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.
Solaris Healthcare Lely Palms runs a split record. Staffing sits at 4 stars and turnover is 17.3%, remarkably low next to the 45.8% national average, meaning the aides and nurses here tend to stay. But that same staffing number, 3.71 hours per resident day, lands below the national average of 3.86, and weekends run about 11% thinner than weekdays, so coverage dips when families visit most. The real concern is the inspection history: a 1-star health inspection rating, 17 deficiencies with 5 at harm or jeopardy level and 2 tied to abuse, plus $80,532 in fines across two penalties. The most recent inspection was February 2025. Ask about those abuse deficiencies directly before considering this one.
Darcy Hall of Life Care runs 220 certified beds in West Palm Beach under for-profit limited liability ownership, and its staffing numbers are genuinely strong: 3.93 nurse hours per resident day, slightly above the national average, with a 5/5 CMS staffing star and 27.2% turnover that's well below the 45.8% national figure. Weekends dip about 10% below weekday coverage, worth asking about. The trouble sits in inspections, where it holds a 1/5 star rating, 28 deficiencies on record, including 2 at harm or jeopardy level and 4 abuse-related, plus a $30,924 fine and a January 2025 inspection. Ask to see the plan of correction before you decide.
Manatee Springs runs a for-profit, LLC-owned 120-bed building in Bradenton, and the numbers split sharply depending on where you look. Nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average, and turnover at 40.6% is better than the 45.8% norm, but weekends dip about 11% below the home's own weekday coverage, so the care you get can depend on the day. The inspection record is the real concern: 20 deficiencies, three at harm or jeopardy level and one abuse-related, with the most recent inspection in June 2024. Strong quality scores can't offset that pattern. Worth asking about those findings directly before deciding.
The Springs at Boca Ciega Bay runs on 3.59 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 8% below its own weekday staffing. That thin coverage shows up in a one-out-of-five staffing rating and a matching one-out-of-five on health inspections, where the current record carries 24 deficiencies, four of them at harm or jeopardy level and one abuse-related. The five-star quality measure score reflects how residents are doing on paper, but it doesn't offset what surveyors found when they walked in last February. A for-profit limited liability company operates the 109-bed home. The pattern here is a building that can document outcomes while struggling to staff and pass inspection.
Aviata At West Palm Beach runs on thinner nurse coverage than most homes, 3.34 hours per resident day against a national average of 3.86, with weekends about 6% leaner than its own weekdays. That gap shows up in the inspection record: 32 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, plus $33,790 in fines across three penalties. The most recent inspection was September 2025, so this is current, not stale history. Staff turnover of 36.2% is actually better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. The 5/5 quality measure score stands out against a 1/5 inspection rating, worth asking what's behind that split.
Palm Garden of Largo runs 140 beds under for-profit LLC ownership in Pinellas County, and the inspection record is the part that stands out: 30 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $66,613. That's a 1-out-of-5 health inspection rating, last surveyed February 2024. Staffing sits at 3.64 nurse hours per resident day, about 6% under the national average, weekends run 9% lighter than weekdays, and turnover hits 54.5% against a 45.8% national figure. The 5/5 quality measure score reflects resident assessments, not the inspection findings, worth keeping in mind when you weigh the two.
Riviera Palms runs on thin nurse staffing, 3.46 hours per resident day, roughly 10% under the national average, with weekends about 10% thinner than its own weekdays. Turnover sits at 37.1%, better than the 45.8% national figure, so the people who stay are likely steady hands. The trouble is the inspection record: 19 deficiencies, two at harm or jeopardy level, four tied to abuse, and a $181,100 fine, with the last survey dated June 2025. That one-star health inspection rating is doing most of the work pulling the overall picture down, even though resident quality measures score well. Ask pointed questions about those abuse findings and the weekend coverage plan before deciding.
Aviata At South Daytona runs 65 certified beds as a for-profit corporation, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 7% below its own weekday coverage, and annual turnover hits 51.7% against a national 45.8%, so the same faces aren't always there. The inspection record shows 22 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse, with 8 fines totaling $25,723. The most recent inspection was August 14, 2025, and CMS scored staffing and health inspections at 2 out of 5 stars each.
Palm Garden of Sun City runs 132 beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, just under the national average of 3.86, with weekends roughly 10% leaner than weekdays. Annual turnover of 43.3% actually lands slightly below the national rate, so the workforce isn't the main concern here. The inspection record is: 19 deficiencies, three at harm or jeopardy level, two tied to abuse, and four fines totaling $85,965, with the most recent inspection in September 2024. Quality measures score well, but a single-star health inspection rating and that deficiency history are what a family should weigh when deciding.
Port Orange Nursing and Rehab Center runs 120 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see. Total nurse coverage is 3.51 hours per resident day against a national average of 3.86, and weekends drop roughly 7% below the home's own weekday levels, that gap matters when families visit and care needs don't pause. Annual turnover of 47.6% edges past the national 45.8%, meaning the aides and nurses working with your relative are likely to change. The inspection record shows 5 deficiencies, 2 at harm or jeopardy level and 1 abuse-related, with the most recent inspection on April 1, 2026. Ask about weekend coverage and turnover directly.
Lilac At Bayview runs 120 beds in Saint Augustine under for-profit LLC ownership, and its staffing is the number that jumps out first: 3.53 nurse hours per resident per day, roughly 9% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 65.4% against a national 45.8%, nearly two-thirds of the nursing staff turning over in a year. The inspection record shows 22 deficiencies, five at harm or jeopardy level and two tied to abuse, with $125,355 in fines across three penalties and a survey as recent as April 2025. Resident care measures score well; the staffing and inspection side is where the trouble lives.
Westminster Suncoast runs 120 certified beds as a nonprofit, and its staffing sits a bit under the national average at 3.67 nurse hours per resident day, about 5% below, with weekends running roughly 9% lighter than weekdays. Turnover is 35% against a national 45.8%, so the people who stay tend to stay. Inspections are the weak spot: 21 deficiencies on the current record, 3 tied to abuse, though none reached harm or jeopardy level and the last survey was April 2024. That mix, solid quality and staffing stars, thinner inspection record, is what pulls the overall picture down.
Eagleridge runs 120 beds in Fort Myers under corporate ownership, and the staffing numbers are where I'd start. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 50.9% runs above the 45.8% national rate, meaning more than half the nursing staff leaves each year. The inspection record shows 30 deficiencies, five at harm or jeopardy level, one abuse-related, plus $63,886 in fines across two penalties. A recent August 2025 inspection is a plus. The quality measures look strong, but they don't offset what the staffing and inspection data show.
Scott Lake runs 120 beds under for-profit limited liability ownership, and its inspection record is the part that should worry you most, 28 deficiencies on file, four of them serious enough to involve actual harm or jeopardy, and two tied to abuse. CMS fined the place twice, totaling just over $80,000, and the most recent inspection came in April 2026. On the other side of the ledger, the staffing numbers aren't alarming: 3.74 nurse hours per resident day lands about 3% under the national average, weekend coverage dips roughly 5% below weekdays, and turnover at 35.6% actually beats the 45.8% national figure. Resident care measures score well. The problem is that quality metrics and a clean staffing picture don't offset a documented pattern of serious inspection failures.
Alwyn C Cashe State Veterans Nursing Home runs on state government ownership in Orlando, and the staffing numbers stand out first: 5.30 nurse hours per resident day, about 37 percent above the national average. That's real coverage, though weekends dip roughly 13 percent below weekdays, and turnover sits at 72.5 percent against a national 45.8, meaning the people providing that care keep changing. The inspection record is where things get harder to explain away: 22 deficiencies, four at harm or jeopardy level, four tied to abuse, and 11 fines totaling $68,731. The most recent inspection was February 2025, so the picture is current, not stale. Strong hours, unstable workforce, and a serious regulatory record.
Pruitthealth - Augusta runs 100 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.70 nurse hours per resident day, it sits below the national average, and weekends drop roughly 31% below its own weekday coverage, the exact stretch when families tend to visit and when problems surface.
The inspection record is heavier: 33 deficiencies, 2 at harm or jeopardy level, 3 tied to abuse, plus six fines totaling $180,483. The most recent inspection was June 26, 2025, so the picture is current. Annual turnover of 49.3% means nearly half the staff leaves within a year. Resident outcome measures score well, but a 1/5 on health inspections and staffing tells you where the risk concentrates.
Lagrange Trails runs 138 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.30 nurse hours per resident day sits about 15% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday levels. Annual turnover of 53.2% means more than half the nursing staff leaves each year, well above the 45.8% national figure, that churn matters because unfamiliar caregivers miss things. Eighteen deficiencies appear on the current record, though none reached harm or jeopardy level and none involved abuse, and the last inspection was recent, in May 2025. The 2/5 staffing star against 3/5 marks for inspections and quality measures tells you where the pressure sits.
Chestnut Ridge runs 150 beds in Cumming under for-profit LLC ownership, and the staffing picture is the tightest part of the story. Nurses give residents 3.60 hours of care per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level, so coverage thins exactly when families tend to visit. Annual turnover of 73.8%, against 45.8% nationally, means the people caring for your relative are likely to change often. The current inspection record shows 27 deficiencies, none at the harm level but one abuse-related, with a 2/5 inspection rating. Ask about weekend coverage and how they retain aides.
Southland Health and Rehabilitation runs on thinner nursing coverage than most homes, 3.29 hours per resident day against a national average of 3.86, with weekends dipping roughly 15 percent below its own weekday levels. Staff turnover is where it separates itself, at 23 percent against a national 45.8, so the people who are there tend to stay. But its inspection record is the real story: 12 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent survey in August 2025. Quality measures score well; the hands-on care and the survey history are what pull the overall picture down.
Westbury Center of McDonough runs 210 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 38.7%, better than the 45.8% national figure, which is the one clear bright spot here. Inspections are the bigger concern: 12 deficiencies on the current record, 5 at harm or jeopardy level and 3 abuse-related, with the most recent survey in June 2025. The health inspection rating of 2 out of 5 reflects that, and quality measures land at 3. Ask about the abuse-related findings specifically before you decide.
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?