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.
The numbers at Parkview Health and Rehabilitation Center describe a home stretched thin. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekend coverage drops about 10% below what residents get on weekdays. Staff turnover of 64.7% means most caregivers are relatively new, against a national rate around 46%.
The inspection record is the harder read: 52 deficiencies on file, three involving actual harm or jeopardy, eight tied to abuse. One fine so far, $16,834. The last inspection was August 2025, so the record is current rather than stale.
This is a for-profit limited liability operation with 58 certified beds. The staffing and inspection scores both land at the bottom of CMS's scale.
Azria Health Olathe runs 125 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.12 hours per resident day, roughly 7% above the national average. But weekends drop about 6% below its own weekday level, and annual turnover sits at 51.4%, higher than the 45.8% national figure. The inspection record is where it gets harder to defend: 45 deficiencies, including two at the harm or jeopardy level and two abuse-related, with three fines totaling $70,947. Its most recent inspection was September 2025. CMS gives it one star for health inspections, two for quality measures, and two for staffing. Plenty of hands on weekdays, but a troubled survey history and unstable workforce are the real story.
Green River Trails runs lean on nursing hours: 3.17 per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday staffing. That thin coverage is the main thing behind its middling scores on staffing and quality measures, even though the health inspection side came back strong at 4 out of 5. Turnover sits at 40.2%, a bit better than the 45.8% national figure, and the home carries eight deficiencies with none at the harm level and none abuse-related. Two fines total $12,645, and the last inspection was June 5, 2025. It's a for-profit corporation operating 118 certified beds.
Valhalla Post Acute runs 162 beds in Louisville under for-profit LLC ownership, and the direct-care hours don't quite keep up: 3.73 per resident day against a national average of 3.86, with weekends roughly 12% thinner than weekdays. The bigger signal is churn, 69.8% annual staff turnover, well above the 45.8% national figure, which makes consistent care hard to sustain no matter how the schedule looks on paper. Inspectors have logged 17 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $17,963 and a survey as recent as March 2026. Resident outcome measures score well; the staffing and inspection records are what pull the overall picture down.
Chateau St. James runs on thinner staffing than most homes in the country, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays. That gap matters more than any single number, because it's the stretch when families aren't visiting and residents need the most hands-on help. The inspection record is genuinely solid: 20 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in December 2025. So you're looking at a home that passes its health inspections but runs a limited-liability, for-profit operation with a thin staffing margin. Ask what weekend coverage actually looks like on the unit your relative would live on.
New Iberia Manor South runs on thin staffing, 3.72 nurse hours per resident day, under the national average, with weekends about 9% leaner than weekdays. That matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The inspection record is the bigger concern: 46 deficiencies, including one at the harm level and two tied to abuse, plus a $8,169 fine. A 1-out-of-5 health inspection rating and a matching 1 for quality measures point to problems that show up across surveys, not one bad day. Staff turnover at 44.4% is roughly in line with the national rate, so retention isn't the outlier here. The last inspection was July 2025, so the record is recent.
Heritage Manor of Baton Rouge II runs 144 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.56 hours per resident day, under the national average, with weekends running roughly 11% thinner than weekdays, so the coverage gaps show up when families tend to visit. Staff turnover is 60.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. On the inspection side, 33 deficiencies are on record, including six at harm or jeopardy level and seven tied to abuse, with four fines totaling $61,591 and a survey dated March 5, 2026. Ask about weekend coverage and how they keep experienced aides.
Mid City Community Nursing and Rehab runs 184 certified beds as a for-profit corporation, and its staffing is the first thing to look at: 3.14 nurse hours per resident day against a national average of 3.86, roughly 19% below. Weekends drop about 13% below its own weekday levels, and turnover sits at 47.7%, a bit above the national 45.8%. The inspection history is the strongest part of the record, a 4-out-of-5 star rating with the most recent survey in April 2026. But there are 22 deficiencies on file, including one at the harm or jeopardy level and three abuse-related, plus a $44,090 fine. Quality measures come in at 2 stars.
Eastridge runs on leaner staffing than most homes its size, 3.57 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday levels. The bigger concern is turnover: 63.6% of staff leave each year, well above the 45.8% national figure, and that churn shows up in a one-star staffing rating. Inspections are a different story. The most recent visit was December 2025, the health inspection rating sits at 4 of 5, and none of the 19 deficiencies on record rose to harm or jeopardy. One was abuse-related, which is worth asking about directly. Quality measures land at 2 of 5.
Pointe Coupee Healthcare runs 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 14% below its own weekday staffing. The health inspection side looks steadier at 3 out of 5 stars, but quality measures sit at 1 star, and the record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy, along with one fine of $17,345. Staff turnover is 30%, which is actually well below the 45.8% national figure, so the problem here isn't churn so much as how few hands are on deck at any given time.
Solomons Nursing and Rehab Center runs 95 beds under corporate ownership, and the numbers that stand out most are on the inspection side: 32 deficiencies on the current record, including two at the level where residents were actually harmed and three tied to abuse. Federal fines total roughly $226,000 across seven penalties. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends. Annual turnover of 53% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The last inspection was in August 2024. Quality measures score better than the other categories, but the harm-level findings and the money owed are what a family should weigh hardest.
Fairview Commons runs a 146-bed nonprofit home in Great Barrington, and the numbers show a building under real strain. Nurse staffing sits at 3.73 hours per resident day, just under the national average, but weekends drop about 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 56%, well above the 45.8% national figure, which means many of the people caring for residents are still learning the building. Its record carries 36 deficiencies, including two at the harm level and three tied to abuse, plus a $74,354 fine. Last inspection was July 2025, recent enough that this is a current picture, not an old one.
Vantage At West Springfield runs 168 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 53% outpaces the 45.8% national figure, meaning the people caring for your relative are often new. The record shows 32 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus one fine of $13,748. That inspection is recent, December 2025, so the picture is current, not stale history.
Niles Care Center runs about 3.45 nurse hours per resident per day, roughly 11% under the national average, and weekend coverage drops another 13% below its own weekday level. Staff turnover sits at 67.8% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 41 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $158,405 and a change in ownership in the past year. Its quality measure score looks strong, but that's calculated from resident data, not from how the place is actually run day to day.
Villa At Pine Place runs below the national average on nurse staffing, at 3.44 hours per resident day versus 3.86, and weekends are thinner still, roughly 11% under its own weekday level. That matters when you consider the inspection record: 59 deficiencies, six of them at the harm or jeopardy level and six tied to abuse, plus three fines totaling $296,929. Staff turnover sits at 52.9%, well above the 45.8% national figure, so caregivers are cycling through. The most recent inspection was August 2025, so the record is current. The quality measure score of 3 out of 5 is the one middling signal here; everything else points to a home where the safety and staffing picture deserves hard questions before you consider it.
Plainwell Pines runs on thinner nursing coverage than most homes in the country, about 3.24 hours per resident per day against a national average near 3.86, with weekends running roughly a tenth below its own weekday level. That gap shows up in turnover, too: 62.8% of staff leave each year, well above the 45.8% norm. The inspection record is the heavier concern, 55 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus two fines totaling just under $195,000. Its quality measure score looks strong on paper, but that's self-reported data, and the last state visit in May 2025 tells a different story.
Providence Place is a 190-bed nonprofit home in Minneapolis, and its staffing is genuinely above average, 3.90 nurse hours per resident day against a national 3.86, with a 4-out-of-5 staffing rating to match. What undercuts that is everything around it: turnover runs 78.5% against a national 45.8%, meaning most of the people delivering that care are new, and weekend staffing drops roughly 7% below the home's own weekday coverage. The inspection record shows 50 deficiencies, four of them serious enough to involve harm or jeopardy, five tied to abuse, and $136,524 in fines across four penalties, with the most recent inspection dated May 2026.
Aspen Point runs 180 beds in Saint Charles under limited-liability ownership, and the direct-care staffing sits at 3.41 hours per resident day, roughly 12% under the national average, while weekend coverage drops another 11% below its own weekday level. The inspection record is what stands out: 74 deficiencies, 20 of them serious enough to put residents in harm or jeopardy, 8 tied to abuse, and 9 fines totaling $464,634, with the most recent inspection in February 2026. Turnover runs at 52.1% against a national 45.8%, so aides cycle out faster than average. The quality-measure score (4 of 5) may look reassuring, but it measures a narrower set of clinical outcomes than the staffing and inspection picture, and those two tell a harder story.
St James Living Center runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. At 3.12 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Turnover compounds that: 58% of staff leave annually against a national 45.8%.
The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and three tied to abuse. One fine totaling $14,069 is on file, and the most recent inspection was November 2025. Federal quality measures rate 1 out of 5 stars, and the surrounding ratings only reach the middle.
Alpine Breeze runs on 2.40 nurse hours per resident day, roughly 38% under the national average, and weekends drop about 14% below what the home already provides on weekdays. Staff turnover sits at 58.6% against a national 45.8%, so the people giving care keep changing. The inspection record shows 53 deficiencies, including 3 at harm or jeopardy level and 6 abuse-related, with $35,683 in fines across three penalties; the last inspection was August 2025. Quality measures score well, but that's the part of the record families can't easily verify, the staffing and inspection numbers are the ones that describe daily life there.
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?