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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA, grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 61 to 80 of 10,187, best-graded first.

A

96/100

Swiss Village

Berne, IN · Adams County

CMS 5/5128 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
32%
Serious cites
0

Swiss Village runs 4.39 nurse hours per resident day, about 14 percent above the national average, and its staff turnover of 32.4 percent sits well under the 45.8 percent national figure, that combination is harder to find than it should be. Weekend staffing drops roughly 12 percent below weekday levels, so ask how that plays out on a Sunday. Five deficiencies are on record, none at the harm level, though one is abuse-related, and the most recent inspection was December 2025. As a nonprofit with 128 beds, it has the staffing depth and consistency that show up in the numbers.

A

96/100

Terrace Glen Village

Marion, IA · Linn County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
33%
Serious cites
0

Terrace Glen Village runs 4.23 nurse hours per resident per day, roughly 10% above the national average, but weekends dip about 10% below its own weekday coverage, worth asking how that gap gets covered. Staff turnover sits at 32.6%, well under the 45.8% national figure, which suggests people stay. Inspections in November 2025 turned up 10 deficiencies, 3 serious enough to involve harm or jeopardy, though none abuse-related, and the 4/5 health inspection rating reflects that mixed record. Quality and staffing measures both came back 5/5. Corporate for-profit ownership of a 40-bed home means fewer layers between decisions and residents.

A

96/100

Maine Veterans Home - Augusta

Augusta, ME · Kennebec County

CMS 5/5108 bedsNon-profitMedicaid
Nurse hours
6.62 /day
Staff turnover
33%
Serious cites
0

Maine Veterans Home in Augusta runs on a state Veterans' Affairs model, and the staffing numbers show it: 6.62 nurse hours per resident day, roughly 72% above the national average. That's a big cushion, and it shows up in the five-star staffing rating. Turnover sits at 32.5%, well below the national 45.8%, so the people caring for residents tend to stay. Twelve deficiencies on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. The most recent inspection was November 2025, so the picture is current. Nonprofit ownership, 108 beds, and quality and inspection ratings both at four stars. The weak spot, if there is one, is weekends, when staffing drops about 10% below its own weekday level.

A

96/100

Homewood Living Frederick

Frederick, MD · Frederick County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
26%
Serious cites
0

Homewood Living Frederick runs on church-affiliated nonprofit ownership, and the numbers show a home that's been stable for a while. Nurses provide 4.42 hours of care per resident each day, roughly 15% above the national average of 3.86, and weekend staffing dips only about 7% below weekday levels, a modest gap, not the kind of drop that leaves families worrying about Saturday coverage. Staff turnover sits at 26.4% against a national average near 46%, which suggests people stay. The 19 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was July 2025, so the picture is current. Three five-star CMS ratings back it up.

A

96/100

Garrett County Subacute Unit

Oakland, MD · Garrett County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
9.45 /day
Staff turnover
35%
Serious cites
0

Garrett County Subacute Unit is a ten-bed for-profit home in Oakland, and its staffing numbers are the story here. At 9.45 nurse hours per resident day, it runs roughly two and a half times the national average, and turnover sits at 35.3%, below the 45.8% national figure, which matters for a small facility where one departure is felt. The trade-off is weekends, when coverage drops about 14% below its own weekday level. Inspections back up the rest: a clean current record of eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Five stars across health inspections, quality measures, and staffing is rare company.

A

96/100

Willowbrooke Ct Skilled Care Buckingham's Choice

Adamstown, MD · Frederick County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
12%
Serious cites
0

Willowbrooke Ct runs 4.32 nurse hours per resident day, roughly 12 percent above the national figure, and its staff turnover sits at 11.5 percent against a national average near 46, that retention number is the one that tends to matter most, because familiar caregivers notice changes sooner. Weekends run about 11 percent lighter than weekdays, worth asking about if your family visits then. The 23 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was February 2026. A nonprofit corporation operates the 42-bed home. All three CMS star ratings, inspections, quality measures, staffing, come in at five.

A

96/100

Riverbend Of South Natick

S Natick, MA · Middlesex County

CMS 5/555 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
39%
Serious cites
0

Riverbend Of South Natick runs on 4.19 total nurse hours per resident day, roughly 8% above the national figure, and its weekend staffing dips about 9% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. Staff turnover sits at 38.5%, lower than the 45.8% national rate, which suggests people tend to stick around here more than at the average home. The current record shows 19 deficiencies, none at the harm level, though one is abuse-related. That last inspection was recent, in August 2025.

A

96/100

Leonard Florence Center For Living

Chelsea, MA · Suffolk County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
7.34 /day
Staff turnover
31%
Serious cites
0

Nurse staffing at Leonard Florence Center for Living runs 7.34 hours per resident day, roughly 90% above the national average of 3.86, so direct care hours are generous rather than tight. Weekend coverage dips about 6% below its own weekday level, a modest gap. Annual turnover sits at 31.2%, well under the 45.8% national figure, and the nonprofit corporation that runs it has kept its inspection record current through November 2025. The eight deficiencies on file include none at the harm or jeopardy level and nothing related to abuse, with 5/5 stars across health inspections, quality measures, and staffing.

A

96/100

Schnepp Senior Care And Rehabilitation Center

St. Louis, MI · Gratiot County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
34%
Serious cites
0

Schnepp Senior Care runs 97 beds in St. Louis under for-profit LLC ownership, and its staffing numbers sit just under the national average, 3.79 nurse hours per resident day, with weekends running about 8% thinner than weekdays. The people it does have tend to stay: 34.2% turnover beats the 45.8% national rate. What pulls the record down is the inspection side. Seventeen deficiencies are on file, two of them at harm or jeopardy level and five tied to abuse, which explains a 2-out-of-5 health inspection rating. The last inspection was June 2025, so the picture is current. Strong quality and staffing stars coexist here with a troubled survey history, worth asking about directly before you decide.

A

96/100

Marywood Nursing Care Center

Livonia, MI · Wayne County

CMS 5/5103 bedsNon-profitMedicaid
Nurse hours
5.01 /day
Staff turnover
25%
Serious cites
0

Marywood runs on 5.01 nurse hours per resident day, roughly 30% above the national average, and weekend staffing dips about 10% below its own weekday levels. Staff turnover sits at 24.8% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in its record: 21 deficiencies, including one at the harm level and two abuse-related, though the most recent inspection was September 2025 and the health inspection rating still came in at 4 of 5. It's church-affiliated and nonprofit, with 103 beds. Strong staffing and low turnover, but read the abuse-related citations yourself before deciding.

A

96/100

Apple Valley Village Health Care Center

Apple Valley, MN · Dakota County

CMS 5/5162 bedsNon-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

Apple Valley Village runs on a nonprofit model with 162 certified beds, and the staffing numbers are where it separates itself: 4.87 nurse hours per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. That staff stays put too, 32.2% annual turnover versus 45.8% nationally, which matters because consistent caregivers know the residents. Weekends dip about 11% below weekday coverage, so ask how that plays out on a Sunday. The 21 deficiencies on record include two tied to abuse, though none rose to harm or jeopardy, and the most recent inspection was June 2025.

A

96/100

Langton Shores

Roseville, MN · Ramsey County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
33%
Serious cites
0

Langton Shores runs about 4.87 nursing hours per resident day, roughly a quarter more than the national average, and its weekend staffing only dips about 8% below weekdays, a small gap compared to what many homes show. Staff turnover sits at 33.3%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. On the inspection side, the Roseville home carries just two deficiencies, none at the harm level and none abuse-related, with its most recent survey completed in January 2026, so the record is both light and current. The nonprofit ownership rounds out a picture of steady staffing and clean surveys rather than any single standout number.

A

96/100

Knute Nelson Care Center

Alexandria, MN · Douglas County

CMS 5/583 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
29%
Serious cites
0

Knute Nelson Care Center in Alexandria runs about 4.16 nurse hours per resident day, roughly 8% above the national average, and weekend staffing drops about 14% from its weekday level. Staff turnover sits at 29.1% against a national average of 45.8%, so the people caring for residents tend to stay. The home carries 13 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related. Its last inspection was May 13, 2026, and it's a nonprofit, which matters for how dollars get allocated. All three CMS star ratings land at 5/5. Worth asking about that one abuse-related citation and how weekends are covered.

A

96/100

Jones Harrison Residence

Minneapolis, MN · Hennepin County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
4.71 /day
Staff turnover
28%
Serious cites
0

Jones Harrison Residence runs on a nonprofit model with 120 certified beds, and the staffing numbers are the clearest thing about it: 4.71 nurse hours per resident day, roughly 22% above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 28.4%, well under the 45.8% national figure, which matters more than any single inspection score. Weekend coverage dips about 8% from its own weekday level, so ask how that plays out on Sundays. The record shows 29 deficiencies, none at harm or jeopardy level, though four are abuse-related and worth asking about directly. The last inspection was in January 2026.

A

96/100

Haven Homes Of Maple Plain

Maple Plain, MN · Hennepin County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
29%
Serious cites
0

Haven Homes Of Maple Plain carries a rare set of marks: five stars across health inspections, quality measures, and staffing. The numbers behind that are real, not decorative. Nurse staffing runs 4.65 hours per resident day, roughly 20 percent above the national average, and staff turnover sits at 29.3 percent against a national figure near 46 percent, a workforce that mostly stays put. Weekend coverage dips about 11 percent below weekday levels, worth knowing if you visit Saturdays. The inspection record shows three deficiencies, none at the harm level and none tied to abuse, with the most recent survey dated May 2026. It's a 64-bed nonprofit, small enough that consistency is easier to hold.

A

96/100

The Birches At Trillium Woods

Plymouth, MN · Hennepin County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
5.48 /day
Staff turnover
21%
Serious cites
0

The Birches at Trillium Woods runs on 5.48 nurse hours per resident day, roughly 42 percent above the national average, and its staff turnover of 21.1 percent sits far below the 45.8 percent typical elsewhere. That combination, more hands on deck and far fewer people leaving, is the main thing separating this Plymouth home from most of its peers. Six deficiencies on record, none involving harm or abuse, with the most recent inspection in May 2026. Weekend coverage dips about 10 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays or Sundays.

A

96/100

Aurora On France

Edina, MN · Hennepin County

CMS 4/565 bedsNon-profitMedicaid
Nurse hours
6.27 /day
Staff turnover
29%
Serious cites
0

Aurora On France sits in Edina with 65 certified beds and a nonprofit, corporate owner. The staffing number is the headline: 6.27 nurse hours per resident day, roughly 62% above the national average, and a 5/5 staffing star. Weekend coverage dips about 10% below its own weekday level, but even that floor stays high. Turnover runs 29.1% against a national 45.8%, so the people providing that care tend to stay. The trade-off is inspections, 22 deficiencies on record, two tied to abuse, though none reached harm or jeopardy, and the last survey was in May 2026. Quality measures score 4/5. Plenty of hands and stable staff, with paperwork issues worth asking about directly.

A

96/100

Lutheran Senior Services At Meramec Bluffs

Ballwin, MO · St. Louis County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
27%
Serious cites
0

Lutheran Senior Services At Meramec Bluffs runs a small operation, 32 certified beds in Ballwin, and it's staffed like a place that intends to keep them. At 5.25 nurse hours per resident day, it sits roughly 36% above the national average of 3.86, and its 27.1% turnover is well under the 45.8% national figure, which suggests people stay. The tradeoff is weekends, when staffing drops about 14% below its own weekday level. The inspection record is strong: a 5-star health inspection rating, eight total deficiencies with none at the harm or jeopardy level, and a survey completed in October 2024. One abuse-related deficiency is on the record, so ask about it directly. Church-affiliated nonprofit ownership, and quality measures land at 4 stars.

A

96/100

Brookestone Village

Omaha, NE · Douglas County

CMS 5/5140 bedsNon-profitMedicaid
Nurse hours
4.84 /day
Staff turnover
34%
Serious cites
0

Brookestone Village runs on about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover sits at 33.7 percent against a national 45.8, both signs of a home that can hold onto people. Weekend coverage dips about 11 percent below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Nine deficiencies on the current record, none at the harm level, one tied to abuse; the last inspection was February 2026. As a nonprofit with 140 beds, the numbers point to steady care rather than crisis.

A

96/100

Brookestone Meadows Rehabilitation And Care Center

Elkhorn, NE · Douglas County

CMS 5/5140 bedsNon-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
32%
Serious cites
0

Brookestone Meadows runs on a nonprofit model in Elkhorn with 140 certified beds, and the staffing numbers are the story here: 4.66 nurse hours per resident day, roughly a fifth more than the national average. Weekend coverage dips about 9% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Annual turnover sits at 31.9% against a national average near 46%, so the people caring for residents tend to stick around. Three deficiencies on the current record, none at the harm level and none abuse-related, with an inspection as recent as April 2025.

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?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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