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.
Durango Health and Rehabilitation runs 133 beds under corporate ownership, and its inspection record is the real story here: 48 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse. That earned a 1 out of 5 on CMS's health inspection rating. Nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average, and weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. One bright spot: staff turnover is 31%, better than the 45.8% national figure, and quality measures scored 4 out of 5. But recent inspections, the last in June 2024, keep the overall picture middling.
Oakwood Care and Rehabilitation runs 170 beds in Lakewood under corporate ownership, and the staffing numbers are the first thing worth noticing: 3.00 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. Turnover sits at 53.7%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record backs that up, 74 deficiencies, 10 of them at harm or jeopardy level and 11 abuse-related, plus $217,271 in fines across three penalties. The most recent inspection was September 2025. Quality measure scores look good on paper; the health inspection side tells a different story.
Willow Tree Care Center runs 80 certified beds in Delta under for-profit LLC ownership, and the numbers worth your attention are the ones a family can't see on a tour. Nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, and weekends drop about 12% below the home's own weekday level, which matters if your visits happen to fall on a Saturday or Sunday. Annual turnover of 59.7% means most of the aides and nurses caring for your relative will be gone within a couple of years, well above the 45.8% national figure. Behind the current inspection record sit 52 deficiencies, five at harm or jeopardy level, seven tied to abuse, and a $44,240 fine.
Paonia Care and Rehabilitation Center runs on 3.00 nurse staffing hours per resident day, about 22 percent under the national average of 3.86, and weekend coverage drops roughly 9 percent below what it manages on weekdays. Annual turnover sits at 62.5 percent against a national 45.8 percent, nearly two-thirds of the nursing staff leaving in a year. The current record carries 44 deficiencies, including 5 at the harm or jeopardy level and 8 tied to abuse, with two fines totaling $32,619. That history explains why the health inspection rating lands at 1 out of 5 even though families may hear positive things about day-to-day care.
Sierra Post Acute holds 102 certified beds in Lakewood and operates as a for-profit LLC. The numbers tell a split story: residents' clinical outcomes score well on federal quality measures, but the staffing picture is thin, a one-star rating there, with annual turnover at 50% against a national average of 45.8%. That combination matters, because quality scores rest on having enough consistent hands on deck. Inspections back that up. The current record shows 39 deficiencies, including six serious enough to put residents in harm's way and three tied to abuse, plus $78,888 in fines across three penalties. The most recent inspection was January 29, 2026. Families should ask directly how the home plans to address staffing and oversight.
Lakeside Post Acute runs 78 certified beds in Wheat Ridge under corporate ownership, and its staffing numbers sit below the national average, 3.25 nurse hours per resident day against 3.86 nationally, with weekends roughly 9% thinner than weekdays. Turnover is 56.5%, well above the national 45.8%, meaning the people caring for your family member are cycling through faster than average. The inspection record shows 22 deficiencies, including three at harm or jeopardy level and three tied to abuse, with two fines totaling $14,058 and a 2-out-of-5 health inspection rating. Quality measures score well, but that reflects charted care, not the hands available to deliver it.
Crestmoor Care Center runs 108 certified beds in Denver under for-profit limited liability ownership, and its nurse staffing sits at 2.87 hours per resident day, roughly 26% under the national average of 3.86. Weekends drop about 11% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 17%, well under the national 45.8%, meaning the staff who are there tend to stay. The inspection record is harder to read: 28 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse, plus a single $845 fine. The most recent inspection was February 2025, and CMS rated that inspection history 2 out of 5.
Rock Creek Rehabilitation and Healthcare Center in Monte Vista runs 60 certified beds under for-profit corporate ownership, and the federal numbers split in two directions. Quality measures look decent at 4 out of 5 stars, but staffing sits at just 1 star, and that gap matters more day to day than any resident satisfaction score. The inspection history is the harder read: 29 deficiencies on the current record, three of them serious enough to put residents in harm's way, two tied to abuse, and $37,103 in fines across two penalties. The last full inspection was February 2024. If you're weighing this one, ask directly how they're fixing staffing before you ask about anything else.
Allison Care Center runs about 3.44 nurse hours per resident per day, roughly 11% under the national average, and weekends drop another 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is the bright spot: 27.9% against a national 45.8%. The inspection record is where it gets harder to defend: 18 deficiencies, three serious enough to cause harm, five tied to abuse, and two fines totaling $34,580, with the most recent inspection in March 2025. A for-profit LLC with 85 beds. Ask what those abuse deficiencies involved and how weekend coverage actually works.
Mount St Francis runs lean on nursing hours, 3.50 per resident day against a national average of 3.86, and weekends get thinner still, roughly 11% below its own weekday coverage. That dip matters, since 55% of staff turned over in the past year versus about 46% nationally. Inspectors cited 20 deficiencies at the latest visit in March 2025; none rose to harm or jeopardy, but two were abuse-related, which is worth asking about directly. The non-profit owner does earn a 4/5 staffing star from CMS, though the state's own quality and inspection scores sit at 2/5.
University Heights Care Center is a for-profit home in Aurora with 105 certified beds, and its numbers point in different directions. Inspectors have cited 50 deficiencies on its current record, including three at the harm or jeopardy level and six tied to abuse, and its health inspection rating sits at 1 out of 5. Staffing tells a more mixed story: nurse hours run about 2.93 per resident day, roughly 24 percent under the national average, and weekends dip about 15 percent below the home's own weekday levels, though turnover of 27.7 percent is well below the national 45.8 percent. The most recent inspection was in August 2025, and fines total $9,315.
Colorow Care Center runs 82 certified beds in Olathe under for-profit corporate ownership, and its staffing sits at 3.73 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 10% below the home's own weekday levels, and annual turnover is 48.7%, higher than the 45.8% national figure. The inspection record is the harder read: 21 deficiencies, 2 of them at harm or jeopardy level, 9 tied to abuse, and a $10,059 fine, with the last inspection in March 2024. CMS gives it 2 of 5 stars on health inspections, though its quality measure score is 5. Ask about the abuse deficiencies directly.
Riverdale Post Acute runs 105 beds in Brighton under corporate ownership, and its last inspection in March 2025 turned up 38 deficiencies, one at the harm level and six tied to abuse. That's a lot of unresolved history on the books for a single building. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average, and weekends dip about 7% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is 37%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The quality measure score looks strong, but inspect the numbers behind it against that inspection record before deciding.
City Scape Rehabilitation & Care Center is a for-profit partnership in Denver with 60 certified beds, and the numbers tell a mixed story. The quality measure rating comes in at 5 out of 5, but that sits alongside a 1 out of 5 on health inspections, 36 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse, plus two fines totaling $59,543 and a July 2024 inspection. Nurse staffing runs about 6% below the national average at 3.63 hours per resident day, weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 53.3% against a national 45.8%. Good quality scores don't offset thin weekend staffing and a long inspection record.
Trinidad Rehabilitation and Healthcare Center runs on thin nursing coverage, 3.27 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home already staffs on weekdays. The results split sharply. Its quality measures score is perfect, but inspections tell a different story: 40 deficiencies on the current record, including four tied to abuse, with a two-out-of-five inspection rating and the most recent visit in June 2024. Turnover, at 33.8%, is actually better than the 45.8% national figure, so the problem looks less like retention than how many hands are scheduled. Under a for-profit LLC, that's worth asking about directly before you decide.
Rio Grande Rehabilitation runs 60 beds in La Jara under for-profit LLC ownership, and its staffing sits at 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends running another 8% below its own weekday levels. Turnover at 42.9% is slightly better than the national 45.8%, so the issue isn't retention so much as how many hands are actually on the floor each shift. The inspection record is the harder problem: 39 deficiencies, including 3 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $54,946. The most recent inspection came in April 2026. A 4/5 quality measure score exists alongside all this, but quality measures are self-reported while inspections are not.
Pikes Peak Post Acute runs 210 certified beds under corporate for-profit ownership, and the numbers that stand out most aren't the quality scores, it's the workforce churn. Annual turnover hits 60.9%, well above the 45.8% national average, and nurse staffing sits at 3.61 hours per resident day, about 7% under the national figure. Weekend coverage dips another 9% below the home's own weekday levels.
The inspection record is heavier: 47 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $89,318. The most recent inspection was January 30, 2025, so the picture is current. Turnover that high plus a thin weekend floor is the combination families should ask about directly.
River Valley Rehabilitation runs lean on nursing staff, 2.79 hours per resident day against a national average of 3.86. That gap matters most on weekends, when coverage drops roughly another 10% below the home's own weekday level, so the stretches with the least supervision are also the ones with the fewest hands on deck. State inspectors cited 29 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Annual turnover sits at 46.8%, a touch above the national figure, meaning familiar faces are not a given here. Ownership is for-profit and individual, and the last full inspection was in December 2024.
Saint Mary Home runs a tight ship on staffing retention: 23.8% turnover is roughly half the national rate, which matters because consistent caregivers tend to know residents' routines and catch changes early. Nurse staffing sits just under the national average at 3.80 hours per resident day, and weekends dip about 8% below the home's own weekday coverage, so ask how that gap gets filled. The inspection record is the softer spot, 26 deficiencies on file, including one at the harm level and two tied to abuse, with the most recent survey in November 2024. Quality measures score well, but the survey history is what a family should read closely.
Hebrew Center for Health and Rehabilitation runs 257 certified beds under for-profit LLC ownership, and its staffing sits at 3.76 nurse hours per resident day, roughly 3% under the national average, with weekends running about 10% thinner than its own weekdays. Turnover is the bright spot: 34.6% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record is where it gets harder. A 2/5 health inspection rating, 43 deficiencies on file including 9 tied to abuse, and one fine of $27,927. No deficiency reached harm or jeopardy level, and the last inspection was recent, in January 2026. Strong quality measures and steady staff, weighed against a long citation history.
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?