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.
Westwood runs on 3.21 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 80.8% 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 29 deficiencies, including one at the harm level and two tied to abuse, with a $15,642 fine and a February 2026 inspection. Quality scores look strong on paper, but that measure draws on resident assessments, not the staffing and compliance problems showing up elsewhere.
Liberty Commons runs on thinner staffing than most homes, about 3.56 nurse hours per resident each day against a national average near 3.86, and weekends drop roughly 9% below its own weekday levels. The bigger warning sign is turnover: 71.2% of staff leave within a year, well above the 45.8% national figure, which means your family member's caregivers are likely to keep changing. Inspections look solid on paper, with six deficiencies on record and none at the harm level, though one is abuse-related. The state last visited in January 2026. Corporate-owned and operating at 122 beds, this is a home where care quality depends heavily on who's on shift that day.
St. Catherine's Living Center runs about 3.41 nursing hours per resident day, roughly 12% under the national average, and weekends dip another 14% below its own weekday coverage. That staffing pattern is worth weighing against a 56.4% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record shows seven deficiencies, three at harm or jeopardy level and two tied to abuse, with three fines totaling $56,329 and a survey completed January 28, 2026. As a nonprofit corporation with 49 certified beds, its quality and health inspection ratings both sit at two stars.
Ayden Healthcare of Madeira runs about 3.07 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65% against a national 45.8%, so the people showing up are frequently new. The current record carries 80 deficiencies, three of them abuse-related, none flagged at harm or jeopardy level, and the last inspection was in December 2025. The 4/5 quality measure score reflects how residents' conditions are tracked, but with 1/5 on both staffing and health inspections, the daily reality is thin coverage and constant churn.
Carecore At Lima runs on 3.11 nurse hours per resident day, about 19 percent under the national average, and weekends dip roughly 14 percent below its own weekday coverage. That thin margin matters most on Saturdays and Sundays, when families often visit and problems surface.
Staff turnover sits at 62.7 percent against a national average of 45.8 percent, roughly three in five caregivers left over the year. The inspection record shows 55 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse. One fine of $33,534 is on file.
The quality measure score is perfect, which tells you charted outcomes look good. The staffing and inspection scores don't. Ask about weekend coverage and turnover before you decide.
Buckeye Care and Rehabilitation runs on thin staffing: 3.07 nurse hours per resident day against a national average of 3.86, with weekends about 12% leaner than weekdays. That shortage shows up in a 58.6% annual turnover rate, well above the 45.8% norm, and a 1-out-of-5 CMS staffing rating. The 35 deficiencies on record, one involving harm, four tied to abuse, carry a single $20,678 fine and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset those numbers, especially under for-profit LLC ownership. The most recent inspection was January 8, 2026, so the record is current, not stale.
Shelby Skilled Nursing runs on a thinner staffing line than most homes: 3.27 nurse hours per resident day against a national average of 3.86, with a 1-out-of-5 staffing rating and 65.3% annual turnover, well above the 45.8% typical elsewhere. The good news is that the care processes look solid on paper, with 4s for both inspection and quality measures, and a recent August 2024 survey. But 21 deficiencies sit on the current record, two of them abuse-related, and none rose to the harm level.
Autumnwood Care Center in Tiffin runs 93 certified beds under corporate ownership, and the numbers show a home that's getting by rather than standing out. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, and weekends dip about 12% below its own weekday coverage, the gap families feel when they visit on a Saturday. Turnover is essentially average at 45.5%, but the inspection record is the heavier story: 45 deficiencies, three of them serious enough to put residents at risk of harm. The last state inspection was in April 2026, so the record is current, not stale. Nothing here suggests abuse, but the pattern of low staffing and repeated inspection problems is worth asking about directly before committing.
Hamilton Respiratory And Nursing Center runs on 3.23 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover sits at 72.6% against a national figure of 45.8%, so the people providing most of the hands-on care are cycling through faster than the residents can get to know them. Thirty-five deficiencies sit on the current record, including one abuse-related citation, though none rose to the harm or jeopardy level. Ownership is for-profit, through a limited liability company. The clinical quality scores look strong, but that staffing number is where the day-to-day reality lives.
Hillsboro Post Acute is a 99-bed for-profit home in Highland County, and its numbers tell two different stories. The care side looks strong on paper: top marks from CMS on health inspections and quality measures, last inspected in May 2025, with nine deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it frays. At 3.17 nurse hours per resident day, it runs about 18 percent under the national average, weekends drop roughly 13 percent below its own weekdays, and annual turnover hits 67.1 percent against a national 45.8. Inspectors can find a well-run building while residents still wait longer for hands-on help, and that gap is what pulls the overall picture down to a middling grade.
Bellbrook Health and Rehab runs 65 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the headline number suggests. Total nurse hours sit at 3.92 per resident day, barely above the national 3.86, while weekend coverage dips about 4% below weekdays and annual turnover hits 61.5% against a 45.8% national rate. That churn shows up in the federal stars: one out of five for staffing, two for health inspections, despite a five for quality measures. The inspection record carries 37 deficiencies, one abuse-related and none flagged at harm level, plus a single fine of $75,323. The most recent survey closed January 15, 2026, so the record is current, not stale.
St Leonard HCC runs 150 beds under corporate for-profit ownership, and the numbers show where that pressure lands. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it thins out further on weekends, about 8% below the home's own weekday coverage. Staff turnover is 50.3%, meaning roughly half the workforce leaves each year, which matters for anyone who needs consistent caregivers. The inspection record is heavier: 40 deficiencies, including three at the harm level and three tied to abuse, plus two fines totaling $89,700. The 2024 inspection is recent enough to be relevant. Quality measures look better than staffing and inspection results, but families should ask directly about those harm-level findings.
Heatherdowns runs on 3.09 nurse hours per resident per day, roughly a fifth less than the national average of 3.86, and weekends drop about 9% below what it manages during the week. That thin coverage is the backdrop for a 68.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The current record lists 54 deficiencies, including two at the harm or jeopardy level and one tied to abuse, following a February 2025 inspection. The 5/5 quality measure score and 2/5 inspection rating sit oddly against those numbers; the staffing rating is 1/5.
The Laurels of Kettering runs on thin nursing coverage: 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 13 percent below what the home staffs on weekdays. Annual turnover sits at 60.9 percent, well above the 45.8 percent national figure, so the people showing up are often new. That instability shows up in the inspection record, 57 deficiencies, including three tied to abuse and two serious enough to put residents in harm's way, and a $41,974 fine. The quality measure score looks strong, but it's the only number here that does.
West Park runs on thin staffing: 3.31 nurse hours per resident per day, roughly 14% under the national average, with weekends dipping about 6% below its own weekday level. That shortfall shows in the numbers that matter most, a 1-star staffing rating, 30 deficiencies on the current record including four serious enough to cause harm, and a $24,115 fine. Staff turnover sits at 63.6% against a national average of 45.8%, meaning nearly two-thirds of the nursing team leaves in a year. The 4-star quality measure rating and a recent March 2025 inspection are the bright spots, but quality scores reflect a narrow set of clinical measures, not day-to-day coverage.
Walnut Creek Nursing Center runs on thinner staffing than most homes its size, 3.08 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That shortfall shows up in the numbers: a one-star CMS staffing rating and 61.3% annual turnover, well above the 45.8% national figure. The inspection record carries 48 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its two-star health inspection rating sits alongside a four-star quality measure score, a split worth asking about directly. Corporate-owned and certified for 139 beds, last inspected March 2025. Staffing and safety records are where the questions should start.
Divine Rehabilitation and Nursing at Sylvania runs 99 beds under corporate ownership, and the staffing numbers are where you'd want to start. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 8% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 58.6% is well above the 45.8% national figure, so the people providing care keep changing.
The inspection side is harder to look past: 85 deficiencies on the current record, including four at the harm level and four tied to abuse, with $193,489 in fines across four events. The most recent inspection was March 2025. Quality measures score well, but that's resident outcome data, not proof the building is safely run day to day.
Divine Rehabilitation and Nursing at Shane Hill runs 69 certified beds in Rockford under corporate for-profit ownership, and the numbers show a building where staffing is stretched. Nurse coverage sits at 3.68 hours per resident day, below the national average of 3.86, with weekends dropping roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover of 56.8% tops the national rate of 45.8%, meaning more than half the nursing staff leaves each year. The current record holds 23 deficiencies, four of them abuse-related, none flagged at harm level. A 3/5 inspection rating and 2/5 marks for both quality measures and staffing round out the picture.
Woodlands Health and Rehab Center is a 95-bed for-profit home in Ravenna, and the staffing numbers are where the trouble starts. At 3.37 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 9% below its own weekday levels, and 60% of staff turned over in a year versus 45.8% nationally, that's a lot of unfamiliar faces. Its inspection record shows 25 deficiencies, including two at the harm level and three tied to abuse, with one $14,680 fine and a last survey in September 2024. The 4/5 quality measure score looks better on paper, but that rating partly reflects what staff document, and thin, churning staffing makes those numbers harder to trust.
The Pavilion at Canal Fulton runs about 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends dip further below its own weekday levels. That thin coverage shows up in the staffing rating, one out of five stars, and in a turnover rate of 60.4 percent, well above the 45.8 percent national figure. The current record lists 17 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Inspectors were last on site in June 2025, and the health inspection rating sits mid-range at three stars. A for-profit corporation owns the 60-bed home, and the quality measure score of four stars is the strongest number here.
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?