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.
Aviata At Venice carries a staffing rating of just one out of five stars, which sits well below where most Florida nursing homes land on the federal payroll measures. Behind that number: 33 deficiencies on the current record, including two that rose to the level of actual harm or jeopardy and two tied to abuse. The last inspection was recent, February 2026, so the record reflects current conditions rather than old problems. One fine totaling $28,009 has been assessed. Corporate for-profit ownership at 120 beds, with quality measures also at two stars. When staffing is the weakest category and harm-level deficiencies are on the same record, the pattern is harder to explain away than any single inspection finding.
Pruitthealth - Toccoa runs 181 certified beds in Stephens County under corporate ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends are thinner still, about 17% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating, which lands at 1 out of 5. Turnover is 45.1%, essentially matching the national figure of 45.8%, so retention isn't the outlier here, raw hours are. The current record carries 26 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Inspectors last visited in March 2024.
Pruitthealth - Moultrie runs 68 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.24 nurse hours per resident per day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover sits at 50%, a bit above the national 45.8%. Inspections tell a different story, a recent May 2025 survey and only four deficiencies on record, none at harm level and none abuse-related. The quality measure star rating of 2 out of 5 is the piece to ask about directly, since it reflects clinical outcomes rather than paperwork. A facility can pass inspection cleanly and still have thin coverage on Saturdays.
Brown's Health And Rehabilitation runs 63 beds in Statesboro under limited-liability, for-profit ownership. The inspection record is the strongest part of the picture: a four-star health inspection rating and a recent survey, though 13 deficiencies are on file, two of them at the harm or jeopardy level. Staffing is where it slips, 3.68 nurse hours per resident day, under the national average, with weekend coverage dropping roughly 19% below weekdays and turnover at 52.9% against a 45.8% national figure. The one-star quality measure rating points the same direction. Two fines totaling $8,678. Ask about weekend nurse coverage and how long direct-care staff tend to stay.
Cedar Ridge runs on thin nurse coverage. At 3.12 hours per resident per day it sits about 19% under the national average, and weekends drop roughly another 19% below its own weekday level, so the leanest shifts are the ones families tend to visit. Staff turnover is 59.1% against a national 45.8%, which means the people caring for your relative are often new. Inspections look better: a recent visit, 20 deficiencies with two at harm level, and a $15,483 fine. But the pattern underneath the health rating is a building that has trouble holding onto nurses while asking fewer of them to cover more.
Hickory Vlg Nrsg & Rhb runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, and weekends drop roughly another 23% below its own weekday coverage. That thinner weekend floor is where problems tend to surface. The home's current record carries 23 deficiencies, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $350,672. Turnover sits at 27.9%, better than the 45.8% national figure, so the same faces are largely staying. Its last inspection was in March 2025, so the record is recent rather than stale. A for-profit LLC with this staffing pattern and that deficiency history is the picture worth weighing.
Serenity Estates of Lena runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, with weekends about 15% thinner than weekdays. That gap is what drives its one-star staffing rating, and the pattern shows up in the inspection record too: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse. The inspection star of four suggests surveyors found a decent baseline when they last visited in March 2025, and quality measures land at two stars. If you're weighing this one, ask directly how weekends get covered and what changed since those abuse findings.
Westwood Village runs 115 certified beds on Chicago's Cook County side, under for-profit LLC ownership. Nurse staffing sits at 2.99 hours per resident day, roughly 23% under the national average of 3.86, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current inspection record shows 39 deficiencies, none at harm or jeopardy level but 6 tied to abuse, with the last full inspection in December 2024. Turnover at 36.6% actually beats the national 45.8%, which is the one number here that works in its favor. CMS rates staffing and quality measures 1 out of 5 stars each, with a 3 for health inspections.
Saint Anthony runs 189 certified beds in Crown Point under corporate for-profit ownership, and its staffing sits at 3.60 nurse hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 16% below its own weekday levels, and turnover is 46.8%, slightly above the national 45.8%. The inspection record is the real concern: 50 deficiencies, two tied to abuse, and a 1-out-of-5 health inspection rating, though zero rose to harm or jeopardy. Quality measures score better at 3 out of 5, but staffing also rates 1 out of 5. The most recent inspection was June 16, 2025, so the record is current. If you're considering this one, ask directly about weekend coverage and how they've addressed those abuse-related findings.
Dyer Nursing and Rehabilitation Center runs 161 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts: 3.41 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 11% below its own weekday levels. That thin coverage lines up with a one-star staffing rating, and the inspection record backs it up, 76 deficiencies, two of them serious enough to put residents at risk of harm, plus $23,257 in fines across two penalties. The most recent inspection came in February 2025, so the record is current, not stale. Quality measures score a middling three stars, but that's the outlier here, not the pattern.
Bettendorf Health Care Center runs 3.22 nurse hours per resident per day, roughly 17 percent under the national average, and weekend staffing drops another 13 percent below its own weekday level. That thin coverage shows up in its inspection history: 62 deficiencies on the current record, including three at the harm level and five tied to abuse, with two fines totaling $35,622. The quality measure score looks strong, but that comes from resident assessments rather than day-to-day care on the floor. Corporate-owned and certified for 86 beds, this home was last inspected in September 2025. The staffing and inspection numbers are the ones worth weighing.
Legacy Nursing And Rehabilitation Of Pollock runs 103 certified beds under for-profit LLC ownership, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, and weekends run about 18% thinner than weekdays, so the weakest coverage lands when families tend to visit. Staff turnover is 53.9% against a national 45.8%, meaning more than half the caregiver workforce turns over in a year. On the inspection side, 27 deficiencies are on record, including two at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated October 2025.
Chateau Napoleon Caring runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.16 nurse hours per resident day, roughly 18% under the national average. Weekends drop about 21% below its own weekday level, so coverage thins out right when families tend to visit. The 1/5 staffing and quality measure ratings line up with those numbers, and annual turnover at 50% runs above the national 45.8%, meaning the people caring for residents are changing often. Sixty deficiencies sit on the current record, seven tied to abuse, with no harm-level citations. The last inspection was September 24, 2025, so the record is recent rather than stale.
Belle Maison runs about 3.49 nursing hours per resident day, roughly 10% under the national average, and weekends dip another 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 49.6%, a few points above the national figure. The good news: 15 deficiencies on record, none at harm or jeopardy level and none abuse-related, with a recent July 2025 inspection and a 4-star health inspection rating. The 1-star quality measure rating is the weak spot, and it's worth asking what's driving that before you decide.
Aspen Hill runs 146 certified beds in Haverhill under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 46%, essentially tracking the national rate, so continuity isn't unusually bad, but it isn't a strength either. The inspection record is the heavier concern: 51 deficiencies on the current record, including 5 at harm or jeopardy level and 4 abuse-related, plus three fines totaling $134,274. The most recent inspection was January 8, 2026.
Mission Point in Grandville runs on a for-profit LLC structure with 114 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 18% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the real concern: 69 deficiencies, six at harm or jeopardy level, five abuse-related, and a single $198,188 fine, with the most recent inspection in May 2025. Staff turnover of 46.7% edges just above the national rate of 45.8%.
Good Samaritan Society's Luverne home runs 51 certified beds as a nonprofit, and its nurse staffing sits at 3.88 hours per resident day, barely a whisker above the national average of 3.86. That staffing edge doesn't hold on weekends, though, when coverage drops about 21% below its own weekday level, a gap families should ask about directly. Staff turnover is the bigger problem: 60% a year against a national norm of 45.8%, meaning more than half the people caring for your relative will likely be new within twelve months.
The inspection record is thin for a 51-bed home, 32 deficiencies, one at harm or jeopardy level, one tied to abuse, and a $57,045 fine. CMS gives quality measures just 1 of 5 stars, and the last inspection was April 2026.
Prairie View runs 3.59 nurse hours per resident day, roughly 7% under the national average, and weekends drop about 11% below its own weekday staffing. The government's staffing and quality measure ratings both land at 1 out of 5 stars, which tracks with that thin coverage. Inspections are a different story, a 4-star health inspection rating, no harm-level or abuse-related deficiencies, and a survey as recent as April 2025. The 18 total deficiencies are mostly paperwork-level. Owner is a for-profit LLC. If your family member needs skilled nursing care, the clinical side looks okay; the daily direct-care hours are the thing to watch.
Parkdale Manor runs on 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 21% below its own weekday staffing. That thin coverage is paired with 77.1% annual turnover, well above the 45.8% national figure, meaning the aides and nurses at the bedside change over constantly. The current record carries 51 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and the last inspection was in March 2025. It's a for-profit limited liability company operating 86 certified beds, with middling two-star marks for inspections and quality measures.
Southgate Living Center sits in Caruthersville with 94 certified beds and an individual for-profit owner. The staffing picture is the real story here: 3.57 nurse hours per resident day, about 8% under the national average, with weekends running roughly 18% thinner than weekdays, and half the staff turning over each year. Inspections look decent on paper, a 4 out of 5 star rating, most recent visit in March 2025, but 28 deficiencies sit on the record, including one at the harm or jeopardy level. One fine totaling $13,397. Quality measures come in at 3 stars. The pattern is a home that inspects reasonably well but runs lean on the people doing the daily work.
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?