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.
Prestige Nursing Care & Rehab Center runs 400 certified beds in the Bronx under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86, with weekends about 12% thinner than its own weekdays. Staff turnover is 37.1%, which is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 12 deficiencies, one at harm or jeopardy level, two tied to abuse, and a single fine of $8,788. The most recent inspection was April 16, 2026. CMS gives it 3 stars for health inspections, 3 for staffing, but just 1 for quality measures.
Elderwood At Amherst runs 92 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, that's when you're most likely to notice a difference. Turnover tells a bigger story: 57.4% annually against a national 45.8%, meaning more than half the nursing staff turns over each year. Twelve deficiencies sit on the current record, including three tied to abuse and one at the harm level, with a $25,262 fine. The most recent inspection was April 2025, so the record is relatively current. Quality measures score well; the inspection and staffing picture is where the concern lives.
New Riverdale Rehab And Nursing runs on 2.58 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The 146-bed for-profit home carries 22 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse, plus a $46,905 fine; its last inspection was March 2025. Staff turnover of 34.4% is better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection rating. Ask about weekend coverage and how the abuse deficiencies were resolved.
Alice Hyde runs a tight clinical ship on paper, its quality measure rating sits at 4 out of 5, and the staffing rating matches. But the hours aren't quite there: 3.67 nurse hours per resident day lands about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday coverage. That matters, since turnover is 57.1% against a national 45.8%. The inspection record is the real weight, 19 deficiencies, one at harm or jeopardy level, six tied to abuse. The most recent survey closed in December 2025, so it's current, but a 2-star inspection rating alongside that count tells you the problems are recent enough to still be shaping care.
Clove Lakes is a 576-bed for-profit home in Staten Island with a split personality in its federal ratings: top marks on quality measures, but a one-star health inspection record and placement in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, persistent problems. Its current record shows 35 deficiencies, including four at the harm or jeopardy level and six tied to abuse. Nurse staffing runs about 13% below the national average and dips further on weekends. The one number that stands out favorably is turnover, 27.5% against a national average near 46%, meaning the staff it has tend to stay. That's worth asking about on a visit, but it doesn't offset the inspection history.
The Paramount at Somers is a 300-bed for-profit home in Westchester County, and the federal numbers show a wide split between how it's staffed and how its residents are doing. Nurses provide 2.76 hours of care per resident per day, roughly 28 percent below the national average, and weekend staffing drops about 8 percent below its own weekday level. Staff turnover sits at 46.6 percent, a touch above the national average. On paper the quality measures look strong, but the inspection record does not: 44 deficiencies, four at harm or jeopardy level, six tied to abuse, a $46,079 fine, and a one-star inspection rating from a visit in November 2024.
Troy Center for Rehabilitation and Nursing runs 78 certified beds under corporate for-profit ownership, and its inspection record is the biggest thing to know: 38 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Its last health inspection was February 2024, and CMS gives that inspection record a single star out of five. Staffing tells a similar story, 3.72 nurse hours per resident day sits about 4% under the national average, weekend coverage drops roughly 13% below its own weekday level, and annual turnover runs 63.9% against a national 45.8%. Quality measures score well, but they don't offset a troubled inspection history or thin, churning staff.
Steuben Center runs 105 beds in Bath under corporate ownership, and its staffing numbers are the first thing worth noticing. At 3.69 nurse hours per resident day, it sits a bit under the national average, and weekends drop roughly 28% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 59.6% is well above the national 45.8%, meaning the aides and nurses caring for residents are frequently new. The inspection record shows 19 deficiencies, none at harm level and none abuse-related, with the last visit in May 2024. Quality measures score well; staffing is where this home is weakest.
Sans Souci runs 120 beds in Yonkers under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.28 nurse hours per resident day, roughly 15% under the national average, with weekends about 9% thinner than weekdays. Turnover sits at 38.5%, actually better than the national 45.8%, so the issue isn't retention so much as how many hands are scheduled on a given shift. The inspection record is where it gets harder to ignore: 47 deficiencies, seven tied to abuse, and a one-star health inspection rating, though none of those citations rose to harm or jeopardy level. State surveys last visited in August 2024. The five-star quality measure score reflects reported clinical data, not the survey history.
Ferncliff runs 309 certified beds in Rhinebeck under corporate ownership, and the staffing numbers are the first thing to notice. At 3.25 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. The inspection record backs that up: 34 deficiencies, including one at harm level and four tied to abuse, with a 1-out-of-5 health inspection rating from CMS. Turnover at 40.7% is slightly better than the national 45.8%, and quality measures rate 5 out of 5, but a February 2025 inspection keeps the health record current and unresolved.
Washington Center for Rehab and Healthcare runs 122 certified beds in Argyle under corporate for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, a gap families often notice when they visit on Saturdays and Sundays. The inspection record shows 12 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with one fine totaling $9,620 and the most recent inspection in September 2025. Staff turnover at 44.3% lands just under the national figure of 45.8%, so retention isn't the standout problem here, the survey history is.
Triboro Center is a big for-profit home in the Bronx, 515 beds, and the numbers tell a mixed story. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run another 11% thinner than weekdays, so coverage dips exactly when families tend to visit. On the other hand, turnover at 32.8% is noticeably better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record is the concern: 18 deficiencies, including one at the harm level and five tied to abuse, with the last inspection in February 2024.
Fiddlers Green Manor runs about 2.90 nurse hours per resident day against a national average of 3.86, a roughly 25% shortfall, and weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The 82-bed for-profit home has 8 deficiencies on its current record, including 2 at the harm level and 4 tied to abuse, plus two fines totaling $25,470; its last inspection was February 2026. Staff turnover at 38.8% is better than the 45.8% national figure, and its quality measures score well, but with the health inspection and staffing ratings both at 2 out of 5, the care-numbers side is doing the heavy lifting here.
Bronx Center For Rehabilitation & Health Care runs 200 certified beds under for-profit corporate ownership, and its staffing sits about 11% under the national average at 3.46 nurse hours per resident day. Weekends dip roughly another 11% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is retention: 17% annual turnover against a national 45.8%, meaning the aides and nurses here tend to stay. The current record shows 19 deficiencies, none at harm or jeopardy level, though three are abuse-related. A 2/5 inspection rating and a December 2025 inspection are worth asking about directly, especially how those abuse deficiencies were resolved.
Seagate runs 360 beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.99 nurse hours per resident day against a national average of 3.86, with weekends running roughly 6% thinner than weekdays. Turnover sits at 24.5%, well below the 45.8% national figure, so the people who stay tend to stay, but there are fewer of them per resident than average. The inspection record is where the real weight is: 11 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus 20 fines totaling $215,134. The last inspection was October 2024. Quality measures score well; staffing and inspections do not.
Delaware Oaks runs about 3.23 nursing hours per resident per day, roughly 16% under the national average, and weekends are thinner still, about 15% below its own weekday staffing. That's the number that matters most, because aide time is what shows up at the bedside. The home carries 21 deficiencies on its current record, none flagged at harm or jeopardy level, but six tied to abuse, which is a lot for a 95-bed building. Turnover sits at 47.4%, slightly worse than the national 45.8%, so the staff caring for your relative is changing often. Its last inspection was August 2024. Ownership is a for-profit partnership.
Our Lady Of Mercy Life Center runs 160 certified beds as a nonprofit, but the numbers show some strain. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 8% below the home's own weekday levels. Annual turnover is 50.3% against a national 45.8%.
The inspection record is where things get concerning: a 1-out-of-5 health inspection rating, with 25 deficiencies on file, including four tied to abuse. None reached harm or jeopardy level, and the most recent inspection was October 15, 2024. Quality and staffing measures both rated 3 out of 5. With half the staff turning over yearly and thin weekend coverage, those inspection findings deserve a closer look before you decide.
The Montrose veterans home runs a leaner ship than most on staffing turnover, 26.5% against a national average near 46%, and nurse hours per resident sit slightly above the national mark. But weekend coverage drops roughly 14% below the home's own weekday levels, and the inspection record is where things get hard to ignore: 22 deficiencies, four of them serious enough to involve harm or jeopardy, six tied to abuse, and the last full inspection dates to July 2023. A single $29,153 fine is on the books. State-run ownership doesn't change what families should ask about: what those abuse citations involved, and who's covering the floor on Saturdays.
Northeast Ctr For Rehabilitation And Brain Injury is a 280-bed for-profit home in Lake Katrine, 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 run roughly 16% lighter than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 36.2%, better than the 45.8% national figure, and the staffing and quality stars both come in at 4 out of 5. What pulls the record down is the inspection side: 47 deficiencies, including one at harm or jeopardy level and eight tied to abuse, plus a $25,435 fine. The most recent inspection was November 2024.
Nurse staffing at The Hamptons Center runs 2.93 hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home. Weekends are thinner still, about 8% below the home's own weekday level, and a 37.4% annual turnover rate, though better than the national 45.8%, means a lot of the people providing that care are new to the building. The state inspection record is where the real trouble sits: 23 deficiencies, three serious enough to put residents in harm's way, five tied to abuse, and a $150,990 fine. A 5/5 on quality measures doesn't offset a 1/5 on inspections.
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?