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.
Carlyle Senior Care of Blackville runs 85 certified beds under corporate, for-profit ownership, and the numbers worth knowing start with its inspection record: 16 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus 2 tied to abuse. Three fines totaling $58,881 have followed. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly 16% below the home's own weekday level, so coverage thins out right when families tend to visit. Staff turnover at 43.9% is slightly better than the 45.8% national figure, and the most recent inspection was March 31, 2026.
Avantara Pierre runs a 65-bed for-profit home in Hughes County, and the staffing numbers are the first thing to notice: 2.81 nurse hours per resident day, roughly 27% under the national average of 3.86. Weekends thin out further, about 19% below the home's own weekday coverage. Turnover sits at 40.5%, better than the 45.8% national figure, so the people who stay seem to stay. The trouble is the record: 33 deficiencies, three of them at harm or jeopardy level, one tied to abuse, and a $22,048 fine. Inspectors were last in on April 2, 2025.
Avantara Clark City runs 35 beds in Clark, and the raw staffing number looks better than it is: 4.17 nurse hours per resident day sits about 8% above the national average, but weekend coverage drops roughly 16% below the home's own weekday level, so the hours aren't spread evenly across the week. Staff turnover of 42.4% is slightly better than the 45.8% national figure, though the CMS staffing rating still lands at 2 out of 5. Inspectors gave a 4 out of 5 health inspection rating and visited recently, in January 2026, but the record carries 7 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $11,057 fine.
Good Samaritan Society Tyndall runs 68 certified beds as a nonprofit, and its last health inspection was in January 2025. The record shows 10 deficiencies, three of them serious enough to put residents in harm or jeopardy, plus three fines totaling nearly $45,000. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover is the number that would worry me most, 58.5% a year, well above the 45.8% national rate. Quality measure scores came in at 2 out of 5 stars.
Bethany Center runs 3.49 nurse hours per resident day, about 10% under the national average, and the gap widens on weekends, staffing drops roughly 18% below its own weekday level. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents are, more often than not, new to the building. That combination shows up in the staffing star rating: 1 out of 5.
The current inspection record lists 12 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse. The last inspection was April 2025, so the record is recent, not stale.
One bright spot: the quality measure rating is 4 out of 5, meaning the clinical numbers CMS tracks look better than the staffing does. For a for-profit LLC with 180 beds, the question worth asking on a tour is who's actually on the floor at 7 p.m. on a Saturday.
Life Care Center of Red Bank runs 148 certified beds in Chattanooga, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.59 hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 18% below the home's own weekday level. Staff turnover is the bigger flag: 61.2% annually, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. The current inspection record carries 24 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with one fine of $8,512. The most recent inspection was July 2024.
Weakley Rehabilitation and Nursing Center runs 139 certified beds out of Dresden under for-profit LLC ownership, and the numbers that matter most here are the staffing ones. Nurses provide about 3.68 hours of care per resident each day, roughly 5% under the national average, and the gap widens on weekends, when coverage drops about 20% below the home's own weekday level. Staff turnover sits at 55.2%, nearly ten points above the national figure, which means CNAs and nurses are cycling through the building faster than most. The current inspection record shows 26 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $72,917. Quality measures score well, but that's a narrow bright spot against thin staffing and a troubled compliance history.
Lampasas Nursing And Rehabilitation Center runs on 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 13% below what it manages on weekdays. The current inspection record carries 15 deficiencies, two of them serious enough to put residents in harm's way, along with two fines totaling $33,198. It's a hospital-district-owned home with 68 beds, inspected recently in January 2026, and its federal ratings sit at two stars for health inspections, two for quality measures, and one for staffing. The pattern worth noticing is the staffing number: when a building runs lean every day and leaner on weekends, the inspection findings tend to follow.
Meadow Brook runs on a knife's edge with staffing, and the numbers show it. Total nurse coverage sits just under the national average, but weekends drop roughly 19% below the home's own weekday levels, and annual turnover hits 77.8% against a national average of 45.8%, meaning the people caring for residents are, more often than not, new to the building. The inspection record is the harder problem: 59 deficiencies on file, 8 of them serious enough to put residents in harm's way and 9 tied to abuse, with a $31,331 fine attached. A recent inspection in November 2025 and a government-hospital-district owner don't erase that pattern.
Salem Health & Rehabilitation runs 240 beds under corporate ownership, and the numbers show a building stretched thin on the people side. Nurses provide about 3.14 hours of care per resident each day, roughly 19 percent under the national average, and weekends drop another 21 percent below what the home manages Monday through Friday. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in a 64 percent annual turnover rate, well above the 45.8 percent typical nationwide. The inspection record has 32 deficiencies, though none reached harm or jeopardy. Clinical quality scores well; the day-to-day caregiving capacity is the weak point.
Gretna Health and Rehabilitation Center runs 90 certified beds under corporate for-profit ownership, and its inspection record is the strongest card it holds, a 4-out-of-5 health inspection rating with 12 deficiencies on file, none at the harm or jeopardy level, though one is abuse-related. Staffing is the weaker side: 3.56 nurse hours per resident day sits about 8% under the national average, weekends drop roughly 17% below the home's own weekday levels, and the staffing star rating lands at 2 out of 5. Turnover is 37%, better than the 45.8% national figure. Quality measures also rate 2 out of 5, and the last inspection was July 2023, so that snapshot is now well over a year old.
York Post Acute runs leaner than most. At 3.33 nurse staffing hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover tells its own story: 61.7% of staff leaving annually against a national 45.8%, meaning new faces cycle through often. The inspection record is the harder read: 26 deficiencies, four at harm or jeopardy level, two tied to abuse, and a last inspection in June 2023. The quality measure score of 4 out of 5 shows clinical care can look fine on paper, but staffing and oversight are where this one asks you to look closer.
The Laurels of Bon Air runs on thinner staffing than most homes nationally, 3.43 nurse hours per resident day against a 3.86 average, and weekends drop roughly 16% below its own weekday coverage, which matters when families visit and needs don't pause. Turnover sits at 65.7%, well above the 45.8% national figure, so the people caring for residents change often. Its inspection record shows 67 deficiencies, though none reached harm or jeopardy level and none involved abuse, and the last full inspection was mid-2024. A limited liability company owns it for profit. The quality measure stars look strong, but those come from resident data, not from how the place is staffed or run day to day.
Dunbar Center runs 120 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average, with weekends dropping another 17% below its own weekday levels. The inspection record is where the real trouble shows: 81 deficiencies, three at harm or jeopardy level, three tied to abuse, and $58,899 in fines across two penalties, all reflected in a 1-out-of-5 health inspection rating. Staff turnover at 43.2% is slightly better than the 45.8% national figure, and the 5-out-of-5 quality measure score stands out, but that measure rests on data the home reports itself. The most recent inspection was April 2025.
Falcon Point Post Acute runs 130 beds in Katy under for-profit limited liability ownership, and the numbers tell you where the strain sits: 3.22 nurse hours per resident day against a national average of 3.86, with weekends running about 15% thinner than weekdays. Annual turnover hits 58.8%, well above the 45.8% national figure, which matters because 31 deficiencies sit on the current record, including one abuse-related citation, though none reached harm or jeopardy level. A single fine of $19,684 has been levied, and the last inspection was January 10, 2025. The staffing star comes in at 1 out of 5, and that's the piece to weigh hardest when you visit.
The Heights of Bulverde runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and weekends drop about 17% below its own weekday staffing, so the days families visit most are often the leanest. Turnover sits at 55.9% against a national 45.8%, which means many of the aides and nurses on the floor are still learning the building. That inspection record carries 47 deficiencies, including one at the harm level and four tied to abuse, though the most recent visit was in June 2025 and quality measures scored well.
Caraday Of Lampasas runs on 2.87 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record looks solid, but staffing sits at the bottom of CMS's scale, and 13 deficiencies include three at the harm level and one tied to abuse. Three fines totaling $16,426 are on file, with the last inspection dated February 2026. It's a hospital-district home with 76 beds, and the gap between its inspection results and its day-to-day staffing is the tension worth weighing.
Haven Of Show Low runs on 2.80 nurse hours per resident day, roughly 27 percent below the national average, and weekend coverage drops about 11 percent below its own weekday levels. Staff turnover sits at 59 percent against a national 45.8, so the people who do show up are frequently new. Its current record carries 33 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus $46,852 in fines. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it. The last inspection was August 2024.
The Blossoms At Midtown runs about 3.51 nursing hours per resident day, roughly 9% under the national average, and weekend coverage drops another 14% below its own weekday level. Staff turnover sits at 64.8% against a national average of 45.8%, most of the people caring for residents this year likely won't be there next year. Inspectors cited 26 deficiencies on the current record, two of them abuse-related, with no harm-level findings, and the last inspection was August 2025. This is a 154-bed for-profit LLC with one-star health inspection and two-star staffing and quality ratings.
Feather River Care Center runs 50 beds in Oroville under for-profit LLC ownership, and its nurse staffing comes in at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage drops about 12% below its own weekday level. That staffing edge is undercut by churn: annual turnover sits at 58.2% against a national 45.8%, meaning the people providing that care keep changing. The inspection record is the real concern, 81 deficiencies, including one at the harm level and eight tied to abuse, plus a $59,794 fine and a one-star health inspection rating. The quality measure rating of four stars reflects resident care metrics, but the staffing star and inspection history tell a different story.
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?