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.
Sonterra Health Center runs on thin nursing coverage, 3.53 hours per resident day, roughly 9% under the national average, and weekends are leaner still, about 19% below its own weekday level. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in a turnover rate of 54.6%, nearly nine points above the national figure. Its current record carries 50 deficiencies, including five at the harm or jeopardy level and five tied to abuse, along with three fines totaling $80,964. A May 2025 inspection is recent, but the inspection rating is still below average. It's owned by a hospital district, which may explain some stability, but the numbers here are hard to read as reassuring.
Madison Medical Resort runs 3.57 nursing hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 16% below its own weekday staffing. That thin weekend coverage matters more than the overall number, since gaps show up when fewer people are watching. The 44.8% turnover rate is basically in line with the national 45.8%, so retention isn't the standout problem here. What is: ten deficiencies on the current record, two of them at harm or jeopardy level, plus a $32,445 fine. A 3/5 on health inspections and quality measures is middling, and the 1/5 staffing rating reflects the hours above. Ownership is for-profit corporate.
Haven Of Lakeside runs 112 certified beds under for-profit LLC ownership, and the staffing numbers tell a mixed story. Total nurse staffing sits at 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends run about 8 percent thinner than weekdays, so the coverage gap widens exactly when families tend to visit. Annual turnover of 51.2 percent is well above the national 45.8 percent, meaning more than half the nursing staff turns over every year.
The bigger concern is the inspection record: 48 deficiencies, including 13 abuse-related citations and one at the harm or jeopardy level, with a single fine of $8,278 and a health inspection rating of 1 out of 5. The most recent inspection was November 19, 2025.
Lake Forest Senior Living runs 50 beds in Hot Springs Village under corporate ownership, and the numbers show a home that's getting by on thinner staffing than most. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekend coverage doesn't drop off, it actually runs slightly above weekdays. The bigger concern is turnover: 60.4% of staff leave each year, well above the 45.8% national rate, which matters because unfamiliar caregivers struggle to catch changes in condition early. The current inspection record carries 13 deficiencies, one serious enough to reach harm level, plus a $13,627 fine. The last inspection was September 2025, so the record is recent.
The Blossoms at Conway runs on 3.30 nurse hours per resident per day, about 14 percent under the national average of 3.86, and weekends dip roughly 10 percent below its own weekday levels, so coverage thins exactly when families tend to visit. Staff turnover sits at 71.3 percent against a national 45.8 percent, meaning most of the people caring for your relative this year likely won't be there next year, and a one-star health inspection record with 36 deficiencies, one serious enough to reach harm or jeopardy, backs that up. The most recent inspection was May 2025, so the findings are current, not stale. Corporate ownership, one fine of $8,021, and no abuse citations round out the picture.
Staff turnover at The Blossoms At Nashville Rehab And Nursing Center runs 73.2 percent a year, well above the national average of 45.8 percent. That's a lot of new faces cycling through a 70-bed building, and it's the kind of thing that shows up in day-to-day care even when an inspection goes well. The current record has 20 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection came back at 4 of 5 stars. Ownership is for-profit, a limited liability company.
Adventist Health Delano runs a nonprofit home in Kern County with 51 certified beds, and its staffing is genuinely unusual: 6.42 nurse hours per resident day, roughly 66% above the national average, with weekend coverage only about 6% below weekdays. Turnover sits at 25% against a national average near 46%, so the same caregivers tend to stay. The trouble is everything else. Inspectors cited 62 deficiencies on the current record, three of them at harm or jeopardy level and six abuse-related, with two fines totaling $123,442 and the most recent inspection in April 2025. High staffing can't offset that inspection history, and the federal stars split the difference: three for staffing, two each for health inspections and quality measures.
Skyline Ridge runs on thin staffing: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. Turnover sits at 67.6%, roughly half again the national rate, which means the people caring for your family member are often new or on their way out. The inspection record shows 36 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, with a $21,320 fine. Two stars on health inspections and two on staffing tell you the state has found real problems and coverage stays light. It's worth asking what's changed since September 2024.
Coral Springs Rehab runs 169 beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends dip roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 60.8% against a 45.8% national figure, which means the aides and nurses on the floor keep changing. The inspection record backs that up: 63 deficiencies, four at harm or jeopardy level, four tied to abuse, and $99,184 in fines across three penalties. Two stars for health inspections and two for staffing, with a recent December 2025 inspection. Worth asking hard questions before you decide.
Community Convalescent Center runs on 2.90 nurse hours per resident day, about a quarter below the national average of 3.86, with weekend staffing nearly matching weekdays. The bigger problems sit in its inspection record: 42 deficiencies, three at harm or jeopardy level and four abuse-related, plus two fines totaling $115,719. That inspection history likely explains the 1-out-of-5 health inspection rating, and staff turnover at 47.1% edges past the national 45.8%, so even the thin staffing is not especially stable. Its 4-out-of-5 quality measure rating reflects resident care metrics, and a nonprofit corporation owns the 120-bed home. The last inspection was August 27, 2025.
Valencia Hills runs 249 beds under corporate ownership, and the numbers show where the strain sits. Nurse staffing is 3.57 hours per resident day, about 7% under the national average, and weekends drop roughly 7% below the home's own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 49.6% tops the national rate, meaning nearly half the nursing staff leaves each year. The inspection record is the bigger concern: 45 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus $24,236 in fines. Quality measures score well, but that's a narrow bright spot.
Viera Del Mar runs about 3.63 nurse hours per resident day, roughly 6% under the national average, and weekend coverage drops another 10% below its own weekday level. That thin margin shows up in turnover: 66.9% of staff leave each year, against a national rate near 46%. The inspection record is where the real weight sits, 44 deficiencies, eight serious enough to cause harm or jeopardy, four tied to abuse, and three fines totaling $133,088. Quality measures score well, but a 1-out-of-5 inspection rating and a staffing level below average describe a building where the daily care depends heavily on a workforce that keeps changing.
Brown Health and Rehabilitation runs on leaner nursing hours than most homes in the country, about 3.28 hours per resident per day against a national average near 3.86, and weekends get thinner still, dropping roughly 12% below what the building staffs during the week. That gap matters when a family is deciding whether Saturday and Sunday care looks like Tuesday care.
The inspection record is the stronger part of the story: a recent survey in September 2025, no deficiencies at the harm or jeopardy level, and a 4-out-of-5 inspection rating. But 17 total deficiencies sit on the record, two of them abuse-related, and the quality measure rating of 2 out of 5 lags the inspection results. Staff turnover at 47.3% runs a bit above the national average, which fits a home where the clinical numbers and the survey numbers don't tell the same story.
Cherokee Center for Nursing and Healing runs a 100-bed for-profit home in Canton, and the staffing numbers are where the trouble starts. At 2.95 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 12% below its own weekday coverage. That shortfall shows up in a 1-out-of-5 staffing rating, a 52.6% annual turnover rate, and 31 deficiencies on the current record, six of them serious enough to put residents in harm's way and two tied to abuse. A single fine of $185,650 and a place in CMS's Special Focus Facility program follow from that pattern, despite strong quality-measure scores.
Spalding Post Acute runs 148 certified beds in Griffin under for-profit LLC ownership, and its staffing numbers are the first thing to know: 3.09 nurse hours per resident day against a national average of 3.86, with weekends roughly 13% thinner than weekdays already are. Annual turnover of 56.3% sits well above the 45.8% national figure, so the people caring for residents change often. Inspections have cited 31 deficiencies, five of them abuse-related, though none reached the harm or jeopardy level as of the March 2026 survey. CMS gives the quality measures 3 of 5 stars while staffing lands at 1, which is where the gap between what's measured and who's present shows up.
Tucker Park Crossing runs 144 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86. Weekends drop about 15% below its own weekday levels, and 60% of staff turn over each year against a national rate near 46%. The inspection record shows 42 deficiencies, one tied to abuse, with a single fine of $47,466 and a health inspection rating of 1 out of 5; quality measures score better at 3. The last inspection was January 30, 2026. Ask about weekend coverage and how long direct-care staff tend to stay before you tour.
Stone Mountain Run of Journey runs 149 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 42.5%, slightly better than the 45.8% national figure, which is the one number here that isn't working against it. The current record shows 11 deficiencies, none at harm or jeopardy level, with one abuse-related citation. Three stars on health inspections, and one star each on quality measures and staffing. The last inspection was May 7, 2026.
Mountain View Health Care runs 117 certified beds in Clayton under corporate for-profit ownership, and the numbers tell a consistent story. Nurse staffing sits at 3.08 hours per resident day, about 20 percent under the national average, and weekends drop another 13 percent below what the home itself provides on weekdays, meaning coverage thins out exactly when families tend to visit. The inspection record is heavy: 37 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, with CMS giving the home its lowest mark across health inspections, quality measures, and staffing alike. Staff turnover, at 36.1 percent, is actually better than the national 45.8 percent, which is the one bright spot here.
Medical Management Health and Rehab Center runs on thin nursing coverage: 2.88 hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, with weekends dipping about 9% below its own weekday floor. The inspection record adds weight, 17 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $41,316 fine and a two-out-of-five health inspection rating. Staff turnover at 41.7% is slightly better than the national 45.8%, so retention isn't the weak point here; coverage is. The last inspection came in April 2026, and this for-profit corporation's record puts it among the lower-rated homes in the Macon area.
Alden Park Strathmoor runs 189 beds in Rockford under for-profit limited liability ownership, and its nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 9% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover of 43.1% is slightly better than the 45.8% national figure, but the inspection record is the heavier problem: 31 deficiencies, five of them at harm or jeopardy level, and two fines totaling $115,265. The most recent inspection was May 2025. Quality measures score well; staffing and inspections do not.
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?