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.
Wolcott Hall runs 60 beds in Torrington under corporate for-profit ownership, and the staffing numbers are where you'd want to look first. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 45.8%, right at the national mark. The inspection record shows 33 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $11,190. The last inspection was February 2025. Federal quality measures score 1 out of 5.
Bloomfield Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday level. That's a real gap when someone needs help on a Saturday. Staff turnover sits at 33%, better than the 45.8% national figure, so the aides who are there tend to stay. The bigger concern is the record: 55 deficiencies, 13 of them abuse-related, and a 2-out-of-5 inspection rating, though none rose to the harm or jeopardy level and the most recent inspection was in May 2025. Quality measures score 4 out of 5. For-profit corporate ownership. If you're considering this one, ask directly about weekend coverage and how abuse allegations get investigated.
Apple Rehab Guilford runs 90 beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 10% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit.
Turnover lands at 43.9%, essentially in line with the national 45.8%, so that's not the standout problem here. The inspection record is: 39 deficiencies on file, none flagged at harm or jeopardy level, but eight tied to abuse. The last inspection was February 2025, so the picture is current. Two stars each on health inspections and staffing, three on quality measures.
Norwalk Care Center runs 150 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, just under the national average of 3.86. Weekends drop roughly 11% below its own weekday coverage, and staff turnover is 42.3%, a touch better than the 45.8% national figure. What stands out is the inspection record: 41 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse, plus two fines totaling $198,225. Its last inspection was October 2024. Quality measures score well, but the health inspection rating tells a different story, and that gap is worth asking about directly.
Civita Care Center At Milford runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.60 nurse hours per resident day, roughly 7% under the national average of 3.86, with weekends dropping about 15% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and needs don't pause.
Turnover runs 40.9%, slightly better than the 45.8% national figure, so there's some continuity in the workforce. But the inspection record is the harder read: 59 deficiencies on file, including 8 tied to abuse and 2 at harm or jeopardy level, with one fine of $14,433. The most recent inspection was December 2024.
Civita Care Center At Cheshire runs 120 beds under for-profit LLC ownership, and its inspection record is the main thing to know: 51 deficiencies on the current record, including one at the harm or jeopardy level and seven tied to abuse. The last inspection was January 15, 2025, so that record is recent, not stale. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86, and weekends run about 8% thinner than weekdays. Turnover is the bright spot at 30.8%, well below the 45.8% national figure, which suggests a steadier workforce than many homes. The staffing star rating reflects that relative stability, but thin weekend coverage plus the abuse-related findings are what pull the overall picture down.
Apple Rehab Colchester runs on 3.25 nurse staffing hours per resident day, roughly 16 percent under the national average, and weekend coverage drops about 12 percent below its own weekday levels. Staff turnover sits at 54.8 percent against a national 45.8 percent, so the people providing care are changing often.
The inspection record is the bigger concern: 49 deficiencies, including 5 at the harm or jeopardy level and 9 tied to abuse, plus two fines totaling $41,203. The most recent inspection was August 2025.
For-profit corporate ownership, 60 beds. The staffing star rating looks acceptable on paper, but it doesn't reflect what those turnover numbers and the harm-level deficiencies suggest about daily life here.
Westside Care Center runs 162 certified beds in Manchester under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.10 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level, meaning the thinnest shifts land exactly when families tend to visit. Turnover is 33%, better than the 45.8% national figure. The inspection record shows 41 deficiencies, seven tied to abuse, though none reached harm or jeopardy level; the last inspection was November 2024. Its quality measure rating is strong, but that sits alongside a two-star inspection score and two-star staffing.
Riverside Health & Rehabilitation Center runs 345 certified beds in East Hartford under corporate for-profit ownership. Nurse staffing sits at 3.80 hours per resident day, just under the national average of 3.86, and weekends run about 8% leaner than weekdays, so coverage thins out exactly when families tend to visit. Where it stands out is retention: 21.9% turnover against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. The inspection record is the harder read. Forty-three deficiencies, four at harm or jeopardy level and two abuse-related, plus three fines totaling $61,394, with the most recent inspection dated January 22, 2026.
Trinity Hill runs lean on nursing hours, 2.92 per resident per day, roughly a quarter below the national figure, and weekends get thinner still, dropping about 9% from its own weekday level. The inspection record carries 37 deficiencies, including one at harm or jeopardy level and six tied to abuse, with a $58,994 fine on the books; the last visit was October 2024. Turnover at 26.1% actually beats the national rate substantially, which suggests some steadiness in the workforce even as daily coverage lags. Quality measures score well, but staffing and inspection results are where the concern sits.
Civita Care Center at Danbury runs 3.39 total nurse hours per resident day, roughly 12 percent under the national average, and weekend coverage drops about 13 percent below what it manages on weekdays. That pattern matters because shortfalls tend to show up when families visit and when residents need someone quickly. Its record carries 46 deficiencies, including one at the harm level and four tied to abuse, along with a $9,110 fine. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5. The last inspection was May 7, 2025, so the picture is current rather than stale. For-profit individual ownership, 180 beds. If you're weighing this one, ask directly how weekends are staffed and what the abuse-related citations involved.
Complete Care At Kimberly Hall North is a 150-bed for-profit home in Windsor, and the staffing numbers are the first thing to notice. At 3.16 nurse hours per resident day, it runs about 18% under the national average, and weekends drop roughly 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 32.4%, well below the national 45.8%, which suggests some stability in the workforce. The harder read is the inspection record: 41 deficiencies, four at harm or jeopardy level, nine tied to abuse, and a one-star health inspection rating. A $13,065 fine and a September 2024 inspection round out the picture.
Chelsea Place runs 234 beds in Hartford under for-profit LLC ownership, and its staffing sits at 2.86 nurse hours per resident day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 10% under its own weekday levels. What stands out in the inspection record is volume and severity: 62 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. Both CMS health inspection and quality measure ratings land at 1 out of 5 stars. One number cuts the other way, annual turnover of 23.6% is well below the national 45.8%, so staff appear to stay, even if there aren't enough of them on the floor.
Ludlowe Center runs 144 certified beds under for-profit LLC ownership, and its staffing is the clearest strength: 4.24 nurse hours per resident day, about 10% above the national average, with turnover at 23.6%, roughly half the national rate of 45.8%. Weekend coverage does dip about 10% below weekday levels. The inspection record is where the trouble sits. Twenty-four deficiencies are on file, three at harm or jeopardy level and two tied to abuse, along with two fines totaling $47,317 and a two-star health inspection rating. The most recent inspection was September 2025, so the record is current, not stale. Strong retention, mixed oversight.
Silver Springs Care Center runs 159 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly 20% under the national average of 3.86. Weekend coverage drops another 13% below the home's own weekday levels, so the thinnest shifts land when families tend to visit. Turnover is actually better than average at 35.8% against 45.8% nationally, which matters for continuity of care. What pulls the record down is the inspection history: 36 deficiencies, three at harm or jeopardy level, and 11 tied to abuse. Health inspection and staffing each earned 2 out of 5 stars from CMS, while quality measures scored 5. The last inspection was December 20, 2024, with $24,150 in fines on file.
Civita Care Sheriden Woods runs 146 beds in Bristol under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends are thinner still, about 8% below the home's own weekday coverage. The inspection record is the bigger concern: 58 deficiencies, four of them at harm or jeopardy level and ten tied to abuse, with two fines totaling $28,030. Turnover at 43.3% is slightly better than the 45.8% national figure, but that's the one number here that isn't working against it. The last inspection was March 2026.
Gardner Heights runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday pace. The inspection record carries 34 deficiencies, including one at the harm level and five tied to abuse, and the last full inspection was in August 2024. Turnover sits at 34.4%, which is actually better than the 45.8% national figure, so the problem isn't retention as much as how few hours each resident gets. Corporate-owned, 130 beds, with a single fine of $7,446 on file.
Water's Edge runs 150 beds in Middletown under corporate ownership, and its inspection record is the thing to look at first. Thirty-six deficiencies, four serious enough to involve harm or jeopardy, and five tied to abuse. Three fines add up to $99,037. Staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends drop roughly 10% below weekdays. Turnover is 39.2%, better than the 45.8% national figure, but that's the one bright number in the staffing picture. The quality measure stars look good on paper, though those come from self-reported data. The most recent inspection was March 2026. Ask about staffing on weekends and how the abuse deficiencies were resolved before you decide.
Marlborough Health & Rehabilitation Center runs 120 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts: 3.44 nurse hours per resident day sits about 11% below the national average, and weekends drop another 11% below its own weekday level. Turnover at 36.8% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hours each resident gets. The inspection record is heavier: 40 deficiencies, including 3 at harm or jeopardy level and 11 abuse-related, with two fines totaling $206,228. The last inspection was August 2023, so that record has had time to age without being cleared.
Civita Care Center At Long Ridge runs 120 beds under for-profit LLC ownership, and its staffing picture is mixed in a way worth understanding. Total nurse coverage sits at 3.76 hours per resident day, roughly 3% under the national average, and weekends drop about 11% below the home's own weekday levels, so the hours thin out exactly when families tend to visit. Turnover is the bright spot: 24.7% against a national 45.8%, which suggests a more stable crew than most places. The inspection record is the concern: 28 deficiencies, four tied to abuse, though none reached harm or jeopardy level. The most recent inspection was July 2025.
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?