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.
Eddy Village Green At Beverwyck runs about 4.76 nurse hours per resident day, roughly 23% above the national average, and weekend staffing dips only about 8% below its own weekday level, unusually steady. Staff turnover sits at 45%, essentially the national rate. The tension is in inspections: a 2/5 health inspection rating, 10 deficiencies on record including one at the harm level and two abuse-related, with the last inspection in December 2023. Quality and staffing measures both rate 5/5, so the clinical numbers look strong while the survey history is where the concerns live. For a 24-bed nonprofit, that mix is worth weighing carefully.
Willow Valley runs 230 beds in Winston-Salem, and the numbers families should focus on are staffing and inspections. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and weekends run roughly 8% thinner than weekdays, so the coverage gap shows up exactly when families tend to visit. Annual turnover hits 54.2%, well above the 45.8% national figure, which means the people providing care keep changing. The current inspection record carries 51 deficiencies, seven at harm or jeopardy level and four abuse-related, with five fines totaling $275,518. The most recent inspection was August 2025. For-profit corporate ownership.
Greenhaven runs on thinner staffing than most homes, 3.50 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops roughly 7% below its own weekday level. That gap matters more when you look at the workforce itself: 62.6% of staff turned over in a year, well above the 45.8% national figure, which means unfamiliar faces are common. The inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse, plus a $123,126 fine. A recent July 2025 inspection and strong quality-measure scores don't erase those safety findings.
Siler City Center runs 150 beds under corporate ownership, and its last inspection was recent, March 2026, which matters, because the current record shows 22 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 10 percent below the home's own weekday numbers. Turnover, at 38.7 percent, is actually better than the 45.8 percent national figure, so the problem here isn't retention so much as how few hands are on deck per shift and a survey history that keeps turning up serious findings. One fine totaling $7,909 is on record.
Westwood Hills runs a 176-bed for-profit operation in Wilkesboro, and the staffing picture is mixed in a way worth understanding. Its 3.09 nurse hours per resident day sits about 20% under the national average of 3.86, and weekends drop roughly another 20% below its own weekday levels. Turnover, though, is 29%, well under the national 45.8%, so the people who are there tend to stay. What pulls the record down is inspection history: 12 deficiencies, three at harm or jeopardy level, four abuse-related, and a $8,648 fine, with the most recent inspection in November 2025. Ask about weekend coverage and how those abuse-related findings were resolved.
Monroe Rehabilitation Center runs 147 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the heavier problem: 21 deficiencies, three at harm or jeopardy level and two tied to abuse, with four fines totaling $61,174. That combination of thin weekend staffing, high turnover, and harm-level findings explains why Monroe lands well below average.
Macon Valley runs 200 certified beds in Franklin under corporate for-profit ownership, and its inspection history is the part worth knowing about. Fourteen deficiencies sit on the current record, including three tied to abuse and one at the harm or jeopardy level, meaning surveyors found a problem serious enough to put a resident in immediate danger. The last inspection was in June 2025, so that record is recent. Nurse staffing comes in at 3.78 hours per resident day, just under the national average, but the bigger number is turnover: 76.5% of staff leaving in a year, far above the roughly 46% national figure. That churn, not the raw hours, is what makes consistent care hard here.
Stanly Manor runs 3.45 nurse staffing hours per resident day, roughly 11% under the national average, and weekends dip about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 67.6% of nursing staff leaving annually against a national 45.8%, which means aides and nurses are cycling through the building faster than most. Inspections found 12 deficiencies on the current record, two serious enough to reach harm or jeopardy level, with $12,054 in fines. The last inspection was January 8, 2026, so the record is recent. Nonprofit ownership hasn't shielded this one from staffing strain or repeat survey problems.
The Carrolton of Lumberton runs a for-profit, limited-liability operation with 90 certified beds, and its staffing picture is mixed. Total nurse coverage sits at 4.13 hours per resident day, roughly 7% above the national average, but weekends drop about 8% below the home's own weekday level, and annual turnover hits 52.9% against a national 45.8%. The current inspection record shows 28 deficiencies, two of them abuse-related, with no harm-level findings. CMS rates health inspections 2 out of 5 and quality measures 1 out of 5, while staffing earns 3. That combination, steady hours undermined by churn, a long deficiency list, and a recent February 2026 inspection, is what shapes the picture here.
Hibriten Mountain runs on 3.15 nurse staffing hours per resident day, about 18% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 46 deficiencies, four at harm or jeopardy level, four abuse-related, and two fines totaling $53,110, all under a 1-out-of-5 health inspection rating. Staff turnover of 50.7% tops the national average of 45.8%, which means caregivers are cycling through. The quality measure rating of 4 out of 5 stands out against all of this, but quality measures are self-reported, while inspections and staffing are not. Ask about weekend coverage and the abuse citations directly.
Graham Healthcare runs 80 certified beds under corporate ownership, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national figure of 3.86. That shortfall widens on weekends, when coverage drops about 9% below the home's own weekday level. The bigger concern is turnover: 70% of staff leave annually, well above the 45.8% national average, which means residents see a rotating cast of caregivers. The inspection record shows 16 deficiencies, including one at the harm level and three tied to abuse. The last inspection was March 5, 2026. Quality measures land mid-range, but the staffing churn and deficiency history are what pull the overall picture down.
Lexington Health Care Center runs on thinner staffing than most homes, about 3.50 nurse hours per resident each day, roughly 9% under the national average, with weekends dipping further below its own weekday level. Turnover tells a similar story: 63.4% of nursing staff leave within a year, well above the 45.8% national figure, which means unfamiliar faces are often the ones providing care. The inspection record is heavier than most, with 40 deficiencies logged, including two at the harm level and five tied to abuse. Ownership is for-profit and LLC-operated. The quality measure score looks good on paper, but it sits alongside a staffing rating and inspection history that raise harder questions than that one number answers.
Alamance Health Care Center runs 180 certified beds in Burlington under corporate, for-profit ownership, and the numbers split in two directions. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 9% below the home's own weekday levels, while staff turnover at 47.2% edges past the national rate. The inspection record is where the real weight sits: 27 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and another 1 for staffing. Quality measures score 4 out of 5, but that contrast is worth sitting with before you decide.
Wilora Lake runs on thinner staffing than most homes you'd compare it to, about 3.17 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 12% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when fewer hands are on the floor. Annual turnover sits at 66.2%, well above the 45.8% national figure, so the people caring for your relative are changing often. The record shows 14 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Its quality measure scores look strong, but those reflect resident outcomes, not the daily coverage behind them.
Dahlia Gardens runs 90 certified beds under for-profit LLC ownership, and its staff retention is genuinely better than most, 32.4% annual turnover against a national average of 45.8%. That stability matters, because the staffing star rating still comes in at just 1 out of 5, meaning the people who stay aren't necessarily enough of them. The inspection record shows 34 deficiencies, five tied to abuse, though none rose to harm or jeopardy level, and the most recent state visit was December 2025. Quality measures sit at 2 out of 5. If you're weighing this one, ask directly how they plan to address the abuse-related findings and what daily direct-care hours actually look like on the floor.
Liberty Commons runs leaner than the typical American nursing home, 3.44 nurse hours per resident day against a national 3.86, and it thins out further on weekends, dropping roughly 9% below its own weekday coverage. That staffing pattern shows up in the numbers: a 2-out-of-5 CMS staffing rating and 50.5% annual turnover, meaning about half the nursing workforce leaves each year.
The inspection record is heavier still. Thirty-seven deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $15,593. A 2-out-of-5 health inspection rating and a November 2025 inspection round out the picture.
You're looking at a 100-bed corporate-owned home where the care hours are below average, the staff keeps changing, and regulators have documented repeated problems. Worth asking hard questions before choosing it.
Trinity Grove is church-affiliated and nonprofit, and its staffing is genuinely strong, 4.37 nurse hours per resident day sits about 13% above the national average, earning top marks on that measure. The trouble shows up everywhere else. Inspectors cited 15 deficiencies, four serious enough to put residents in harm's way and five tied to abuse, and the home has paid $102,910 across four fines. Weekend staffing drops roughly 12% below its own weekday level, which is when families often visit and notice less coverage. Turnover of 45.5% is essentially the national norm, so experience isn't accumulating here. The last inspection was September 2025. Good ratios, a troubling citation record, that gap is what families should weigh.
Huntersville Health & Rehabilitation runs 90 beds under corporate ownership, and its staffing sits right at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, a difference of about one percent. That thin margin matters more when you look at weekends, which run roughly 11% below the home's own weekday coverage, and at turnover: half the nursing staff leaves each year, compared with 45.8% nationally.
The inspection record is where the real weight sits. Fourteen deficiencies are on file, three of them at harm or jeopardy level and three tied to abuse. The last inspection came in June 2026, and the health inspection rating lands at 2 out of 5. Strong quality scores don't offset that pattern.
Smp Health - St Raphael runs a church-affiliated nonprofit home with 170 certified beds in Valley City, and its nurse staffing sits at 4.71 hours per resident day, roughly 22% above the national average of 3.86. That staffing cushion shows up in its five-star CMS staffing rating, and turnover runs lower than average too, at 38.5% against 45.8% nationally, though weekend coverage dips about 11% below its own weekday level. The inspection record is solid but not spotless: nine deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. A recent September 2025 inspection and a four-star health inspection rating back that up, while quality measures land at three stars.
Ave Maria sits in Jamestown with 100 certified beds and a nonprofit owner, and its staffing is the standout: 4.98 nurse hours per resident day, roughly 29% above the national average, with turnover at 37% versus 45.8% nationally. Weekend coverage dips about 16% below its own weekday level, so the weekday-to-Saturday drop is worth asking about. The inspection record is where the concern lives, 11 deficiencies, 2 at harm or jeopardy level, 5 tied to abuse, and a $6,788 fine, with a 2/5 health inspection rating and 2/5 quality measures. The most recent inspection was December 11, 2025, so the record is current. Ask directly how those abuse-related deficiencies were resolved and what weekend staffing looks like now.
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?