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.
Providence Healthcare runs 2.74 nurse hours per resident day against a national average of 3.86, roughly 29% lighter, with weekends another 9% below its own weekday level. Turnover is genuinely low at 32.6% versus 45.8% nationally, so the staff who are there tend to stay. But the current inspection record carries 20 deficiencies, three at harm or jeopardy level and five abuse-related, with the most recent survey dated July 2025. A 110-bed for-profit owned by an individual, it earns top marks on quality measures while scoring 1 out of 5 on both inspections and staffing. Ask to see the plan of correction before you visit.
Orchard Health And Rehabilitation runs 89 certified beds in Pulaski as a nonprofit, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86, with weekends running about 14% thinner than weekdays. Turnover is genuinely better than most: 30% against a national 45.8%. The problem isn't the workforce, it's the record. Seven deficiencies are on file, four of them at harm or jeopardy level and two tied to abuse, plus a $57,161 fine. The last inspection was April 2025. Staffing and quality measures both land mid-range at three stars, but that inspection history is what drags the overall picture down. Ask about those abuse-related findings specifically before you visit.
Avalon Health and Rehabilitation runs 90 certified beds in Newnan under nonprofit ownership, and its strongest signal is consistency on the clinical side, staff turnover sits at 36.1% against a national average of 45.8%, and six deficiencies on the current record with none at the harm or jeopardy level is a relatively clean inspection history, verified as recently as April 2025. The tradeoff is time at the bedside: 3.49 nurse hours per resident day lands about 10% under the national average of 3.86, and weekend coverage drops roughly 8% below the home's own weekday level. The abuse-related deficiency and $3,728 fine are worth asking about directly, but the quality measure rating is the number that stands out most, one out of five against a four-out-of-five inspection score suggests the day-to-day care metrics aren't keeping pace with how the building is run.
Social Circle Nsg & Rehab Ctr runs lean on nursing hours: 3.44 per resident day against a national average of 3.86, with weekend coverage dropping roughly another 10% below its own weekday levels. The 65-bed for-profit home, owned by a limited liability company, also sees about 51.9% of its nursing staff turn over each year, higher than the 45.8% national figure. Its 18 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in May 2025, so the enforcement history is more clean than alarming. What drags the picture down is the routine care side, the federal quality measure rating sits at 1 out of 5.
Cartersville Crossing runs about 12% below the national average on nurse staffing, at 3.39 hours per resident day, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 56.3%, well above the 45.8% national figure, which matters because replacements cost you familiarity with residents. The current record shows 18 deficiencies, though none rose to harm or jeopardy and none involved abuse, and the single fine came to $6,784. That inspection was recent, in January 2026. It's a for-profit limited liability company operating 74 certified beds, and the pattern across these numbers is a home that isn't dangerous but isn't well-staffed either.
Westbury Center of Jackson runs 196 beds under corporate ownership, and its inspection record is actually the strong part, four stars, with the most recent visit in March 2026. The problem sits in the daily staffing. At 3.04 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Staff turnover of 53.2% means more than half the nursing team leaves each year, well above the 45.8% national figure. Eleven deficiencies are on record, one involving harm and one tied to abuse. A $8,512 fine is modest, but that staffing picture is what families should weigh.
Nurse staffing at Tattnall Healthcare Center runs about 2.83 hours per resident day, roughly 27 percent under the national average of 3.86, and weekends dip another 5 percent below the home's own weekday level. That thin coverage is the main reason the staffing star rating sits at 1 out of 5. Turnover, at 39.1 percent, is actually better than the national 45.8 percent, so the problem looks more like how many hands are scheduled than how often people quit. Inspections add to the concern: 24 deficiencies on the current record, including one abuse-related citation, with the last visit in August 2025. This LLC-owned home holds 92 certified beds.
Roselane Health Center By Harborview runs 137 certified beds in Marietta under for-profit LLC ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. That looks close enough on paper, but weekends run about 14% thinner than weekdays, so the coverage your relative gets depends heavily on which day it is. Inspectors have logged 25 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which helps explain the middling inspection score and the $6,682 fine on file. Turnover at 27.1% is genuinely better than the 45.8% national figure, though, staff here tend to stay longer than at the typical home.
Westminster Commons runs 3.65 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 16% below its own weekday staffing. That gap matters more than the weekly total, since weekends are when families often visit and when problems surface. Staff turnover sits at 61.4% against a national 45.8%, so many of the people caring for residents are new to the building. The inspection record shows 35 deficiencies, none at harm level but seven tied to abuse, plus two fines totaling $23,472; the last inspection was May 2025. For-profit, LLC-owned, 90 beds.
Archway runs on 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 10% below its own weekday coverage. Turnover matches the national rate almost exactly, so the problem isn't a churning workforce, it's thin staffing that gets thinner on Saturdays and Sundays. What stands out most is the inspection record: 11 deficiencies, two of them harm-level and three tied to abuse, with a 1-out-of-5 inspection rating. The last survey was August 2024, so that record is recent, not stale. Quality measures and staffing each score a middling 3, meaning the day-to-day numbers aren't the red flag. The safety and compliance history is.
Aspen Transitional Rehabilitation runs 30 beds in Meridian under corporate ownership, and its nurse staffing comes in at 4.49 hours per resident day, about 16% above the national average. That sounds good until you notice weekend staffing drops roughly 22% below its own weekday level, and annual turnover sits at 57.1% versus 45.8% nationally. The health inspection record shows 15 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection in December 2025. Quality measures score well, but the inspection history and turnover are the numbers worth asking about directly.
The staffing numbers here are genuinely strong, 5.09 nurse hours per resident day, about a third more than the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 36.4%, below the national figure, which suggests people stay. But the inspection record tells a different story: 29 deficiencies, including two at the level where residents were actually harmed or put in jeopardy, and six tied to abuse. Two fines totaling $20,501 followed. The last inspection was in December 2025, so the record is current. Good care requires enough hands and safe conditions, this home clearly has the first and a documented problem with the second.
Cascadia Of Boise sits at 100 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Its 3.97 nurse hours per resident day edges out the national average of 3.86, but weekend staffing drops about 12% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Saturday. Staff turnover runs 48%, above the 45.8% national figure, and CMS gives staffing just 1 star out of 5. The inspection record carries 30 deficiencies, one at harm or jeopardy level, with a $13,049 fine and a 2-star health inspection rating. Quality measures earn 3 stars, and the most recent inspection was November 2025.
Meridian Meadows runs 3.73 nurse hours per resident day, a bit under the national average, and weekend coverage drops roughly 16% below what it manages during the week. The inspection record is where the real story sits: 31 deficiencies, including one at the harm level and four tied to abuse, with the most recent survey dated April 2026. That's a lot of citations for a 52-bed building, and it lines up with the one-star inspection and staffing ratings. The four-star quality measure score reflects resident assessments rather than the hands-on care or the survey history, so weigh it accordingly.
Allure Of Peru runs a 127-bed for-profit home in La Salle County, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day, though weekends drop roughly 9% below its own weekday levels, which is when coverage gets thinnest. Turnover at 40.4% is better than the 45.8% national figure, and the most recent inspection in April 2025 produced a 4-star health inspection rating. The concern is elsewhere: 30 deficiencies on record, including two at harm or jeopardy level and two tied to abuse, plus a $10,059 fine. Its quality measure rating sits at 1 out of 5, meaning clinical outcomes lag even where inspections look decent.
Elevate Care Northbrook runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 2.63 hours per resident day, roughly a third below the national average of 3.86. Weekends run about 14% leaner than weekdays, so coverage thins out exactly when families tend to visit. The current inspection record carries 12 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus a $131,121 fine; the last inspection was August 2024. Staff turnover of 17.5% is genuinely low against the 45.8% national figure, which suggests some stability, but stable staff working short shifts still leaves gaps.
Aperion Care Chicago Heights runs on 2.14 nurse hours per resident per day, roughly 44% under the national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating, and 53.3% of staff turned over in a year against a national 45.8%. Inspections at this for-profit, 200-bed Cook County home turned up 30 deficiencies, including one at the harm level and ten tied to abuse, with a $21,934 fine on record. The most recent inspection was January 29, 2026. Family members should ask directly how the home covers weekends and how it screens and supervises staff.
Bella Terra Morton Grove is a 211-bed for-profit home, and the numbers worth knowing are the inspection record and the staffing. State inspectors cited 44 deficiencies on the current record, nine of them at a level that means actual harm or jeopardy, and six tied to abuse, with three fines totaling $53,913. Nurse staffing sits at 3.69 hours per resident day, under the national average of 3.86, and weekends run about 5% thinner than weekdays. Annual turnover is 49.7%, higher than the 45.8% national figure. The most recent inspection was April 17, 2025, so the record is current. If you're weighing this home, those harm-level and abuse-related citations are the things to ask about directly.
Parc Joliet runs 203 beds under corporate ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19 percent under the national average of 3.86. Weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts are also the least supervised. Turnover is 36.2 percent, which is actually better than the 45.8 percent national figure, but it hasn't translated into a clean record: 51 deficiencies, three of them at harm or jeopardy level and ten abuse-related, plus $25,830 in fines. The last inspection was September 25, 2025, and its health inspection rating is 2 out of 5.
Elevate Care Regency runs 254 beds in Niles under for-profit LLC ownership, and the record has some weight to it. State inspectors cited 30 deficiencies, seven of them serious enough to involve actual harm or jeopardy, plus one tied to abuse; four fines add up to $344,195. Staffing sits at 3.70 nurse hours per resident day, roughly 4% under the national average, and weekends run about 11% below the home's own weekday coverage, the stretch when families often visit. Turnover is the one bright spot at 25.2%, well under the 45.8% national figure, so the people caring for residents tend to stay. A recent April 2025 inspection means the picture is current.
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?