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.
Harvest Crossing runs 4.41 nurse hours per resident day, about 14 percent above the national average, and weekend coverage dips roughly 10 percent below its own weekday level, worth asking about if your family visits Saturdays. Staff turnover sits at 39.7 percent, better than the 45.8 percent national figure, so the people caring for residents tend to stick around longer than at many homes. The concern is the inspection record: 50 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in November 2024. That combination, decent staffing, a long and partly serious deficiency history, is what holds this for-profit limited liability company home back.
Courtyard Health Care Center runs on better-than-average staffing: 4.28 nurse hours per resident day, roughly 11% above the national figure, with turnover at 39.2% compared to the 45.8% norm. Weekend coverage dips about 6% below its own weekday level, which is worth knowing if you visit on Saturdays or Sundays. The trouble sits in its inspection record, 65 deficiencies, including one at the harm level and ten tied to abuse, against a one-star health inspection rating. That's a serious paper trail, and the state was last in the building in April 2025. Strong staffing and strong quality measures don't erase what inspectors found.
Bridgewood Post Acute runs on solid staffing for a 49-bed home, 4.63 nurse hours per resident day, about 20% above the national average, and its 29.6% turnover is well below the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends dip roughly 9% below weekday coverage, worth asking about if your family visits then.
The concern sits with inspections. Fifty-three deficiencies on the current record, including one at harm or jeopardy level and six tied to abuse, drove a 2-star health inspection rating from CMS despite a 5-star quality measure score. The most recent inspection was June 2025, so the record is recent. For-profit individual ownership. Ask to see the plan of correction for the abuse-related findings before deciding.
North Long Beach Post Acute runs 120 beds under for-profit LLC ownership, and its staffing sits just above the national average, 3.93 nurse hours per resident day versus 3.86 nationally, though weekends run about 7% thinner than weekdays. Turnover is the bigger issue: 51.4% of staff leave annually, against a 45.8% national rate, which means the people caring for your family member are often new. The inspection record is where this home struggles most, with 86 deficiencies on file, including 4 at harm or jeopardy level and 8 abuse-related, plus two fines totaling $69,421. The most recent inspection was June 26, 2025, so that record is current.
Sunland Post Acute has the staffing most families hope for: 4.53 nurse hours per resident day, roughly 17 percent above the national average, with a 4-out-of-5 staffing rating and turnover at 44.1 percent, slightly better than the national 45.8. The problem sits elsewhere. The health inspection rating is 1 out of 5, with 115 deficiencies on the current record, including 5 at the harm or jeopardy level and 8 abuse-related, plus three fines totaling $240,281, serious money, serious findings. A 4-out-of-5 quality measure score can look reassuring, but that rating draws on self-reported data. Staffing alone can't offset a record like this, and the most recent inspection, in December 2025, kept those concerns current.
Autumn Creek Post Acute has 184 beds in Chico and runs on a for-profit, limited-liability setup. The raw staffing number looks fine on paper, about 4.43 nurse hours per resident day, roughly 15% above the national average, but weekends drop about 10% below the home's own weekday level, and staffing stars land mid-range at 3 out of 5. The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 89 deficiencies on the current record, four at harm or jeopardy level, and 13 tied to abuse. Two fines total $148,521, with the most recent inspection in February 2025.
River Pointe Post-Acute is a 112-bed for-profit partnership in Carmichael, and the numbers tell a mixed story. The quality measure rating of 4 out of 5 looks good on paper, but staffing sits at 1 out of 5, the weakest possible, which is the number that shapes daily life for residents. The inspection record is harder to ignore: 54 deficiencies on file, including 2 at the harm or jeopardy level and 4 tied to abuse. Fines total just under $10,000, and the last inspection was March 2026. Annual turnover runs 44.1%, slightly better than the national average. Ownership is for-profit partnership, and the combination of thin staffing with a long deficiency history is worth asking about directly before you decide.
Tarzana Health and Rehabilitation Center has 126 deficiencies on its current record, including three at the harm or jeopardy level and seven tied to abuse. That's the number that matters most here, and it's why CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, a designation reserved for the homes with the worst inspection histories. Staffing looks decent on paper at 3.99 nurse hours per resident day, slightly above the national average, and turnover at 26.5% is well below the national 45.8%. But weekend coverage drops about 6% below weekday levels, and two fines totaling $95,254 sit on the record. The last inspection was June 5, 2025.
Live Oak Rehab Center runs 99 beds under corporate ownership in San Gabriel. The nurse staffing number looks decent on paper, 4.27 hours per resident day, roughly 10% above the national average, but weekends dip about 7% below its own weekday level, and annual turnover hits 56.7% against a national 45.8%, so the people providing that care keep changing. The inspection record is where things get harder to explain away: 86 deficiencies, two at harm or jeopardy level, eight abuse-related, one fine of $27,425, and a health inspection rating of 1 out of 5. Quality measures score well, but a recent April 2026 inspection means that history is current, not old.
Roseville Point runs 4.83 nurse hours per resident day, roughly 25% above the national average, and that staffing shows up as a 4-star rating. Weekends dip about 7% below its own weekday levels, so care thins out somewhat when families tend to visit. The inspection record is where the picture darkens: 86 deficiencies on file, two at harm or jeopardy level and 14 tied to abuse, with a 1-star health inspection rating and a 2-star quality measure score. State fines total $16,232 across two penalties, and the most recent inspection was October 2024. Corporate for-profit ownership, strong hours, troubling oversight history.
Double Tree Post Acute Care Center has 122 certified beds and runs on for-profit, limited-liability ownership in Sacramento. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, and the 29.7% annual turnover is well below the national 45.8%, so people tend to stay. Weekends run roughly 9% thinner than weekdays, worth knowing if your visits fall on Saturdays or Sundays. The inspection record is the harder read: 46 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with one fine of $10,842. The most recent inspection was January 23, 2026, so the record is current.
Long Beach Care Center runs 4.43 nurse hours per resident day, about 15% above the national average of 3.86, but that staffing still only earns two stars from CMS, and weekend coverage dips roughly 4% below its own weekday levels. The real problem sits in its inspection record: 78 deficiencies, including 10 tied to abuse and 3 serious enough to put residents in harm's way, with $54,834 in fines across two cases. A recent September 2025 inspection doesn't erase that history. Quality measures look strong at four stars, yet strong numbers on paper can't outweigh a pattern this persistent.
Lassen Nursing & Rehabilitation Center runs on thinner nurse coverage than most homes nationally, about 3.65 hours per resident day against an average near 3.86, and the drop-off on weekends is the bigger issue, with staffing roughly a fifth lower than its own weekday levels. Staff turnover sits at 60%, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and catch changes early. The home carries 57 deficiencies on its current record, five tied to abuse, though none reached the harm or jeopardy level, and its last inspection was in October 2024. A for-profit LLC operates the 96-bed building, and its inspection and quality scores both sit at two stars out of five.
Bayberry runs 3.79 nurse hours per resident day, a bit under the national average, and weekends dip about 14% below its own weekdays, so your visit timing may matter more than the annual number suggests. Staff turnover is 35.1%, better than the 45.8% national rate, which means more familiar faces than at many homes this size, though 23 deficiencies on the current record, including one at harm level and one abuse-related, are worth asking about directly. The last inspection was January 2026, so the record is recent. This is a for-profit LLC with 99 beds.
Keystone Post-Acute runs 65 beds in Fresno under for-profit LLC ownership, and its staffing numbers look better on paper than they hold up in practice. Total nurse hours sit slightly above the national average, but weekends drop about 11% below the home's own weekday coverage, that's when gaps tend to show. Turnover is 47.1%, a bit worse than the 45.8% national figure, so the people providing care keep changing. The inspection record is the bigger issue: 48 deficiencies, three of them serious enough to put residents at harm or jeopardy, and one fine of $42,764. The last inspection was in May 2025, so the record is current, not stale.
Pacific Villa runs about 4.06 nurse hours per resident per day, roughly 5% above the national average, and its 36.7% turnover is meaningfully better than the 45.8% typical elsewhere. Those numbers matter, but the inspection record is what stands out: 79 deficiencies, two at harm or jeopardy level and 16 abuse-related, plus three fines totaling $41,809. A last inspection in February 2026 means the record is current, not stale. That mix explains a C grade: decent daily care hours and steadier-than-average staffing, undercut by a long and serious enforcement history at a for-profit, individually owned home. Weekend coverage runs about 8% thinner than weekdays, worth asking about directly.
Hampton Post Acute sits at 120 certified beds in Stockton, run by a for-profit limited liability company. Its nurse staffing comes in at 4.03 hours per resident day, modestly above the national average of 3.86, though weekends run about 10% thinner than weekdays, so the coverage your family member gets on a Saturday may look different from a Tuesday. Turnover lands at 45.5%, essentially the national rate. What stands out is the inspection record: 133 deficiencies, including four at the harm or jeopardy level and six tied to abuse, with $21,548 in fines and a one-star health inspection rating. The most recent inspection was July 2025, so that record is current, not stale.
Bridgeview Post Acute runs about 4.05 nurse hours per resident day, roughly 5% above the national average, and its staff turnover of 40.7% is better than the typical 45.8%. That's the good news. The problem sits on the inspection side: 67 deficiencies on the current record, including 8 tied to abuse and 4 serious enough to put residents at harm or jeopardy, with two fines totaling $51,796. Weekend staffing also drops about 8% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Sunday. Inspectors were last in on January 9, 2026. Ask to see the plan of correction for those abuse deficiencies before you decide anything.
Bay View Rehabilitation Hospital runs 180 certified beds in Alameda, and its nurse staffing sits at 3.85 hours per resident day, essentially dead even with the national average, though weekends run about 9% thinner than weekdays, so coverage depends on when you visit. What stands out is retention: 21.6% annual turnover against a national average of 45.8%, meaning the people caring for residents tend to stick around. The inspection record is more of a mixed picture: 33 deficiencies, including one at the harm level and four tied to abuse, plus a $46,726 fine. Its most recent inspection was October 31, 2024, so that record is fairly current.
Fortuna Rehabilitation and Wellness Center runs 4.04 nurse hours per resident day, roughly 5% above the national average, and its weekend staffing dips about 5% below its own weekday levels. That's decent coverage on paper, good enough for four stars on staffing and five on quality measures, but the inspection record tells a different story: 68 deficiencies, nine of them at harm or jeopardy level, ten tied to abuse, and two fines totaling $117,116. A 1-star health inspection rating with a November 2025 survey means regulators have found serious, repeated problems here. For-profit partnership ownership and a recent inspection don't change that math.
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?