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.
Shady Lawn runs about 3.46 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekends dip another 8% below its own weekday numbers, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 50%, a bit above the 45.8% national figure, so continuity of caregivers may be a real question. The inspection record is genuinely strong: eight deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was July 2025. The tradeoff is in quality measures, which come in low despite that clean inspection history, a split worth understanding before you decide.
South Shore Nursing and Rehabilitation runs 60 certified beds under for-profit LLC ownership, and its staffing numbers sit below where you'd want them. Total nurse coverage is about 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover is 52.5%, well above the 45.8% national figure, which matters because unfamiliar aides can miss subtle changes. The inspection record is genuinely decent: a four-star health inspection rating with 12 deficiencies and none at harm or jeopardy level, though one is abuse-related. Quality measures and staffing both come in at two stars. The most recent inspection was July 2025.
Irvine Nursing and Rehabilitation Center runs 86 certified beds under for-profit LLC ownership, and the numbers show a home doing the basics without much cushion. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 13% below its own weekday coverage, that's when families tend to notice. Staff turnover of 47.3% edges past the national rate of 45.8%, meaning aides and nurses cycle through faster than average. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. Nothing here reads as dangerous; it reads as thin.
Woodland Oaks runs a 110-bed for-profit operation in Ashland with a clean recent inspection record, five deficiencies on the books, none causing harm or involving abuse, and the state was last out in May 2026. That's the good news. The staffing side is thinner: 3.77 nurse hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover sits at 48.9%, roughly three points above the national figure, which means familiar faces are harder to keep. The inspection score looks strong, but the day-to-day coverage and the 2/5 quality measure rating are where families should focus their questions.
Kensington runs about 3.63 nurse hours per resident day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's scale, and in turnover: nearly 59% of staff leave within a year, well above the 45.8% national figure. The inspection record is cleaner than those numbers might suggest. Twenty-seven deficiencies are on file, but none involved actual harm or jeopardy, and none were abuse-related. State inspectors were last in the building in March 2025. For-profit, limited-liability ownership, 82 beds, in Elizabethtown. The pattern reads as a home that isn't dangerous so much as thinly staffed and constantly retraining.
Colonial Nursing and Rehabilitation Center runs 64 beds in Marksville under for-profit LLC ownership, and the numbers show a building stretched thin. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends drop roughly 15% below what the home manages on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover hits 51.7% against a national 45.8%, meaning more than half the nursing workforce leaves each year. The inspection record carries 21 deficiencies, including two at harm or jeopardy level and five tied to abuse, with $21,752 in fines and a survey as recent as May 2025. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
Belle Teche runs 150 certified beds as a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.90 hours per resident day, barely a percentage point above the national figure, and weekends drop roughly 19% below what the home staffs on weekdays, that gap matters most when families visit and when residents need help. Turnover among nurses runs 47.6%, slightly worse than the national rate, so familiar faces are not a given.
The inspection record is where the real weight sits: 38 deficiencies, including one at the harm level and one tied to abuse. Two out of five stars on health inspections and quality measures, with a May 2025 inspection date that at least means the record is current.
St Frances runs 4.02 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine. The problems sit underneath it: weekends run about 12% thinner than weekdays, and nearly half the nursing staff turns over each year. Inspectors have logged 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $30,702 in fines across two penalties. The last inspection was April 30, 2025, so the record is recent. The quality measure rating sits at one out of five stars, the lowest CMS gives, which means resident outcomes aren't tracking well regardless of hours logged.
Delta Grande runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays, so the gaps land when families visit most. Annual turnover of 53.2% tops the national figure of 45.8%, meaning the people caring for your relative are often new to the building and each other. The inspection record shows 18 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey came in April 2026. State inspectors rated the care highly; the quality and staffing measures tell a different story.
River Oaks runs on thinner staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and weekend coverage doesn't drop off from its weekday level. The bigger concern is the inspection record: 26 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with $17,388 in fines. Staff turnover sits at 45.8%, right at the national average. The quality measure rating of 5/5 suggests clinical outcomes look good on paper, but the 2/5 inspection rating tells a different story. The most recent inspection was July 2025, so the record is current.
Legacy Nursing and Rehabilitation of Port Allen runs 125 beds as a for-profit LLC, and its last inspection was August 27, 2025. The record behind that visit is heavy: 48 deficiencies, four of them at harm or jeopardy level, five tied to abuse, and two fines totaling $146,447. Nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday coverage. Turnover is 47.1%, slightly above the national 45.8%. The quality measure score looks strong, but the inspection and staffing ratings don't match it.
King David runs 3.60 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekend staffing drops about 11% below its own weekday level. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5. Annual turnover is 50.5% against a national 45.8%, so aides and nurses cycle through faster than usual.
The inspection record carries 73 deficiencies, none at harm or jeopardy level, but 11 tied to abuse. The last inspection was April 2025, and the health inspection rating is 2 out of 5. Quality measures score 5 out of 5, yet that number reflects resident outcomes rather than the hands available to deliver care. The limited liability company that owns this for-profit home posts strong quality scores alongside weak staffing.
White Oak runs 3.42 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday staffing. Turnover is where it stands out, 29.5% versus a national average of 45.8%, so the people who stay tend to stay. But the inspection record is the real story: 76 deficiencies on file, including 2 at harm or jeopardy level and 8 abuse-related, with a $76,515 fine and a 1-out-of-5 health inspection rating, despite a recent April 2025 visit. Quality measures score well; the survey history does not.
St. Elizabeth runs 3.98 nurse hours per resident day, slightly above the national average, but that cushion thins on weekends, staffing drops about 14% from weekday levels. The bigger issue is turnover: 66.7% of staff leave each year versus 45.8% nationally, which makes consistent care hard to maintain. Inspectors have cited 43 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with $66,996 in fines on record. The last inspection was February 2026, so the picture is current. Quality measures score well, but a for-profit LLC with that turnover and those deficiency numbers is a real risk for families weighing placement.
Autumn Lake Healthcare at Homewood runs 112 beds in Baltimore under individual for-profit ownership, and its staffing is the first thing to look at. At 3.42 nurse hours per resident day, it sits about 11% under the national average, weekends drop roughly another 11% below its own weekday level, and turnover hits 65.7% against a national 45.8%, that's nearly two-thirds of the staff leaving each year.
The inspection record backs up the pattern: 77 deficiencies on file, including 7 tied to abuse, with a 1-out-of-5 inspection rating. Quality measures score 4 out of 5, but that's the one bright spot in an otherwise thin picture. The most recent inspection was July 2025.
Patapsco Healthcare runs 172 certified beds in Randallstown under corporate ownership, and the staffing numbers are the first thing to look at. At 3.28 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 54% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is heavier still: 129 deficiencies, including 3 at harm or jeopardy level and 15 tied to abuse, with two fines totaling $107,227 and a 1-out-of-5 inspection rating from the most recent survey in September 2024.
Carroll Park Healthcare runs 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday level, so coverage thins out exactly when families tend to visit. The record is heavier still: 117 deficiencies, 8 of them at harm or jeopardy level and 12 abuse-related, plus a $306,550 CMS fine. Staff turnover sits at 49.4%, a bit above the national 45.8%, which means the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. The most recent inspection was November 2025.
Westminster Rehabilitation and Wellness Center runs 170 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.57 hours per resident day, about 7% under the national average, and weekends drop roughly another 10% below what the home staffs on weekdays. Annual turnover of 52.8% tops the national rate of 45.8%, which matters because residents see a rotating cast rather than familiar faces. The inspection record is heavier: 70 deficiencies, including one at the harm level and 12 tied to abuse, with two fines totaling $63,681. The March 2025 inspection is recent, so the record is current, not stale.
Courtland, LLC runs 151 beds in Baltimore under for-profit corporate ownership, and its inspection record is the part that stands out: 74 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse. That's a lot of findings stacked against a one-star health inspection rating. Staffing looks better on paper, about 3.66 nurse hours per resident day, just under the national average, with a four-star staffing rating, but weekends run roughly 11% thinner than weekdays, and turnover sits at 47.1%, slightly above the national figure. The last inspection was in July 2025, so the record is recent. One fine totaling $20,251 is also on file.
Complete Care at Heritage runs 177 beds in Dundalk, and the numbers behind its record aren't reassuring. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 59% against a national average of 45.8%, meaning more than half the caregivers cycle out in a year. The current inspection record carries 72 deficiencies, three at harm or jeopardy level and six tied to abuse, with two fines totaling $129,919. A five-star quality measure score doesn't offset a one-star inspection history.
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?