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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 801–820 of 10,187, best-graded first.

A

87/100

Parke View Rehabilitation & Care Center

Burley, ID · Cassia County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
42%
Serious cites
0

Parke View runs 3.90 nurse hours per resident day, just above the national average of 3.86, and weekends dip about 11% below its own weekday coverage. Staff turnover sits at 41.8%, better than the 45.8% national figure. Inspectors were last in on August 21, 2025, and the home carries 20 deficiencies on its current record, none at the harm or jeopardy level, none abuse-related. Health inspection rating is 4 out of 5, quality measures 5 out of 5, staffing 4 out of 5. Corporate-owned and larger than average at 86 beds, so ask about weekend coverage and how they hold onto staff, but the record itself is fairly clean.

A

87/100

Bridgeview Estates

Twin Falls, ID · Twin Falls County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Bridgeview Estates runs 116 certified beds in Twin Falls under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly above the national average. The catch is weekends, when coverage drops about 14% below the home's own weekday level, so care can thin out right when families visit. Staff turnover is 39.1%, better than the 45.8% national figure, which matters because consistent caregivers know residents' routines. The tradeoff shows up in inspections: 31 deficiencies on record, one involving harm or jeopardy, and a 2/5 health inspection rating from the most recent survey in July 2025. Strong quality measures and steady staffing can't fully offset that citation history, ask to see the plan of correction.

A

87/100

Oak Trace

Downers Grove, IL · Du Page County

CMS 5/5 104 beds Non-profit
Nurse hours
4.30 /day
Staff turnover
39%
Serious cites
0

Oak Trace runs on 4.30 nurse hours per resident day, about 11% above the national average, though weekends dip roughly 11% below its own weekday coverage, worth asking about if your family visits Saturdays and Sundays. Staff turnover sits at 39.3%, better than the 45.8% national figure, and the health inspection record shows 16 deficiencies, two of them at the harm level, with no abuse citations and one fine of $13,780. The last inspection was March 2026, so the record is current. As a nonprofit with 104 beds in Downers Grove, it posts strong quality and staffing marks; the harm-level deficiencies and that weekend gap are the two things pulling an otherwise solid record down a notch.

A

87/100

Alden Estates Of Skokie

Skokie, IL · Cook County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
41%
Serious cites
0

Alden Estates Of Skokie runs 4.62 nurse hours per resident day, roughly 20% above the national average, and its 41% turnover sits below the national 45.8%. Those are real strengths. But the record shows three deficiencies, one at the harm or jeopardy level, and staffing drops about 12% on weekends compared with its own weekdays, a pattern families should ask about directly. The most recent inspection was September 2025. For-profit corporate ownership. Ask about the harm-level deficiency and what changed since.

A

87/100

Amber Manor Care Center

Petersburg, IN · Pike County

CMS 5/5 64 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
30%
Serious cites
0

Amber Manor runs a tight ship on inspections: seven deficiencies on record, none of them serious enough to cause harm or involve abuse, and a recent survey from August 2025 backs that up. The tradeoff shows up in daily staffing. At 3.46 nurse hours per resident day, it sits roughly 11% under the national average, and weekends dip about 13% below its own weekday coverage, worth asking how that plays out on a Sunday. Staff turnover is the bright spot at 30%, well under the 45.8% national figure, which suggests people stick around. It's a for-profit LLC with 64 beds, and quality measures score well, but the staffing gap is the number I'd press on.

A

87/100

Silver Oaks Health Campus

Columbus, IN · Bartholomew County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
36%
Serious cites
0

Silver Oaks runs 4.80 nurse staffing hours per resident per day, roughly a quarter above the national average, and its staff turnover of 35.5% sits well below the typical 45.8%, both signs of a stable, well-covered floor. The tradeoffs show up elsewhere: 19 deficiencies on the current record, including two at the harm or jeopardy level, and a single $8,824 fine. Weekend staffing dips about 5% below its own weekday level, so coverage isn't perfectly even. The most recent inspection was May 12, 2026, meaning the record reflects current conditions rather than old ones. Corporate ownership and a 3-out-of-5 inspection rating are worth asking about directly.

A

87/100

Covered Bridge Health Campus

Seymour, IN · Jackson County

CMS 5/5 78 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
19%
Serious cites
0

Covered Bridge Health Campus is county-owned, and that shows in the numbers. Nurses provide 4.25 hours of care per resident each day, roughly 10% more than the national average of 3.86, and staff turnover sits at 18.8% against a national rate of 45.8%, people here tend to stay. Inspections back that up: 11 deficiencies on record with none at the harm level, though one is abuse-related, worth asking about directly. Weekend staffing dips about 13% below weekdays. The last inspection was in February 2026, so the record is current.

A

87/100

River Pointe Health Campus

Evansville, IN · Vanderburgh County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
40%
Serious cites
0

River Pointe runs 68 certified beds under corporate ownership in Evansville, and the numbers behind its grade are mostly steady. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekends drop about 11% below what the home staffs during the week, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 40%, better than the national 45.8%. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025.

A

87/100

Woodbridge Health Campus

Logansport, IN · Cass County

CMS 5/5 69 beds Government Medicaid
Nurse hours
3.66 /day
Staff turnover
29%
Serious cites
0

Woodbridge Health Campus is county-owned, and the numbers suggest that public ownership here comes with real attention to care. The health inspection record is strong, four stars, with 11 deficiencies on file and none of them serious enough to cause harm or jeopardy. Staff turnover sits at 28.6%, well under the national average of 45.8%, which matters for residents who need consistent faces. The tradeoff is daily staffing: 3.66 nurse hours per resident falls about 5% under the national average, and weekends dip roughly 14% below weekdays. Families should ask how that weekend gap gets covered. With a recent June 2025 inspection and solid quality measures, the care fundamentals look dependable, just go in knowing weekday and weekend coverage aren't identical.

A

87/100

Stonebridge Health Campus

Bedford, IN · Lawrence County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
34%
Serious cites
0

Stonebridge Health Campus sits a little above the national average on nurse staffing, about 3.94 hours per resident day, though weekend coverage dips roughly 12% below what the building runs on weekdays, so ask how that plays out on a Sunday. Turnover is 34.4%, well under the 45.8% national figure, which matters more than it sounds: fewer unfamiliar faces at the bedside. The seven deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection was September 2025, so the picture is current. Corporate for-profit ownership, 68 beds, and inspection and quality ratings that both land at the top of CMS's scale.

A

87/100

Asbury Towers Health Care Center

Greencastle, IN · Putnam County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
5.79 /day
Staff turnover
47%
Serious cites
0

Asbury Towers runs a nonprofit home with 48 beds in Greencastle, and its nurse staffing sits at 5.79 hours per resident day, roughly half again the national average of 3.86. That's the number driving its record. Weekend coverage dips about 15% below its own weekday level, and turnover is 46.7%, a touch above the 45.8% national figure, so the staffing edge comes with some churn behind it. The health inspection side holds up: a 4-out-of-5 rating, last surveyed March 30, 2026, with 15 deficiencies on file but none at the harm or jeopardy level and nothing abuse-related. Fifteen citations is not a spotless record, though the absence of serious harm matters more than the raw count.

A

87/100

Creasy Springs Health Campus

Lafayette, IN · Tippecanoe County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
44%
Serious cites
0

Creasy Springs Health Campus runs a for-profit operation with 71 certified beds, and its staffing is the strongest part of the story: 4.58 nurse hours per resident day, roughly 19% above the national average, with turnover at 43.5%, slightly better than the 45.8% norm. Weekends dip about 14% below weekday coverage, so ask how that plays out on a Sunday. The trouble sits in inspections: a 2/5 health inspection rating, 33 deficiencies on record including one at the harm level, and an $8,018 fine, though nothing abuse-related. Quality measures score 5/5, but that's self-reported data. The last inspection was February 2026.

A

87/100

Hamilton Trace Of Fishers

Fishers, IN · Hamilton County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
36%
Serious cites
0

Hamilton Trace of Fishers runs 108 certified beds as a for-profit corporation, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, so ask how that gap gets covered. Turnover is the brighter spot: 36.2% against a national 45.8%, meaning caregivers here tend to stay longer than at the typical home. The inspection record is the weak point, 26 deficiencies, one tied to abuse, and a 2-out-of-5 health inspection rating, last surveyed May 2025. No deficiency reached harm or jeopardy level, which matters, but that volume of findings alongside thin weekend staffing is worth pressing on directly.

A

87/100

Wellbrooke Of Wabash

Wabash, IN · Wabash County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
32%
Serious cites
0

Wellbrooke Of Wabash runs 70 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing worth noting: 4.10 nurse hours per resident day, about 6% above the national average of 3.86. Weekend coverage dips roughly 12% below its own weekday level, which is common but still worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 31.7%, well under the national 45.8%, so the people caring for residents tend to stick around. The 13 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was January 14, 2026, so the picture is current rather than stale.

A

87/100

Harrison's Crossing Health Campus

Terre Haute, IN · Vigo County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
22%
Serious cites
0

Harrison's Crossing sits in Terre Haute with 72 certified beds and a corporate owner. The staffing numbers are the real story here: 4.58 nurse hours per resident day, roughly 18% above the national average, with weekend coverage only about 7% thinner than weekdays. That matters because most homes run much lighter on weekends. Turnover is 22.2% against a national average near 46%, which suggests people stay. The health inspection record shows 19 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was April 2026 and quality measures scored well. A B from ElderGrade reflects strong staffing and outcomes weighed against a deficiency record that isn't spotless.

A

87/100

Kahl Home For The Aged & Infirmed

Davenport, IA · Scott County

CMS 3/5 135 beds Non-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
37%
Serious cites
0

Kahl Home has a strange split on its record. The clinical quality measures come in at the top of CMS's scale and staffing is solidly above average, 3.96 nurse hours per resident day, a bit ahead of the 3.86 national figure, with turnover at 37.2% against a 45.8% national rate. But the health inspection side tells a different story: 15 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and CMS rates inspections just 2 out of 5. Weekend coverage also dips about 7% below weekday levels. The most recent inspection, in March 2026, is recent enough to trust. The B reflects real strengths in care delivery weighed against unresolved problems with how the building is run day to day.

A

87/100

The Village

Indianola, IA · Warren County

CMS 5/5 54 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
46%
Serious cites
0

The Village in Indianola runs on a nonprofit model and staffs above the national average, 4.10 nurse hours per resident day against 3.86, though weekends dip about 10% below its own weekday coverage, so ask how that gap gets filled. Turnover sits at 45.9%, essentially the national average, which means retention here isn't a crisis but isn't a strength either. Seven deficiencies appear on the current record, one serious enough to involve harm or jeopardy, with nothing abuse-related. The last inspection was January 15, 2026, recent enough to trust. Four stars on health inspections and quality measures, five on staffing, with 54 beds, small enough that you can reasonably expect staff to know residents by name.

A

87/100

Good Samaritan - George

George, IA · Lyon County

CMS 5/5 36 beds Non-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
38%
Serious cites
0

Good Samaritan, George runs 36 beds as a nonprofit, and its staff stick around longer than most, turnover of 37.9% beats the national 45.8%, but there aren't many of them: 3.34 nurse hours per resident day, about 13% under the national average, thinning further on weekends. The quality and staffing stars look strong, yet the inspection record shows 21 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $18,142 in fines and a survey completed in August 2025. Stable caregivers, lighter coverage, and a cited record, weigh all three before deciding.

A

87/100

Corning Specialty Care

Corning, IA · Adams County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
44%
Serious cites
0

Corning Specialty Care runs 40 certified beds as a nonprofit, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover lands at 43.5%, slightly better than the national 45.8%. Its inspection record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was in February 2026, so the picture is current. Quality measure scores are strong and staffing scores are solid. The tradeoff here is real: good clinical outcomes and low-severity findings, but thinner daily coverage than the typical home.

A

87/100

Laporte City Specialty Care

La Porte City, IA · Black Hawk County

CMS 4/5 46 beds Non-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
26%
Serious cites
0

Laporte City Specialty Care runs a tight ship on inspections, a four-star health inspection record with only three deficiencies and none tied to abuse. The catch is staffing. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends dip roughly 12% below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. The good news: turnover is 25.7%, well below the 45.8% national figure, so the people who are there tend to stay. Its last inspection was recent, in February 2026. For 46 beds under nonprofit ownership, that's a decent overall picture, just go in knowing the daily coverage is leaner than most.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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