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.
Shenandoah Valley Health and Rehab runs on thin staffing: 3.16 nurse hours per resident day against a national average of 3.86, and weekend coverage dips slightly below its own weekday level. That shortfall shows up in the numbers, a 60.4% annual turnover rate, well above the 45.8% national figure, meaning roughly six in ten caregivers left within the year. The inspection record is the heavier concern: 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $50,635 fine and the most recent inspection dating to February 2023. For-profit corporate ownership, 93 beds, and a two-star inspection rating round out a picture of a home where oversight and stability have both been uneven.
Beaufont Health and Rehabilitation Center runs 120 certified beds in Richmond under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 2.96 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, and weekends dip about 12 percent below its own weekday coverage. Staff turnover is 61.8 percent against a national 45.8 percent, so the people providing that thin coverage keep changing. The current record carries 43 deficiencies, including one at the harm or jeopardy level and two abuse-related, with $8,197 in fines. A May 2024 inspection is recent enough to matter. Quality measures look decent on paper, but steady hands at the bedside are harder to document.
Hanover Health and Rehabilitation Center runs 120 certified beds in Mechanicsville under individual for-profit ownership, and the staffing numbers are the first thing worth noticing. At 3.36 nurse hours per resident per day, it sits about 13% under the national average of 3.86, weekend coverage drops roughly 15% below its own weekday level, and annual turnover of 62.3% is well above the 45.8% national figure, a combination that tends to mean less consistent hands on deck, especially Saturdays and Sundays. The inspection record backs that up: 39 deficiencies, six at harm or jeopardy level, four abuse-related, and one fine of $14,901, with the most recent inspection dated March 2026. Quality measure scores look better than the staffing picture, which is worth asking about directly.
Dinwiddie Health and Rehab Center sits just barely above the national average for nurse staffing, 3.91 hours per resident day against 3.86 nationwide, but that thin margin hides a sharper problem: weekend coverage drops roughly 15% below what the home staffs on weekdays, and annual turnover runs at 58.5% against a national 45.8%. That churn matters more than the headline number, since new aides cycle through constantly. The inspection record shows 30 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,278. State inspectors last visited in February 2024. For a 60-bed for-profit home, the pattern suggests staffing depth is the weak point, not the building itself.
Worthington Healthcare Center runs 105 certified beds in Parkersburg under corporate ownership, and the numbers show a home that has drawn steady scrutiny from regulators. Its inspection record carries 34 deficiencies, including 4 at the harm or jeopardy level and 6 tied to abuse, a serious pattern, not a paperwork problem. Staffing sits slightly under the national average, weekends drop about 15% below weekday coverage, and turnover runs at 50.5%, meaning roughly half the nursing staff leaves each year. A single fine of $104,142 is on record, and the last inspection was April 2025. The quality and staffing scores look average on paper, but the inspection history is where the real story sits.
Heritage Center runs 160 certified beds in Huntington under corporate for-profit ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86, with weekends dipping about another 10% below its own weekday levels. The inspection record is the bigger concern: 74 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, plus a $91,520 fine. Staff turnover is 43.9%, slightly better than the 45.8% national figure, so retention isn't the weak spot here. The last inspection was September 30, 2025. If you're weighing this placement, ask specifically about those harm-level findings and how weekend coverage is handled.
Weirton Medical Center runs a small 33-bed unit, and its inspection record is genuinely strong, a 4 out of 5 on health inspections with no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 2.50 hours per resident day against a national average of 3.86, roughly a third lighter, and weekends drop about 38% below what the home itself staffs on weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. Three abuse-related deficiencies also appear on the current record. Good surveys can reflect a single visit; staffing numbers reflect every day in between.
Suring Health and Rehab runs lean on nursing hours, 3.01 per resident day against a national average of 3.86, and weekends drop another 14% below its own weekday coverage. That matters most on Saturdays and Sundays, when families often visit and problems surface. The inspection record carries 32 deficiencies, including one at the harm level and five tied to abuse, plus an $84,425 fine. Staff turnover sits at 48.6%, slightly worse than the 45.8% national figure, so the people caring for residents are changing often. Ownership is corporate and for-profit, and the most recent inspection was in September 2024. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
Edenbrook Omro runs about 4.19 nurse hours per resident day, roughly 9% above the national average, and weekends dip about 11% below its own weekday staffing. That headline number looks decent until you see turnover: 71.7% of staff leave each year, against a national average near 46%. Seventeen deficiencies sit on the current record, one serious enough to reach harm or jeopardy. The health inspection side is genuinely strong, and the last survey was recent, in September 2025. But the 2-out-of-5 staffing star and that churn rate suggest the people providing care keep changing, which is hard on residents who need consistency. For-profit, limited liability ownership.
Dove Healthcare - St Croix Falls runs 50 certified beds under for-profit LLC ownership, and the staffing picture is mixed in a way that matters. Its 4.24 nurse hours per resident day sits about 10% above the national average of 3.86, but weekend coverage drops roughly 14% below its own weekday level, and annual turnover is 64.8% against a national 45.8%. That churn shows up in the inspection record: 50 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with two fines totaling $62,134. The most recent inspection was September 2025, and CMS rates health inspections 2 out of 5, quality measures 4 out of 5. Strong quality scores and above-average weekday staffing coexist with real compliance problems and a workforce that keeps turning over.
Fond Du Lac Lutheran Home runs about 3.57 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 11% below its own weekday numbers. Staff turnover sits at 59.3% against a 45.8% national average, which matters because it's hard to keep consistent care when more than half the nursing staff leaves each year. The inspection record shows 45 deficiencies, including two at the harm level and six tied to abuse, with one fine of $9,113; the most recent inspection was September 2025. Quality and staffing each landed at 2 out of 5 stars. It's a nonprofit home with 85 beds, and the numbers point to real gaps in consistency and oversight.
Cedar Hill Healthcare Center runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday numbers. The inspection record shows 27 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $22,503 in fines across two penalties; the last inspection was July 2, 2025. Staff turnover sits at 44.3%, slightly under the national 45.8%, so retention isn't the outlier here, thin daily staffing and the harm-level findings are. Corporate for-profit ownership, 110 certified beds in Dallas County.
Balch Springs Nursing Home runs on 2.72 nurse hours per resident day, roughly 29% under the national average, and weekend coverage drops about 15% below its own weekday level. That thin margin shows up in the numbers: a 1-out-of-5 staffing rating, 56.5% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them serious enough to reach harm or jeopardy. Ownership is for-profit corporate, and there's one fine totaling $43,095. The last inspection was May 2026. Resident outcome measures look strong at 5 out of 5, which suggests the clinical care itself isn't the problem, the question is whether the staffing can hold that up.
The Homestead of Denison runs 140 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 58.3% against a national 45.8%, meaning the aides and nurses your family member sees are likelier than average to be new or on their way out. The inspection record backs that up: 29 deficiencies, two at harm or jeopardy level and three abuse-related, with $29,991 in fines and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset thin, churning staffing.
Seven Oaks runs on 2.81 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 10% below its own weekday staffing. That thin coverage lines up with a 100% annual turnover rate, more than double the national 45.8%, so the aide or nurse your family meets in January may be gone by summer. Inspections tell a different story: a 4/5 health inspection rating, a clean record on harm and abuse, and a visit as recent as July 2025, though 30 deficiencies sit on file. Ownership is corporate, for-profit. Strong clinical quality marks and weak staffing don't cancel each other out; they describe two different parts of the same building.
Homestead Nursing and Rehabilitation of Baird runs on thin staffing. At 2.88 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends drop roughly another 13 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger tell: 85.7 percent annually, nearly double the national rate, meaning most of the people caring for your relative will likely be gone within a year. The good news is real: a four-star health inspection with 14 deficiencies, none causing harm or involving abuse, five stars on quality measures, and a recent May 2025 inspection. Ask how the home holds those quality numbers with so much churn.
Paradigm At The Pines runs on 2.90 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly another 11% beneath its own weekday level. Turnover sits at 67.4% against a national 45.8%, and the staffing star rating reflects that: 1 out of 5. The inspection record shows 34 deficiencies, including one at the harm level and six tied to abuse, with a $8,281 fine. It's a hospital-district home, and the last inspection was recent. The quality measure score is strong, but that's largely self-reported data, the hands-on staffing and inspection findings tell a harder story.
Harmony Care At Floresville runs 2.90 nursing hours per resident day, roughly a quarter below the national figure of 3.86, and weekends dip about 12% below what the home staffs on weekdays. Turnover sits at 50.8%, above the 45.8% national average. The inspection record shows 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and $87,066 in fines across three penalties. This is a for-profit corporate home with 144 beds; its most recent inspection was May 8, 2026. Low staffing and a heavy deficiency history are the two things worth weighing hardest if you're deciding.
Highland Park Care Center is a 120-bed nonprofit home in Houston where the direct-care numbers are thin. Nurses and aides give residents 3.65 hours of care per resident day, under the national average, and weekends drop about 15% below the home's own weekday staffing, so the coverage your family sees on a Tuesday isn't what shows up on a Saturday. Staff turnover sits at 56.9% against a national 45.8%, meaning more than half the workforce leaves each year. Eighteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, with one fine of $40,186. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are present.
Hillside Heights runs about 3.09 nurse staffing hours per resident day, roughly 20 percent under the national average of 3.86, and weekends dip another 10 percent below its own weekday levels. Annual turnover sits at 56.5 percent against a national 45.8 percent, so the people around your family member change often. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $14,901 fine on file; the most recent inspection was April 29, 2026. The state survey rating reflects that history, even though the quality measure score is stronger. Ownership is a for-profit limited liability company.
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?