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.
Elevate Care Palos Heights runs 111 beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.54 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to visit and notice. Turnover at 44% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 21 deficiencies, four serious enough to reach harm or jeopardy, and seven tied to abuse. Two fines totaling $57,370, with the most recent inspection in January 2025. The quality measure score looks good on paper, but I'd ask directly about those abuse deficiencies before deciding.
Alden Of Waterford runs 99 certified beds in Aurora under corporate ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday coverage, which matters when falls and infections don't check the calendar. Staff turnover of 43.5% is slightly better than the 45.8% national figure, though still high enough that familiar faces are not a given. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $106,499. Its last inspection was March 27, 2025.
Marshall Rehab & Nursing runs 75 certified beds under for-profit partnership ownership, and the staffing numbers tell a mixed story. At 3.78 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 19% below its own weekday coverage, worth asking about if you're planning visits or worrying about Saturday care. Turnover at 40% is better than the 45.8% national figure, which matters for continuity. What stands out more is the record: 42 deficiencies, 14 of them abuse-related, though none reached harm or jeopardy level. Inspections were last done in April 2024, and all three CMS star ratings sit at 2 out of 5.
Aperion Care Greenfield runs 2.92 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip about 21% below what the building manages on weekdays. Turnover sits at 38.5%, actually better than the 45.8% national figure, so the problem isn't a revolving door so much as not enough staff on the floor to begin with. The current record shows 31 deficiencies, including two tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in September 2025. All three CMS star ratings, health inspections, quality measures, and staffing, land at two out of five.
Berea Health and Rehabilitation runs 84 certified beds under for-profit partnership ownership, and its staffing picture is more fragile than the headline number suggests. Total nurse staffing sits at 3.91 hours per resident day, barely above the national average, but weekends drop about 17% below the home's own weekday levels, and annual turnover hits 55.2% against a national 45.8%. Inspections look better: a 4/5 health inspection rating, most recently surveyed in April 2025, with seven deficiencies on record, two of them serious enough to reach harm or jeopardy level, and $16,801 in fines across two penalties. The gap between decent inspection results and thin, churning staffing is what stands out here.
Liberty Care & Rehabilitation Center runs 97 certified beds under for-profit LLC ownership, and the numbers worth knowing are on the inspection side. Seventeen deficiencies sit on the current record, six of them serious enough to involve harm or jeopardy, plus two tied to abuse. Three fines add up to $65,196. Staffing lands at 3.47 nurse hours per resident day against a national average of 3.86, and weekend coverage drops about 16% below the home's own weekday level. Annual turnover of 55.8% runs well above the 45.8% national figure. The quality measure score looks strong, but quality measures rely on self-reported data, the inspection history and the thin weekend staffing are the parts a family can't argue with.
The Columns runs 140 beds in Jonesville under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover runs 50% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 25 deficiencies, three tied to abuse, though none reached harm or jeopardy level; the most recent survey was May 2025. Quality and staffing each earned two of five stars from CMS, inspection three.
The Woodlands Healthcare Center runs about 3.33 nurse hours per resident per day, roughly 14 percent under the national average, and weekends drop another 19 percent below its own weekday coverage. Turnover sits at 44.2 percent, statistically close to the 45.8 percent national figure, so retention isn't the standout problem here, daily staffing volume is. Inspectors logged 18 deficiencies on the current record with none at harm or jeopardy level, though one is abuse-related, and the last visit was September 2025. Quality and staffing star ratings both come in at 2 out of 5. It's a for-profit LLC with 152 certified beds, so ask about weekend coverage and that abuse citation directly.
Colonial Oaks runs lean on nursing hours, 3.11 per resident day against a national average of 3.86, and weekends drop roughly 18% below its own weekday pace. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though turnover at 39.7% is actually better than the 45.8% national figure. The inspection record shows 25 deficiencies, none of them serious enough to cause harm and none tied to abuse, with the most recent survey dated May 2026. Quality measures land below average too. A for-profit LLC operation with 110 beds, this is a home where the care is present but stretched.
Westgate Hills runs leaner than most: 3.59 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17 percent below its own weekday staffing. That gap matters because needs don't take weekends off. Staff turnover sits at 56.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The current inspection record carries 74 deficiencies, including six tied to abuse, though none rose to the harm or jeopardy level. State inspectors were last on site in April 2025. Quality measures look strong here, but the staffing and inspection numbers are where a family should focus their questions.
Largo Nursing and Rehabilitation Center runs 130 certified beds in Glenarden, and the numbers show a home stretched thin on the floor. Nurse staffing sits at 3.11 hours per resident day, roughly 19 percent under the national average, weekend coverage drops about 15 percent below its own weekday level, and the staffing star rating reflects that at 1 out of 5. The inspection record is heavier: 82 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, along with a $72,514 fine and a November 2025 inspection. Annual turnover of 42.7 percent is slightly better than the national figure, and the quality measure rating of 4 out of 5 stands out against the rest. For-profit, limited liability ownership.
Life Care Center of Bridgeton runs on thin nursing coverage. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 15% below its own weekday levels. Staff turnover is the bigger tell: 68.2% annually, well above the 45.8% national figure, which means caregivers are constantly new to residents. The inspection record backs that up, 58 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $21,801. The last inspection was February 2025, so the record is current. Ownership is for-profit, a limited liability company. Quality measures look decent; staffing is where the problems concentrate.
Hunter Acres Caring Center runs 120 certified beds in Sikeston under individual for-profit ownership, and the staffing numbers are where the trouble shows. At 3.42 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 20 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Half the staff turned over in the past year, above the 45.8 percent national figure. Inspections look decent on paper (4 of 5 stars, most recent in August 2025), but the record carries 24 deficiencies, including one at harm level and two tied to abuse, plus a $10,023 fine. Quality measures earned 2 stars, staffing just 1.
Oak Park Care Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. The health inspection and quality measure ratings both sit at 4 out of 5, and the most recent inspection in August 2024 turned up no abuse citations, but there are 39 deficiencies on record, one of them serious enough to cause harm or jeopardy. Staffing is where the cracks show: 3.80 nurse hours per resident day, just under the national average, with weekend coverage dropping roughly 16% below weekdays. Annual turnover of 55.4% is nearly ten points above the national rate, which means the people caring for residents are frequently new. Plenty of homes in worse shape, but the thin weekend staffing and constant churn are worth asking about directly.
St. Joseph's runs on 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers that matter: 65% annual turnover against a national 45.8%, plus 30 deficiencies on the current record, two of them abuse-related. The last inspection was March 2026, so the record is recent rather than stale. A for-profit limited liability company owns the 83-bed home, and its one-star health inspection rating sits alongside two-star marks for staffing and quality measures. No deficiencies rose to harm or jeopardy level, which is worth noting, but the pattern of low staffing and high turnover is the thing to ask about directly.
Massena Rehabilitation & Nursing Center runs 160 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.41 total nurse hours per resident day, roughly 12% under the national average, with weekends dropping about 18% below its own weekday levels. Annual turnover sits at 61.2% against a national 45.8%. The current record shows 41 deficiencies, one at harm or jeopardy level and none abuse-related, plus three fines totaling $33,387. Its last inspection was August 15, 2025. A 1-out-of-5 health inspection rating and 2-out-of-5 quality measures round out a picture of a home where consistent nurse coverage has been the persistent problem.
Macgregor Downs runs 152 beds in Greenville under corporate ownership, and the numbers show a building stretched thinner than most. Nurse staffing sits at 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays, so the coverage gap families notice on a Saturday isn't imagined. Annual turnover of 50% means half the nursing staff leaves each year, above the 45.8% national figure, and the current inspection record carries 25 deficiencies, including one at harm or jeopardy level and two tied to abuse. One fine totaling $10,023 is on file.
Pruitthealth-Carolina Point runs on thinner nurse staffing than most homes in the country, 3.23 hours per resident day against a national average of 3.86, and weekends get leaner still, dropping roughly 18% below what the building staffs on weekdays. Turnover sits at 57.8%, well above the 45.8% national figure, so the people who remain are stretched and the ones who leave take institutional knowledge with them. The inspection record backs that up: 18 deficiencies on file, two serious enough to involve harm or jeopardy, two tied to abuse, and $52,901 in fines across two penalties. Quality measures score well, but a 1-out-of-5 staffing rating and a recent February 2026 inspection tell you where the risk actually lives.
Aventura At Shiloh Springs runs on 3.07 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekend coverage drops about 8% below its own weekday level. That thin staffing shows up in its one-star CMS staffing rating even as residents' clinical measures earn five stars. The inspection record is heavier: 59 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a two-star health inspection rating. This for-profit corporation's 84-bed home was last inspected January 8, 2026, so the record is current, not stale. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
Calera Manor runs on 2.26 nurse hours per resident day, roughly 42 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thin coverage, the federal staffing rating lands at 1 out of 5, is the backdrop for 24 deficiencies on the current record, four of them abuse-related, though none reached harm or jeopardy level. Turnover sits at 42.2 percent, a bit better than the 45.8 percent national figure. A for-profit limited liability company operates the 82-bed home, which was last inspected in June 2025. A 3-out-of-5 inspection rating and 2-out-of-5 on quality measures round out a picture where daily staffing is the main question.
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?