national average of 3.86, though weekend coverage drops about 9% below its own weekday level. Turnover sits at 44.6%, close to the national 45.8%. The problem isn't staffing on paper, it's the inspection record. This for-profit LLC home carries 111 deficiencies, including 3 at harm or jeopardy level and 8 abuse-related, with a 1-out-of-5 health inspection rating and a survey as recent as October 2025. High nurse hours don't offset that pattern. If you're considering this one, ask specifically what changed since the last inspection.
Westview Healthcare Center runs 205 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.75 hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the quietest shifts get the thinnest help. Turnover is 38.3%, better than the 45.8% national figure, meaning the crew that's there tends to stay.
The harder number is 73 deficiencies on the current record, nine of them abuse-related, with no harm-level citations. Inspectors were last in on March 21, 2025. Quality measures score 5/5, but the 2/5 inspection rating tells you the paperwork and the bedside don't always match.
Arden Park Post Acute runs 177 certified beds in Sacramento under for-profit LLC ownership, and its staffing sits at 3.80 nurse hours per resident day, just under the national average of 3.86, with weekends running about 8% leaner than weekdays. Turnover is the bright spot: 34.8% against a national 45.8%, meaning this home holds onto nurses better than most. The inspection record is the concern. Sixty-three deficiencies, three at harm or jeopardy level and nine abuse-related, with two fines totaling $33,586 and a health inspection rating of 2 out of 5, though quality measures score 5 out of 5. The last inspection was March 19, 2026.
Roseville Care Center runs 210 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.94 hours per resident day, slightly above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and turnover is 37.6%, noticeably better than the 45.8% national figure. Where the picture darkens is inspections: a 2-out-of-5 health inspection rating and 48 deficiencies on the current record, including 6 tied to abuse. None reached the harm or jeopardy level, and the most recent inspection was June 27, 2025. Strong quality measure scores and solid staffing numbers sit alongside a compliance record that deserves a closer look before you decide.
Magnolia Post Acute Care runs 99 beds in El Cajon under corporate for-profit ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86 nationwide, with weekend coverage dropping roughly 13% below its own weekday numbers. Turnover of 37.5% is better than the 45.8% national figure, so the workforce is more stable than most. The concern is the inspection record: 33 deficiencies, including 8 abuse-related citations and one at the harm or jeopardy level, with a single $117,475 fine. A recent August 2025 inspection and a 2-out-of-5 health inspection rating suggest the care problems are current, not historical.
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?