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.
The Estates at Excelsior runs on thin margins where it counts. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 12% below what the home manages Monday through Friday, so the thinnest coverage lands when families tend to visit. Turnover at 40% is actually a bit better than the 45.8% national figure, though it's still four in ten staff leaving each year.
What pulls the record down is the inspection side: 46 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, against a one-star health inspection rating. The last inspection was April 7, 2026.
Meeker Manor runs 3.53 nursing hours per resident per day, roughly 8% under the national average, and weekends drop about 10% below its own weekday staffing. That thinner coverage matters more given the 62.7% annual turnover, well above the 45.8% national figure, meaning the aides and nurses in the building are often new. The current record carries 26 deficiencies, including one at the harm level and two tied to abuse, plus a $14,696 fine. The last inspection was March 2025. This is a for-profit corporate home where short staffing and high churn feed each other, and families should ask directly how many regular staff are on the evening and weekend shifts.
Cura Of Melrose runs a nonprofit home with 75 certified beds in Stearns County. The nurse staffing number looks decent on paper, 4.02 hours per resident day, a bit above the national average, but weekends drop roughly 10% below weekday coverage, and turnover sits at 57.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is where the trouble shows: 16 deficiencies, four serious enough to involve harm or jeopardy, two tied to abuse, and a $26,685 fine. Two stars each on health inspections and quality measures tells you the same story the deficiency count does.
Cura Of Willmar runs a 78-bed nonprofit home where the nurses' hours per resident day come in about 23% above the national average, and that staffing earns a 4 out of 5 from CMS. The catch is weekends, when coverage drops roughly 13% below what the home runs on weekdays. Inspections are the weaker side: 17 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse, with the most recent visit in August 2025. Quality measures land mid-range. Strong weekday nursing hours don't cancel out a harm-level finding, and families weighing this home should ask directly how weekends and evenings get covered.
Bethany On The Lake runs 3.81 nurse staffing hours per resident day, roughly one percent under the national average, and weekend coverage drops about 13% below its own weekday level. Turnover sits at 40.4%, which is actually better than the 45.8% national figure. The trouble shows up in inspections: a 2-out-of-5 health inspection rating, 10 deficiencies on the current record, two of them at harm or jeopardy level and two tied to abuse, plus one fine of $19,330. The last inspection was August 2025. Corporate-owned, 83 beds. Staffing is the strong point here; the survey history is what pulls the overall picture down.
Bayside Manor runs on thin staffing: 3.60 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels, so care gets leanest exactly when families tend to visit. The bigger warning sign is turnover, 75% of staff leaving annually, well above the 45.8% norm, which means unfamiliar faces on a 44-bed unit. Its record shows 34 deficiencies, three involving harm or jeopardy and six tied to abuse, plus a $16,982 fine. Ownership is for-profit, and the last inspection was December 2025. The quality measures look decent, but that gap between how the home scores on paper and how it actually operates is worth asking about directly.
Villa St Vincent runs a hundred beds in Crookston under nonprofit ownership, and its staffing is the one number that looks healthy, 3.96 nurse hours per resident day, slightly above the national average, with turnover at 42.3% that's a touch better than the 45.8% norm. Weekends thin out about 13% from weekday coverage. The inspection record is where this home struggles: 25 deficiencies on file, five at harm or jeopardy level and seven abuse-related, plus a $29,234 fine, with the last survey dated June 2026. Quality measures sit low, and the staffing strength isn't enough to offset that citation history.
Browns Valley Health Center is a 31-bed nonprofit home where the day-to-day staffing is genuinely strong, 4.19 nurse hours per resident, roughly 8% above the national average, and turnover at 40% beats the 45.8% national figure. Weekends run about 15% thinner than weekdays, so ask how that gap gets covered. The trouble sits in inspections: nine deficiencies on the current record, including one at the harm level and three tied to abuse, plus a $26,685 fine. The last inspection was in April 2026. Good staffing and a clean quality-measure score don't cancel out an abuse-related finding, read the inspection report yourself before deciding.
Waverly Gardens runs a nonprofit home with 60 beds in North Oaks, and the staffing is where it looks strongest, 4.50 nurse hours per resident day, roughly 17% above the national average, with turnover at 35.5% against a national 45.8%. Weekend coverage dips about 8% below its own weekday level, so the extra hours aren't spread evenly across the week. The inspection record is the real weight here: 11 deficiencies on file, two of them at harm or jeopardy level and three abuse-related, with the last inspection in September 2024. That combination, good staffing numbers sitting alongside a 2/5 inspection rating and 2/5 quality measures, is what keeps the overall picture middling rather than strong.
The Villas at Osseo is a for-profit LLC home with 100 beds, and its inspection history is the part that should give you pause: 42 deficiencies on the current record, including 3 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $48,399 back that up. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends run about 11% thinner than weekdays. Turnover is 46.8%, slightly above the national 45.8%. The most recent inspection was June 12, 2025, so the record is current. Quality measures rate mid-range, staffing comparatively better, but the harm-level and abuse findings are what a family should weigh hardest.
West Point Community Living Center runs on thin nurse coverage, 3.56 hours per resident day, roughly 8% under the national average, and weekends drop another 11% below its own weekday level. Turnover sits at 38.1%, which is actually better than the 45.8% national figure, so the staffing star rating of 4 out of 5 reflects real consistency in who shows up. The inspection record is where the trouble sits: 16 deficiencies on file, two at the harm or jeopardy level and five tied to abuse, with one fine totaling $44,873 and a health inspection rating of 1 out of 5. The most recent inspection was August 7, 2025.
Diversicare Of Batesville runs 130 certified beds as a for-profit LLC, and its staffing numbers tell a mixed story. At 3.54 nurse hours per resident day it sits about 8% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so care thins out exactly when families tend to visit. Turnover, though, is genuinely better than most: 36.1% against a national 45.8%, which suggests less churn in who's actually at the bedside.
The inspection record is where the concern sits. Eighteen deficiencies on file include two at the harm or jeopardy level and two tied to abuse, with three fines totaling $20,138 and a 2-out-of-5 health inspection rating. The most recent survey was June 2025, so the picture is current, not stale.
The numbers here pull in opposite directions, so it helps to know which ones matter most. Nurse staffing sits at 3.86 hours per resident day, basically the national average, and the 30% turnover beats the 45.8% typical elsewhere, though weekends run about 15% lighter than weekdays. What drags this one down is the inspection record: 16 deficiencies, three serious enough to put residents at harm or jeopardy, three tied to abuse, and two fines totaling $34,411, with the most recent visit in March 2025. A for-profit corporation runs the place, and the federal quality ratings land at the bottom. Strong staffing doesn't cancel out three harm-level findings. Ask about those specifically.
Grenada Rehabilitation and Healthcare Center runs on a split record. The nursing hours come in at 3.57 per resident day, about 7% under the national average, and weekends drop roughly 13% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Turnover at 39% is better than the 45.8% national figure, which matters for continuity of care. The inspection side is where it gets harder to defend: 30 deficiencies on the current record, three at harm or jeopardy level, three tied to abuse, and a $14,800 fine, with the last inspection in July 2024. Corporate-owned and for-profit, this one is worth a visit before you decide.
Tishomingo Manor runs 105 beds in Iuka under for-profit LLC ownership, and its numbers pull in two directions. Nurse staffing sits at 3.89 hours per resident day, just above the national average of 3.86, but weekends run about 11% thinner than weekdays, so the coverage you see on a Tuesday isn't what your family gets on a Sunday. Turnover lands at 45.1%, roughly in line with the national 45.8%. The trouble is quality: a 1-out-of-5 star rating on CMS quality measures and 15 deficiencies on the current record, five of them at harm or jeopardy level and two abuse-related, plus a $12,425 fine. The most recent inspection was April 2025. Ask directly what changed since.
Ms Care Center of Morton runs a 120-bed for-profit operation where the daily nurse staffing works out to 4.46 hours per resident, about 16% above the national average. That looks decent until you notice weekend coverage drops roughly 25% below its own weekday level, and annual turnover hits 59.8% against a 45.8% national figure, nearly six in ten employees leaving each year. The current record carries 24 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $19,962 in fines across two penalties. Its last inspection was March 19, 2026, so the picture is current. Strong staffing hours and quality scores sit alongside a troubled inspection history, and that gap is what families should weigh.
Sardis Community NH runs 3.71 nurse hours per resident day, about 4% under the national average, and weekend coverage dips roughly 8% below its own weekday level, so the thinnest coverage lands when backup is hardest to find. Staff turnover sits at 44.4%, essentially in line with the national figure. The bigger concern is the inspection record: 20 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, against a 2-star health inspection rating and a 2-star quality measure rating. Even with a 4-star staffing rating and a recent July 2025 inspection, the harm-level and abuse-related findings are what a family should ask about directly.
Highland Rehabilitation & Health Care Center runs 162 certified beds in Kansas City under for-profit LLC ownership, and its staffing is the clearest problem: 3.01 nurse hours per resident day against a national average of 3.86, roughly 22 percent below. Weekend coverage drops another 9 percent under its own weekday level, and annual turnover sits at 49 percent. The current inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 4 abuse-related, with $48,935 in fines across two penalties. A recent February 2025 inspection means the picture is current, not stale. The 5/5 quality measure score stands out against 2/5 for both staffing and health inspections, worth asking what's behind that gap.
Osage Beach Rehabilitation runs 94 beds as a for-profit corporation, and its nurse staffing sits just under the national average, 3.83 hours per resident day against 3.86. That gap is small, but weekends run about 16 percent leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 38.7 percent, actually better than the 45.8 percent national figure, which matters for continuity of care. What pulls the record down is the inspection history: 31 deficiencies, four at harm or jeopardy level, one tied to abuse, and a $107,324 fine. The most recent inspection was February 2025. Ask about weekend staffing and the abuse-related finding before you decide.
Hermitage Nursing & Rehab runs 2.84 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on care than typical. Weekends dip about 19% below the home's own weekday staffing, so a Saturday shift looks thinner than a Tuesday, and 53.8% of staff turned over last year versus 45.8% nationally. The 22 deficiencies on record include two at harm or jeopardy level and four tied to abuse; one fine totals $78,550, with the last inspection in December 2025. The five-star quality measure score reflects charted care items, but the two-star inspection and staffing ratings describe the conditions underneath it.
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?