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.
Lake Ridge Center runs 3.92 nurse hours per resident day, slightly above the national average, and that staffing shows up in its four-star staffing rating. But the same numbers carry a warning: weekend coverage drops about 8% below weekday levels, and 54.7% of staff turned over last year against a national average of 45.8%, that churn makes consistent care harder to hold onto. The inspection record is where this home gets into trouble: 38 deficiencies, five at harm or jeopardy level, five tied to abuse, and $87,201 in fines across two penalties. The April 2026 inspection is recent, so the record reflects current conditions rather than old problems.
Life Care Center of Mount Vernon runs 121 certified beds under corporate for-profit ownership, and its last inspection was in April 2025. The record behind that inspection is the real story: 91 deficiencies, including 8 at the harm or jeopardy level and 11 tied to abuse. Four fines add up to $206,734. Staffing sits at 3.84 hours per resident day, roughly a percentage point under the national average, and weekends drop about 13% below the home's own weekday coverage. Annual turnover is 53.4% against a national 45.8%. The quality measure rating is strong and staffing is middling, but inspection history is where families should focus.
Regency Coupeville runs a for-profit, LLC-owned home of 112 certified beds, and the staffing picture is genuinely mixed. Its 4.26 nurse hours per resident day tops the national average by roughly 10%, which is a real strength, but weekends drop about 17% below its own weekday coverage, and annual turnover sits at 52.1%, well above the 45.8% national figure.
The inspection record is where the trouble shows. A survey on July 30, 2025 left 72 deficiencies on file, including 3 at harm or jeopardy level and 10 tied to abuse. Three fines total $131,131. Combined with a 2-out-of-5 health inspection rating, that record weighs heavily against the otherwise solid staffing numbers.
Seattle Medical Post Acute Care runs a for-profit operation with 103 beds, and the staffing numbers are genuinely strong on paper, 5.71 nurse hours per resident day, roughly 48% above the national average, with turnover at 43.4% that's slightly better than the typical home. The problem is what inspections keep finding. Eighty-two deficiencies sit on the current record, nine of them serious enough to endanger residents and eight tied to abuse. Six fines totaling $73,318 have piled up, and the most recent inspection was just September 2025, so this isn't a stale record. Quality measures score well and staffing looks adequate, but those inspection findings at the harm level tell a different story about what daily life there can actually be like.
Alderwood runs a for-profit corporate home with 113 beds in Lynnwood, and the numbers pull in different directions. Nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, and weekends dip about 9% below its own weekday levels. The trouble shows up elsewhere: CMS gives it 1 out of 5 stars on health inspections, with 123 deficiencies on the current record, including 4 at the harm or jeopardy level and 13 tied to abuse. Four fines total $190,519. Staff turnover is 56.7%, well above the 45.8% national figure, which matters when a place relies on consistent caregivers. The last inspection was August 2025, so the record is recent, and it's a rough one.
Columbia Crest Center has 111 certified beds and a for-profit corporate owner, and its last inspection was January 9, 2026. The numbers worth sitting with: 73 deficiencies on the current record, including 6 at the harm or jeopardy level and 11 abuse-related, plus three fines totaling $163,278. CMS gave it 1 out of 5 stars on health inspections while handing it 5 out of 5 on quality measures, an unusually wide split, and a reminder that quality scores come largely from self-reported data. Nurse staffing runs 4.05 hours per resident day, about 5% above the national average, but weekend staffing drops roughly 11% below its own weekday level, and turnover is 59.7% against a national 45.8%.
North Cascades Health And Rehabilitation is a for-profit LLC home in Bellingham with 122 certified beds, and the numbers tell a split story. Staffing sits at 3.74 nurse hours per resident day, about 3% under the national average, and weekends run roughly 16% thinner than weekdays, so the days your family member might visit are often the days with the least coverage. Turnover at 34.5% is better than the national 45.8%, but the inspection record is the real concern: 95 deficiencies, 10 at harm or jeopardy level, 14 abuse-related, and six fines totaling $313,623, with the most recent inspection on April 13, 2026. Good quality scores don't cancel out a record like that.
Gig Harbor Health And Rehabilitation runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.94 hours per resident day, just above the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops roughly 12% below the home's own weekday levels.
The bigger concern is the inspection record: 119 deficiencies, four at harm or jeopardy level, 14 tied to abuse, and two fines totaling $127,781. Annual turnover of 67.9% against a national 45.8% means caregivers are cycling through fast. A five-star quality measure score doesn't offset a one-star health inspection rating and that many serious findings. If you're considering this home, ask directly how they're addressing turnover and what's changed since the December 2025 inspection.
Avalon Care Center At Northpointe runs 119 certified beds on Spokane's north side under corporate for-profit ownership, and the numbers show real strain. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hit 62% last year against a national 45.8%, which means many of the people caring for residents are still learning the building.
The inspection record is the harder read: 74 deficiencies on file, including two at the harm level and four tied to abuse, with $84,614 in fines and a February 2025 inspection. The quality measure rating is strong, but that reflects charted clinical outcomes, not day-to-day consistency.
Pine Lodge runs on thinner staffing than most homes in the country, 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below what the building manages on weekdays. That's the number that matters most, because it's when families visit and when there's less backup. The inspection record carries 53 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey in May 2026. Turnover at 42.6% is slightly better than the national rate, which is a small point in its favor, but a 1-out-of-5 staffing rating from CMS tells you the federal reviewers see the same gap the hours do.
Putnam Center runs 120 certified beds in Hurricane under corporate for-profit ownership, and its staffing sits about 19% under the national average at 3.14 nurse hours per resident day. Weekends get thinner still, roughly 18% below the home's own weekday level, while annual turnover hits 49.5% against a 45.8% national figure. The inspection record is the harder read: 73 deficiencies on the current books, including two at harm or jeopardy level and seven tied to abuse. That combination, a one-star health inspection rating, a recent May 2025 survey, and staffing that trails the average while relying on a workforce turning over about half its ranks yearly, is what pulls the overall picture down despite a middling 3/5 on quality measures.
Rosewood Center runs 69 beds in Grafton under corporate ownership, and its nurse staffing sits at 3.13 hours per resident day, about 19 percent under the national average, with weekends roughly 14 percent thinner than weekdays. Turnover runs 44 percent, which is close to the national figure, so the problem here isn't churn so much as how few hands are on deck at any given time, especially Saturdays and Sundays. The inspection record is the heavier issue: 74 deficiencies, including 2 at the harm level and 7 tied to abuse, with a $14,433 fine and a health inspection rating of 2 out of 5. Quality measures score well at 4 stars, but low staffing and that deficiency count are what a family should weigh.
Sistersville Center runs on 3.01 nurse staffing hours per resident day, roughly 22 percent under the national average, and weekends dip further, about 7 percent below its own weekday levels. The 68-bed for-profit home holds a one-star CMS inspection rating and has accumulated 68 deficiencies, including five at the harm or jeopardy level and nine tied to abuse; one fine of $38,255 is on record, and the most recent inspection was April 2, 2026. Staff turnover sits at 38.8 percent, better than the 45.8 percent national average, so the problem here isn't retention so much as thin coverage and a long history of inspection findings.
Clay Healthcare Center runs 60 certified beds in Ivydale under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 4.14 nurse hours per resident day against a national average of 3.86, with turnover at 41.7%, below the 45.8% national figure. Weekends thin out about 14% from weekday coverage, which is common but still worth knowing if your visits fall on Saturdays. The trouble sits in the inspection record. Thirty-four deficiencies, including one at the harm or jeopardy level and two tied to abuse, produced a 2-out-of-5 health inspection rating and a $16,149 fine. That inspection was recent, dated May 2025. Strong quality scores and good weekday staffing don't cancel out an inspection history like that. Ask about those abuse deficiencies specifically before deciding.
Shenandoah Center runs on 3.03 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 9% below its own weekday coverage. The inspection record shows 53 deficiencies, including 4 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $48,469. Staff turnover of 41.9% is a bit better than the 45.8% national figure, and the most recent inspection was March 2026, but a corporate-owned home with that many cited problems and thin daily coverage gives families real things to weigh before deciding.
Samaritan runs a genuine split personality. The nursing hours are real, 4.95 per resident per day, roughly 28% above the national average, and weekends thin out about 15% from that weekday level, which is a normal dip. But 75.7% of staff turned over in a year against a national 45.8%, so those hours keep getting delivered by new faces.
Then there's the record. Fifty-seven deficiencies, four serious enough to put residents in harm's way, eight tied to abuse. Two fines totaling $210,298. The health inspection rating sits at the bottom of CMS's scale, and the last inspection was January 2025. A corporation owns it. Good staffing numbers don't erase a paper trail like that.
Edgerton Care Center runs on more nursing hours than most homes, 4.65 per resident day against a national average of 3.86, and that shows up in its staffing rating. The rest of the picture is harder to sit with. State inspectors cited 65 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, and 16 tied to abuse. That inspection rating sits at the bottom of CMS's scale, and the most recent visit was March 2025. Staff turnover runs 54.3% a year, well above the 45.8% national figure, and weekend coverage drops roughly 11% below weekday levels. Extra hands on paper don't offset a record like that.
Tudor Oaks runs more nursing hours per resident than most homes nationally, 4.34 versus 3.86, but that edge thins on weekends, when coverage drops about 9% below its own weekday levels. The bigger concern sits in the inspection record: 37 deficiencies, three serious enough to involve harm or jeopardy, and nine tied to abuse. A single fine of $180,810 followed the most recent inspection in June 2025. Staff turnover of 56.4% runs well above the 45.8% national figure, which matters for consistency of care. This church-affiliated nonprofit has real strengths in direct staffing, but the harm-level and abuse-related findings are the kind families should ask about directly before deciding.
Nurse staffing at Edenbrook Of Oshkosh runs about 12% below the national average, at 3.39 hours per resident day, and it thins out further on weekends, roughly 10% less coverage than on weekdays. That matters because turnover sits at 59.8% against a national average of 45.8%, meaning nearly six in ten caregivers left over the past year, so the people on the floor are often new. The current inspection record shows 27 deficiencies, two of them abuse-related, with no violations at the harm level. Ownership is a for-profit limited liability company, and the most recent inspection was in March 2025.
Stevens Point Health Services runs 50 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national figure of 3.86. Weekends dip roughly 10% below the home's own weekday coverage, and annual turnover is 57.1% against a national average of 45.8%, so the aides and nurses your family sees may keep changing. The inspection record shows 48 deficiencies, including one at the harm level and seven tied to abuse. The most recent inspection was July 2025. Quality measure scores land at 1 out of 5 stars, meaning clinical outcomes like falls and infections trail what CMS expects.
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?