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.
Celebrate Sr Living Of Moline runs a lean nursing floor: 3.01 nurse hours per resident day, roughly 22% under the national average, with weekends about 10% thinner than weekdays. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure, so the people who are there tend to stay. Inspections tell a different story than daily coverage. The home's record shows 17 deficiencies, two at the harm level, one fine of $21,684, and a survey as recent as May 2025. The federal inspection and quality ratings disagree sharply, which is worth asking about directly before you decide.
Momence Meadows runs about 2.52 nurse hours per resident each day, roughly a third below the national figure of 3.86, and weekends dip below even that. Staff turnover sits near 51%, higher than the 45.8% national average, so the people providing care keep changing. The inspection record is the harder read: 53 deficiencies, four of them serious enough to put residents in harm's way and eleven tied to abuse. That's what sits behind the low marks on health inspections, quality measures, and staffing. With 140 beds under individual for-profit ownership and a November 2024 inspection on the books, this is a home where you'd want to visit unannounced, ask who actually covers weekends, and look closely at how complaints get handled.
Helia Healthcare Of Newton runs on 2.82 nurse hours per resident day, roughly 27% below the national average of 3.86, that's a real gap in daily coverage, not a rounding difference. The 33 deficiencies on the current record include one at the harm level, though none are abuse-related, and the last inspection was September 2024. Staff turnover sits at 45.2%, almost exactly the national figure, so retention isn't the problem here; the thin staffing is. Weekend hours dip only about 1% below weekdays, so the shortage is steady rather than a weekend-specific hole. Ownership is for-profit corporate. With quality and staffing each rated 2 of 5, the numbers point to a home that's staying in compliance but running lean.
Pearl Of Montclare runs 96 certified beds on Chicago's northwest side under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home schedules on weekdays, that gap matters most when families visit and see fewer aides on the floor. Staff turnover runs 50.5%, above the 45.8% national figure, which means roughly half the caregiver workforce turns over in a year. The current inspection record carries 56 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $53,336 in fines across three events. The last inspection was March 2025.
Alden Long Grove runs 248 beds in Lake County, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, so the quietest shifts get the thinnest help. Turnover is 41%, a bit better than the 45.8% national figure, but that's the one number here that reads favorably. The current inspection record carries 30 deficiencies, five at harm or jeopardy level and two tied to abuse, with $183,548 in fines across three penalties. The last inspection was January 2026. If you're weighing this one, ask specifically how they cover weekends and what changed since those harm-level findings.
Dixon Rehab & Hcc runs about 3.46 nursing hours per resident per day, roughly 11% under the national average, and weekends drop another 12% below its own weekday staffing. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the problem here isn't retention, it's sheer hours on the floor. The inspection record is the bigger concern: 21 deficiencies, six serious enough to involve harm or jeopardy, plus one abuse-related finding, and two fines totaling $34,753. The last inspection was October 2024, so the record is fairly current. Quality and staffing scores both land at 2 out of 5.
Aperion Care Burbank sits right around the national average for total nurse staffing, 3.88 hours per resident day versus 3.86, but that average hides a problem: weekend coverage drops about 6% below what the home staffs on weekdays, and CMS gives the place just 2 of 5 stars for staffing overall. The inspection record is where things get more serious. Twenty-five deficiencies are on file, seven of them serious enough to involve harm or jeopardy, three tied to abuse. Five fines totaling $90,114 have been levied. Turnover at 41.4% is slightly better than the 45.8% national figure, but it's still a lot of churn. Corporate-owned, 56 beds, last inspected August 2024.
Silver Foxes runs a 60-bed for-profit home in Mcleansboro with a strong inspection record, six deficiencies on file, none tied to abuse, and its most recent state visit came in November 2024. The staffing side tells a different story. At 2.53 nurse hours per resident day, it sits about a third under the national average of 3.86, and weekends dip slightly below its own weekday level. Annual turnover hits 63% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. One deficiency rose to the harm level. Good surveys don't staff the floor.
Miller's Merry Manor in Marion runs 176 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekends get thinner still, dropping about 14% below the home's own weekday coverage, which matters because that's when families often visit and when problems tend to surface. Staff turnover is 56.3%, well above the 45.8% national figure, and the current record carries 12 deficiencies, one serious enough to reach harm or jeopardy level. The last inspection was January 6, 2026, so the picture is recent. Nothing here is abuse-related, but the staffing and turnover numbers explain why this home lands where it does.
University Nursing Center runs on 3.28 nurse hours per resident day, about 15% under the national average, and weekend coverage drops roughly 11% below what it manages on weekdays. Staff turnover sits at 65.4% against a national average of 45.8%, so the people caring for residents change often. Its current record carries 30 deficiencies, including 4 at the harm or jeopardy level and 9 tied to abuse, with two fines totaling $74,585 and an inspection as recent as September 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection problems underneath it.
Premier Healthcare Of New Harmony runs 96 certified beds under for-profit limited liability ownership, and the numbers worth knowing sit in two places: inspections and staffing. Federal inspectors cited 52 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, findings serious enough to pull the health inspection rating down to 1 out of 5. Staffing tells a similar story, also 1 out of 5, with annual turnover at 55.1% against a national average of 45.8%. The quality measure rating of 3 out of 5 is the strongest piece here, and the last inspection was recent, in December 2025. Ask about direct care hours per resident and what the facility is doing to keep nurses and aides from leaving.
The Waters of Syracuse runs on thin staffing: 3.33 nurse hours per resident day, about 14% under the national average, and weekends drop roughly 11% below its own weekday levels. Turnover sits at 61.8% against a national 45.8%, so the aides and nurses caring for your relative are likely to change often. The inspection record is the harder problem, 34 deficiencies, two at harm or jeopardy level and one abuse-related, with a 1-out-of-5 health inspection rating. Ownership is for-profit, a limited liability company. Quality measures score well at 4 out of 5, but that reflects resident assessments, not the staffing and safety problems underneath them.
Riverside Village runs 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekend coverage drops about 14% below its own weekday level. That thin weekend staffing matters because care doesn't pause on Saturdays. The bigger number is turnover: 65.4% of staff leaving annually, against a national average of 45.8%, that kind of churn means residents see a rotating cast of caregivers.
The nonprofit corporation's inspection record shows 26 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Quality measures score well, but staffing doesn't, and a recent February 2026 inspection keeps the record current. Ask about weekend nurse coverage and how they're holding onto aides before you decide.
Envive of Evansville is county-owned and holds 200 certified beds, and its inspection record is the part that stands out most: 46 total deficiencies on file, including 3 at the harm or jeopardy level and 1 abuse-related, with 11 fines totaling $74,236. The health inspection rating sits at 1 out of 5, and the last inspection date is March 2026, so that record is recent, not stale. Staffing lands at 3.62 hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 4% below the home's own weekday level. Turnover runs 44.4%, a bit better than the 45.8% national figure.
Azria Health Winterset runs 65 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is slightly better than the 45.8% national figure, but the inspection record is the bigger concern: 30 deficiencies, one of them serious enough to reach harm or jeopardy level. That March 2026 inspection is recent, and the two-out-of-five ratings on health inspections, quality measures, and staffing all point the same direction.
Country Lane Manor runs on thin staffing: 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 10 percent below its own weekday levels. That's the kind of gap that shows up as unanswered call lights. Turnover sits at 62.1 percent against a 45.8 percent national figure, so the aides who know your mother's routines keep leaving. The inspection record is the harder read: 57 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, and a $59,150 fine, with the last state visit in August 2025. Ownership is for-profit, through a limited liability company. The quality star rating of 4 out of 5 is real, but it measures a narrow slice of care.
Colonial Manor Of Elma runs 40 beds under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 62.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 16 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with $44,768 in fines across two penalties and a February 2026 inspection.
Legacy On 10Th Avenue runs on 3.01 nurse hours per resident day, roughly 22 percent under the national average, and weekends dip about 10 percent below what the home itself staffs on weekdays. Turnover sits at 65.4 percent against a national 45.8, most of the people caring for your relative will be gone within the year. The inspection record is the heavier problem: 55 deficiencies, three at harm or jeopardy level, two abuse-related, with a 1-out-of-5 inspection rating. That last inspection on March 31, 2026 means the findings are current, not old history.
Willow Point runs about 45 beds in Kansas City, and its overall nurse staffing, 3.85 hours per resident day, sits essentially at the national average of 3.86, though weekends drop roughly 14% below its own weekday coverage. The bigger problem is who's giving that care: annual turnover hits 80% against a national 45.8%, so the faces change constantly. The inspection record backs that up, with 57 deficiencies on file, five at harm or jeopardy level and four tied to abuse. Ownership is corporate, for-profit, and the last inspection was October 2024.
Westview of Derby runs on thin staffing. At 3.26 nurse hours per resident day, it sits about 16 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 62.8 percent, against a national 45.8 percent, means the aides and nurses caring for residents are often new to the building.
The inspection record is the harder problem: 53 deficiencies, four at harm or jeopardy level, two tied to abuse, and six fines totaling $100,981. That 1-out-of-5 inspection rating sits alongside a 5-out-of-5 quality measure score, a gap worth asking about directly. This for-profit LLC is licensed for 78 beds, with its most recent inspection in March 2025.
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?