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.
Laurel Ridge is a 126-bed for-profit home in Ridgefield, and its numbers point in two directions at once. The care side looks solid: 4.06 nurse hours per resident per day, above the national average, with weekend staffing dipping roughly 10% below weekdays, and turnover at 37.9%, better than the 45.8% national figure. The inspection record is the problem: 31 deficiencies, including six tied to abuse and one at the harm or jeopardy level. A 2-out-of-5 inspection rating against a 5-out-of-5 quality measure score is a real split. The most recent state visit was April 8, 2025, so that record is current. Ask about those abuse deficiencies specifically before you tour.
New Haven Center For Nursing & Rehabilitation runs 4.04 nurse hours per resident day, about 5% above the national average, and its staff turnover of 27.6% is well below the national 45.8%, people tend to stay. That stability doesn't show up in oversight, though. The home's inspection record carries 80 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, with $61,814 in fines and a health inspection rating of 1 out of 5. Weekend staffing also drops roughly 16% below its own weekday levels, so coverage thins when families visit. The last inspection was August 2025, so the record is current. Read the inspection reports yourself before deciding.
Civita Care Northbridge runs 44 deficiencies on its current record, including four at the harm or jeopardy level and seven tied to abuse. That's the number that matters most here, and it's why the health inspection rating sits at 1 out of 5. Nurse staffing is 3.60 hours per resident day, about 7% under the national average, and weekends drop roughly 12% below the home's own weekday level, so the coverage gaps aren't just relative, they're internal. Turnover at 31.5% is genuinely better than the 45.8% national figure, and the quality measure rating is 4 out of 5, so there are pieces working. But this is a for-profit LLC with $162,221 in fines across three penalties and an inspection dated March 2026. Ask about those seven abuse-related deficiencies directly.
Summit at Plantsville runs 150 beds under for-profit LLC ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 38.7%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. What pulls the record down is the inspection side: 43 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a 2-out-of-5 health inspection rating and a $3,652 fine.
Excelcare At Wilmington runs 150 certified beds under corporate ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. Weekends dip roughly 9% below weekday coverage, though its 34.9% turnover is better than the 45.8% national figure. The real concern is the inspection record: 22 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $38,290 fine. A March 2025 inspection is recent, and the two-star health inspection rating reflects those findings. Quality measures score well, but a family should ask directly how those abuse-related citations were resolved.
Regal Heights runs 172 certified beds under corporate ownership in Hockessin, and the staffing numbers are the strongest thing it has going. Nurse hours per resident day sit essentially at the national average, and weekend coverage dips only about 5% below weekdays, which is a narrower gap than many homes manage. Turnover is 41.7%, slightly better than the 45.8% national figure. The trouble is everything else: a 2-out-of-5 health inspection rating, 65 deficiencies on the current record including 4 at harm or jeopardy level and 9 tied to abuse, plus three fines totaling $46,999. Staffing can hold a building together, but it doesn't erase an inspection history like that.
Regency Healthcare & Rehab Center is a for-profit LLC home in Wilmington with 100 beds, and its recent inspection history is the first thing to notice: 19 deficiencies on record, including two at the harm or jeopardy level and five tied to abuse. Two fines totaling $77,867 have been levied. Staffing sits at 3.74 nurse hours per resident day, about 3% under the national average, and weekends run roughly 8% leaner than weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The most recent inspection was July 2025, so the picture is current.
Excelcare At Lewes runs 179 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.89 hours per resident day, just barely above the national average of 3.86, though weekends run about 5% lighter than weekdays, worth asking about if your family visits then. The bigger concern is the inspection record: 46 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, with two fines totaling $106,560. Staff turnover of 45.7% is essentially the national average. The last inspection was February 2026. Quality measures score well, but the inspection history is what's dragging this home's overall picture down.
Ocean Grove Post Acute runs 181 beds under for-profit LLC ownership, and its inspection history is the weak spot: 71 deficiencies on the current record, including 4 abuse-related citations, though none rose to actual harm or jeopardy. That record earned a 2 out of 5 on CMS health inspections. Staffing tells a different story, 3.69 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 9% below the home's own weekday levels, so coverage thins when families tend to visit. Turnover at 36.1% is meaningfully better than the 45.8% national figure, which matters for consistency of care. The last inspection was July 2025, so the picture is current.
Capitol City Rehab runs 360 beds under for-profit ownership, and its staffing numbers are genuinely better than average: 4.20 nurse hours per resident day against a national 3.86. But look at what inspections have turned up. The current record carries 163 deficiencies, 13 of them serious enough to put residents in harm's way, plus 16 abuse-related citations and $384,200 in fines across four penalties. The last inspection was in March 2023, so that record has had time to stand. Staff turnover sits at 46.2%, slightly worse than the national 45.8%, and weekend coverage drops about 7% below weekdays, the shifts when families often can't visit. Good hours on paper, rough record in practice.
South Heritage runs about 17% below the national average on nurse staffing, 3.19 hours per resident day against 3.86, and weekend coverage dips another 3% beneath its own weekday levels, so the thinnest shifts come when families tend to visit. Staff turnover sits at 52.4%, well above the national 45.8%, meaning nearly half the nursing team turns over in a year. On inspections, the record shows 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $145,109 in fines. The most recent inspection was February 2025.
Madison Pointe runs about 3.65 nurse hours per resident each day, roughly 5% under the national average, and weekends dip another 7% below its own weekday staffing. Turnover sits at 35.1%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The concerns show up elsewhere: 18 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $33,413 fine. The last inspection was April 2024. Quality measures score well, but the inspection history and thin weekend coverage are the things I'd ask about directly.
Sunrise Point runs a hundred beds in Rockledge, and the staffing numbers look fine on paper, 4.18 nurse hours per resident day, roughly 8% above the national average. But weekends drop about 8% below its own weekday level, and turnover sits at 57.3% against a national 45.8%, so the people delivering that care keep changing.
The inspection record is the real problem: 16 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $275,722 in fines across three events. The most recent inspection was August 2024, and CMS gave the health inspection side one star out of five.
St. Augustine Health and Rehabilitation Center sits in a for-profit LLC's hands with 120 certified beds, and its numbers pull in different directions. Nurse staffing runs 3.89 hours per resident day, slightly above the national average, and the 32.4% turnover is meaningfully better than the 45.8% national figure, but weekends drop about 11% below the home's own weekday levels. The real problem is the inspection record: 16 deficiencies, two at harm or jeopardy level, one abuse-related, with a one-star health inspection rating and the last review in September 2024. Strong staffing can't offset that kind of survey history, which is what drags the overall picture down to a middling grade.
Lake Haven runs on thin staffing. At 3.56 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 6 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the bigger signal: 62.4 percent of nursing staff leave within a year, against a national average near 46 percent. That churn shows up in the inspection record, where 29 deficiencies include 6 at harm or jeopardy level and 5 tied to abuse, drawing $281,689 in fines. The last inspection was October 2024. Corporate ownership and a one-star health inspection rating round out a picture worth weighing carefully.
Vivo Healthcare University runs about 3.27 nurse hours per resident day, roughly 15% under the national average of 3.86, and weekends dip another 5% below its own weekday coverage. Turnover is the sharper number: 69.3% of staff leave each year against a national average of 45.8%, which means the people caring for your relative are often new to the building. The current record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with a 3/5 inspection rating. Ownership is for-profit corporate, and the last inspection was November 2024. Quality measures score 5/5, so the clinical outcomes look strong on paper even though staffing depth and retention lag.
Ambassador Healthcare at College Park runs 107 beds in Fort Myers under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing: 3.57 nurse hours per resident day, roughly 7% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 40.8%, a bit better than the national 45.8%, so the problem isn't retention so much as how few hours each resident actually gets. The inspection record is heavier, 40 deficiencies, five at harm or jeopardy level, five tied to abuse, and $96,105 in fines across two penalties. The most recent inspection is dated April 2026. Quality measures score well, but that sits on top of a staffing and compliance picture families should ask hard questions about.
Aviata At The Bay runs 150 certified beds in Tampa under for-profit LLC ownership, and the staffing numbers tell a familiar story: 3.30 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% leaner than weekdays. Annual turnover sits at 51.1%, above the 45.8% national figure. The inspection record is where things get serious, 36 deficiencies on file, including 6 at harm or jeopardy level and 3 tied to abuse, plus 11 fines totaling $169,790. Its last health inspection was June 28, 2024, and the 1-star inspection rating reflects that history. Quality measures score well, but a strong quality score doesn't offset harm-level findings and thin coverage.
Naples Health And Rehabilitation Center is a 120-bed for-profit home in Collier County, and the inspection record is where the trouble sits. Forty-five deficiencies on the current record, eight of them at the harm or jeopardy level and three tied to abuse, with $172,682 in fines across three events. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Nurse staffing runs 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 7% below its own weekday levels. Annual turnover of 43% is slightly better than the 45.8% national figure, and the quality measure star is 4 of 5, but that inspection history is the part that matters most.
Aviata At Englewood runs 120 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 6% below the home's own weekday levels. Staff turnover hits 48.8%, higher than the 45.8% national figure, which matters because residents see fewer familiar faces.
The inspection record is the bigger concern: 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse. That June 2025 inspection is recent, so the findings reflect current conditions rather than old problems. With 2 out of 5 stars on both health inspections and quality measures, families should ask pointed questions about the abuse-related citations and how the home has responded.
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?