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.
Park View Post Acute runs on better-than-average staffing, 4.49 nurse hours per resident day against a national 3.86, and its 30.1% turnover beats the 45.8% national figure, meaning you're more likely to see familiar faces than at the typical home. Weekends dip about 8% below the home's own weekday coverage, so ask how that gap gets filled. The caution is in the inspection record: 43 deficiencies, one at harm or jeopardy level and two abuse-related, with a 2/5 inspection rating. A single $9,347 fine and a March 2026 inspection suggest the problems aren't purely historical.
Studebaker Healthcare Center is a 99-bed for-profit in Norwalk, and the staffing numbers are the bright spot: 4.48 nurse hours per resident day, roughly 16% above the national average, with weekend coverage about 11% thinner than weekdays. Turnover runs 44.1%, basically in line with the national figure. The trouble sits on the inspection side. A one-star health inspection rating comes with 108 deficiencies on the current record, including nine tied to abuse and one serious enough to reach harm or jeopardy level. One fine totaling $27,378 is on file, and the most recent inspection was February 2026. Strong hands-on care, weak compliance history, that's the tradeoff to weigh.
Northgate Postacute Care runs 52 certified beds in San Rafael under for-profit LLC ownership. Its total nurse staffing of 4.07 hours per resident day sits about 5% above the national average, though weekends dip roughly 6% below its own weekday level, and turnover at 45.5% is essentially the national rate. The concerning part is the inspection record: 63 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus seven fines totaling $126,631. The most recent inspection was August 2025, so the record is current, not stale. Quality measures score well, but staffing and health inspection ratings both sit at 2 out of 5, worth asking about directly before you decide.
Staffing at Hollywood Premier is genuinely better than most: 4.11 nurse hours per resident day, roughly 6% above the national average, and turnover of 19.8% is less than half the national rate. Weekend coverage dips about 10% below weekdays, but that's a modest gap. The problem sits on the inspection side. The current record carries 81 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $17,342. The last inspection was in August 2025, so this is a recent picture, not old history. Good staffing can't offset that many serious findings, tour it, but ask hard questions about the abuse citations.
City Park Healthcare and Rehabilitation Center runs 125 beds in Denver under corporate for-profit ownership, and its nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the one number that beats the norm: 30.7% against a national 45.8%, meaning the aides and nurses who are there tend to stay. The inspection record is the harder part, 39 deficiencies, including one at the harm level and six tied to abuse, with a $8,278 fine and a survey completed in January 2026.
Rock Canyon runs on lean staffing: 2.80 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, so coverage thins exactly when families tend to visit. The 41 deficiencies on record include 7 at the harm or jeopardy level and 5 tied to abuse, and three fines total $89,938. Annual turnover of 49.1% sits slightly above the national 45.8%, which means caregivers cycle through faster than average. The quality measure star (4/5) looks strong on paper, but that score reflects reported clinical metrics, not the hands available at the bedside.
Villas At Sunny Acres runs 160 certified beds in Thornton under corporate for-profit ownership, and its 3.06 nurse staffing hours per resident day sit roughly 21% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage. Turnover is the one number that looks better than most, 30.6% against a national 45.8%. The inspection record is where the concern sits: 28 deficiencies, four at harm or jeopardy level and four abuse-related, with a $19,988 fine and a 2/5 health inspection rating, though the most recent survey came in April 2025.
Red Cliffs Post Acute runs 89 certified beds in Grand Junction under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekend coverage dips roughly 7% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover of 54.4% is nearly nine points above the national figure, which means unfamiliar faces are routine. The inspection record shows 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with the most recent inspection in January 2025.
Valley Manor runs a church-affiliated nonprofit with 101 beds in Montrose, and its staffing is genuinely a bit better than most, 4.10 nurse hours per resident day against a national average of 3.86, with turnover at 40.3% versus 45.8% nationally. Weekends thin out, though, dropping roughly 14% below weekday coverage. The trouble sits in inspections: 28 deficiencies on the current record, four of them serious enough to involve harm or jeopardy, plus 10 flagged as abuse-related and a $35,968 fine. That's a lot of paperwork for a home this size, and it's recent, the last survey was April 2026. Strong quality scores and decent staffing can coexist with real oversight problems; here they plainly do.
Good Samaritan Society's Loveland Village runs a mixed picture. The nonprofit home holds 104 certified beds, and its 3.39 nurse hours per resident day sit about 12% under the national average, thinner still on weekends, when staffing drops roughly 13% below its own weekday level. Turnover is a genuine bright spot at 35.2%, well below the 45.8% national figure, and residents' quality measures earn top marks.
The inspection record is where families should slow down. Sixteen deficiencies are on file, five serious enough to involve harm or jeopardy, three tied to abuse, with four fines totaling $51,424. The most recent inspection came January 29, 2026, so the findings are recent, not stale.
Mountain View Post Acute runs 180 certified beds in Colorado Springs under for-profit LLC ownership, and its nursing staff delivers 3.10 hours of care per resident each day, roughly a fifth less than the national average of 3.86. Weekends thin out further, running about 11 percent below the home's own weekday numbers, and more than half the nursing staff (54.2 percent) turns over annually against a national rate of 45.8 percent. The inspection history is the harder read: 57 deficiencies on the current record, including two at the harm or jeopardy level and four tied to abuse, drawing a $29,224 fine. The most recent inspection came in December 2025. Strong quality-measure scores don't offset a staffing and compliance picture like that.
Vista Grande runs on thin nursing coverage: 2.82 hours per resident day against a national average of 3.86, roughly a quarter below it, and weekends drop about 11% below the home's own weekday level. The quality measure score of 5 out of 5 sits in odd tension with a 2-star inspection record carrying 22 deficiencies, three of them at harm or jeopardy level and four abuse-related, plus two fines totaling $36,023. Staff turnover at 39.6% is actually better than the 45.8% national figure, so retention isn't the problem here, headcount is. The last inspection was in May 2024. The corporation owns it for profit.
Riverbend runs about 20% below the national average on nurse staffing, 3.08 hours per resident day, and weekends drop roughly 9% below its own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 43.8%, slightly better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. The health inspection record shows 18 deficiencies, three of them abuse-related, though none rose to harm or jeopardy level. Its last inspection was April 30, 2026, so that picture is current. Under a for-profit LLC, the numbers point to a home that's adequately watched but thinly staffed.
Falcon Heights runs lean on nursing hours: 3.05 per resident day against a national average of 3.86, and weekends drop about 13 percent below its own weekday staffing. That combination is a big part of why CMS gives it one star for staffing. Turnover sits at 47.9 percent, slightly worse than the 45.8 percent national figure, so the people around a resident change often. The inspection record shows 36 deficiencies, four at harm or jeopardy level and five abuse-related, with a two-star inspection rating and $6,146 in fines. Ownership changed within the last year. The five-star quality measure score reflects charted care items, not the staffing and inspection problems above.
Pueblo Heights runs on 2.88 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 8% below what the home staffs on weekdays. That thinner coverage matters more when turnover sits at 55.6%, ten points above the national rate, because replacements are constantly learning residents who need consistent hands. The record shows 26 deficiencies, including one at the harm level and one tied to abuse, plus two fines totaling $30,707. The owner changed within the last year, and the last inspection was July 2024. Ask what that ownership change has meant for staffing and who now runs the floor on weekends.
Progressive Care Center runs about 3.00 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends drop another 12% below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5, even though resident outcomes on the quality measures look stronger at 4 out of 5. The 22 deficiencies on the current record include 2 at the harm or jeopardy level and 2 tied to abuse; the most recent inspection was November 7, 2024. Staff turnover, at 38%, is actually lower than the 45.8% national figure.
Hope Springs Care Center runs on thin nursing coverage: 3.29 hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall matters more when nearly two-thirds of the nursing staff turns over each year, 64.8% versus 45.8% nationally, because replacements take time to learn residents' routines. The record backs this up. Thirty-five deficiencies, five of them serious enough to put residents in harm's way and three tied to abuse, plus nine fines totaling $87,079, and a health inspection star rating of just 2 out of 5. Quality measures score well at 4, but that's the piece families can't independently verify the way they can ask about weekend coverage.
Canon Lodge Care Center runs 60 beds in Canon City under corporate ownership, and its staffing sits about 8% under the national average at 3.56 nurse hours per resident day. Weekends drop roughly another 10% below its own weekday level, and annual turnover of 51.2% means the aides and nurses around your relative are frequently new. The current inspection record carries 25 deficiencies, two tied to abuse, none flagged at harm or jeopardy level, and the most recent inspection was August 2025. Quality measures score well, but that two-out-of-five on health inspections and thin weekend coverage are the numbers worth asking about before you decide.
Evergreen Nursing Home runs on 3.34 nurse hours per resident day, about 14% under the national average, and weekend coverage drops roughly 19% below its own weekday level, so the thinnest staffing lands when families visit and emergencies tend to happen. The current record carries 13 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus a $20,150 fine, with the last inspection in August 2024. Turnover at 30% is better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 1/5 staffing rating.
Brookshire Post Acute runs on thinner staffing than most homes nationally, and the gap widens on weekends when coverage drops further below its own weekday levels. That matters because turnover here sits well above the national average, more than half the nursing staff leaving in a year makes consistent care hard to maintain. The inspection record tells the sharper story: 45 deficiencies on file, including five at harm or jeopardy level and ten tied to abuse, with two fines totaling over $75,000 and a January 2025 inspection still recent. Ownership is a for-profit individual operator. The quality measure score looks better, but those numbers reflect resident assessments, not the hands available at 2 a.m.
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?