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.
Medilodge Of Marshall runs 98 certified beds under for-profit LLC ownership, and its last health inspection was in April 2025, recent enough that the findings are current. That inspection record is the problem: 61 deficiencies, four at harm or jeopardy level and ten abuse-related, plus a $16,801 fine. Nurse staffing sits at 3.82 hours per resident day, slightly under the national average, and weekends drop about 21% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover at 43% is a touch better than the 45.8% national figure, and the quality measure rating is strong, but the inspection history carries the most weight here.
Boulevard Temple Care Center runs 124 certified beds in Detroit under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Turnover is the bright spot at 28.3%, well below the 45.8% national figure, which suggests less churn than most homes. Against that, the current record carries 24 deficiencies, including one at the harm level and four tied to abuse. Inspectors were last on site in May 2025, so the picture is recent.
Maple Woods Manor runs 151 certified beds in Clio under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86, with weekends about 9% thinner than weekdays. Turnover of 43.5% is slightly better than the 45.8% national figure, but the inspection record is where the trouble shows: 31 deficiencies, five of them serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $58,583. The last inspection was April 2025, so that record is fairly current, not stale. Staffing looks adequate on paper; the survey history suggests the problems lie elsewhere.
The Orchards At Wayne runs 179 certified beds under corporate ownership, and its staffing rating sits at the bottom of the federal scale, one star out of five. That's the number I'd weigh hardest, because daily hands-on care is what staffing measures, and it's the piece families feel most.
The inspection record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse. A single fine totaling $8,991 has been levied. The most recent inspection was November 2025, so the picture is current, not stale.
Health inspection and quality measure ratings both land at three stars. Nothing here is catastrophic on paper, but the gap between how the place scores on outcomes and how thin the staffing runs is worth asking about directly.
Ashley Healthcare Center runs on a for-profit LLC structure with 63 certified beds in Gratiot County, and the numbers tell a mixed story. Nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national figure, and weekends dip about 14% below its own weekday level, a gap families often feel when they visit on Saturdays and Sundays. Staff turnover at 50.9% outpaces the national rate, so the aides and nurses working with your relative are likely to change over the course of a year.
The inspection record is the heavier concern: 31 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with two fines totaling $70,563 and a February 2026 inspection date. The staffing star alone won't tell you what those findings do.
Roosevelt Park runs 39 certified beds in Muskegon, and the nurse staffing number, 3.92 hours per resident day, sits just above the national average. But weekends drop about 12% below its own weekday coverage, and turnover runs 46.9%, slightly worse than the national rate. The inspection record is where families should slow down: 44 deficiencies on file, including 2 at the harm or jeopardy level and 5 tied to abuse, plus a $78,176 fine. The last inspection was June 2025. Quality measures score well, and staffing holds at 4 stars, but a 2-star health inspection rating with that many open deficiencies is the part worth asking about directly.
The Orchards At Canterbury On The Lake runs on thinner staffing than most homes, at 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. Its inspection record carries 73 deficiencies, including three at the harm or jeopardy level and 12 tied to abuse, with one $45,461 fine and a health inspection rating of 1 out of 5. The quality measure rating sits at 3, but that measures resident outcomes, not whether the building has enough hands on deck.
Medilodge Of Cheboygan runs 85 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 21% below weekday coverage, so the hours your family member gets depend heavily on which day it is. Turnover is a relative bright spot at 36.8% against a 45.8% national rate, and the staffing and quality stars both come in at 4 out of 5. The inspection record is the weaker side: 23 deficiencies currently on file, three of them at harm or jeopardy level, one abuse-related, plus a $29,348 fine. The most recent inspection was April 15, 2026.
Four Seasons Nursing Center of Westland runs 180 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.40 hours per resident day, about 12% under the national average of 3.86. Weekends drop roughly another 13% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is where the real concern lives: 45 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, plus a $15,593 fine. Staff turnover is 32.2%, notably better than the 45.8% national figure, and the quality measure score is strong, but a recent April 2026 inspection means the deficiency history is current, not old.
Optalis Health And Rehabilitation Of Ann Arbor runs 180 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.71 nurse hours per resident day, about 4% under the national average of 3.86, with weekends running roughly 14% below its own weekday level. Turnover sits at 50.3% against a national 45.8%, so the people caring for residents change often.
The inspection record is heavier than that staffing gap suggests, 51 deficiencies on the current record, four at harm or jeopardy level and four abuse-related, with one fine totaling $15,593 and a survey as recent as April 2025. Quality measures score well, but the health inspection side is where the trouble concentrates.
Medilodge of Montrose runs a for-profit corporate operation with 121 certified beds, and the staffing picture is mixed. Total nurse coverage sits at 4.20 hours per resident day, about 9% above the national average, but weekends drop roughly 14% below its own weekday levels, and annual turnover hits 60% against a national 45.8%. The inspection record is where things get serious: 83 deficiencies on file, including 7 at harm or jeopardy level and 8 tied to abuse. Three fines total $119,637, and the last inspection was February 2026. CMS scored the health inspection side at 1 out of 5 stars, even though quality measures came in at 4. The staffing numbers read better on paper than the outcomes suggest.
Portagepointe runs on a lot of nurse hours, 5.45 per resident per day, roughly 41% above the national average of 3.86. That staffing level is the main reason the home lands where it does. Weekends dip about 9% below its own weekday coverage, so care gets a little thinner on Saturdays and Sundays. Its inspection record shows 10 deficiencies, none serious enough to cause harm or jeopardy and none tied to abuse, and the most recent visit was May 29, 2025. Quality measures score lower than staffing does. The tradeoff here is real: strong day-to-day coverage, weaker marks on clinical outcomes, and a corporate for-profit owner.
The Orchards at Samaritan runs 120 certified beds in Detroit under individual for-profit ownership, and its nurse staffing sits about 8% under the national average, thin enough on its own, but weekends drop roughly 13% below what the home staffs on weekdays. That pattern matters in a building with 32 deficiencies on its current record, including two at the harm or jeopardy level and six tied to abuse. The last inspection was March 2025, so the record is recent, not stale. Quality measures score well, but quality scores come largely from resident assessments the home reports itself; inspections and staffing are measured independently, and those are where this home struggles.
Caretel Inns of Linden runs 3.45 nursing hours per resident day, about 11% under the national average, and weekends dip roughly 9% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays, since fewer hands are on the floor. Annual turnover sits at 57.5% against a national 45.8%, and the home carries 58 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A 2/5 on health inspections and 2/5 on staffing, offset by a 4/5 on quality measures, suggests the clinical tracking looks better than the day-to-day oversight.
Medilodge of Capital Area runs 120 beds in Lansing under corporate ownership, and its last inspection was recent enough that the record should reflect current conditions. What that record shows is a long list: 51 deficiencies, including two at the harm or jeopardy level and seven tied to abuse. Staffing sits at 3.82 nurse hours per resident day, just under the national figure, and weekends drop roughly 14% below the home's own weekday coverage. Annual turnover of 58.1% is well above the 45.8% national average, which matters more than the staffing star suggests, consistent caregivers know residents. One fine totaling $22,710 is on file.
Wellbridge of Rochester Hills runs 100 certified beds as a for-profit LLC, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 9% below its own weekday coverage, and annual turnover is 52.3% against a national 45.8%, so the aides and nurses cycling through are changing often. The inspection record is where the real concern lives: 32 deficiencies, including 2 at the harm or jeopardy level and 7 tied to abuse, with one fine of $22,523. The most recent inspection was December 11, 2025. Quality and staffing measures both rate 4 out of 5 stars, but that inspection record tells a different story.
Mission Point in Holly runs 66 certified beds under individual for-profit ownership, and the staffing picture is thinner than it looks at first glance. Total nurse coverage sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 13 percent below what the home staffs on weekdays. Annual turnover of 52.3 percent runs above the national 45.8 percent, so the people providing that care are cycling through steadily. The current record shows 52 deficiencies, including one at the harm level and eight tied to abuse, and three fines totaling $96,491. A recent inspection date of April 2026 means the findings are fresh, not historical.
The Estates at Fridley runs 3.25 nurse hours per resident day, roughly 16 percent under the national figure, and weekends drop another 11 percent below its own weekday staffing. Turnover sits at 42.5 percent, a touch better than the 45.8 percent national rate, and a nonprofit corporation holds the license, though that hasn't kept the record clean. Thirty-seven deficiencies are on file, including one at the harm level and two tied to abuse, with the most recent inspection dated August 2025. The staffing star lands at 4, quality at 3, but health inspections sit at 2 out of 5, which is where families should focus their questions.
Benedictine Health Center runs 96 certified beds in Duluth under nonprofit, church-related ownership, and its staffing sits at 3.94 nurse hours per resident day, a bit above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 13% below its own weekday level. The bigger problem shows up in its record: 19 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 inspection rating. Annual turnover of 51.8% runs ahead of the 45.8% national figure, so the people providing that above-average care keep changing. Its quality measure score is strong; the inspection history is what pulls it down.
Heritage Manor runs a 65-bed nonprofit home in Chisholm, and the numbers pull in different directions. Staffing sits at 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends drop about 14 percent below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31 percent, well under the 45.8 percent national figure, which suggests less churn than most places. The current inspection record is the concern: 25 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in June 2025.
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?