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.
Good Samaritan Society - Bottineau carries a one-star health inspection rating, and the record behind it is heavy: 30 deficiencies, including three at the harm or jeopardy level and four tied to abuse. Federal fines total $110,247 across two penalties. Staffing is the one bright spot on paper, 3.59 nurse hours per resident day, close to the national average of 3.86, but weekend coverage drops roughly a fifth below its own weekday level, and turnover runs at 63.5% against a national 45.8%. That combination matters in a 52-bed home, where losing and replacing staff that often makes consistent care hard to sustain. The most recent inspection was March 2026.
Good Samaritan Society - Oakes runs 46 certified beds with nurse staffing at 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly another 10% below its own weekday levels. Half the nursing staff turned over in the past year, a bit above the 45.8% national figure. The record shows 18 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,281. Inspectors were last on site January 7, 2026, and the health inspection and quality measure ratings both sit at 2 out of 5, even as the staffing rating reaches 4.
Edith Lane Of Cincinnati runs 167 certified beds as a for-profit corporation, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, so the thinnest shifts get even thinner. The inspection record is the harder read: 72 deficiencies currently on file, three at harm or jeopardy level and six tied to abuse, plus two fines totaling $159,338. Its last inspection was April 2025, so the record is recent, not stale. Quality measures score well, but that's a narrow slice of the picture, staffing and survey results are where families should focus when weighing this one.
King David runs 355 certified beds in Beachwood under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse coverage of 4.88 hours per resident day sits about 26% above the national average, but weekends run roughly 21% leaner than weekdays, and annual turnover hits 63.5% against a national 45.8%, so coverage depends heavily on who's still there. The inspection record is the harder read: a 1-out-of-5 health inspection rating, 64 deficiencies including one at the harm or jeopardy level and six tied to abuse, plus a $10,221 fine. Quality measure scores look strong on paper, but the last inspection closed in September 2025, and the staffing math doesn't erase what surveyors found.
Arbors At Gallipolis runs 99 certified beds under for-profit LLC ownership, and its strongest number is staff retention: 26.8% turnover against a national average of 45.8%, which matters because consistent caregivers tend to know residents' routines. The catch is raw staffing hours, at 3.72 per resident day, about 4% under the national average, and weekends dip roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Inspections are a bigger concern: 23 deficiencies on the current record, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection in April 2025.
Arbors At Delaware runs on about 3.18 nurse staffing hours per resident day, roughly 18 percent under the national average, and weekends dip even further below its own weekday numbers. Annual turnover sits at 62.7 percent against a national average near 46 percent, so the people caring for residents are cycling through fast. The inspection record is heavy: 62 deficiencies, including one at the harm level and two tied to abuse, with a 1-star health inspection rating even though the quality measure score is strong at 5 stars. The most recent inspection was February 2, 2026, so the record is current, not stale.
Grand River Health & Rehab Center runs 80 certified beds in Painesville under corporate for-profit ownership, and its record has some hard edges. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends drop about 10% below the home's own weekday level. Turnover lands near the national rate at 46%, so that's not the outlier here, the inspection history is. Thirty-four deficiencies are on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $66,420 and a 2-out-of-5 inspection rating. The most recent inspection was May 2025, so the picture is current. Quality measures score well at 4/5, but strong clinical numbers don't offset a thin staffing margin and a serious deficiency pattern.
Bethesda Care Center runs 89 certified beds as a nonprofit, and its overall nurse staffing of 4.05 hours per resident day sits about 5% above the national figure. That headline number looks fine until you notice weekends run roughly 14% thinner than weekdays, which matters if your family member needs help on a Saturday.
Staff turnover is the bigger concern: 60% a year against a national average near 46%, meaning most of the people caring for residents are relatively new. Inspections add pressure too, a 2/5 health inspection rating, 26 deficiencies on record including one at the harm level, and a $64,604 fine. The last inspection was May 2024.
Summit Acres runs 95 beds in Caldwell under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 40.5%, a bit better than the 45.8% national figure. What stands out more is the inspection record: 52 deficiencies, including one at the harm level and nine tied to abuse, with a $16,801 fine and a 2-out-of-5 inspection rating. The 5-out-of-5 quality measure score reflects resident care metrics, not the supervision and safety problems inspectors documented.
Presidential Post-Acute runs 99 beds in Marion under corporate for-profit ownership, and its staffing numbers are the first thing to notice: 3.01 nurse hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about 12% below the home's own weekday level, and turnover sits at 48.8% against a national 45.8%, both worth asking about directly. The inspection record shows 17 deficiencies, two at harm or jeopardy level and one abuse-related, with a 2/5 health inspection rating and a 2/5 staffing rating. Quality measures score better at 4/5, and the most recent inspection was March 2026. Ask how the abuse deficiency was resolved and what weekend coverage looks like.
Arbors At Milford runs 4.56 nurse hours per resident day, about 18% above the national average of 3.86, which is the strongest thing this home has going for it. The catch is consistency: weekend staffing drops roughly 13% below its own weekday level, and 53.1% of nursing staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. Its inspection record carries 47 deficiencies, 7 of them at the harm or jeopardy level and 4 abuse-related, along with four fines totaling $117,782. Corporate-owned and 90 beds, it was last inspected March 12, 2026. Strong hours on paper, thin coverage on weekends, and a serious deficiency history.
Grafton Oaks runs on 3.39 nurse hours per resident per day, roughly 12 percent under the national average, and weekend coverage slips about 8 percent below its own weekday level. Staff turnover sits at 68.9 percent against a national average of 45.8, most of the people caring for your relative likely weren't there a year ago. The inspection record carries 16 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was February 2026. The 5/5 quality measure rating reflects charted clinical measures, but staffing is where this home is thinnest, and that gap is what a family should weigh when deciding.
Nurse staffing at Arbors At Stow sits at 3.90 hours per resident day, barely above the national average of 3.86, and weekends run about 11% thinner than weekdays. More telling is the turnover: 53.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, five at harm or jeopardy level, eight involving abuse, and four fines totaling $252,801, with the most recent inspection dated March 2026. A 5/5 quality measure rating stands in odd contrast to a 1/5 inspection rating, but quality measures come from self-reported data, while inspections and fines come from what surveyors actually found.
Majestic Care Of Clyde, a for-profit LLC home with 74 beds, runs lean on nursing staff, 3.11 hours per resident day against a national average of 3.86. Weekends dip about 13% below its own weekday numbers, and annual turnover sits at 52.5%, well above the 45.8% national figure. Its inspection record shows 50 deficiencies, none flagged at harm or jeopardy level, though 11 are abuse-related, and the last state visit was in November 2024. Despite the strong quality measure rating, the low staffing and inspection history are what pull its overall standing down.
Wyant Woods runs 180 certified beds as a for-profit corporation, and its 3.01 nurse staffing hours per resident day land about 22 percent under the national average of 3.86, with weekends dipping roughly 8 percent below its own weekday levels. Turnover sits at 40.9 percent, slightly better than the national 45.8 percent, so the issue here isn't retention as much as raw hours per resident. The inspection record carries 61 deficiencies, including 3 at harm or jeopardy level and 9 abuse-related, plus $153,317 in fines across 2 penalties, and CMS scored its last inspection 1 out of 5 in April 2025. Its quality measure rating is 5 out of 5, which can reflect charted outcomes more than day-to-day coverage.
Washington Square runs on thin nursing coverage: 3.18 direct care hours per resident per day against a national average near 3.86, with weekends about a tenth leaner than weekdays. Turnover sits right at the national mark, so the problem isn't churn so much as how few hands are on deck at any given time. The inspection record is where the real trouble shows, 63 deficiencies on file, four serious enough to put residents in harm's way, seven tied to abuse, and nearly $47,000 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Family members should visit unannounced, at different times of day, and watch how many aides are actually on the floor.
Country Club Retirement Center runs on thinner nursing coverage than most homes, 3.38 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday levels. That staffing picture, plus a two-star inspection rating and 42 deficiencies on record (three at harm or jeopardy level, seven tied to abuse), is where the real story sits. Turnover is 45.5%, essentially matching the national rate, so the problem isn't retention, it's how few hours each resident actually gets. The 2024 inspection is recent enough to reflect current conditions. A four-star quality measure score is the one bright spot, but quality measures come from resident assessments, not from how the place is run day to day.
Cityview runs 146 beds on Cleveland's east side, and the corporate owner's staffing shows it: 3.02 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover sits at 48.4%, slightly above the national 45.8%. The inspection record is the harder problem, 55 deficiencies, six at harm or jeopardy level, eight tied to abuse, and $193,120 in fines across five penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with persistent serious problems. The last inspection was November 2022. Resident satisfaction surveys look strong, but that measure doesn't capture whether enough hands are present.
Burlington House runs 122 certified beds under for-profit LLC ownership in Cincinnati, and the staffing numbers are the first thing to look at. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.5% is slightly better than the 45.8% national figure, which helps. The inspection record is the bigger concern: 31 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with the last inspection in May 2024. Quality measure scores look strong, but that record deserves direct questions before you decide.
Versailles Rehabilitation runs on about 3.0 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop further below its own weekday pace. Staff turnover sits at 51.2%, higher than the 45.8% national figure. Inspections look better: the most recent visit in May 2025 produced a 4-star health inspection rating and strong quality measures, but the record still carries 23 deficiencies, including one at the harm level and four tied to abuse. The low staffing star tells you where the risk concentrates, a corporate-owned home where the care depends heavily on who happens to be on the floor.
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?