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.
Hearthstone runs a for-profit shop in Medford with 87 certified beds, and the staffing numbers are real: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with turnover at 37.1 percent against a national 45.8. That's a workforce that mostly stays put. The problem is almost everything else. Inspectors have cited 75 deficiencies, six serious enough to put residents in harm's way, nine tied to abuse, and the state has levied three fines totaling $230,522. The most recent inspection was May 2025, so the record is current, not stale. Weekends run about 14 percent thinner than weekdays. If you're weighing this one, ask who's on the floor Saturday night.
Pilot Butte runs a heavier staffing floor than most places, 4.89 nurse hours per resident day against a national average of 3.86, but that cushion thins on weekends, when coverage drops roughly 19% below its own weekday level. The inspection record is where the trouble sits: 45 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with a 2-out-of-5 health inspection rating from CMS. Annual turnover of 50.8% tops the national figure, so even good daily ratios rest on a workforce that keeps changing. Corporate ownership, a fine of $8,827, and a September 2025 inspection round out the picture.
Milton Freewater Health and Rehabilitation runs 5.34 nursing hours per resident per day, well above the 3.86 national average, and its staff turnover of 34.1% is lower than the 45.8% typical elsewhere, both signs of a stable, well-manned floor. The catch is weekends, when staffing drops about 12% below its own weekday level, and a record of 26 deficiencies including one at the harm level and five tied to abuse. The most recent inspection was January 2026. Corporate ownership and a single $8,278 fine round out a picture of a home that's adequately staffed but has had real compliance problems worth asking about directly.
Curry Village runs a for-profit operation in Brookings with 59 certified beds, and its nurse staffing average of 4.59 hours per resident day sits about 19% above the national figure. That looks good on paper until you notice weekends drop roughly 14% below the home's own weekday levels, and annual turnover hits 53.4% against a national average of 45.8%, meaning the people covering those shifts are often new. The inspection record is where things get harder to shrug off: 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the last inspection dated May 2026. Two stars on health inspections and one on staffing tell you the day-to-day experience has been uneven, whatever the overall hours suggest.
If you're weighing Willowbrook Post Acute for someone you love, the numbers raise real questions. State inspectors cited 43 deficiencies, including 7 tied to abuse and 4 serious enough to put residents in harm's way, and the home carries $80,796 in federal fines. Staff turnover sits at 52.9%, above the 45.8% national average, and CMS rates staffing just 1 out of 5 stars, meaning the people providing daily care change often and there may not be enough of them. A 1-star health inspection score and a recent August 2025 visit confirm the problems are current, not old history, even though quality measures rate a middling 3.
Regency Albany runs 5.67 nurse hours per resident day, roughly 47% above the national average, and that staffing shows up in its four-star rating there. The catch is turnover: 63.2% of staff leave each year against a national average near 46%, and weekend coverage drops about 13% below weekday levels, so the people around your family member keep changing, and weekends run thinner. The inspection record is the harder read: 33 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one $30,911 fine and a two-star health inspection rating. Ownership is a for-profit LLC. The last inspection was March 2026. Strong hours, unsettled workforce, and a documented history worth asking about directly.
Fernhill Rehabilitation And Care runs on a paradox: 5.01 nurse hours per resident day, roughly 30% above the national average, which is why CMS gives it 4 stars for staffing. But look at what happens around that staffing. Weekend coverage drops about 7% below weekday levels, so the hours aren't as steady as the annual figure suggests. Annual turnover hits 64% against a national 45.8%, meaning most of the people providing that care are new to the building. The inspection record backs that up: 60 deficiencies, one at harm or jeopardy level and seven abuse-related, with a 2-star health inspection rating and a 2025-08-08 survey. One fine of $8,278. The staffing is real. The consistency and safety record aren't keeping pace.
Myrtle Point Rehabilitation & Care runs high on nurse hours, about 5.06 per resident per day, roughly a third above the national average, and CMS gives it 4 of 5 stars for staffing. That number wobbles on weekends, though, dropping about 14% below its own weekday level, and annual turnover sits at 67.2% against a 45.8% national average, so the people providing that care keep changing. The inspection record is where things get serious: 71 deficiencies, including 11 tied to abuse and 3 at harm or jeopardy level, plus a $59,140 fine. Its most recent inspection was April 2026, and CMS rates its health inspection performance 1 out of 5.
Eldercrest runs 48 beds in Munhall under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.59 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 58.6% runs well above the 45.8% national figure, which usually means less continuity for residents. The inspection record shows 36 deficiencies, including one at the harm level and seven tied to abuse, plus one fine of $18,962. Last inspection was November 2025. The quality measure stars look strong, but staffing and health inspection stars both sit at 2 out of 5, and that gap is worth asking about directly.
Aristacare At Meadow Springs has 153 beds and enough nurses on paper, 4.64 hours per resident day, about a fifth above the national average. The trouble is what inspections keep finding: 40 deficiencies on the current record, three of them serious enough to cause harm or put residents in immediate jeopardy, and three tied to abuse. The health inspection rating sits at 1 out of 5, and staffing drops roughly 7% on weekends, when supervision is already thinner. Staff turnover of 42.5% is slightly better than the national 45.8%, which helps, but it doesn't offset that inspection history. One fine of $17,664 rounds out the record. If you're considering this home, ask directly how those abuse and harm findings were resolved.
Mountain View runs 271 certified beds in Coal Township under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That small gap matters less than the pattern around it: weekends drop about 16% below the home's own weekday coverage, and annual turnover hits 49%, well above the 45.8% national figure.
The inspection record is the real concern here. Seventy-nine deficiencies are on file, including four at the level where residents were actually harmed or put in jeopardy, and seven tied to abuse. Two fines total $24,854. The last inspection was May 2026, so the record is current, not stale. With a 1-out-of-5 health inspection rating, the compliance history is what separates this home from others with similar staffing.
Canterbury Place runs a solid nursing floor on paper: 3.96 nurse hours per resident day, slightly above the national figure, and turnover at 41.6% is better than average. What drags it down is the inspection record. Forty-two deficiencies is a lot, including five tied to abuse and two serious enough to put residents in harm's way, and the health inspection rating sits at 2 out of 5. Quality measures come in at 1 out of 5, the weakest bucket. Staffing also dips about 11% on weekends, so the coverage families see on a Tuesday isn't what a Saturday looks like. The last state visit was January 2026. Ask to see the plan of correction before you tour.
Kadima Rehabilitation & Nursing At Greenville runs 154 certified beds under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekends dip roughly 8% below its own weekday levels. Staff turnover lands at 53.8%, well above the 45.8% national figure, meaning the people around your relative change often.
The inspection record shows 17 deficiencies, including one at the harm level and one abuse-related, plus a $21,645 fine. A June 2025 inspection is recent, which is the one favorable detail. The 1-out-of-5 staffing rating and 2-out-of-5 health inspection rating tell you where the trouble concentrates, even though the quality measure score of 3 suggests some care processes track adequately on paper.
If you're considering this home, ask directly about weekday versus weekend coverage and how they're addressing turnover.
Kadima Rehabilitation & Nursing At New Wilmington runs 115 certified beds under for-profit LLC ownership, and its inspection record is the strongest part of the picture, a 4-out-of-5 health inspection rating with nine deficiencies on file, none at the harm or jeopardy level. One abuse-related citation is there, though, and worth asking about directly. Staffing is where it slips: 3.42 nurse hours per resident day sits about 11% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 52.3% against 45.8% nationally. With quality measures at 2 out of 5, the pattern is a home that inspects cleanly but may struggle to keep consistent hands on deck.
Walnut Creek Nursing and Rehab runs 115 certified beds in Erie under for-profit LLC ownership, and the numbers land in the middle across the board, 3 out of 5 stars each for health inspections, quality measures, and staffing. Nurse staffing sits at 3.60 hours per resident per day, about 7% under the national average of 3.86, and weekends dip roughly 6% below the home's own weekday coverage, so the thinnest shifts come when oversight tends to be lightest. Turnover at 43% is slightly better than the national 45.8%. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2026.
The Gardens at West Shore is a 309-bed for-profit home in Camp Hill, and the numbers tell a split story. Its inspection record is the real problem: 58 deficiencies, including three at the harm or jeopardy level and four tied to abuse, which is a lot for one building to carry. Staffing sits at 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 36.6% is actually better than the 45.8% national figure, and the last inspection was recent, in August 2025. Read the inspection history closely before deciding.
Ivy Park Post Acute is a 150-bed for-profit in Pittsburgh, and the numbers split in ways families should look at closely. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average, with weekends running about 7% below its own weekday level, and annual turnover at 60.3% against a national 45.8%. The health inspection record shows 95 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with one fine totaling $14,069 and a most recent inspection dated June 27, 2025. Its quality measure score is perfect while its inspection and staffing scores sit at the bottom. The gap between that quality number and the staffing reality is the thing to ask about on a tour.
Greenfield runs on 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends dip about 9 percent below what the home staffs Monday through Friday. Annual turnover sits at 50 percent, higher than the 45.8 percent national figure, so the people providing that already-thin care are cycling out regularly. The inspection record is the harder problem: 56 deficiencies, three tied to abuse and two serious enough to put residents in harm's way. Federal inspectors last visited in January 2026 and rated health inspections and quality measures at one star each. A for-profit limited liability company owns the place, and the pattern across staffing, turnover, and enforcement history is consistent rather than isolated.
Pleasant Acres is a 375-bed for-profit home in York, and the numbers that matter most here aren't good. State inspectors cited 41 deficiencies on the current record, four of them serious enough to put residents in harm's way, plus three tied to abuse, and the fines total nearly $200,000. Staffing looks decent on paper at 3.26 nurse hours per resident day, but that's about 15% under the national average, and weekends run roughly 9% thinner than weekdays, which is when families tend to visit and notice. Turnover sits at 47.2%, slightly worse than the national figure, so the people caring for residents are often new. The quality measure score is middling, but a one-star inspection record is what should weigh on your decision.
Chestnut Hill Lodge runs 181 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, and weekends drop about 6% below what the home manages on weekdays, so the thinnest coverage lands when families tend to visit and when backup is hardest to find. Staff turnover is 53.9% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The inspection record shows 41 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, with a CMS health inspection rating of 2 out of 5 and quality measures at 1 out of 5.
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?