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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 781–800 of 10,187, best-graded first.

A

87/100

Labelle Health And Rehabilitation Center

Labelle, FL · Hendry County

CMS 5/5 93 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
37%
Serious cites
0

Labelle Health and Rehabilitation Center runs 93 beds under limited-liability, for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average, and weekends dip about 7% below the home's own weekday level, so coverage is a little thinner when families tend to visit. Turnover is the bright spot: 36.7% against a national 45.8%, meaning fewer caregivers cycling out the door. The inspection record backs that up, with a 5/5 health inspection rating, 9 total deficiencies and none at harm or jeopardy level, plus a clean 5/5 on quality measures. Last surveyed May 2024.

A

87/100

Solaris Healthcare Parkway

Stuart, FL · Martin County

CMS 4/5 177 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
21%
Serious cites
0

Solaris Healthcare Parkway runs a tight ship on retention: 20.8% annual turnover against a 45.8% national average means aides and nurses here tend to stay, which matters more for daily care than almost anything else on a federal report. The tradeoff is raw hours, 3.64 nurse staffing hours per resident day, roughly 6% under the national figure, with weekends dipping about 9% below the home's own weekday levels. Fifteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, though none tied to abuse, and the last full inspection came in December 2025.

A

87/100

Shoreside Health And Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 5/5 150 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
28%
Serious cites
0

Shoreside Health and Rehabilitation Center runs 150 beds in Miami under corporate for-profit ownership, and its inspection record is the strongest thing about it: a five-star health inspection rating, 19 deficiencies on the current record with none at the harm or jeopardy level and none abuse-related, and a survey completed just recently, in September 2025. Staffing is where it slips. At 3.61 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends run roughly 7% thinner than its own weekdays. The offsetting number is turnover: 28.2% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay.

A

87/100

Orange City Nursing And Rehab Center

Debary, FL · Volusia County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
40%
Serious cites
0

Orange City Nursing and Rehab Center runs 120 beds in Debary under corporate ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Turnover is the brighter spot: 39.6% against a national 45.8%, which suggests a more stable crew than most. The tradeoff shows up in inspections, six deficiencies on record, two of them serious enough to be flagged at harm or jeopardy level, plus two fines totaling $16,801. The most recent inspection was March 27, 2025. Resident care measures score well, but the harm-level findings and below-average staffing are what hold this one back.

A

87/100

Solaris Healthcare Apopka

Apopka, FL · Orange County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
28%
Serious cites
0

Solaris Healthcare Apopka runs a tight operation on the things that are hard to fix. Its 27.8% staff turnover sits well under the national 45.8% average, which matters because consistent caregivers tend to know their residents and catch problems early. The inspection record backs that up: a five-star health inspection rating, four deficiencies total, none at the harm level, and a recent survey from December 2024. The tradeoff is hours. Nurse staffing at 3.72 hours per resident day lands about 4% under the national average, and weekends dip roughly 11% below the home's own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor than midweek. Ownership is a for-profit limited liability company with 120 certified beds.

A

87/100

Life Care Center Of Winter Haven

Winter Haven, FL · Polk County

CMS 4/5 177 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Winter Haven runs 177 certified beds under corporate for-profit ownership, and its staffing sits at 3.80 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 39%, better than the 45.8% national figure, so aides and nurses tend to stick around longer than at the typical home. The current record shows 22 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2025. State surveyors rated health inspections 3 out of 5, while quality measures came in at 5 out of 5.

A

87/100

Royal Oaks Nursing And Rehab Center

Titusville, FL · Brevard County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
30%
Serious cites
0

Royal Oaks runs on more nursing hours than the typical American nursing home, 4.00 per resident day against a national average of 3.86, and its weekend coverage dips about 13% below what it provides during the week, so the help you'd see on a Saturday isn't quite the help you'd see on a Tuesday. Staff turnover sits at 30% while the national figure is closer to 46%, meaning aides and nurses here tend to stick around longer than they do elsewhere, which matters for residents who don't handle constant new faces well. The home carries nine deficiencies on its current record, none of them tied to harm or abuse, and its last inspection was in February 2026.

A

87/100

Solaris Healthcare Daytona

Daytona Beach, FL · Volusia County

CMS 5/5 73 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
37%
Serious cites
0

Solaris Healthcare Daytona runs a tight ship on the numbers that matter most. Its nurse staffing sits slightly above the national average, and while weekend coverage drops about 8% from weekday levels, that's a modest dip rather than a cliff. The bigger story is who stays: turnover runs at 36.6%, well under the 45.8% national figure, which means familiar faces are more likely to be there when your family member needs them. Three deficiencies on record, none involving harm or abuse, with a clean five-star inspection and quality rating. As a nonprofit, it isn't chasing quarterly returns. Worth a visit if you're weighing options in Volusia County.

A

87/100

Gardens Court

Palm Beach Gardens, FL · Palm Beach County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
22%
Serious cites
0

Gardens Court sits in Palm Beach Gardens with 120 certified beds, run by a for-profit corporation. Its staffing lands at 3.87 nurse hours per resident day, essentially dead even with the national average, no real cushion there. But look at retention: 22.2% turnover against a national 45.8% means aides and nurses largely stay put, and weekend coverage only dips about 14% below weekdays, which is mild compared to many homes. On inspections, the record is clean where it counts, 5/5 health inspection stars, four deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent visit in January 2026.

A

87/100

Palmetto Subacute Care Center

Miami, FL · Miami-Dade County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
29%
Serious cites
0

Palmetto Subacute Care Center runs 95 beds in Miami, and its nurse staffing sits slightly above the national average, close to 4 hours per resident day. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The turnover number is the standout: 28.6% against a national average near 46%, meaning caregivers here tend to stay. Its last inspection was in February 2026, and the 14 deficiencies on record include none tied to harm, jeopardy, or abuse. For a for-profit corporate home, that is a clean inspection sheet paired with steady staffing.

A

87/100

Baldomero Lopez Memorial Veterans Nursing Home

Land O Lakes, FL · Pasco County

CMS 5/5 120 beds Government Medicaid
Nurse hours
4.76 /day
Staff turnover
48%
Serious cites
0

Baldomero Lopez Memorial Veterans Nursing Home runs on 4.76 nurse hours per resident day, roughly 23% above the national average, and that staffing depth is the main reason it holds up well. The tradeoff is a weekend dip of about 13% against its own weekday levels, so care may feel thinner on Saturdays and Sundays. Turnover sits at 47.5%, a touch above the national figure, and the record shows 8 deficiencies, none at harm or jeopardy level but one tied to abuse, worth asking about directly. Inspectors last visited in January 2024, and the state runs the place, which tends to mean steadier budgets but slower change.

A

87/100

Floridean Health & Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
33%
Serious cites
0

Floridean Health & Rehabilitation Center runs 90 certified beds in Miami under for-profit, limited-liability ownership, and its inspection record is genuinely clean, seven deficiencies on the current books, none at the harm or jeopardy level, none tied to abuse, with a survey completed in late September 2025. Staffing is where the picture gets more mixed: 3.62 nurse hours per resident day sits about 6% under the national average of 3.86, and weekends run roughly 9% thinner than weekdays, which matters most when families visit less and fewer eyes are watching. The offset is retention, 32.5% annual turnover against a national 45.8% means the aides and nurses here tend to stay, and that continuity is worth something a raw staffing number can't capture.

A

87/100

Life Care Center Of Port Saint Lucie

Port Saint Lucie, FL · St. Lucie County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
38%
Serious cites
0

Life Care Center of Port Saint Lucie runs 123 beds under corporate ownership, and its staffing sits slightly above the national average at 3.99 nurse hours per resident day. Turnover is a real bright spot: 37.6% versus 45.8% nationally, meaning fewer unfamiliar faces than at the typical home. Weekends, though, run about 14% thinner than weekdays, so ask how coverage holds up on a Sunday. The inspection record is the weak spot, 33 deficiencies, three tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in January 2026. Quality measures score well; the health inspection side is where the questions live.

A

87/100

Ponce Health And Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 5/5 147 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
20%
Serious cites
0

Ponce Health and Rehabilitation Center holds 147 certified beds in Miami-Dade County under for-profit LLC ownership, and the record is mostly steady. Nurse staffing sits at 3.77 hours per resident day against a national average of 3.86, a small gap, though weekends run about 7% thinner than weekdays, worth asking about if your family visits or needs coverage on Saturdays and Sundays. What stands out is turnover: 19.7% annually against a national 45.8%, meaning aides and nurses tend to stay. Thirteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025.

A

87/100

Life Care Center Of Jacksonville

Jacksonville, FL · Duval County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Life Care Center of Jacksonville runs on a corporate for-profit model with 120 certified beds, and its inspection record is genuinely clean: three deficiencies on file, none of them causing harm or involving abuse, with the most recent state visit in September 2024. Nurse staffing sits at 3.75 hours per resident day, about 3% under the national average, and weekends run roughly 11% thinner than weekdays, so ask how coverage holds up on a Sunday. Annual turnover of 43.8% is slightly better than the national 45.8%, which matters for whether you see the same aides from one shift to the next. Strong inspection and quality scores, thinner weekend hands.

A

87/100

Aviata At Kissimmee Gardens

Kissimmee, FL · Osceola County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
32%
Serious cites
0

Aviata At Kissimmee Gardens runs 3.39 nurse hours per resident per day, roughly 12 percent under the national average, and weekend coverage dips about 6 percent below its own weekday staffing. That's the tradeoff worth knowing about: the numbers aren't thin enough to raise alarms, but they aren't generous either, so care can feel tighter on Saturdays and Sundays. The rest of the picture is steadier. Turnover sits at 32 percent, well below the national 45.8 percent, which suggests people stay. Its 19 deficiencies include nothing at the harm level and nothing abuse-related, and the most recent inspection came in January 2026, so the record is current rather than stale.

A

87/100

University Health And Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 4/5 148 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
33%
Serious cites
0

University Health and Rehabilitation Center runs 148 certified beds under for-profit LLC ownership in Miami, and its numbers tell a mixed story. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends dip roughly 8% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the bright spot: 32.6% against a national 45.8% means aides and nurses are staying put longer than most places. The 26 deficiencies on file include none at harm or jeopardy level and nothing abuse-related, and the most recent inspection was May 2025, so the record is current. Quality measures score 5/5; staffing lands at 4/5.

A

87/100

Sarasota Point Rehabilitation Center

Sarasota, FL · Sarasota County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
41%
Serious cites
0

Sarasota Point Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and its last health inspection was in October 2024. The record shows 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, findings worth asking about directly. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86, and weekends run about 8% leaner than weekdays. Staff turnover is 41%, a bit better than the 45.8% national figure, and the quality measure score is strong. The softer spot is direct care time, especially on weekends.

A

87/100

Oak Hill Health & Rehabilitation

Brooksville, FL · Hernando County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
41%
Serious cites
0

Oak Hill runs 4.44 nurse hours per resident day, roughly 15% above the national average of 3.86, and the federal staffing rating reflects that at 4 out of 5. Turnover sits at 41.3%, a bit better than the 45.8% national figure. The catch is weekends: hours drop about 15% below weekday levels, so coverage thins out exactly when families tend to visit. Inspections turned up 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last visit was July 2025. Quality measures score 5 out of 5, inspection history 3 out of 5. A for-profit corporation owns the 109-bed building. Strong daily staffing and good clinical measures, with a weekend gap and a citation list worth asking about.

A

87/100

Life Care Ctr Of Lawrenceville

Lawrenceville, GA · Gwinnett County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
33%
Serious cites
0

Life Care Ctr Of Lawrenceville runs a 125-bed for-profit operation where the day-to-day staffing picture is genuinely better than most: 4.24 nurse hours per resident day, roughly a tenth above the national average, and turnover at 32.9% sits well below the 45.8% national figure. Weekends thin out by about 15% against its own weekday coverage, so that's worth asking about directly. The problem is the inspection record, a 1-out-of-5 health inspection rating, 15 deficiencies with three at the harm or jeopardy level, and a single $167,336 fine, even with quality and staffing both rated 4 out of 5 and the most recent inspection in March 2026. Ask what those harm-level citations involved.

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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