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.
Accura Healthcare Of Marshalltown is a for-profit, 84-bed home in Marshall County, and its record is thin in the places that matter most. Nurse staffing runs 3.60 hours per resident day, about 7% under the national average, and drops roughly another 10% on weekends, which is when families often visit and notice. The current inspection record carries 42 deficiencies, including three at the harm or jeopardy level and four tied to abuse, and the latest inspection was March 2026. Staff turnover, at 42.3%, is actually slightly better than the national 45.8%, so the problem isn't retention alone; it's what's happening on the floor and in the survey record.
Accura Healthcare of Cascade sits in a small Dubuque County town with 46 certified beds, run by a for-profit limited liability company. The staffing numbers are the strong point: 4.26 nurse hours per resident day, roughly 10% above the national average, and turnover at 30.6% beats the 45.8% national figure. Weekends run about 11% leaner than weekdays, which is common but worth knowing. The trouble is on the inspection side, where the health inspection rating lands at 2 out of 5. Five deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related. The last inspection was in May 2025. Good staffing can't fully offset a harm-level finding. Ask what happened and what changed.
Maquoketa Care Center runs 46 beds under for-profit LLC ownership, and its last full inspection was in May 2025, recent enough that the findings are worth reading closely. That record carries six deficiencies, including one at the harm or jeopardy level and one tied to abuse. It's not a long list, but those two categories matter more than the count suggests.
Staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends run about 10% thinner than weekdays. Annual turnover is 50%, a few points above the national 45.8%. Inspections scored well; the day-to-day staffing numbers are where this home looks more ordinary.
Garden Terrace runs a 163-bed for-profit operation where the day-to-day staffing looks decent on paper, 4.05 nurse hours per resident, a bit above the national average, with turnover at 41.7% compared to 45.8% nationally. But weekends drop about 7% below the home's own weekday coverage, and the inspection record is where the picture turns: 49 deficiencies on file, five of them serious enough to put residents in harm's way, three tied to abuse, and six fines totaling $104,116. The last inspection was May 2025, so this isn't stale history. Good staffing numbers and a clean quality measure score can coexist with real problems, and here they do, the state has cited this building repeatedly at the level that matters most.
Aspen Health And Wellness runs 102 certified beds in Overland Park under corporate for-profit ownership, and its inspection record is the part that stands out. CMS has cited 55 deficiencies on the current record, including three at the harm or jeopardy level and one abuse-related, with 18 fines totaling $114,489 and a one-star health inspection rating from the most recent survey on June 26, 2025. Staffing sits at 3.66 nurse hours per resident day, about 5% under the national average, and weekends run roughly 15% below the home's own weekday coverage. Turnover is 55.6% against a national 45.8%, meaning more than half the nursing staff leaves each year, worth asking about directly if you're considering this one.
Diversicare Of Chanute runs 77 beds under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so care gets thinnest exactly when families tend to visit. Annual turnover is 60.4%, well above the 45.8% national figure. The current inspection record carries 41 deficiencies, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and a $13,397 fine. The most recent inspection was September 2025. If you're weighing this one, ask about weekend coverage and how they keep consistent caregivers.
Parkway Operator runs 45 beds in Edwardsville under for-profit LLC ownership, and its staffing is the number that stands out: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 10% lighter than weekdays. Annual turnover sits at 51.2% against a national 45.8%, so the aides and nurses cycling through are changing faster than typical. The current inspection record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related; the last survey was August 2024. Federal ratings land at three stars for health inspections and quality measures, two for staffing.
Galena Nursing & Rehab runs 45 beds under corporate ownership, and the numbers that stand out most aren't the staffing hours, 3.81 per resident day is only about 1% under the national average, but who's still there to work them. Turnover sits at 66%, well above the 45.8% national figure, and weekends run roughly 15% thinner than weekdays, so coverage gaps land hardest when families visit. The inspection record is the bigger concern: 18 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $21,645 fine. The most recent inspection was April 2025, so the picture is current, not stale.
Edwardsville Care And Rehab runs on 2.24 nurse hours per resident day, roughly 42% under the national average of 3.86, and weekend coverage drops about 11% below its own weekday level. Staff turnover is 22%, well under the national 45.8%, so the people who are there tend to stay. The trouble is what inspections found: 36 deficiencies on the current record, including 3 at harm or jeopardy level and 2 abuse-related, plus $47,163 in fines across three penalties, with the last inspection in August 2024. Resident outcome measures score well, but the health inspection side is where the risk sits.
Heritage Health Care Center runs a 60-bed for-profit operation in Chanute, and the staffing is the one bright spot: 4.15 nurse hours per resident day, about 7% above the national average, and turnover at 41.7% actually beats the national 45.8%. The weekend picture is weaker, staffing drops roughly 13% below its own weekday level, so care thins out when families tend to visit. The inspection record is the real concern: 30 deficiencies on file, including two at the harm level and one abuse-related, plus two fines totaling $27,860. State surveyors were last in on August 6, 2025.
The for-profit LLC that runs Azria Health Great Bend staffs at 3.46 nurse hours per resident day, roughly 10 percent under the national average, and weekends run about 14 percent thinner than weekdays, which is when families tend to visit and notice. The inspection record shows 33 deficiencies right now, four of them serious enough to put residents in harm's or jeopardy's path, and two tied to abuse. Four fines total $59,830, and a July 2025 inspection is recent enough that those findings reflect how the home operates today. Staff turnover sits at 47.4 percent, a bit above the national average, meaning the people caring for your relative keep changing. All three CMS star ratings, health inspections, quality measures, staffing, land at 2 out of 5.
Medicalodges Arkansas City runs 45 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.90 hours per resident day, barely a whisker above the national average of 3.86. That thin margin matters more when you look at weekends, which run about 13% leaner than weekdays, and at a turnover rate of 73.5% against a national figure of 45.8%. The inspection record is where the real trouble sits: 35 deficiencies on file, five of them serious enough to involve harm or jeopardy, six tied to abuse, plus three fines totaling $72,592. State inspectors last walked through in June 2025 and rated the health inspection side 1 out of 5.
The nurse staffing number at The Gardens At Aldersgate looks fine on its face, 4.01 hours per resident day, slightly above the national average, but the turnover rate tells a different story. At 64.2%, roughly three in five caregivers are leaving each year, well past the national figure of 45.8%, and weekend coverage drops about 7% below what the home runs on weekdays. The inspection record is the harder problem: 56 deficiencies, four serious enough to cause harm or jeopardy, four tied to abuse, and three fines totaling $56,617, with the most recent inspection in January 2026. A for-profit LLC operation with that citation history and 175 beds is worth a close, unannounced visit before you decide anything.
Nurse staffing at this Hays home runs about 4.11 hours per resident day, roughly 7% above the national average, so direct care hours aren't the problem. The problem shows up nearly everywhere else: staff turnover hit 91.8% against a national average of 45.8%, meaning the people delivering that care are largely new and constantly changing. The inspection record carries 46 deficiencies, including two at harm or jeopardy level and one abuse-related, with $73,576 in fines and a 1-out-of-5 health inspection rating; ownership also changed within the past year. Weekend staffing drops about 8% below weekday levels. High turnover plus a serious deficiency history is a pattern worth asking about directly before you decide.
Medicalodges Great Bend runs leaner than most on turnover, 53.7% of staff leave each year against a national average of 45.8%, which means nearly half the people caring for your family member this year may not be there next year. The staffing hours look good on paper (4.53 per resident day, about 17% above the national average), but weekends drop roughly 17% from weekday levels, and 43 deficiencies sit on the current record, including seven at the harm level and four tied to abuse. Four fines totaling $52,185 have been levied since the last inspection in July 2024.
Staffing is this home's strongest number. At 4.47 nurse hours per resident day, it runs about 16% above the national average, and a 38.2% turnover rate sits well below the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out roughly 11% from weekday coverage, worth asking about if your visits fall on Saturdays or Sundays.
The trouble sits in the inspection record. Twenty-two deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and a $36,040 fine. The most recent inspection was in February 2026. Strong day-to-day care, but a survey history that needs explaining before you sign anything.
Nurse staffing at The Healthcare Resort Of Kansas City runs 4.34 hours per resident day, roughly 13% above the national average, but the workforce behind those hours churns hard, 60.4% turnover against a national 45.8%. Weekends drop about 15% below weekday coverage. The inspection record is the bigger problem: a 1-out-of-5 health inspection rating, 55 deficiencies logged, three of them at harm or jeopardy level and five tied to abuse. One fine totaling $28,834 is on file. Ownership is a for-profit limited liability company, and the most recent inspection was May 2026. Strong quality measure scores don't offset that history.
Grand Plains Skilled Nursing By Americare in Pratt runs on 4.17 nurse hours per resident day, about 8% above the national average, so the raw staffing number looks fine. The trouble is how it holds up: weekend staffing drops roughly 18% below the home's own weekday level, and annual turnover sits at 64.2% against a national average of 45.8%. That's a lot of new faces cycling through a 60-bed building. The current inspection record carries 17 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $14,352 and a survey from March 2025. Ownership is a for-profit limited liability company. All three CMS star ratings, health inspection, quality measures, staffing, come in at 2 out of 5.
Logan County Senior Living runs 30 beds as a nonprofit, and the direct-care hours are genuinely better than most, 4.19 per resident day against a national average of 3.86. Weekend coverage dips modestly below its own weekday pace, which is typical but worth watching at a home this small. What pulls the record down is the inspection side: 25 deficiencies on file, six of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $98,346. Staff turnover sits right at the national average, so retention isn't the problem here, oversight and compliance appear to be. Ask about the abuse citations and what changed since the February 2026 survey.
Parkwood runs on 3.04 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 11% below what it manages during the week. That thin coverage shows up in the numbers: a one-star staffing rating, 54.2% annual turnover against a national 45.8%, and 25 deficiencies on record, seven serious enough to involve harm or jeopardy, four tied to abuse. Ownership is for-profit and individual, and the last inspection was January 8, 2026. The quality measure rating of three stars suggests some clinical benchmarks land where they should, but that's a narrow bright spot against staffing, inspection history, and the $10,209 in fines.
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?