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.
Accolade Healthcare Danville runs 108 certified beds under corporate ownership, and its nurse staffing sits at 3.24 hours per resident per day, roughly 16% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover is close to typical at 44.5%, so it isn't an outlier there, but the inspection record is heavy: 56 deficiencies, 10 at harm or jeopardy level, 5 abuse-related, and four fines totaling $81,146, with the most recent inspection in May 2025. The staffing star lands at 1 out of 5 while quality measures sit at 3, enough to see where the concern concentrates.
River View Rehab Center runs on 1.97 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 13% below its own weekday level. Inspectors have cited 46 deficiencies on the current record, six of them at harm or jeopardy level and 18 abuse-related, with four fines totaling $452,802. Turnover sits at 33.3%, better than the national 45.8%, but that's the one number here working in the building's favor. The last inspection was September 2025, and the health inspection rating landed at 2 out of 5 stars. With this few staff on hand and this many serious citations, you'd want to ask hard questions before moving anyone in.
Nurse staffing at Arc At El Paso runs 2.87 hours per resident day, about a quarter below the national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Turnover sits at 30.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,994; the most recent inspection was March 26, 2025. For-profit, limited liability ownership. The quality measure rating is strong at 4/5, but the 2/5 health inspection and 2/5 staffing ratings are where the real trouble sits.
West Suburban runs about 2.73 nurse hours per resident each day, roughly 29% under the national average of 3.86, and weekends drop another 13% below its own weekday staffing. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the problem here isn't retention so much as how few hands are scheduled at once. The inspection record shows 40 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with the most recent survey in October 2024. All three CMS star ratings land at 2 out of 5. For-profit partnership ownership, 259 certified beds.
Pearl of Rolling Meadows runs 155 certified beds as an individual for-profit, and its staffing sits at 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 14% below its own weekday level, which matters when falls and infections don't check the calendar. Turnover is 36.5%, better than the 45.8% national figure, so the team is comparatively stable even if it's thin. The current inspection record carries 30 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the last survey on March 27, 2025. Quality measures score well, but the staffing and inspection history are what pull the overall picture down.
Goldwater Care Toluca runs 104 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record carries 28 deficiencies, including two at harm or jeopardy level and three tied to abuse; the last inspection was September 26, 2025. Staff turnover at 43.4% is slightly better than the 45.8% national figure, and the quality measure rating is strong, but the staffing rating is 1 out of 5, that gap between reported care quality and actual daily coverage is the thing to ask about directly.
Irving Park Living & Rehab runs 117 beds on Chicago's northwest side, and the staffing math is the first thing worth knowing: 3.41 nurse hours per resident day, about 12% under the national average, with weekends running roughly 15% lighter than weekdays. That thin coverage shows up in the inspection record, 52 deficiencies, four of them at harm or jeopardy level and five tied to abuse, from a January 2025 visit. Turnover at 38.6% actually beats the national rate, so the problem isn't retention. It's how few hands are scheduled. One fine of $10,358 is on file.
The Avenues at Royal Oak carries 74 deficiencies on its current record, and 13 of those rose to the level of actual harm or jeopardy, 19 are abuse-related. That pattern is serious enough that CMS has placed the 200-bed for-profit home in Kewanee in its Special Focus Facility program, and inspections through September 2025 keep turning up problems. Nurse staffing runs 3.03 hours per resident day, roughly 22 percent below the national average, and weekends are thinner still. One thing does stand out in the home's favor: turnover at 24.6 percent is well under the national 45.8 percent, so the people who are there tend to stay. The concern is how few of them there are.
Goldwater Care Princeton runs on a for-profit LLC model with 92 certified beds, and its staffing is the number that stands out: 2.75 nurse hours per resident day, roughly 29% below the national average of 3.86. Weekends drop about 5% below the home's own weekday coverage, and turnover sits at 42.4%, a touch better than the 45.8% norm. Inspections are recent, from August 2025, and the home carries 30 deficiencies with none at harm or jeopardy level, though two are abuse-related. Quality measures land mid-range, and the health inspection record is comparatively strong. The tension is straightforward: solid survey results and average retention alongside thin daily staffing, which is what families feel most in day-to-day care.
Arc At Dwight is a for-profit, LLC-owned home with 92 certified beds in Livingston County, and the staffing numbers are the first thing worth knowing. At 2.66 nurse hours per resident day, it runs roughly 31 percent under the national average of 3.86, and weekend coverage drops about 5 percent below its own weekday level. Turnover sits at 42.3 percent, slightly better than the national 45.8. The health inspection record shows 17 deficiencies, six of them abuse-related, though none reached harm or jeopardy level; the most recent inspection was April 18, 2025. Quality measures score well, but the staffing and inspection picture is what pulls this home's overall standing down to average.
Alden Terrace of McHenry runs 316 certified beds, and the nurse staffing number is where the trouble starts: 2.77 hours per resident day, roughly 28% under the national average of 3.86. Weekends drop about 9% below the home's own weekday level, and annual turnover sits at 49.3% against a national 45.8%, so the aides and nurses cycling through are stretched thin and often new. The inspection record backs that up: 49 deficiencies, four serious enough to cite harm or jeopardy, seven tied to abuse, and one fine of $11,170. The state surveyors last walked in March 2025, so the record is fairly current. Quality measures score well; staffing does not.
Rushville Nursing & Rehab Center runs on thinner nursing coverage than most homes, 3.11 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday staffing. That gap shows up in the federal staffing star rating, which sits at the lowest rung even as the inspection rating reaches 4 out of 5. The 24 deficiencies on record include two at harm or jeopardy level and one tied to abuse, and staff turnover at 46.8% edges just past the national figure. For-profit, LLC-owned, 96 beds, last inspected in April 2025.
Alden Estates Of Barrington runs a for-profit shop with 150 beds, and its turnover number is the standout: 26.5% against a national average of 45.8%, meaning far fewer aides and nurses are walking out the door than is typical. Staffing sits at 4.13 hours per resident day, about 7% above the national figure, though weekends drop roughly 15% below the home's own weekday level, so coverage thins out when families tend to visit. The inspection record shows 17 deficiencies, four serious enough to reach harm or jeopardy level, and one fine of $18,395, with the last state visit in September 2024.
Seminary Manor runs about 4.25 nursing hours per resident per day, roughly 10% above the national average, and its 42.4% turnover is slightly better than the 45.8% typical elsewhere. That staffing picture is the strongest part of the story here. The inspection record is the problem: 23 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus one $41,300 fine, and the most recent inspection was in May 2025. Weekend staffing also drops about 11% below weekday levels, which matters for families who visit or need help on Saturdays and Sundays. It's a nonprofit corporation with 121 certified beds.
Aviston Countryside Manor runs on 2.87 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops further from there. Staff turnover sits at 52.9%, well above the national figure, which means the people caring for residents are often new to the building. The current record shows 16 deficiencies, including one at the harm level and two tied to abuse; the last inspection was June 2024. Ownership is for-profit corporate, and CMS rates staffing and health inspections at 2 out of 5 stars each. Quality measures score better at 3, but the staffing and inspection numbers are the ones worth weighing before you decide.
Bella Terra Bloomingdale is a for-profit, LLC-owned home with 166 beds in DuPage County, and its staffing is the number that stands out. At 3.53 nurse hours per resident day, it runs about 9% under the national average, and weekend coverage dips another 6% below its own weekday level, a pattern families often notice when they visit on Saturdays and Sundays. Annual turnover of 49.5% sits above the national 45.8%, so the staff caring for your relative may change often. The current record shows 43 deficiencies, four at the harm level and none abuse-related, with one fine of $10,358 and an inspection in February 2025.
Centralia Manor runs a nonprofit home with 120 beds, and its staffing is genuinely above average, 4.48 nurse hours per resident day against a national 3.86. Weekend coverage dips about 17% below weekdays, though turnover at 26.4% beats the national 45.8%, meaning aides tend to stick around.
The trouble sits on the inspection side. Thirty deficiencies on the current record, seven of them serious enough to put residents in harm's way, four tied to abuse. Five fines totaling $231,200. The last inspection was July 2025, and the health inspection rating came back 1 out of 5. Good staffing and low turnover are real strengths, but the enforcement history is what a family should weigh hardest here.
Pavilion On Main Street runs 2.98 nurse hours per resident day, roughly a quarter below the national 3.86, and weekends dip another 9% under its own weekday levels, so coverage thins exactly when families tend to visit. Turnover at 34.7% is better than the 45.8% national figure, which matters for consistency of care, but the inspection record carries 29 deficiencies, four of them serious enough to involve harm or jeopardy, plus $122,009 in fines across two penalties. A 2/5 on health inspections and 2/5 on staffing, with the most recent survey in August 2025, tells you the state has been finding problems recently. This is a for-profit, individually owned home where the staffing numbers are the thing to ask about directly.
Jerseyville Manor runs 155 certified beds as a nonprofit, and its aides and nurses put in 3.36 hours of care per resident each day, roughly 13% under the national average of 3.86, with weekends dipping about 9% below its own weekday pace. Staff turnover is genuinely low at 30.8% against a national 45.8%, so the people who are there tend to stay. The trouble sits in the inspection record: six deficiencies, two serious enough to reach harm or jeopardy level, two tied to abuse, and the most recent state visit came January 23, 2026.
Pa Peterson At The Citadel runs about 3.70 nurse hours per resident day, roughly 4% under the national average, and weekends dip another 6% below its own weekday level. That thin margin shows up in the staffing rating: 1 out of 5. Annual turnover sits at 59.6%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record lists 63 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, with one fine of $21,212. A May 2025 inspection is recent, and the 3/5 health inspection and 4/5 quality measure ratings suggest some clinical care is tracked well, but the staffing numbers and deficiency history are what a family should ask about directly.
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?