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.
Millcreek Rehabilitation and Nursing is a 61-bed county-owned home in Salt Lake City, and its inspection record is the first thing you'd want to look at. Twenty-nine deficiencies, three of them serious enough to put residents in harm's way, and four tied to abuse. The health inspection rating sits at 1 out of 5, with a $25,441 fine on the books and a survey completed in late March 2025.
Staffing is the other weak spot. At 2.25 nurse hours per resident per day, it runs about 42% under the national average, and weekends drop roughly another 13% below the home's own weekday levels. Turnover of 52.4% exceeds the national figure, and the staffing rating lands at 2 out of 5.
Birchwood Terrace runs 160 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.01 hours per resident day, about 4% above the national average of 3.86. That headline number is doing some work, though: weekends fall roughly 15% below the home's own weekday coverage, and annual turnover hits 56.8% against a national average of 45.8%, so the consistent caregiver you'd hope for is often not the one who shows up.
The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $127,834. The most recent inspection was August 2025. CMS gives it middling marks on health inspections and quality measures but only 2 of 5 stars for staffing.
The staffing numbers here look good on paper, 4.45 nurse hours per resident day, roughly 15% above the national average, but that average hides a problem: weekends run about 14% leaner than weekdays, so care thins out exactly when families tend to visit. Turnover sits at 57.6%, well above the 45.8% national figure, meaning nearly three in five caregivers left within the year. The health inspection side is where it gets more serious: 35 deficiencies on record, including 2 at the harm or jeopardy level and 4 tied to abuse, plus an $87,750 fine. The last inspection was April 8, 2026.
Woodridge Nursing Home in Barre runs a genuinely strong staffing operation, 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86, which is what earns it a four-star staffing rating. That cushion matters, since weekend coverage drops about 18% below its own weekday level. The harder question is stability: annual turnover sits at 62.6% against a national 45.8%, meaning a large share of those hours are delivered by people who weren't there last year. The inspection record reflects that tension, 32 deficiencies on file, including 10 abuse-related citations and one at the harm level, with a two-star health inspection rating and a $21,453 fine. The most recent inspection was September 12, 2025.
River View On The Appomattox runs 124 certified beds under for-profit partnership ownership, and the staffing numbers are the first thing I'd want you to see. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover hits 74.8% against a national 45.8%, so the people caring for your relative are likely to change often. The inspection record is heavier still: 63 deficiencies, two at harm or jeopardy level, four abuse-related, with the last inspection in March 2023.
Petersburg Healthcare Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national figure of 3.86. That gap widens on weekends, when coverage drops about 11% below the home's own weekday level, and annual turnover among nursing staff reaches 57.1% against a national average of 45.8%. The inspection record shows 43 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with one fine of $26,125. Quality measures score well, but staffing and inspection ratings both land at 2 out of 5.
Nurse staffing here sits at 3.85 hours per resident day, essentially matching the national average of 3.86, but that average hides a gap, since weekends run about 13% thinner than weekdays. Annual turnover is 52.4% against a national 45.8%, so the people showing up are changing often. The inspection record is the harder read: 48 deficiencies, two serious enough to put residents at harm or jeopardy, four tied to abuse, and $27,626 in fines across four events, with the last full inspection back in January 2023. A non-profit owns it, and the quality stars look strong, but staffing and inspection results are telling a different story.
Chelsea Rehabilitation And Healthcare Center runs 84 certified beds in Goochland under for-profit LLC ownership. Nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86, and weekends run about 10% thinner than weekdays, so the coverage families see on a Tuesday isn't what they'd see on a Sunday. Staff turnover, at 45.5%, is essentially the national rate, meaning little continuity from one month to the next. The current record carries 34 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $10,033 fine. A September 2024 inspection is recent enough to be current. Resident outcome measures score well; the inspection and staffing pictures are where the concern sits.
Staunton Post Acute & Rehabilitation runs 170 beds under corporate ownership, and the numbers that matter most here are the inspection ones. The current record shows 48 deficiencies, including five at the harm or jeopardy level and eight tied to abuse, a serious pattern that lines up with the one-star health inspection rating. It's also been more than two years since the last inspection in June 2023, so that record may not reflect what's happening now. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 10% below its own weekday level. Staff turnover is 54.2%, well above the 45.8% national figure.
Colonnades runs on staffing that most homes can't match, 6.72 nurse hours per resident day against a national average of 3.86, with turnover at 36.4% versus 45.8% nationally. That's a genuinely strong floor, and the staffing and quality stars reflect it. The problem sits elsewhere. Twenty-six deficiencies on the current record, including two at the harm level and four tied to abuse, and a one-star inspection rating, all from a visit in November 2024. Weekend coverage also dips about 10% below what the home provides Monday through Friday. A corporation owns it. Families weighing this one should read the inspection reports themselves before deciding.
The Jefferson runs 31 beds in Arlington, and the numbers behind its record are worth pausing on. Inspectors have cited 63 deficiencies, four of them at the level where a resident was actually harmed or put in jeopardy, and four tied to abuse, with three fines totaling $61,065. Staff turnover sits at 68.3% against a national average of 45.8%, which tracks with its one-star staffing rating, and the most recent inspection was March 2026. What's odd is the quality measure score: five stars, meaning the clinical data the home reports looks good even as its staffing and inspection records don't. Ask what that gap actually reflects before you decide.
Rosemont Health & Rehab Center runs 116 certified beds as a for-profit corporation, and its staffing sits about 10% under the national average at 3.48 nurse hours per resident day, a gap that widens on weekends, when coverage drops roughly 15% below its own weekday level. That thin margin matters more given the inspection record: 32 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with the last full inspection back in September 2022. Turnover is the one clear bright spot at 34.9%, well under the 45.8% national figure, and the quality measure score of 4 out of 5 suggests clinical outcomes hold up. But with a 2 out of 5 staffing rating and a two-year-old inspection, ask about weekend coverage and how the abuse-related findings were resolved.
Ghent Health and Rehabilitation runs 222 beds in Norfolk under for-profit LLC ownership, and its nurse staffing sits at 2.79 hours per resident per day, roughly 28% under the national average of 3.86. Weekends dip about 16% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is the harder number: 69 deficiencies, including 4 tied to abuse and 2 at the level of actual harm or jeopardy, with the most recent inspection dated February 26, 2026. Annual turnover of 50.7% tops the national 45.8% average, meaning a large share of caregivers are still new to the building.
Nassawadox Rehabilitation and Nursing runs 145 certified beds under for-profit limited liability ownership, and its inspection record is the part that should concern you most. Fifty-four deficiencies sit on the current record, five of them at harm or jeopardy level and two tied to abuse, and the last inspection was in May 2022, so that record is several years old now. Nurse staffing comes in at 3.36 hours per resident day, roughly 13% under the national average, with weekends about 8% thinner than weekdays. Staff turnover is lower than average at 32.6%, which is a genuine bright spot. The federal inspection rating of one star is the number that matters most here.
Marcella Post Acute runs 180 beds in Hampton under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.07 nurse hours per resident day, it sits about 21% under the national average, and weekends drop roughly another 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 60.2% against a 45.8% national rate means the aides and nurses you meet may not be there in six months.
The inspection record backs that up: 53 deficiencies, one at harm or jeopardy level, one abuse-related, and the last full inspection was in October 2021. Strong quality measure scores don't offset a staffing picture this thin.
Nurse staffing at Lynn Care Center runs 4.11 hours per resident day, a bit above the national average, but the coverage thins out on weekends, dropping about 16% below its own weekday level. Staff turnover sits at 56.6%, meaning more than half the nursing team leaves each year, well above the national 45.8%. The inspection record is where the real concern sits: 59 deficiencies, 4 of them at harm or jeopardy level, 3 related to abuse, and a $38,110 fine. That's a lot of problems for a 120-bed for-profit home, and the 1-out-of-5 inspection rating reflects it. High quality measure scores don't cancel out a record like that.
Pheasant Ridge runs on thinner staffing than most homes you'd compare it to, about 3.27 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly another 12% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families tend to visit and notice. Staff turnover sits at 53.8%, well above the 45.8% national figure, so the people caring for residents change often. The health inspection record shows 32 deficiencies, five of them serious enough to involve harm or jeopardy, though none are abuse-related. A January 2024 inspection is recent, and the 4/5 quality measure score suggests some clinical benchmarks are being met. But low staffing and high turnover weigh heavily against that.
Spokane Falls Care runs 100 beds under for-profit LLC ownership, and the direct-care staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends running about 14% thinner than weekdays. Annual turnover hits 60.7% against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is where things get serious: 102 deficiencies on file, three at harm or jeopardy level and ten tied to abuse, plus two fines totaling $125,736. The last inspection was April 2026. Quality measures score well at 4 stars, but that sits against 1-star health inspections and 2-star staffing.
Life Care Center of Kennewick runs 136 beds under corporate ownership, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86 nationally. That thin margin matters less than what happens on weekends, when coverage drops about 12% below the home's own weekday level. Turnover runs 47.7%, slightly above the 45.8% national figure. The real concern is the inspection record: 46 deficiencies, including 6 at harm or jeopardy level and 14 tied to abuse, with two fines totaling $60,246. A recent inspection in November 2025 and a 2-star health inspection rating suggest oversight problems persist even as quality measures score well.
Orchard Park runs 147 beds under for-profit LLC ownership, and its inspection record is the part that should give you pause: 113 deficiencies on file, four of them serious enough to involve actual harm or jeopardy, plus ten tied to abuse. Fines total $136,055 across two penalties. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families visit least. Annual turnover of 45.6% is essentially the national norm, which tells you little either way. The most recent inspection was June 1, 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?