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.
Colonial Springs runs on thinner staffing than most homes its size, 3.27 nurse hours per resident day against a national average of 3.86, and weekends get about 15% less coverage than weekdays. That matters because nursing home needs don't pause on Saturdays. The 24 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection was December 2024, so the picture is current. Turnover sits at 46.5%, right around the national figure. Quality measures are where the home scores worst, at 1 out of 5 stars, which suggests residents aren't faring as well on clinical outcomes as the inspection history alone would indicate.
Truman Healthcare & Rehabilitation Center runs 109 certified beds in Lamar under corporate for-profit ownership, and the numbers here pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 47.1% edges past the national 45.8%. The current record carries 47 deficiencies, nine of them abuse-related, with the most recent inspection in April 2025. CMS rated staffing 4 out of 5 but health inspections and quality measures both 1 out of 5, a gap worth asking about directly.
Life Care Center of Grandview runs 172 certified beds as a for-profit corporate home, and the staffing numbers are the place to start: 3.53 nurse hours per resident day, about 8% under the national average, with weekends dipping roughly 13% below its own weekday level. Turnover sits at 42.2%, a touch better than the 45.8% national figure. The current record shows 56 deficiencies, including one at the harm level and six tied to abuse. A recent March 2026 inspection and a 2/5 health inspection rating sit alongside a 4/5 quality measure score, which tells you the day-to-day care metrics look stronger than the survey history.
Pin Oaks Living Center runs 124 certified beds in Mexico, Missouri, under corporate for-profit ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national mark, with weekends running about 6% lighter than its own weekdays. Turnover lands at 44.7%, essentially tracking the national rate. The real trouble is the inspection record: 59 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, plus a $26,650 fine and a one-star health inspection rating, though its last survey came in November 2024. A four-star staffing score can't offset that paper trail.
St. Genevieve Nursing runs 90 certified beds under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating, 15 deficiencies with none rising to harm or jeopardy, and a survey completed in November 2024. The trouble sits in direct care. Nurse staffing averages 3.07 hours per resident day, roughly 21% under the national figure of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover of 65.9% far exceeds the 45.8% national average, meaning the aides and nurses at the bedside are often new. One abuse-related deficiency is also on the record. Ask specifically how many residents each aide covers on a Saturday, and how long the current director of nursing has been in the job.
Rocky Ridge Manor runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below what the building staffs on weekdays. That staffing picture sits alongside 26 deficiencies on the current record, including one at the harm or jeopardy level and nine tied to abuse, with the most recent inspection in September 2024. Annual turnover of 51.2% runs above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Ownership is for-profit and individual. The quality measure score is the lowest CMS gives, and health inspection results land near the bottom too.
Aspire Senior Living Warsaw runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, so the thinnest shifts land when families are most likely to visit.
The inspection record carries 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse. One fine totaling $8,824 is on file, and the most recent inspection dates to September 2025. The health inspection and staffing scores both come in at 2 out of 5 stars, while quality measures sit slightly higher at 3. If you're weighing this one, ask directly how weekend coverage is handled and what changed after those abuse-related findings.
Village Care Center runs 46 beds in Maryville under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 13% under the national 3.86 average. Weekends drop about 15% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover is 47.1%, slightly above the 45.8% national figure, so the faces around the building change often. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, with the last inspection in March 2025. CMS gives it 2 stars for health inspections but 5 for quality measures, a split worth asking about directly.
Carmel Hills runs on 2.75 nursing hours per resident each day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits near 55%, and the federal staffing rating lands at 1 out of 5. The inspection record is heavier still: 82 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $20,787 fine and a 1-star health inspection rating. Quality measures score better at 3 stars, but the most recent inspection was November 2024, so that record is still fresh.
Advanced Care Of St Joseph runs 180 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.48 total nurse hours per resident day, roughly 36% under the national average of 3.86, with weekend coverage about 11% thinner than its own weekdays. Annual turnover sits at 51.7% against a national 45.8%, so the people who do show up are cycling through. The current record carries 45 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $29,803 fine; the last inspection was July 3, 2025. Its quality measure stars look strong, but that measure leans on charted care, not on how many hands are actually in the building.
St Joseph Manor runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 15% below its own weekday level, and annual turnover is 50.8% against a national 45.8%, so the staff you meet on a Saturday may be newer and fewer than the ones you meet midweek.
The record shows 57 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $10,414. The last inspection was March 21, 2025. CMS rates staffing and health inspections 2 out of 5 each, with quality measures at 3.
Worth asking the administrator directly how those harm-level findings were corrected and what weekend coverage actually looks like now.
Rosewood runs below the national average on nurse staffing, 3.51 hours per resident day against 3.86, and weekend coverage dips about 5% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 59.8% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year. The inspection record is heavy: 58 deficiencies, five involving harm or jeopardy, six tied to abuse, and three fines totaling $47,917. Two stars for health inspections and two for staffing tell you where the problems concentrate, and ownership is a for-profit limited liability company.
Laverna Manor runs more nursing hours per resident than the typical American home, 4.28 a day against a national average of 3.86, but weekends dip about 7% below its own weekday coverage, so the care your relative gets on a Saturday may look thinner than what's promised. That staffing comes at a price: 57.1% of staff turned over in a year, well above the 45.8% national figure, which means new faces learning the routines again and again. The inspection record is the harder problem, 58 deficiencies, three serious enough to involve harm or jeopardy, and five tied to abuse, with $75,282 in fines. Quality scores look strong, but they can't offset that.
Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.
Emerald Nursing & Rehab Cozad runs on thinner nurse coverage than most homes, 3.50 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday level, so the hours when families visit are often the leanest. Annual turnover of 65.3% sits well above the 45.8% national figure, which matters because aides who know residents are the ones who notice changes first. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. The for-profit LLC structure and a one-star CMS staffing rating point to the same underlying issue: enough bodies to pass, not enough consistency to feel settled.
Adept Nursing & Rehab Of Blue Hill runs on 3.62 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 9% below its own weekday staffing. That thin coverage shows up in the inspection record: 37 deficiencies, including one at the harm level and two tied to abuse, with a single $13,644 fine on file. The inspection that produced those findings is recent, dated April 2025. Annual turnover hits 68.9%, well above the 45.8% national figure, which means caregivers are cycling through quickly. It's a for-profit LLC with 62 certified beds, and the quality measure rating of 3/5 is the one place it looks average.
Torrey Pines runs 95 beds on the east side of the valley, and the staffing numbers are the strongest part of the picture: 4.16 nurse hours per resident day, roughly 8% above the national average, which earns a 4-out-of-5 staffing rating. Turnover sits at 45.6%, essentially matching the national rate, so this isn't a home bleeding caregivers faster than everyone else. Where it slips is inspections, a 2-out-of-5 health inspection rating, 36 deficiencies on the current record including six tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent survey was in June 2025, so the record is current. Good daily coverage, a thinner compliance history.
Mountain View runs 146 certified beds in Carson City under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 47.6%, slightly above the national 45.8%. The inspection record shows 52 deficiencies, including one at the harm level and seven tied to abuse, with a $25,675 fine. Its last inspection was January 2026. If you're weighing this one, ask directly how they cover weekends and what changed since that January survey.
Gardnerville Health & Rehabilitation Center runs 60 certified beds under for-profit LLC ownership, and the numbers worth knowing are the ones a star rating can hide. Nurse staffing sits at 3.69 hours per resident day, a bit under the national average, and it thins out about 10% on weekends, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover is the bigger flag: 63.6% of staff leave each year against a national average of 45.8%, which means unfamiliar faces at the bedside. The inspection record shows 55 deficiencies, including one at the harm level and six tied to abuse, with the most recent inspection in May 2025.
Sandstone Spring Valley runs 160 beds under for-profit LLC ownership, and its nurse staffing sits at 4.50 hours per resident day, about 16% above the national average of 3.86. That sounds good until you notice weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 50.6% against a national 45.8%, meaning the people at the bedside keep changing. The inspection record shows 47 deficiencies, four of them abuse-related, though none rose to harm or jeopardy. Inspectors last visited in August 2025. High raw staffing hours and a two-star inspection history can coexist; here they do.
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?