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.
Westminster Woods At Huntingdo runs 64 certified beds as a nonprofit corporation, and its staffing sits at 3.69 nurse hours per resident day, roughly 4% under the national average of 3.86, with weekends running about 6% lighter than its own weekdays. Turnover is 38.3%, better than the 45.8% national figure, so the same faces are likelier to stay. The harder numbers are on the inspection side: 25 deficiencies on record, 4 of them abuse-related, though none reached harm or jeopardy, and the last inspection was recent. The two CMS ratings that matter most to families, health inspections and quality measures, both land at 2 out of 5.
Kadima Rehabilitation & Nursing At North Strabane runs 62 certified beds in Canonsburg under corporate, for-profit ownership. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average of 3.86, and weekends drop about 10 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 64.6 percent against a 45.8 percent national rate, meaning most of the people caring for residents this year likely won't be there next year. The current record shows 26 deficiencies, none at harm or jeopardy level, but three tied to abuse. Its last inspection was October 11, 2024.
Sterling Health Care and Rehab Center runs 164 beds in Media under corporate ownership, and the numbers show strain across the board. Nurse staffing sits at 3.51 hours per resident per day, roughly 9% under the national average, and weekends drop about 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.3% tops the national rate, and a 2/5 inspection rating comes alongside 34 deficiencies, including three at the harm or jeopardy level and four tied to abuse, plus $25,625 in fines. The most recent inspection was in October 2024.
Willow Terrace runs 174 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8 percent under the national average of 3.86. Weekend coverage drops about 10 percent below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 47.6 percent against a national average of 45.8 percent, meaning nearly half the nursing workforce turns over in a year. The inspection record carries 61 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with one fine of $9,113. A January 2025 inspection is recent, but the 1-star health inspection rating against a 4-star quality measure score suggests the care problems are real and documented, not just paperwork.
Exton Post Acute runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.66 nurse hours per resident day, roughly 5% under the national average, with weekends running about 14% below its own weekday levels. Annual turnover is 58.9%, well above the 45.8% national figure, which matters because consistent caregivers learn residents' patterns. The inspection record shows 35 deficiencies, including six at the harm or jeopardy level and three tied to abuse, plus seven fines totaling $145,924. Quality measures score well, but the staffing and inspection sides of CMS data are where the trouble sits, and that split is what a family should weigh when deciding whether to tour.
Adviniacare Providence Dodge runs 161 beds and gives each resident about 3.06 nursing hours a day, roughly a fifth below the national average, with weekends staffed about 9% thinner than weekdays. That thin coverage sits alongside 33 deficiencies on the current record, including two at the harm level and four tied to abuse, plus $58,559 in fines from two cases. What keeps the picture from being uniformly grim is a 22.8% turnover rate, half the national figure, and a 4/5 quality measure score, suggesting the staff who stay do good work. The last inspection was August 2025.
Bayview Rehabilitation and Healthcare Center runs 120 beds in North Kingstown under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, and annual turnover hits 50.5%, above the 45.8% national figure. The inspection record is where things get serious: 32 deficiencies, five at harm or jeopardy level, two tied to abuse, and two fines totaling $52,785. A recent September 2025 inspection means the findings are current, not stale. Quality measures score well, but staffing and inspection history carry more weight when you're choosing care for someone you love.
Brushy Creek Post Acute in Greer runs below the national average on nurse staffing, 3.61 hours per resident day against 3.86, and drops about 13% further on weekends, so coverage thins exactly when families tend to visit. Turnover sits at 38.5%, better than the national 45.8%, but that's the one number here working in the home's favor. Its inspection record is the real concern: 16 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus a $30,665 fine and a one-star health inspection rating, with the most recent inspection in December 2025. A for-profit limited liability company owns the 144-bed building.
Carlyle Senior Care of Aiken runs 86 certified beds under for-profit LLC ownership, and its staffing is genuinely its strong point, 4.10 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 8% below weekday levels, and turnover sits at 44.3%, slightly better than the national 45.8%. Where the picture darkens is inspections and care quality: both CMS ratings sit at 1 out of 5, with 11 deficiencies on the current record, including 2 at harm or jeopardy level and 3 tied to abuse. That's a lot of serious findings for a home this size, and it points to problems that adequate staffing hours alone haven't prevented.
Life Care Center of Hilton Head runs about 3.69 nursing hours per resident day, roughly 5% under the national average, and weekend staffing drops around 14% below its own weekday level. Staff turnover sits at 56.3%, well above the 45.8% national figure, that's more than half the nursing staff leaving in a year. The current inspection record shows 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $8,281. Its most recent inspection was July 17, 2025. Quality measure scores look strong, but the inspection history and staffing pattern tell a different story.
Mccormick Post Acute runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.11 nurse hours per resident day, roughly 19 percent under the national average, with weekends about 11 percent thinner than weekdays. That thin coverage shows up in the inspection record, a one-star health inspection rating, 21 deficiencies including three at harm or jeopardy level and two tied to abuse, plus $77,101 in fines across two penalties. Staff turnover sits at 40.9 percent, a bit better than the 45.8 percent national figure, and the quality measure rating is strong at five stars, but those measures lean on resident assessments rather than day-to-day care capacity. The most recent inspection was May 2025, so the picture is current.
Spearfish Canyon Healthcare runs 105 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.37 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop another 13 percent below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover of 58.8 percent against a 45.8 percent national figure means caregivers are cycling through steadily, which matters more than any single star rating. The inspection record backs that up: 21 deficiencies, including four tied to abuse and one at the harm level, with a $9,718 fine. The most recent inspection was August 2025, so the record is current, not stale.
Good Samaritan Society Sioux Falls Center runs 98 certified beds as a nonprofit, and its staffing sits at 3.58 nurse hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 12% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 44.2%, a hair under the national 45.8%, so retention here isn't the problem. The inspection record is: 18 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus one fine of $11,261. The most recent inspection was September 5, 2025.
Sunset Manor runs a genuinely strong bedside staffing line, 5.10 nurse hours per resident day, roughly a third more than the national norm, and that's the one number here that works in families' favor. But weekends dip about 16% below the home's own weekday coverage, and the same staff is turning over at 70.4% a year against a national 45.8%, so the people delivering that care keep changing. Inspectors cited 17 deficiencies on the current record, four at harm or jeopardy level and five tied to abuse, with $40,596 in fines, and the most recent inspection closed out in late December 2025. Nonprofit ownership hasn't kept the compliance record clean.
Diamond Care Center runs on thin coverage, 2.44 nurse staffing hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. CMS gives that staffing a 1 out of 5, and the health inspection record matches: 25 deficiencies, including two at the harm level and one tied to abuse, plus $69,512 in fines. Annual turnover sits at 54.5%, well above the national 45.8%, which makes it harder to hold onto the staff who know these 36 residents. The quality measure star of 4 out of 5 shows some care processes are being tracked well, and the last inspection was September 2025. But staffing and compliance are where families usually feel the difference day to day.
Nhc Healthcare, Springfield runs 107 certified beds under for-profit LLC ownership, and its last inspection was December 3, 2025, recent enough that the record reflects current conditions. Those conditions include 14 deficiencies, three of them abuse-related and two at the harm or jeopardy level, plus a $122,070 federal fine. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, weekends run roughly 9% leaner than weekdays, and annual turnover is 54.6% against a national 45.8%. The five-star quality measure rating stands out against a one-star inspection rating, but quality measures are self-reported resident data, not an outside surveyor's findings. Staffing earns three stars.
Highlands Health And Rehabilitation Center runs 180 beds in Memphis under corporate for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average of 3.86. Weekends run about 12% thinner than weekdays, and annual turnover is 53.6% against a national 45.8%. That combination shows up in the federal stars: 2 out of 5 for staffing and 2 for health inspections, with 16 deficiencies on the current record, one serious enough to reach harm or jeopardy level. No abuse citations, and quality measures score a middling 3. The last inspection was August 2022, so the record you're reading is more than a year old.
Wexford House runs 174 beds in Kingsport, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends drop about 11% below the home's own weekday numbers, and annual turnover hits 65% against a national 45.8%, so the aides and nurses you'd see most often are changing faster than average. The current record lists 15 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level, and the last inspection was in June 2025. Quality measures score mid-range while staffing lands at the bottom of CMS's scale, which is where the C comes from.
Tri State Health and Rehabilitation Center runs 116 certified beds as a for-profit corporation, and its current inspection record carries 15 deficiencies, five of them serious enough to involve harm or jeopardy, plus two tied to abuse. The health inspection rating sits at 1 out of 5, and two fines totaling $14,852 are on file, with the most recent inspection dated December 2025. Nurse staffing comes in at 3.44 hours per resident day, roughly 11% under the national average, and weekends run about 15% thinner than weekdays. Staff turnover is 38.5%, which is lower than the 45.8% national figure, a genuine bright spot. If you're weighing this one, ask hard questions about how those harm-level findings were resolved.
Life Care Center of Athens runs on a corporate for-profit model with 128 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.54 hours per resident day, about 8 percent under the national average, and weekends drop roughly another 10 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most, at 29.4 percent against a national 45.8 percent, which suggests some stability in who's actually at the bedside. What pulls the record down is inspections: a one-star health inspection rating, 16 deficiencies on file including one at harm level and three tied to abuse. The last inspection was March 28, 2026.
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?