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.
Indianspring Of Oakley runs 144 certified beds in Cincinnati under for-profit LLC ownership, and the staffing numbers are where the trouble sits. Nurses provide 3.70 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself staffs during the week, so the thinnest coverage lands when families tend to visit. Annual turnover of 63% against a 45.8% national rate means aides and nurses cycle through constantly, which matters more than any single number because unfamiliar caregivers miss changes in condition. The record shows 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $17,345. A recent July 2025 inspection and decent quality scores don't offset that staffing picture.
The Laurels of West Columbus runs 97 beds under individual for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, with weekends roughly 11% thinner than weekdays. That matters more when you see 60.7% of staff turning over each year against a 45.8% national rate, meaning the people delivering care keep changing. The inspection record is the harder problem: 51 deficiencies logged, two at harm or jeopardy level, seven tied to abuse, and one fine of $26,685, with the last inspection on June 9, 2025. Resident outcomes score well on CMS quality measures, but the staffing and inspection results point to real risk worth weighing before you decide.
Heritage at Brandon Place runs on thin nursing coverage: 2.94 nurse hours per resident per day against a national average of 3.86, and weekends slip about 9% below what the home itself staffs on weekdays. Nearly nine in ten caregivers left over the past year. Inspectors have cited 22 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $35,311 in fines and a January 2026 inspection the most recent. The five-star quality measure score looks good on paper, but that rating reflects resident assessment data, not the hands available to answer a call light.
Shawnee Care Center runs 3.58 nursing hours per resident day, about 7% under the national average, and weekend coverage drops roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.7% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection record is the harder read: 71 deficiencies, two at harm or jeopardy level, four tied to abuse, and one fine of $22,393, with the most recent inspection in July 2024. For-profit, limited liability ownership.
Hobart Nursing & Rehabilitation runs 58 certified beds under corporate for-profit ownership, and the numbers pull in different directions. The most recent inspection in August 2025 produced a clean record on serious findings, nine deficiencies, none at the harm level, none abuse-related, and one fine of $13,070. But staffing sits at 3.11 hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. Annual turnover of 71.4% means most of the people caring for your family member this year likely won't be there next year. Strong inspection results are worth something, but they reflect a moment in time; the daily staffing picture is what your relative actually lives with.
Grace Skilled Nursing and Therapy in Jenks runs about 3.33 nurse hours per resident per day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. That thin coverage sits alongside a 74.8 percent annual turnover rate, well above the 45.8 percent national figure, so the people caring for residents are constantly changing. The current record shows 33 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a $15,646 fine and a September 2025 inspection. All three CMS ratings, health inspections, quality measures, and staffing, land at 2 out of 5. For-profit partnership ownership.
Tuscany Village runs about 3.06 nursing hours per resident day, roughly a fifth below the national average of 3.86, and weekends are thinner still, around 10% under its own weekday coverage. Staff turnover sits at 62.7%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The current inspection record shows 60 deficiencies, including one at the harm level and two tied to abuse, along with a $10,033 fine and a one-star health inspection rating. The most recent inspection was April 2, 2025, so the picture is recent. Ownership is a for-profit limited liability company.
Oak Hill runs on 3.26 nurse hours per resident day, about 16% under the national figure of 3.86, and weekends dip roughly 7% below its own weekday level. Turnover sits at 58.8% against a 45.8% national average, so the aides and nurses your family would see most often are changing frequently. The inspection record backs that up: 60 deficiencies, six at harm or jeopardy level, five tied to abuse, and three fines totaling $61,932, with the most recent inspection in December 2025. It's a for-profit LLC, 136 beds. The one bright spot is the quality measure rating, which reflects clinical outcomes rather than day-to-day care.
Chambersburg Skilled Nursing and Rehabilitation runs 210 certified beds under corporate for-profit ownership, and the staffing numbers are the place to start. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Annual turnover hits 60% against a national 45.8%, meaning well over half the nursing staff leaves each year, a churn rate that shows up in CMS's two-out-of-five staffing and quality measure ratings. The health inspection record is cleaner than those numbers suggest: 19 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 7, 2026.
Oakwood Heights Village runs about 106 beds in Oil City under for-profit LLC ownership, and the numbers worth noticing are the ones families feel day to day. Nurse staffing sits at 3.56 hours per resident, roughly 8 percent under the national figure, and weekends drop about 11 percent below what the home itself staffs on weekdays, so the coverage is thinnest exactly when many families visit and when backup is hardest to find. Staff turnover of 60.2 percent, against a national 45.8, means aides and nurses cycle through quickly.
The inspection record backs that up: 27 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $14,015 fine. The most recent inspection was February 2026. Ask about weekend coverage and how abuse complaints get handled.
The Gardens at Stevens runs 82 certified beds in Lancaster County under for-profit LLC ownership, and its staffing sits at 3.49 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The bigger number is turnover: 70.1% annually against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its inspection record carries 44 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus one fine of $55,807. The most recent inspection was February 27, 2026.
Greene Health & Rehab Center runs 119 certified beds in Greensburg under for-profit limited liability ownership, and the numbers describe a building stretched thin on direct care. Nurses provide 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover of 57% sits well above the 45.8% national figure, meaning more than half the nursing staff turns over each year.
The current inspection record carries 89 deficiencies, five of them abuse-related, with one fine totaling $8,469 and a December 2025 inspection. The most recent federal ratings put health inspections at 1 of 5 stars, with quality measures and staffing both at 2.
Lock Haven Rehabilitation and Senior Living runs 146 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.28 hours per resident day against a national average of 3.86, roughly 15% thinner, and weekends drop another 15% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 63.7% versus 45.8% nationally, meaning most of the people caring for your relative are relatively new. The current record carries 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with a $14,531 fine and a September 2025 inspection.
The Gardens at Millville runs on thinner nursing coverage than most homes, 3.23 hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays, which is when gaps tend to show up. Its inspection record carries 46 deficiencies, including two at the harm or jeopardy level and six tied to abuse, plus one fine of $25,275; the last inspection was December 5, 2025. Turnover sits at 42.5%, slightly better than the 45.8% national figure, but that's the one number here that isn't working against it. Corporate for-profit ownership, and all three CMS ratings, health inspection, quality measures, staffing, land at 2 out of 5.
Newport Tn Opco runs 150 certified beds as a for-profit LLC, and the numbers on its current record give a mixed picture. Nurse staffing sits at 3.28 hours per resident day, about 15% under the national average, and weekends dip roughly 6% below its own weekday level, so coverage thins out when families often visit. Staff turnover hits 57% against a national 45.8%. Inspections in August 2025 turned up 17 deficiencies, two at harm or jeopardy level and one abuse-related, which is the part worth asking about directly. The quality measure rating is 2 out of 5.
The Lakes at Texas City runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday levels. That thin coverage sits alongside a 62% annual turnover rate, well above the 45.8% norm, so the aides and nurses in the building are often new to the job. Inspectors have logged 29 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, with the most recent visit in December 2025 and $8,410 in fines. The quality measure score looks strong on paper, but it's built on top of staffing that CMS itself rates at the bottom.
Glenview Wellness & Rehabilitation runs on a leaner nurse staffing budget than most homes in the country, 2.40 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday coverage. That gap shows up in the federal staffing rating, which sits at the lowest tier, while annual turnover of 57.3% means the aides and nurses who are there keep changing.
The inspection record is where things get more concerning: 26 deficiencies on file, four of them at the level where a resident was actually harmed or put in jeopardy, and six tied to abuse. Two fines totaling $23,970 have been levied. The quality measure rating is strong at 4 out of 5, but that's a paper score next to the hands-on reality of who's available to answer a call light.
Richland Hills runs about 22% leaner on nursing hours than the typical American nursing home, and weekends drop roughly another 15% below its own weekday pace. That staffing math matters most when you consider the 72% annual turnover, nearly three-quarters of the nursing staff cycling out each year against a national average of 45.8%, on a corporate-owned, 92-bed building. The health inspection history shows 37 deficiencies, including two at the harm level and one abuse-related, with $8,190 in fines. CMS quality scores look strong, but those rely heavily on self-reported measures, while the staffing and inspection numbers reflect what surveys actually found.
Focused Care Of Waxahachie runs on 2.68 nurse hours per resident day, roughly 31% under the national average, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing picture, where turnover hits 58.9% against a national 45.8%, more than half the nursing staff leaving in a year. The inspection record is the harder problem: 40 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, and $172,367 in fines across three penalties. A government hospital district owns the 152-bed building, and its most recent inspection was April 28, 2026. Quality measures score well; the hands-on care and oversight numbers do not.
Westward Trails runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends drop roughly 21% below its own weekday coverage. That's the kind of gap that shows up when a resident needs help on a Saturday afternoon. Inspectors gave the place solid marks in June 2025, but the record still carries 24 deficiencies, including two tied to abuse and two serious enough to put residents in harm's way, plus $25,036 in fines across three penalties. Corporate ownership means decisions about staffing levels get made somewhere other than Nacogdoches. Ask about weekend coverage and how those abuse deficiencies were resolved before you decide.
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?