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.
Quail Run runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 8 percent below its own weekday staffing. With 63.5% annual turnover, versus 45.8% nationally, that shortfall means a rotating cast of caregivers, which matters more in a building this size, 84 beds, than the raw hours suggest. The 45 deficiencies on record include nothing flagged at the harm or jeopardy level and no abuse citations, so what's documented is largely process and paperwork problems rather than injuries. The last inspection was November 2024, recent enough to reflect current conditions. Two out of five stars across health inspections, quality measures, and staffing tells the same story on all three fronts.
Capitol River Wellness & Rehabilitation runs 120 beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.66 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 13% below its own weekday coverage, and annual turnover hits 64.5% against a national 45.8%, that's a lot of churn for a building this size. The current record shows 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $14,446. Quality measures score well, but staffing is the weak point, and with the last inspection in December 2024, ask directly how they hold weekday coverage steady on Saturdays and Sundays.
Carroll House runs on 2.44 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That thin coverage sits behind a two-star staffing rating and a two-star inspection record: 26 deficiencies, three tied to abuse, one serious enough to reach harm or jeopardy, plus an $84,890 fine. Staff turnover, at 45.2%, is essentially the national norm, so the problem isn't retention, it's how few hands are scheduled per resident. The most recent inspection was July 2025, and the quality measure rating sits higher than the rest.
Stonebridge Westphalia runs 64 certified beds in Osage County under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average. Weekends are thinner still, about 15% below the home's own weekday level, so coverage dips when families tend to visit. Annual turnover of 56.7% is well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. The last inspection was July 2025, so the picture is reasonably current.
Laurel Health & Rehabilitation Center runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 15% below its own weekday level. Staff turnover sits at 67.6% against a national 45.8%, which means the people caring for residents are, more often than not, recent hires or on their way out. The inspection record backs that up: 41 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with a fine of $7,163. Quality measures score well, but that's a narrow slice of the picture.
River Ridge runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That matters when you're deciding whether a Saturday shift has enough hands. The inspection record is what stands out most: 63 deficiencies, three at harm or jeopardy level, four tied to abuse, and $80,893 in fines across four penalties. Half the staff turned over in a year, which sits above the 45.8% national figure. A January 2026 inspection is recent, so the picture is current. For-profit LLC ownership, 129 beds, two stars on health inspections.
Emerald Nursing & Rehab Lakeview carries 23 deficiencies on its current record, including one serious enough to cause actual harm, and a single fine of $13,426. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. Staffing tells its own story: 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 11% thinner than weekdays. Turnover at 43.1% is slightly better than the 45.8% national figure, but that's a small comfort against everything else. The last inspection was in January 2026, so the record is current, not stale. A 95-bed for-profit corporate home with this pattern deserves close, specific questions before you consider it.
Accura Healthcare Of O'neill runs 84 beds under for-profit LLC ownership, and its staffing numbers tell a split story. Nurses provide 3.77 hours per resident day, just under the national average, and the weekend gap of roughly 11% means care thins out when families tend to visit. Staff turnover sits at 63.8%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Inspections in May 2025 turned up 26 deficiencies, four tied to abuse, none at harm level, and the health and quality ratings both land at 2 out of 5.
What that means for you: ask about weekend coverage and how the home keeps experienced aides.
Exeter Center runs 81 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.39 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. That thinner weekend schedule matters because nurse turnover is 49.2%, higher than the 45.8% national figure, so familiar faces are harder to count on.
The inspection record shows 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $28,912. No abuse-related citations appear. Its last inspection was April 30, 2026, so the record is current. Nothing here is alarming on its own, but the staffing shortfall and turnover together are the pattern worth asking about directly.
Optima Care Harborview runs 180 beds under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover hit 100% over the past year against a national average near 46%, meaning the aides and nurses caring for residents are largely new to the building. The current inspection record shows 32 deficiencies, including one tied to abuse, though none reached harm or jeopardy level, and CMS has fined the home once for $13,674. Its last inspection was January 15, 2026.
Warren Center runs about 3.27 nurse hours per resident day, roughly 15% under the national average, and weekends dip another 10% below its own weekday levels. Staff turnover is 71.1%, well above the 45.8% national figure. That combination shows up in the inspection record: 36 deficiencies, including one at the harm level and three tied to abuse, with a $9,318 fine. The quality measure score tells a different story, but quality measures are largely self-reported, while inspections are not. One thing worth noting: the most recent inspection is dated April 2026, so the 36-deficiency count may not yet reflect whatever surveyors found that day.
Raleigh Rehabilitation Center runs 157 certified beds under for-profit LLC ownership, and its staffing numbers are the soft spot: 3.63 nurse hours per resident day against a national average of 3.86, with weekends running about 11% leaner than weekdays. Annual turnover of 59.7% sits well above the 45.8% national figure, so the people at the bedside change often. The inspection record shows 19 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $69,112. A recent March 2026 inspection and a 4/5 quality measure rating work in its favor, but the limited staffing depth and high turnover are what families should ask hard questions about.
The Carrolton of Williamston runs on noticeably thin staffing: 2.70 nurse hours per resident per day, roughly 30% below the national average of 3.86, and weekends drop another 10% below its own weekday levels. That gap shows up in the inspection record, where 48 deficiencies include two at the harm or jeopardy level, along with a $45,102 fine. The one number in its favor is turnover at 33.3%, better than the national 45.8%, so workers tend to stay even though there aren't enough of them. A for-profit corporation owns the 154-bed home, and its most recent inspection was in July 2025.
Cypress Valley runs lean on nursing hours, 2.86 per resident day against a national average of 3.86, roughly a quarter less care time than typical. Weekend coverage dips slightly below its own weekday level, and more than half the nursing staff turned over in the past year, well above the national rate. On inspections, the Reidsville home carries 27 deficiencies, including two at the harm or jeopardy level and two tied to abuse; the most recent survey was in June 2025. The corporate owner operates it for profit, and one fine totaling $9,770 sits on record. Bottom line: staffing and inspection history here both sit below average.
Warren Hills runs 3.55 nurse hours per resident per day, about 8% under the national average, and weekend staffing drops roughly another 10% below its own weekday level. Staff turnover sits at 55.9% against a national 45.8%, so the aides and nurses your relative sees may not be there in six months. The current record carries 17 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was February 2026. Corporate-owned, 140 beds, with staffing and quality measure ratings both at 2 out of 5. The care here isn't unsafe on paper, it's thin, and thin staffing is what families end up feeling.
Juniper Gardens runs about 3.34 nurse hours per resident day, roughly 14% under the national average, and weekend coverage drops another 12% below its own weekday level. That thin margin matters more when turnover sits at 62.2% against a national 45.8%, meaning nearly two-thirds of staff left within the year. The inspection record shows 17 deficiencies, three serious enough to reach harm or jeopardy, plus two fines totaling $16,801. Ownership changed hands within the last 12 months, and the most recent inspection was November 2025. With 50 beds and a for-profit corporate owner, the numbers point to a home where consistent daily care is the open question.
The Greens at Hendersonville runs 3.35 nursing hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Staff turnover sits at 69.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. On inspections, the record shows 34 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $106,208. Corporate-owned and operating on a for-profit basis, this home keeps a 120-bed census. The most recent inspection was January 16, 2026.
Northampton Nursing and Rehabilitation Center runs on thinner staffing than most homes its size. At 3.24 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 4% below its own weekday levels, so the quietest shifts are the leanest. Turnover tells a related story: 59.1% of staff left over the year, against 45.8% nationally, meaning caregivers are cycling through faster than residents can get to know them. The good news sits on the inspection side, a 4-out-of-5 health inspection rating, nine deficiencies on record, none at harm or jeopardy level, and no abuse findings. The last inspection was April 2026.
Liberty Healthcare Services of Golden Years Nursing runs 58 beds in Falcon under corporate for-profit ownership, and its inspection record is genuinely clean, a five-star health inspection rating, seven deficiencies total with none at the harm or jeopardy level, and no abuse citations. The trouble sits in daily staffing. At 3.37 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly another 10 percent below its own weekday numbers. With turnover at 60.9 percent against a national 45.8, aides and nurses are cycling through faster than most homes. Inspections tell you what surveyors found on one day; staffing numbers tell you what most days probably look like.
Southpoint runs lean on nursing staff, 3.37 hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thin staffing shows up in the workforce numbers too: 61.6% annual turnover, well above the 45.8% national rate, meaning the people caring for residents are often new or on their way out. The inspection record is the bigger concern. Thirty-eight deficiencies sit on the current record, five serious enough to put residents in harm's way and three tied to abuse. CMS fined the corporation $48,523, and the most recent inspection was April 2025. Corporate-owned, 140 beds. The quality measure score looks fine on paper, but that's reported data, not what inspectors found.
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?