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.
Maple Park Village runs on 3.37 nurse hours per resident day, roughly 13% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 staffing rating, 56.3% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them at the harm or jeopardy level and one abuse-related. The county owns it, so there's no corporate parent to blame or credit. Its quality measure score is strong at 4/5, which suggests some clinical care is being tracked well, but the last inspection was September 2025 and the health inspection rating sits at 2/5.
Westridge runs on thinner nurse coverage than most homes nationally, 3.58 hours per resident day against a 3.86 average, and weekends dip roughly 14% below its own weekday staffing, which matters when a resident needs help on a Sunday. The 21 deficiencies on record include one at the harm level and one tied to abuse, and the most recent inspection was March 2026. Staff turnover sits at 48.8%, higher than the 45.8% national figure. CMS rates the staffing, health inspection, and quality measures each at 2 out of 5, so the pattern is consistent across categories, not a one-off bad survey.
American Village is county-owned and holds 150 beds, and its last inspection was in March 2026, so the record on file is recent. That record shows 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse. Staffing is where the pattern holds: 3.37 nurse hours per resident day against a national average of 3.86, weekends running about 16% below its own weekdays, and turnover at 54.4% compared with 45.8% nationally. The quality measure rating of 5 out of 5 sits alongside a 2 out of 5 on both inspection and staffing, which tells you the clinical measures look better than the day-to-day coverage.
Indian Creek Healthcare Center runs 135 certified beds in Corydon under nonprofit ownership, and the staffing numbers are the first thing worth noticing. At 3.38 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends drop roughly 11 percent below its own weekday coverage. Turnover is genuinely better than most, at 35.8 percent against a national 45.8 percent, so the people who stay seem to stay. The tradeoff shows up in oversight: ten deficiencies on the current record, three tied to abuse, no harm-level findings, and a health inspection rating of 2 out of 5. Quality measures score 5, staffing 2. Ask about weekend coverage and how the abuse deficiencies were resolved before deciding.
Wildwood Healthcare Center runs 160 beds on Indianapolis's east side, and the staffing numbers are where the trouble starts. At 3.51 nurse hours per resident day it sits about 9% under the national average, and weekends drop roughly 12% below its own weekday level, so the hours thin out exactly when families tend to visit. The inspection record backs that up: 27 deficiencies, including one at the harm level and two tied to abuse. Turnover at 43.2% is slightly better than the 45.8% national figure, and the quality measures look decent, but a 1-out-of-5 staffing rating tells you where the pressure lands. Ask who's on the floor on a Sunday.
Westpark A Waters Community runs on thin staffing. At 3.27 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly another 9% below its own weekday levels, so the coverage families count on shrinks right when many visit. Turnover tells a bigger story: 76.1% of staff leave each year against a national 45.8%, meaning the people caring for residents are constantly new. The current record shows 25 deficiencies, one tied to abuse, though none reached harm or jeopardy. Inspectors were last in on June 10, 2025, and the health inspection rating came back 2 out of 5. Limited liability ownership, for-profit. The quality measure score of 4 out of 5 is the bright spot, but it rests on a staffing picture that isn't holding steady.
The Waters of Indianapolis runs 81 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.29 hours per resident day, about 15% under the national average of 3.86. Weekends are thinner still, roughly 9% below what the home staffs on weekdays. Staff turnover is 46.6%, close to the national 45.8%, so retention isn't the outlier here; raw hours are. The current record shows 25 deficiencies, six of them abuse-related, with zero flagged at harm or jeopardy level. Inspectors were last in on June 26, 2025. CMS gives 2 of 5 stars for both health inspections and staffing, 3 of 5 for quality measures.
Albany Health Care & Rehabilitation Center runs 102 certified beds under corporate for-profit ownership, and its staffing sits right at the national line, 3.81 nurse hours per resident day against a 3.86 average. Weekends are where that thins out, dropping roughly 15% below the home's own weekday coverage. Turnover is the brighter spot at 33.3%, well under the 45.8% national figure, which suggests less churn than most places. What pulls the record down is inspection history: 24 deficiencies on file, including one at harm or jeopardy level and four tied to abuse. The last inspection was recent, February 2026. Quality and staffing measures both rate 4 out of 5, but that inspection record is the part worth asking about directly.
Casa Of Hobart runs 138 certified beds under corporate ownership in Lake County, and the staffing numbers are the first thing I'd want you to see. At 3.46 nurse hours per resident day, it sits about 10 percent under the national average of 3.86, and weekends drop roughly 23 percent below what the home itself staffs on weekdays, so the coverage you might observe on a Tuesday isn't what your relative gets on a Sunday.
The inspection record backs that up: a 1-out-of-5 health inspection rating, 82 deficiencies on file including two at harm or jeopardy level and two tied to abuse, plus one fine of $14,433. Quality measures score well, but staffing and inspections don't.
Ask about weekend coverage and the plan of correction before you tour.
Cloverleaf of Knightsville runs 102 certified beds under individual for-profit ownership, and its federal staffing numbers sit roughly 20% under the national average, 3.09 nurse hours per resident day against 3.86 nationally, with weekends another 10% lighter than weekdays. Annual turnover of 53.7% tops the 45.8% national figure, which matters more when fewer people are already on the floor. The inspection record is the stronger side: zero deficiencies at the harm or jeopardy level, none abuse-related, and a February 2026 survey that's still recent, though 21 total deficiencies add up. Quality and staffing measures both land at two stars, so ask about weekday versus weekend coverage before deciding.
Waters of Dunkirk runs 46 beds under corporate ownership, and its last inspection in March 2025 turned up 10 deficiencies, including one at the harm level and two tied to abuse. That inspection history is why its health inspection rating sits at 1 out of 5. Staffing tells a mixed story: 3.37 nurse hours per resident day is about 13% under the national average, and weekends run roughly 11% lighter than weekdays. The 25.8% turnover rate is well below the 45.8% national figure, so aides tend to stay. Quality measures score 5 out of 5. Ask about weekend coverage and how the abuse deficiencies were resolved before deciding.
Miller's Merry Manor in Walkerton runs 107 certified beds under corporate, for-profit ownership, and its staffing sits right at the middle of the pack, 3.89 nurse hours per resident day, barely a percentage point above the national average of 3.86. That number looks fine until you notice weekends drop about 10% below the home's own weekday coverage, which matters most when families visit and residents need help. Turnover runs 41.8%, a bit better than the 45.8% national figure, so there's some stability in the workforce. The real concern is the inspection record: 16 deficiencies, including one at the harm level and three tied to abuse, with a health inspection rating of 2 out of 5. The last inspection was December 2025, so the findings are recent.
Aperion Care Marion runs a mixed picture. The 70-bed for-profit home on Grant County's west side logs 4.00 nurse hours per resident day, a bit above the 3.86 national average, though weekends drop about 12% below its own weekday staffing and annual turnover hits 56.7% against a 45.8% national norm, meaning the people around your relative keep changing. The bigger concerns are on record: 52 deficiencies, one at harm or jeopardy level, five tied to abuse, with a health inspection rating of 1 out of 5. That last inspection was April 2026, so the findings are recent rather than historical. Quality measures score well; the inspection record and turnover do not. Ask specifically how abuse-related issues were resolved.
Harmony Waterloo runs 88 certified beds under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends dip about 10 percent below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is the bigger concern: 21 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $95,440 has been issued, and turnover runs 48.8 percent. The most recent inspection was January 14, 2026.
Harmony Dubuque runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home itself staffs on weekdays. That gap matters most when a resident needs help on a Saturday, and it's harder to absorb when more than seven in ten workers leave over a year, well above the 45.8% national rate. On inspections the home has drawn a two-star rating, with 33 deficiencies on record, three serious enough to cause harm and one tied to abuse, plus two fines totaling $19,371. Its last inspection was January 14, 2026.
Embassy Rehab and Care Center runs 60 certified beds in Sergeant Bluff under for-profit LLC ownership, and the staffing picture is mixed. Nurses provide 3.51 hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 18% below the home's own weekday coverage. Annual turnover sits at 54.2%, well above the 45.8% national figure. Inspections tell the heavier story: 27 deficiencies on the current record, four of them abuse-related, though none rose to harm or jeopardy level, and the health inspection rating lands at 2 out of 5. A recent inspection date of May 2026 means the record is current, not stale.
Casa De Paz runs about 2.79 nurse hours per resident day, roughly 28% under the national average of 3.86, and weekends drop another 25% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 CMS staffing rating, 60.3% annual turnover against a national 45.8%, and 36 deficiencies on record, including two tied to abuse. No deficiencies were flagged at the harm or jeopardy level, and the 4/5 quality measure rating suggests some clinical measures are being met. But with a for-profit LLC structure, a recent April 2026 inspection, and a 2/5 health inspection rating, the staffing pattern is the thing to ask about directly before deciding.
Oakland Manor runs on 3.05 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 15% below what it manages during the week. That thin staffing sits alongside a one-star health inspection rating and 68 deficiencies on the current record, including three at the harm or jeopardy level and 11 tied to abuse. Federal regulators have placed it in the Special Focus Facility program, the toughest track CMS uses, and the home carries a $15,593 fine. Ownership is for-profit through a limited liability company. The last inspection was January 8, 2026.
Eldora Specialty Care runs about 3.56 nursing hours per resident each day, roughly 8 percent under the national average of 3.86, and weekends dip another 6 percent below its own weekday coverage. Turnover sits at 38.5 percent, which is actually better than the 45.8 percent national figure, so staff tend to stick around longer than at the typical home. The record is clean where it counts: four deficiencies total, none at the harm or jeopardy level, no abuse citations, and the last inspection was recent, in December 2025. This is a small nonprofit home with solid inspection and quality marks; the main thing to weigh is whether the lighter daily staffing, especially on weekends, fits the care your family member needs.
Heritage Care and Rehabilitation Center runs 71 certified beds in Mason City under corporate for-profit ownership. The staffing numbers are where the concern sits: 3.33 total nurse hours per resident day, roughly 14 percent below the national average of 3.86, and weekends drop about 17 percent below the home's own weekday staffing. That thin coverage lines up with a 1-out-of-5 CMS staffing rating.
The current inspection record shows 7 deficiencies, including 1 at the harm or jeopardy level and none tied to abuse. The last inspection was August 14, 2025, so the findings are recent. Quality measures score 2 out of 5. If you're weighing this home against others nearby, the staffing pattern and that harm-level deficiency are the two things worth asking 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?