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.
Champions Healthcare At Willowbrook runs on tighter staffing than most Texas homes, and the numbers show it: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That thin weekend margin matters in a 98-bed building, and a 51.9% annual turnover rate, well above the 45.8% national figure, means the aides and nurses on that floor are often new to the job. The inspection record carries 19 deficiencies, three serious enough to reach harm or jeopardy, one tied to abuse, and $44,335 in fines across two penalties. The most recent inspection closed in April 2026, so the record is current rather than stale. For-profit individual ownership rounds out the picture.
Riverside Nursing and Rehabilitation Center is a 122-bed for-profit in Austin where the staffing numbers are the first thing to notice. At 3.38 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.5 percent against a national 45.8 percent, which means caregivers cycle through faster than average. The inspection record backs that up: 28 deficiencies, five at harm or jeopardy level, two tied to abuse, and $88,227 in fines. The most recent inspection was January 15, 2026.
Memorial City runs on 3.20 nurse hours per resident day, about 17% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin schedule sits behind 32 deficiencies on the current record, six of them at harm or jeopardy level, one abuse-related, plus four fines totaling $70,554. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The hospital district ownership is worth noting, but it hasn't kept the inspection record clean, the last survey was April 28, 2026, and the health inspection side scored 2 out of 5. Quality measures look strong at 5 out of 5, which raises the question of whether the day-to-day staffing can carry that.
Hidalgo Nursing and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which is when families often visit and notice. The 25 deficiencies on its current record include one at the harm level and four tied to abuse, and the health inspection rating sits low. Staff turnover at 41.6% is slightly better than the national 45.8%, and its quality measure score is strong, but a government-hospital-district owner doesn't change the math: the daily staffing number is what your family will actually feel.
The Villages On Macarthur runs leaner than most: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays. That matters because its inspection record carries 29 deficiencies, two of them at the harm or jeopardy level and one tied to abuse, with $25,259 in fines across two penalties. The health inspection rating sits at 2 out of 5, though quality measures score 4 and staffing 3. Turnover is 43%, slightly better than the 45.8% national figure, and the most recent inspection was July 2025. A nonprofit with recent eyes on it, but the harm-level findings are the part to ask about directly.
The Pavilion At Creekwood runs 126 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends are thinner still, about 13% below its own weekday level, and turnover lands at 47%, slightly above the 45.8% national figure. The inspection record shows 24 deficiencies, four of them at harm or jeopardy level, with three fines totaling $39,674 and a 2/5 health inspection star. Quality measures score 4/5, but that doesn't offset the staffing and inspection picture. The most recent inspection was April 14, 2026, so the record is current.
The Healthcare Resort Of Plano runs 70 certified beds as a nonprofit, and its staffing sits just under the national average at 3.82 nurse hours per resident day. The bigger issue is consistency: weekends drop about 9% below its own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, meaning more than half the nursing staff turns over each year. That churn shows up on the inspection side too, 25 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $16,438 in fines across two events, with the most recent inspection in June 2025. Nothing here is catastrophic, but the pattern is a home running thin on staff and paying for it in citations.
Palomino Place runs 120 beds in Mesquite, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 52.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The inspection record shows 32 deficiencies, five serious enough to involve harm or jeopardy, plus one tied to abuse, and $165,086 in fines across three penalties. The last inspection was December 11, 2025, so the record is current. For-profit corporate ownership rounds out the picture.
Cypress Springs runs 95 certified beds in Mount Vernon as a for-profit LLC, and the numbers a family should sit with are the workforce ones. Total nurse staffing sits at 3.57 hours per resident day, about 8% under the national figure, and weekends drop roughly another 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 81.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Inspections in June 2025 turned up 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $29,438 fine on record. Quality measures score well; consistent hands-on care is the open question.
Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.
Lavaca Bay runs on 2.99 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage shows up in the record: 37 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $21,720 in fines across two penalties. Turnover sits at 51.4%, higher than the 45.8% national figure, so residents see a rotating cast of caregivers. The hospital district ownership doesn't change the math here, the staffing rating reflects the hours actually worked, not who signs the paycheck.
The Brixton at Horseshoe Bay runs 3.69 nurse hours per resident day, about 4% under the national average, and weekend coverage drops roughly 13% below its own weekday level, so the thinnest staffing tends to land when families visit. Annual turnover sits at 57.8%, well above the 45.8% national figure, which at 120 beds means a lot of unfamiliar faces. Inspectors cited 10 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a single fine of $85,007. The most recent inspection was June 26, 2025. A for-profit LLC operates the home.
Maple Healthcare runs about 3.56 nurse hours per resident day, roughly 8% under the national average, and weekends drop another 15% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% turnover rate sits close to the national figure, meaning staffing is less a retention crisis than a raw-numbers problem. Ten deficiencies are on the current record, one at harm or jeopardy level and two tied to abuse, with a $33,800 fine and a June 2025 inspection behind them. Prairie County's only other option, a hospital-based unit in Hazen, could matter if you're weighing alternatives.
Plaza Healthcare Center sits in Santa Ana with 145 certified beds and a for-profit LLC structure. Its 4.14 nurse hours per resident day runs about 7% above the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage, so the staffing picture is better than many homes on paper but not evenly spread across the week. The inspection record is the harder read: 159 deficiencies currently on file, 25 of them abuse-related and two at the harm or jeopardy level, with a 2-out-of-5 health inspection rating and a last survey in June 2025. Fines total just $4,587 across two events, which is modest against the deficiency count.
Windsor Gardens runs 98 beds in Los Angeles under for-profit LLC ownership, and the inspection record is where families should focus first. Ninety deficiencies sit on the current record, including three at the harm or jeopardy level and five tied to abuse, that's a pattern, not a one-time slip. The 1-out-of-5 health inspection rating reflects it, and the last inspection in April 2026 was recent enough that this picture is current. Staffing is thin in a quieter way: 3.84 nurse hours per resident day, just under the national average, with weekends running about 5% below weekdays. Annual turnover of 51.9% means more than half the nursing staff leaves each year, well above the national 45.8%.
Tower Road Post Acute runs 138 beds in Marietta under for-profit LLC ownership, and its staffing is the weak spot: 3.25 nurse hours per resident day, about 16% under the national average, with weekends roughly 15% thinner than weekdays. Turnover sits at 58.3% against a national 45.8%, so aides and nurses are cycling out faster than residents can get to know them. The health inspection record shows 32 deficiencies, none at harm level but one abuse-related, and the most recent inspection was January 2026. Quality measures score well, but staffing is what families feel day to day, and that's where the numbers fall short.
Bainbridge Landing runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 18% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Annual turnover is 43.4%, slightly better than the national 45.8%, which is one genuine bright spot. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection logged April 2026. Federal ratings put staffing and quality measures at 2 out of 5 stars each, health inspections at 3. Ask about weekend coverage and who actually supervises aides on those shifts.
Twin City Trails of Journey runs 110 certified beds in Emanuel County under for-profit LLC ownership, and the numbers tell two different stories. Inspections look solid, a recent December 2025 survey, ten deficiencies on record with none at the harm level and nothing abuse-related, plus strong marks on health inspection and quality measures. Staffing is where it slips. At 2.63 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends drop roughly 18% beneath its own weekday coverage. Annual turnover hits 60.6% against a national 45.8%, meaning well over half the nursing staff leaves each year. Fewer hands, frequent replacements.
Sheridan Village runs 191 beds on Chicago's South Side, and the staffing number is the one to sit with: 2.58 nurse hours per resident per day against a national average of 3.86. That's roughly a third less hands-on care than typical, and weekends drop another 17% below the home's own weekday level. Turnover at 27.3% actually beats the 45.8% national figure, so the problem isn't churn, it's how few hours each resident gets. The inspection record shows 38 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus a $52,284 fine. The most recent inspection was May 2025.
Manor Court of Maryville is a nonprofit home with 132 beds, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86. That sounds good until you notice weekends run about 15% thinner than weekdays, and turnover lands at 46.5%, basically matching the national rate of 45.8%.
The inspection record is where things get more mixed. Eighteen deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse. A 4-out-of-5 health inspection rating and a recent November 2024 survey help offset that, but the 2-out-of-5 quality measure rating drags the other direction.
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?