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.
Stonebridge Lake Ozark runs 3.67 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 20% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 57.8% against a national 45.8%, a lot of the people on those shifts are new. The good news is inspections: a 4-star health inspection result, 16 deficiencies on record with none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly. The August 2024 inspection is recent enough to reflect current conditions. Ownership is for-profit, individual.
Nurse staffing at Billings Rehabilitation and Nursing runs about 3.34 hours per resident day, roughly 13 percent under the national average, and weekends drop another 15 percent below what the home itself provides on weekdays. Staff turnover sits at 72.5 percent against a national figure near 46 percent, which means a large share of the people caring for residents are new to the building. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse, with $62,797 in fines and a survey completed in February 2026. A for-profit limited liability company operates the 100-bed home.
Omaha Nursing and Rehabilitation Center is a 70-bed for-profit in Douglas County, and its inspection record is the thing to look at first. Forty-nine deficiencies on the current record, seven of them serious enough to cause harm or jeopardy, five tied to abuse, that's a lot of citations for a building this size, and one $39,146 fine. The most recent inspection was July 31, 2025, so the record is current, not stale.
Daily nurse staffing sits at 3.77 hours per resident, a bit under the national average, with weekends running about 8% thinner than weekdays. Combined with a one-star inspection rating, that pattern matters more than the three-star quality measure score.
El Jen Skilled Care runs 144 beds in Las Vegas under a for-profit limited liability company, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.01 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than typical, and weekends drop about 9% below what the home already provides on weekdays. Its inspection history carries 50 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, with $51,839 in fines across two penalties. The most recent inspection was August 2025. When staffing runs light, weekends run lighter, and the deficiency list runs that long, the pattern is consistent rather than unlucky.
Auburn Rehabilitation & Nursing Center runs 92 beds under for-profit LLC ownership, and its nurse staffing sits around 3.22 hours per resident day, roughly 17% under the national average. Weekends are thinner still, about 22% below what the home staffs on weekdays, so coverage drops exactly when families tend to visit. Turnover runs 52% against a national 45.8%. The current record carries 24 deficiencies, one serious enough to reach harm or jeopardy level, plus a $10,901 fine. The last inspection was January 2025. With two stars each for health inspections and staffing, the pattern worth asking about is consistency: whether the same caregivers are there week to week and whether weekend coverage holds up.
Autumn Care of Myrtle Grove is a 90-bed corporate-owned home in Wilmington, and the inspection history is where the trouble sits. Forty-one deficiencies on the current record, nine of them at the harm or jeopardy level and six tied to abuse, that's a pattern, not a one-time slip. Four fines add up to $141,604. Staffing runs slightly under the national average at 3.78 nurse hours per resident day, and weekends drop about 17% below the home's own weekday levels, which matters when residents need help on Saturday. Annual turnover of 56.6% is well above the 45.8% national figure, so aides and nurses keep cycling through. The most recent inspection was August 2025, so the record is current.
The Cardinal At North Hills is a small, for-profit home in Raleigh, just 15 certified beds, and its record splits in two directions. Inspectors have been in recently, in September 2025, and the health inspection star rating of 4 out of 5 suggests the day-to-day survey picture is decent. But look closer: four deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine. Quality measures score just 1 out of 5. With that few beds, there's little room to absorb a staffing gap or a single bad stretch.
Adams Lane runs about 2.80 nurse hours per resident per day, roughly 27 percent below the national average of 3.86. Weekends are thinner still, with staffing dropping about 16 percent below its own weekday levels, so the weakest coverage lands when families tend to visit. The record shows 34 deficiencies, four at the harm or jeopardy level and two related to abuse, plus $33,203 in fines across two penalties. Staff turnover sits at 46.2 percent, a hair above the national 45.8, and the last inspection came in February 2025, so the findings are recent. This corporate-owned, 114-bed home has a documented pattern worth weighing before you decide.
Good Samaritan Society New Underwood runs 41 certified beds as a nonprofit, and its nursing hours come to 2.82 per resident day, roughly 27% under the national average of 3.86. Weekends dip about 21% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. Staff turnover sits at 64.7%, well above the 45.8% national figure, which means many of the people caring for residents haven't been there long.
The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $26,595 in fines across two penalties. The most recent inspection was in December 2025.
Millington Healthcare Center runs 85 certified beds as a for-profit partnership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86. Weekends are thinner still, about 18% below what the home staffs on weekdays, and turnover runs at 50% against a national 45.8%. The inspection record carries 21 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, with two fines totaling $226,623. The most recent inspection was March 2024, so that record is fairly current. The quality measure score of 4 out of 5 is the bright spot here; staffing and health inspection scores sit lower.
Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.
Spokane Valley Health and Rehabilitation of Cascad runs 97 certified beds as a for-profit LLC, and its record shows why families should look closely before committing. The staffing score sits at the bottom of the federal scale, and the quality measure rating is just as low, meaning the day-to-day care metrics that matter most land well below what CMS considers average. Inspectors have cited 52 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with four fines totaling $27,034. The most recent inspection was November 2025, so the picture is current. With that volume of citations and thin staffing, you'd want to ask hard questions about who's on the floor overnight.
Avina Of Kenosha runs 153 beds under corporate ownership, and its nurse staffing sits about 10 percent under the national average at 3.47 hours per resident day. Weekends drop roughly 17 percent below its own weekday coverage, which matters when a resident needs help on a Saturday night. The inspection record is the bigger concern: 53 deficiencies, seven of them at harm or jeopardy level, three tied to abuse, plus a $33,989 fine. Staff turnover runs 49 percent, higher than the 45.8 percent national figure. Quality measures score well, and the most recent inspection was July 2025, so the picture isn't stale. But the gap between strong quality scores and a troubled inspection history is worth asking about directly.
Middleton Village runs a 97-bed for-profit operation, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. That's the one bright spot. Weekend coverage drops about 17% below its own weekday level, so the hours aren't distributed evenly across the week. Meanwhile, annual turnover hits 51.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is where things get serious: 63 deficiencies, four at harm or jeopardy level, and 13 tied to abuse. Two fines total $67,772, and the most recent inspection was March 5, 2026. A 1-out-of-5 health inspection rating tells you what the state found.
Hawthorne Healthcare & Wellness Centre runs about 4.21 nurse hours per resident day, roughly 9% above the national average of 3.86, but weekends drop about 13% below its own weekday level, so coverage isn't as steady as the headline number suggests. The 88-bed for-profit partnership carries 35 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its most recent inspection dated March 27, 2026. CMS gives it middling marks on health inspections and just one star each for quality measures and staffing, which is a lot of recent survey activity without any serious harm finding.
Richardson Nursing and Rehabilitation runs 280 certified beds under a hospital district, and the staffing numbers are the first thing you should notice. At 2.60 nurse hours per resident day, it's about a third below the national average of 3.86, and weekends drop roughly another 14% from its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 47 deficiencies, including two at the harm level and two tied to abuse; a single fine of $8,977 is on file, and the last inspection was December 2024. CMS rates the home 1 out of 5 on staffing and 2 out of 5 on health inspections, which tells you the quality measure score isn't the whole picture here.
Parkview runs about 2.87 nurse hours per resident day, roughly a quarter below the national average, and weekends drop another 19% under its own weekday numbers. That thin coverage shows up in the inspection record: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $64,967 and a two-star health inspection rating. Staff turnover sits at 47.5%, slightly above the national figure. The quality measure score of 4/5 is the one bright spot, but it reflects reported care measures rather than the staffing and safety problems regulators have actually cited here.
La Vida Serena runs thin on nursing staff, 2.87 hours per resident per day against a national average of 3.86, roughly a quarter below it. Weekends are lighter still, about 11% under the home's own weekday coverage, so the thinnest shifts come when families often visit. The inspection record is a mixed picture: a four-star health inspection rating and a recent survey in September 2024, but 17 deficiencies on file, two of them at harm or jeopardy level and three tied to abuse. A single fine of $8,404 has been levied. The staffing star sits at one out of five, which tells you where the trouble concentrates.
Wellington Care Center runs on thin nursing coverage: 3.07 hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 11% below its own weekday level. That shortfall is what drags its staffing rating down to 1 out of 5, even though its last inspection in January 2026 went reasonably well and produced a 4-out-of-5 inspection rating. The record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, plus a single $13,070 fine. Government hospital district ownership doesn't change the arithmetic, the quality measure rating sits at 3 out of 5, and the daily staffing numbers are the weakest part of this home's profile.
Village Creek runs on 3.27 nurse hours per resident day, roughly 15% under the national average, and weekend coverage dips about 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. The inspection record is the bigger problem: 38 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with three fines totaling $125,838. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score tells you the charted care metrics look better than the day-to-day compliance record. Turnover at 40.3% is slightly better than the 45.8% national figure, and the hospital district ownership is a point in its favor. Ask about the abuse-related findings directly before deciding.
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?