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.
Aventura At Oakwood Village runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and its weekend shifts dip about 8% below its own weekday coverage, so the thinnest days are the ones families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, which means the aides and nurses who know your mother's routines are frequently new. The current deficiency record carries 42 citations, including one at the harm or jeopardy level and eight tied to abuse. Inspectors were last on site in May 2025. The two-star health inspection rating and one-star staffing rating describe a building where the problems are chronic rather than isolated.
Gardens Of Paulding runs 50 certified beds under corporate for-profit ownership, and the numbers worth knowing are on the staffing side. Nurses provide 3.28 hours per resident day, roughly 15% under the national average of 3.86, and weekend coverage drops another 12% below what the home manages on weekdays. Turnover sits at 56.9% against a national 45.8%, which means more than half the nursing staff leaves within a year. Its inspection record shows 32 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was September 2025. Families should ask directly about weekend staffing and how the home keeps consistent caregivers.
Vista Care Center of Milan runs 2.64 nurse hours per resident day against a national average of 3.86, roughly a third less hands-on time than the typical home, with weekends staffed about 15% thinner than weekdays. That staffing shortfall sits behind a 2-out-of-5 CMS staffing rating and 50% annual turnover, slightly above the national 45.8%. Meanwhile, 33 deficiencies sit on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, with the most recent inspection in October 2024. A single $12,834 fine is relatively modest, but the harm-level and abuse findings are the ones worth asking the administrator about directly before you decide.
Crawford Manor is a 50-bed for-profit in Cleveland, and the numbers split in two directions. The quality measures look strong, but everything about how the place is run and inspected tells a different story: a one-star health inspection rating, 47 deficiencies on the current record including three at the harm level and seven tied to abuse, plus two fines totaling $25,366. Staffing sits at 3.79 hours per resident day, slightly under the national average, and it thins out on weekends by roughly 14 percent. Turnover at 42.9 percent is a bit better than the national figure, but that's faint comfort. The last inspection was December 2023, so the record may not reflect what's happening now.
Lincoln Crawford runs 96 beds under for-profit LLC ownership, and its nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, with weekends dropping about 11% below its own weekday coverage. Annual turnover is 55.4% against a national 45.8%, so the staff caring for residents is changing over at a high rate. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse; the most recent inspection was August 2025. Quality measures score well, but that sits against a two-out-of-five inspection rating and thin, uneven staffing.
The Sanctuary at Tuttle Crossing has enough nurses on paper, 4.30 hours per resident day, about 11% above the national average, but that cushion thins out on weekends, when staffing drops roughly 14% below its own weekday level. The bigger issue is who stays: annual turnover of 73.1% sits far above the 45.8% national average, meaning many of the aides and nurses you'd meet may not be there next year. Then there's the inspection record, a 1 out of 5 star rating, 39 deficiencies logged, and two tied to abuse, one serious enough to put a resident in harm's way. That history, not the daily hours, is what's driving the grade.
Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.
Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.
Grand Lake Villa shows what happens when a building is well-staffed and still can't keep residents safe. Nurse coverage sits at 4.12 hours per resident day, about 7% above the national average, and turnover at 40.6% actually beats the typical American nursing home. That's the good news. The bad news is the inspection record: 15 deficiencies, three serious enough to put residents in harm's way, and six tied to abuse. That combination, plus placement in CMS's Special Focus Facility program, tells you the problems are serious and ongoing. The most recent inspection was April 29, 2026, so the findings are current, not old history. Staffing ratios alone won't protect anyone here.
Brookside Nursing Center runs 140 beds in Madill under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 8% below what the home staffs on weekdays, so care coverage thins out exactly when families tend to visit. Staff turnover is the bigger concern: 56.7% 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. Thirteen deficiencies are on file, three at the harm or jeopardy level, plus one abuse-related citation and two fines totaling $39,591. The last inspection was August 2024.
Sand Springs Nursing and Rehabilitation runs 173 certified beds under for-profit LLC ownership, and the numbers that stand out most are about staffing and oversight. Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, and weekends dip about 5% below the home's own weekday levels, so coverage is thinnest when families often visit. Annual turnover of 67.6% is well above the 45.8% national figure, which raises real questions about how well aides and nurses know these residents.
The inspection record shows 15 deficiencies, including one at the harm or jeopardy level and one tied to abuse. CMS has fined the home once for $12,740, and the last inspection was February 13, 2026. Ask about that abuse-related finding and what changed afterward.
Sequoyah Pointe Living Center runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 4% below its own weekday numbers. Staff turnover sits at 63% against a national 45.8%, which means the people caring for your family member are leaving faster than at a typical home. Inspections look better: the most recent was April 2025, and the 18 deficiencies on record include none at the harm level, though one is abuse-related. That single fine of $52,192 is worth asking about directly. The quality measure rating of 2 out of 5 suggests the clinical outcomes aren't keeping pace with the inspection results.
Nurse staffing at Elmbrook Of Hugo runs about 9% under the national average, and weekends are thinner still, roughly 9% below the home's own weekday coverage. The 18 deficiencies on its current record include three at the harm or jeopardy level and one tied to abuse, with two fines totaling $29,580. Staff turnover, at 42.9%, is actually a little better than the national figure, so the people who stay appear to stay. Inspectors were last in on May 6, 2025, and the health inspection rating sits at 2 out of 5. Before you tour, ask how the harm-level findings were corrected and who is on duty on Saturday nights.
Windsor Hills Nursing Center runs a 112-bed for-profit operation in Oklahoma City, and the inspection record is where the trouble concentrates: 31 deficiencies on file, four of them serious enough to involve actual harm or jeopardy, plus two tied to abuse. Three fines total $55,251. Staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop about 15% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The last inspection was September 11, 2025, so the record is recent, not stale. Limited liability ownership doesn't tell you how care feels day to day, but it does mean the entity behind the license is insulated if things go wrong. Ask about weekend coverage and how abuse complaints get resolved.
Tuttle Care Center runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. That staffing gap shows up in the federal stars: one out of five for staffing, and one for quality measures, even though the inspection record earned four stars and the most recent visit was in May 2025. Twelve deficiencies sit on the current record, none at harm or jeopardy level, but three are abuse-related, which families should ask about directly. The 50% annual turnover, above the 45.8% national figure, means the aides and nurses around your family member are changing often under this for-profit LLC's ownership.
Heavener Nursing & Rehab runs 84 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 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 32 deficiencies, two of them serious enough to involve harm or jeopardy, though none are abuse-related; the most recent visit was April 3, 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5. Two harm-level findings alongside below-average staffing is the pattern worth asking about directly.
Gracewood Health & Rehab runs 121 certified beds in Tulsa under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just slightly above the national average of 3.86. That margin shrinks on weekends, when coverage drops about 5% below the home's own weekday levels. The bigger concern is turnover: 76.2% of staff leave annually, well above the 45.8% national figure, which matters for residents who rely on consistent caregivers. Inspections tell a similar story, 25 deficiencies on record, including one at the harm level and one abuse-related, with a 2/5 health inspection rating and a 2/5 quality measure rating. The most recent inspection was April 6, 2026.
South Park East runs 4.00 nurse hours per resident day, about 4% above the national average, but weekends dip roughly 9% below its own weekday staffing, so coverage thins out exactly when families tend to visit. The bigger strain is turnover: 64.3% annually against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. On paper the quality measures look strong, yet the inspection record tells a harder story, 19 deficiencies, including four tied to abuse and one at the harm level, and a $15,480 fine. A for-profit LLC with a recent inspection and that many citations is worth asking about directly.
Linwood Village runs 67 certified beds in Cushing under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, with weekends roughly 10% thinner than its own weekdays. Annual turnover hits 58.6% against a national 45.8%, so the aides and nurses your family would see most are cycling out faster than at a typical home. The current inspection record carries 18 deficiencies, three tied to abuse, though none rose to harm or jeopardy. Federal ratings put staffing and health inspections at 2 out of 5 stars, quality measures at 3. A May 2025 inspection is recent, so the findings reflect current conditions.
Anadarko Nursing & Rehab runs 92 certified beds under individual for-profit ownership, and the numbers pull in different directions. The staffing rating sits at 1 out of 5, which means nurse hours per resident fall well below what CMS expects, that's the weakest signal here, and it's the one that shapes daily life most. Inspections tell a similar story: 17 deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, with a $14,867 fine and a 2-out-of-5 health inspection rating. The 4-out-of-5 quality measure score and a 42.4% turnover rate slightly better than the 45.8% national average are real positives, but they don't offset thin staffing and a recent inspection record that drew serious citations.
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?