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.
Berkshire Rehabilitation & Skilled Care Center is a 57-bed for-profit home in Sandisfield, and the numbers that stand out most are on the inspection side. Its record carries 28 deficiencies, including two at the harm or jeopardy level and six tied to abuse, a serious pattern for a building this size, and one that CMS rates just 2 out of 5 stars for health inspections. Nurse staffing runs 3.29 hours per resident day, about 15% under the national average, and weekends drop roughly 17% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 42.9%, is actually slightly better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled in the first place.
Optalis Health & Rehabilitation at Kent-Crossing runs 182 certified beds on Grand Rapids' southeast side, and the numbers tell two different stories. Nurse staffing sits at 3.75 hours per resident day, just under the national average, but weekends drop about 9% below the home's own weekday level, and turnover runs 56.1% against a national 45.8%, meaning more than half the nursing staff leaves within a year. Then there's the inspection record: 69 deficiencies, including 2 at harm or jeopardy level and 9 abuse-related, with ownership changing hands in the past year. That combination of high turnover and recent turnover in ownership is worth asking about directly when you visit.
Harmony Village of Clawson runs a 120-bed for-profit operation where the staffing numbers look decent on paper, 4.23 nurse hours per resident day, roughly 9% above the national average, but that average hides a 57% annual turnover rate, well past the national 45.8%, and weekends run about 15% thinner than weekdays. The inspection record is where things fall apart: 114 deficiencies on the current record, 11 of them at harm or jeopardy level and 29 abuse-related, plus two fines totaling $193,106. CMS has placed the home in its Special Focus Facility program, which is reserved for the most persistently troubled nursing homes in the country. The most recent inspection was March 20, 2025.
Heritage Manor runs 122 beds in Detroit under corporate ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends dropping about 14% below its own weekday levels. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The current inspection record carries 44 deficiencies, including two at the harm or jeopardy level and eight tied to abuse. A recent inspection date helps, and resident quality measures score well, but the inspection history and thin weekend coverage are what a family should weigh when deciding.
Christian Park Health Care Center runs 99 certified beds in Escanaba under corporate for-profit ownership, and the staffing numbers are the first thing worth knowing. Nurse coverage sits at 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 8% below the home's own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover is 54.5% against a national 45.8%, meaning more than half the nursing team turns over in a year. The current record carries 20 deficiencies, four at harm or jeopardy level and two tied to abuse, with one fine of $36,651. The last inspection was January 23, 2025. Ask about weekend coverage and how they've addressed those harm-level findings.
Brittany Manor runs 138 beds in Midland under for-profit LLC ownership, and its staffing is the genuine bright spot: 4.06 nurse hours per resident day, about 5% above the national average, with a five-star CMS staffing rating. Turnover sits at 45.9%, essentially identical to the national 45.8%, no better, no worse. Weekend coverage dips roughly 11% below weekday levels, so care thins out when families tend to visit. The inspection record is the problem. Twenty-two deficiencies, five at harm or jeopardy level, two abuse-related, and a two-star health inspection rating, with the last inspection in March 2025. Strong staffing is doing a lot of work holding up a record that otherwise looks shaky.
Ely Manor runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop another 7% below its own weekday staffing. The 1-out-of-5 health inspection rating reflects a record of 67 deficiencies, including six at the harm or jeopardy level and eight tied to abuse, plus $174,559 in fines across six penalties. That combination has placed the home in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Staff turnover sits at 49.4%, above the national figure, so even the direct-care hours that exist are often delivered by people who haven't been there long.
Clearstream Rehabilitation and Nursing Center runs 98 beds in Hastings under individual for-profit ownership, and its inspection record is the part that should worry you: 47 deficiencies on the current record, including 4 at the harm or jeopardy level and 10 tied to abuse. Federal inspectors were last in the building on May 5, 2026, and the health inspection rating came back 1 out of 5. Staffing sits at 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends run about 12 percent thinner than weekdays. Annual turnover is 53.8 percent, well above the 45.8 percent national figure, meaning the people caring for residents keep changing. Two fines totaling $35,416 are on file. The quality measure rating, 4 out of 5, reflects chart-based numbers, not the day-to-day supervision those other figures describe.
Medilodge of Southfield holds 182 certified beds and runs on a for-profit corporate model, and the inspection record is where the trouble sits. CMS has flagged it as a Special Focus Facility, a designation reserved for homes with a pattern of persistent problems, and the current record shows 98 deficiencies, including 7 at the harm or jeopardy level and 16 tied to abuse. Four fines total $330,727. Staffing looks better on paper at 4.23 nurse hours per resident day, about 10% above the national average, but weekend coverage drops roughly 18% below its own weekday level, and annual turnover hits 53% against a 45.8% national average. The most recent inspection was August 2025.
The Laurels of Sandy Creek runs on 3.06 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips about 5% below its own weekday levels. Staff turnover sits at 46.5%, slightly above the national 45.8%. The inspection record is the heavier issue: 34 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse, with one $14,020 fine and a most recent inspection on May 21, 2025. The 5/5 quality measure score reflects charted care indicators, but it sits alongside a 2/5 inspection rating. This is an individually owned, for-profit home where the paperwork scores well and the on-the-ground record is rougher.
Westland's 230-bed home is owned by a for-profit limited liability company and carries 63 deficiencies on its current record, including one at the harm or jeopardy level and five tied to abuse. Its last inspection was in March 2025, and CMS gives the place one star for health inspections. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 10% thinner than weekdays, so the coverage gap tends to land when families visit. Annual turnover is 46.2%, essentially the national rate. The four-star quality measure score is the bright spot, but inspections and staffing are where the problems live.
Kith Haven runs 159 beds in Flint under corporate for-profit ownership, and its staffing is genuinely a bright spot: 3.93 nurse hours per resident day, slightly above the national average, with a 33.3% turnover rate that's well below the 45.8% national figure. Weekends dip about 9% below weekday coverage, so plan visits accordingly. The trouble sits elsewhere. CMS gives the home 1 out of 5 stars on quality measures and 2 out of 5 on health inspections, and the current record carries 48 deficiencies, three at harm or jeopardy level, three tied to abuse, plus a $119,506 fine. The most recent inspection was March 2026, so the picture is current. Ask directly what's been fixed since.
Mission Point in Belding runs 128 certified beds under corporate for-profit ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is genuinely better than most: 35.3% against a national 45.8%, so aides and nurses tend to stick around longer here than at the typical home.
The harder question is the inspection record. Forty deficiencies are on file, including three at the harm or jeopardy level and seven tied to abuse. CMS gave the home 2 out of 5 stars on health inspections, though its quality measure and staffing ratings both came back at 5. The most recent inspection was June 1, 2026. Read those deficiencies yourself before deciding.
Faith Haven runs on thinner staffing than most homes, 3.46 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 8% below what the building manages Monday through Friday. That gap matters, because aides and nurses are the people who notice when a resident is declining or hasn't been turned. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff who do show up are often new to the floor.
The inspection record is heavier: 37 deficiencies, five tied to abuse and four serious enough to put residents in harm's way. One fine of $15,872 has been levied. Even with a recent inspection in March 2026, that record under a for-profit corporate owner is what a family should be asking about directly.
Valley View Care Center runs 139 beds in Grand Rapids under corporate ownership, and the numbers pull in two directions. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national figure, and weekend coverage drops roughly 11% below what the home staffs on weekdays, so the hours your family member gets depend partly on which day it is. Staff turnover of 43.5% is slightly better than average, which helps.
The trouble is the inspection record: 48 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $57,896. A health inspection rating of 1 out of 5 against decent quality and staffing scores is the tension worth asking about directly.
Nurse staffing at Optalis Health And Rehabilitation Of Three Rivers runs 3.02 hours per resident day, roughly 22% under the national average, and weekends dip about 8% below its own weekday levels. That thin coverage sits alongside 73 deficiencies on the current record, including 3 at the harm or jeopardy level and 11 tied to abuse. Staff turnover is 47.7%, against a 45.8% national figure, and CMS fines total $40,700 across two penalties. Ownership is for-profit corporate. The inspection star stands at 1 out of 5, most recently dated December 3, 2025, while the quality measure star sits at 4, a split worth asking about directly.
Harmony Village Of Clinton runs 127 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekends are thinner still, about 14% below the home's own weekday coverage, which matters most when families visit and needs go unnoticed. Turnover of 37.3% is better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. The inspection record is where it gets harder: 42 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in June 2025.
Medilodge Of Hillman runs a 39-bed for-profit home in Montmorency County, and its staffing is the strongest part of the story: 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 13% below its own weekdays. Staff turnover sits at 31.1%, well under the 45.8% national figure, which suggests people tend to stay. The trouble is the inspection record, 23 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $47,740 fine and a two-star health inspection rating. Quality measures score well, but that gap between daily care and the survey history is what a family should weigh.
The Villa at the Park runs 3.30 nurse hours per resident day, about 14% under the national average, and weekends dip roughly 11% below its own weekday staffing. That matters more in a 114-bed building where 43 deficiencies sit on the current record, including five at harm or jeopardy level and three tied to abuse. Staff turnover is 32.7%, better than the 45.8% national figure, so the same faces tend to stick around. The quality measure star looks strong at 5/5, but that's self-reported data, and the 2/5 health inspection rating reflects what surveyors actually found when they last visited in September 2025. Two fines total $64,623.
Sheffield Manor runs 106 beds in Detroit under corporate for-profit ownership, and its inspection record is the harder story here: 17 deficiencies on file, including one at the harm or jeopardy level and five tied to abuse. That's a lot to carry for a building this size, and it's the main reason the health inspection rating sits low. Staffing lands at 3.47 nurse hours per resident day, roughly 10% under the national average of 3.86, with weekends running about 10% lighter than weekdays. Turnover is 38.9%, which is actually better than the 45.8% national figure. The quality measure score is high, but those measures lean on self-reported data. Ask about the abuse citations directly before touring.
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?