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.
Edenbrook Of Yeadon runs 190 beds under for-profit LLC ownership, and the staffing picture is thinner than it looks at first glance. Total nurse coverage sits at 3.70 hours per resident day, about 4% under the national average, and weekends dip roughly 5% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 41% is actually a bit better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection side: 55 deficiencies on file, four at harm or jeopardy level and seven tied to abuse, plus four fines totaling $34,298, with the most recent inspection in May 2025.
Newport Meadows runs a for-profit operation with 139 beds, and the numbers show a building leaning on a thin nursing floor. At 3.19 nurse hours per resident day, staffing sits about 17% under the national average, and weekends drop roughly 5% below its own weekday coverage. Turnover of 40.2% is better than the 45.8% national figure, so retention isn't the problem here, hours are. Inspections from September 2025 turned up 26 deficiencies, two serious enough to involve harm or jeopardy, drawing five fines totaling $42,912. No abuse citations appear on the current record, which matters. Still, a 2-out-of-5 staffing rating paired with that deficiency history is what pushes this one toward the bottom.
Laurel Center runs 130 beds in Hamburg under corporate ownership, and the staffing picture is the first thing to notice: 3.45 nurse hours per resident day, about 11% under the national average, with weekends dipping roughly 7% below its own weekday levels. Turnover sits at 34.9%, which is actually better than the 45.8% national figure, so the issue isn't churn so much as how many hands are on deck at any given time. The inspection record shows 9 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse, from a September 2024 survey. Quality measures score high; staffing and health inspection results don't.
Glen Brook runs 240 beds under corporate ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 9% below its own weekday coverage, and annual turnover hits 52% against a national 45.8%, so the people caring for residents are both fewer than average and changing often. The inspection record is the harder read: 51 deficiencies currently on file, including two at the harm or jeopardy level and seven tied to abuse, plus a $260,715 fine. The last inspection was February 2026. Quality measures score well, but that number doesn't offset a thin, churning floor staff.
Heritage Ridge is a for-profit LLC home with 63 certified beds in Johnstown, and its state inspection record is the part that should worry you most. CMS has tagged the current record with 68 deficiencies, including four at the harm or jeopardy level and eight tied to abuse, a pattern serious enough to pull the health inspection rating down to 1 out of 5 stars. Its last inspection, on January 14, 2026, found the home again without clearing that history. Staffing is the better news: 3.64 nurse hours per resident day, about 6% under the national average, with weekends roughly 2% thinner than weekdays, though turnover at 41.4% does beat the 45.8% national figure. The clinical quality measures sit at 3 stars. Given the inspection record, ask to see the last two years of state survey reports and the abuse-related plans of correction before you decide anything.
Camp Hill Skilled Nursing and Rehabilitation runs 123 beds as a for-profit corporate home, and its nurse staffing sits around 3.46 hours per resident day, roughly 10% under the national average, with weekends about 7% thinner than weekdays. Turnover lands at 41.9%, a bit better than the 45.8% national figure. The inspection record is the heavier issue: 39 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection dated February 2026. Quality measures score well, but staffing and inspection results pull the overall picture down. Worth asking about weekend coverage and how those harm-level findings were resolved before deciding.
Chapel Manor runs 238 certified beds in Philadelphia under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday level, so coverage thins exactly when families tend to visit. The inspection record is where the real concern lives: 69 deficiencies, four of them serious enough to put residents in harm's way, plus three tied to abuse. Staff turnover at 43.4 percent is slightly better than the national figure, and one $17,192 fine is on file, with the most recent inspection done in December 2025.
Embassy Of Wyoming Valley runs 120 beds in Wilkes Barre under corporate ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 7% lighter than its own weekdays. Turnover lands at 42.4%, a touch better than the 45.8% national figure. What stands out more is the inspection record: 48 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $20,496, with the most recent inspection dated January 30, 2026. The quality measure stars look strong, but that scorecard reflects resident care metrics, not how safely the building is run day to day.
Crestview Center runs 180 beds in Langhorne under for-profit partnership ownership, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 6% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover lands at 45.3%, essentially matching the national rate of 45.8%, so that's not the standout concern here. The inspection record is: 38 deficiencies, 5 at harm or jeopardy level, 3 abuse-related, with a 2/5 health inspection rating. The most recent inspection was July 2025, so the picture is current. Quality measures score well at 4/5, but that sits alongside a much weaker health inspection result.
Forest Hills runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly another 10% below its own weekday numbers, so the thinnest coverage lands when families visit and doctors don't. The inspection record is the bigger issue: 36 deficiencies, including 2 at harm or jeopardy level and 7 abuse-related, with a 2/5 health inspection rating and 1/5 staffing from CMS. Quality measures score 3/5, which suggests charted care looks better than the staffing and inspection history support. It's a 200-bed for-profit LLC in Weatherly, last inspected March 13, 2026. Ask specifically how weekends are covered and what changed since those abuse citations.
Kadima Rehabilitation & Nursing At Luzerne is a 37-bed for-profit home in Drums, and the numbers that stand out most aren't the staffing ones. Nurse coverage sits at 3.75 hours per resident day, a bit under the national average, and weekends run about 7% thinner than weekdays. Turnover at 36.1% actually beats the national rate. The trouble is elsewhere: 57 deficiencies on the current record, three of them at harm or jeopardy level, one abuse-related, plus two fines totaling $86,122. Both CMS inspection and quality-measure ratings sit at the bottom. When a home's record shows that many problems and that few stars on care quality, staffing that merely approaches average doesn't offset it.
Graduate Post Acute runs 150 beds in Philadelphia under for-profit LLC ownership, and its staffing sits around 3.49 nurse hours per resident day, roughly 10 percent below the national average of 3.86. Weekends drop about 9 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the real story: 84 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with $17,940 in fines across two penalties. Staff turnover of 41.8 percent is slightly better than the 45.8 percent national figure, and the most recent inspection was December 2025. CMS rates the quality measures 5 out of 5 but health inspections just 1 out of 5, a split worth asking about directly.
Stroudsburg Post Acute runs 174 certified beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, roughly 3% under the national average of 3.86, with weekends about 10% thinner than its own weekdays. Annual turnover is 52.4%, well above the 45.8% national figure, so the people around your relative change often. The inspection record is the bigger concern: 44 deficiencies, three of them at harm or jeopardy level, three tied to abuse, and a single $112,359 fine, with the most recent inspection dated May 22, 2026.
Slate Belt runs lean on nursing hours, 2.98 per resident day against a national average of 3.86, with weekends about 12% thinner than weekdays. Staff turnover lands at 43.3%, slightly better than the national 45.8%, so the problem isn't retention so much as how many aides and nurses are on the floor at once. The current record shows 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, though the most recent inspection was January 2026 and the health inspection rating sits at 4 out of 5. Under a for-profit limited liability company, the pattern reads as a building that inspects well on paper while daily staffing stays well under what residents typically need.
Sinking Spring Skilled Nursing runs 214 certified beds under corporate ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.20 hours per resident day, roughly 17 percent below the national average, and weekend coverage drops another 6 percent below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover of 46.1 percent means nearly half the nursing workforce turns over in a year, which matters more when a home is already short-staffed. The inspection record is the harder read: 32 deficiencies, three at harm or jeopardy level and three tied to abuse, plus one fine totaling $17,342.
Mountain Top Rehabilitation & Healthcare Center runs about 18% leaner on nursing hours than the national average, and weekends are thinner still, roughly 7% below what the building staffs on weekdays. Turnover sits at 40.4%, which is actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how few hours each resident gets. The inspection record is the harder read: 29 deficiencies, three serious enough to reach harm or jeopardy, two tied to abuse, and a February 2026 inspection that's still recent. Quality measures score well, but staffing and inspections don't, and that gap is worth asking about directly.
Accela Rehab and Care Center at Springfield, a for-profit LLC home with 129 certified beds in Glenside, runs on thin staffing. At 3.43 nurse hours per resident day it sits roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover tells its own story: 79.6 percent of staff leaving annually, against a national 45.8 percent average. The inspection record is where the numbers get heavy: 114 deficiencies, four at harm or jeopardy level, six abuse-related, and seven fines adding up to $69,735. Staffing rates 2 out of 5 stars and health inspections just 1.
Belle Terrace runs on 3.11 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends dip about 6 percent below what the home staffs during the week. The bigger number is turnover: 71.2 percent of staff leave in a year, against a national average of 45.8 percent. That churn shows up on the inspection record too, 25 deficiencies, two tied to abuse, though none rose to harm or jeopardy. A for-profit LLC operates the 59-bed home, and its last inspection was December 5, 2025. Federal inspectors rated staffing 2 out of 5 stars, health inspections and quality measures 3 each.
Mount Carmel Senior Living Community runs about 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips another 9% below its own weekdays. That thin staffing shows in the CMS staffing rating of 1 out of 5, and turnover sits at 46.9%, slightly above the national 45.8%. The inspection record is heavy: 51 deficiencies, two at harm or jeopardy level, two tied to abuse, with one fine of $24,700 and a health inspection rating of 2 out of 5. The most recent inspection was July 2025. Quality measures score a middling 3 out of 5, but staffing and inspections are where the problems concentrate at this for-profit LLC.
Havencrest runs lean on nursing staff, 3.63 hours per resident day, roughly 6% under the national average, and weekends get thinner still, dropping about 7% below the home's own weekday coverage. Staff turnover sits at 48.9%, a few points above the national rate, so the people providing care change often. The current record shows 24 deficiencies, two of them abuse-related; none rose to the level of actual harm or jeopardy, and the most recent inspection came in February 2026. CMS gives the home two stars each for health inspections, quality measures, and staffing. It's a 48-bed for-profit limited liability company in Washington County.
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?