ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 821–840 of 10,187, best-graded first.

A

87/100

Wapello Specialty Care

Wapello, IA · Louisa County

CMS 5/5 49 beds Non-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
37%
Serious cites
0

Wapello Specialty Care runs on thinner nurse coverage than most homes, about 3.4 hours per resident each day against a national figure near 3.9, and weekends dip roughly 11% below what the home staffs on weekdays. Turnover sits at 37%, which sounds high until you note the national average is closer to 46%, so this nonprofit keeps its people longer than typical. The inspection record is where the picture gets muddier: 29 deficiencies on file, including three at the level where residents were actually harmed or put in jeopardy, and two tied to abuse. The last full inspection was in late 2025, so that record is current. Strong quality and staffing scores from CMS sit alongside that citation history.

A

87/100

Northridge Village

Ames, IA · Story County

CMS 5/5 38 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
55%
Serious cites
0

Northridge Village runs lean in a way that mostly works. Nurse staffing sits at 4.37 hours per resident day, comfortably above the national average, and that shows up in its staffing rating. The catch is weekends, when coverage drops about 11% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bigger flag: 54.7% annually against a national 45.8%, meaning more than half the nursing staff turned over in a year. Inspections came back recently and cleanly enough, with one deficiency serious enough to register as harm. Six deficiencies total, none tied to abuse.

A

87/100

Manor Of The Plains

Dodge City, KS · Ford County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
52%
Serious cites
0

Manor Of The Plains runs 50 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekend coverage drops roughly 8% below its own weekday levels, and annual turnover hits 51.9% against a national 45.8%, so the staff you meet may not be the staff there next year. The current record carries 20 deficiencies, including one at the harm or jeopardy level and one abuse-related. That's the tension worth sitting with: strong quality and staffing marks alongside real findings and steady churn.

A

87/100

Life Care Center Of Seneca

Seneca, KS · Nemaha County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
31%
Serious cites
0

Life Care Center Of Seneca runs a solid operation, and the numbers back that up. Nurse staffing sits at 4.02 hours per resident day, a bit above the national average, though weekend coverage drops roughly 11% below its own weekday level, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is the real bright spot at 31.1%, well under the national 45.8%, which suggests people stick around. The home carries 15 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was April 2025, and it scored 4 out of 5 stars on health inspections, quality measures, and staffing.

A

87/100

Brookdale Overland Park

Overland Park, KS · Johnson County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
53%
Serious cites
0

Brookdale Overland Park runs a 94-bed for-profit operation in Johnson County, and the staffing numbers are the first thing worth noticing: 4.20 nurse hours per resident day sits about 9% above the national average. That's a real cushion, not a rounding error. The catch is weekends, when coverage drops roughly 14% below the home's own weekday level, so the care your family member gets on a Saturday may look different from a Tuesday. Staff turnover at 53.3% also runs hotter than the 45.8% national figure, which matters for continuity. Inspections in January 2026 turned up 23 deficiencies, none at harm level, though one was abuse-related.

A

87/100

Advanced Health Care Of Overland Park

Overland Park, KS · Johnson County

CMS 5/5 38 beds For-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
37%
Serious cites
0

Advanced Health Care of Overland Park runs a small 38-bed home, and the staffing numbers are genuinely strong: 4.92 nurse hours per resident day, roughly 27% above the national average, with weekend coverage dipping about 13% below weekdays. Turnover sits at 37.3%, better than the 45.8% national figure, which matters for consistency of care. The concerns show up on inspections. The current record carries 23 deficiencies, including one at the harm level and three tied to abuse, plus a $13,397 fine, and the last inspection was September 2024. The quality and staffing ratings come back high, but that inspection history is what pulls the overall picture down. If you're considering it, ask directly about those abuse-related findings and what changed since.

A

87/100

The Willows At Harrodsburg

Harrodsburg, KY · Mercer County

CMS 3/5 36 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
43%
Serious cites
0

The Willows At Harrodsburg runs 36 beds under corporate ownership, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average, though weekends dip about 8% below its own weekday levels. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 8 deficiencies on record including one at the harm or jeopardy level, and two fines totaling $12,529. No abuse-related citations appear. A recent January 2026 inspection means the record is current. Strong quality and staffing scores coexist with real compliance problems here, worth asking about that harm-level deficiency directly.

A

87/100

Stillwater Health Care

Bangor, ME · Penobscot County

CMS 4/5 63 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
32%
Serious cites
0

Stillwater Health Care runs on good staffing numbers for its size, 4.11 nurse hours per resident day, a bit above the national average, and its staff turnover of 31.9% is notably lower than the 45.8% typical elsewhere, which usually means steadier caregivers who know the residents. Weekends dip about 12% below weekday coverage, worth asking about if your family visits then. The harder part is the inspection record: 28 deficiencies logged, two serious enough to risk harm, three tied to abuse, plus two fines near $29,000. That mix, strong daily care, rougher oversight history, is what a family should weigh, especially with individual for-profit ownership.

A

87/100

Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase

Easton, MD · Talbot County

CMS 4/5 99 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
25%
Serious cites
0

Willowbrooke runs on a nonprofit model with unusually steady hands: 24.5% turnover is roughly half the national rate, which matters when you're trusting strangers with daily care. The staffing picture is more mixed than the star rating suggests, 3.59 nurse hours per resident day sits about 7% under the national average, and weekends run 9% thinner than weekdays. The bigger concern is the inspection record: 38 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with the most recent state visit in January 2025. Strong quality scores don't erase that history, so ask pointed questions about staffing on Saturdays and how complaints get handled.

A

87/100

Future Care Chesapeake

Arnold, MD · Anne Arundel County

CMS 5/5 152 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
32%
Serious cites
0

Future Care Chesapeake runs 152 certified beds in Arnold under corporate for-profit ownership, and the staffing picture is genuinely strong: 4.08 nurse hours per resident day, about 6% above the national average. Weekend coverage dips roughly 11% below weekdays, which is worth asking about if your family visits on Saturdays or Sundays. Annual turnover sits at 32.4%, well under the national 45.8%, meaning the people caring for residents tend to stick around. The health inspection and quality measure ratings both come back at the top of CMS's five-star scale, with 21 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was February 2026.

A

87/100

Glen Meadows Retirement Com.

Glen Arm, MD · Baltimore County

CMS 4/5 31 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
18%
Serious cites
0

Glen Meadows runs a tight ship on the people side. Staff turnover sits at 17.9 percent, well under the national average of 45.8, that kind of retention usually means stable caregivers who know the residents. But the inspection record tells a different story: 36 deficiencies on file, including one at the harm level and three tied to abuse, plus a $31,233 fine from a March 2025 visit. Staffing hours per resident day land just under the national average, and weekends dip about 13 percent below the home's own weekday coverage. The low turnover is real, and it matters, but the inspection findings are the ones worth asking about directly.

A

87/100

Autumn Lake Healthcare Post-Acute Care Center

Baltimore, MD · Baltimore City County

CMS 3/5 225 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
22%
Serious cites
0

Autumn Lake Healthcare Post-Acute Care Center is a 225-bed for-profit in Baltimore with staffing that edges past the national average, 3.99 nurse hours per resident day against 3.86, though weekends run about 11% thinner than weekdays. Turnover sits at 21.8%, less than half the national rate of 45.8%, which suggests a steadier workforce than most. The catch is inspection history: 46 deficiencies on record, including one at the harm level and four tied to abuse, and a two-star health inspection rating. Quality measures scored five stars, and the most recent inspection was November 2025. Strong numbers on care and retention, weaker ones on compliance.

A

87/100

Future Care Capital Region

Landover, MD · Prince Georges County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
15%
Serious cites
0

Future Care Capital Region runs on unusually steady staffing for a for-profit home: 4.78 nurse hours per resident day, roughly a quarter above the national average, and turnover of 14.9% against a national figure near 46%, that kind of retention usually means the same aides are showing up, which matters more than almost anything for daily care. Weekends dip about 12% below weekdays, worth asking about directly. The inspection record is the real caveat: 45 deficiencies on file, including one tied to abuse, though none reached harm or jeopardy level, and the most recent survey was in January 2026. Quality measures score well. Read the inspection reports themselves before deciding.

A

87/100

Life Care Center Of The South Shore

Scituate, MA · Plymouth County

CMS 5/5 117 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
40%
Serious cites
0

Life Care Center of the South Shore runs about 3.97 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 12% below its own weekday coverage, worth asking about if your family visits mostly on Saturdays and Sundays. Staff turnover sits at 40%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The inspection record is genuinely strong: a 5/5 health inspection rating, 20 deficiencies on file but none at the harm or jeopardy level and none abuse-related, with the last inspection in March 2025. Corporate for-profit ownership, 117 beds.

A

87/100

Reservoir Center For Health & Rehabilitation, The

Marlborough, MA · Middlesex County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
34%
Serious cites
0

Reservoir Center runs 144 beds in Marlborough under for-profit LLC ownership, and its staffing sits at 3.95 nurse hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 10% below its own weekday coverage. Turnover is where it separates itself: 33.6% against a national average of 45.8%, meaning fewer unfamiliar faces than at the typical home. Twenty-eight deficiencies appear on the current record, but none at the harm level and none abuse-related, with a single fine of $3,145 and an inspection dated January 2026. CMS gives it 4 stars each for staffing and quality measures, 3 for health inspections.

A

87/100

Renaissance Manor On Cabot

Holyoke, MA · Hampden County

CMS 5/5 61 beds For-profit
Nurse hours
3.76 /day
Staff turnover
35%
Serious cites
0

Renaissance Manor On Cabot runs a little leaner than the typical American nursing home, 3.76 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 15% below what the home staffs on weekdays. So if you're visiting on a Saturday, expect fewer hands on deck than midweek. What stands out instead is stability: turnover here is 34.5%, well under the 45.8% national figure, which matters because familiar aides tend to notice changes in a resident sooner. The inspection record is recent, clean at the harm level, and free of abuse findings, with 22 total deficiencies of the lower-level paperwork and process variety. A for-profit LLC with 61 beds and strong quality measure scores.

A

87/100

St Patrick's Manor

Framingham, MA · Middlesex County

CMS 5/5 333 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
30%
Serious cites
0

St Patrick's Manor runs 333 beds in Framingham under corporate ownership, and its staffing is genuinely a bright spot: 4.09 nurse hours per resident day, about 6% above the national average, with turnover at 30.1% against a national 45.8%. Weekends thin out roughly 10% below weekday coverage, which is worth asking about if your family visits then. The concern sits in inspections. Twenty-three deficiencies are on the current record, four serious enough to reach harm or jeopardy level and three tied to abuse, with $33,157 in fines across three penalties. The most recent inspection was May 2026. Strong daily care hours and relatively stable staff, weighed against a troubling inspection history.

A

87/100

Life Care Center Of The North Shore

Lynn, MA · Essex County

CMS 5/5 123 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
20%
Serious cites
0

Life Care Center of the North Shore runs 123 certified beds in Lynn under corporate, for-profit ownership. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends run roughly 14 percent thinner than weekdays, worth asking about if your family tends to visit Saturday or Sunday. What stands out is retention: turnover of 19.8 percent is well below the national 45.8 percent, meaning the people caring for residents tend to stay. The current record shows 18 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was March 19, 2026.

A

87/100

Alliance Health At Braintree

Braintree, MA · Norfolk County

CMS 5/5 101 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
34%
Serious cites
0

Alliance Health At Braintree runs on more nursing hours than most homes in the country, about 4.25 per resident day against a national average near 3.86, and it holds onto its staff better than average too, with turnover at 33.7% versus roughly 46% nationally. Weekend coverage dips about 13% below weekday levels, which is common but worth knowing if your family visits on Saturdays or Sundays. The inspection record is clean where it matters: four deficiencies on file, none causing harm, none tied to abuse, and the most recent visit was in July 2025. As a nonprofit, it answers to a board rather than shareholders.

A

87/100

D'youville Care For Advanced Therapy

Lowell, MA · Middlesex County

CMS 5/5 33 beds Non-profit
Nurse hours
5.51 /day
Staff turnover
55%
Serious cites
0

D'youville Care for Advanced Therapy runs 33 certified beds as a nonprofit corporation, and the staffing numbers stand out: 5.51 nurse hours per resident day, roughly 43% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, which is worth knowing if family visits cluster on Saturdays and Sundays. Annual turnover sits at 54.5%, higher than the 45.8% national figure, so even with strong daily hours, some churn is real. The inspection record is clean where it matters most, five deficiencies on file, none at harm or jeopardy level, none abuse-related, and the last survey was July 25, 2025.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist