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.
Wentworth runs 300 beds on Chicago's South Side, and the staffing numbers are the first thing I'd want you to see: 2.84 nurse hours per resident per day, roughly 27% under the national average, with weekends about 15% thinner than weekdays. The inspection record backs that up, 66 deficiencies, eight serious enough to involve harm or jeopardy, eight tied to abuse, and five fines totaling $289,387, with the most recent inspection in May 2024. Turnover at 30.5% is actually better than the 45.8% national figure, which tells you the problem isn't retention so much as how few hours the building puts at the bedside. For-profit corporate ownership, and the health inspection rating sits at 2 out of 5.
Avantara Lincoln Park runs 248 beds on Chicago's North Side, and its nurse staffing works out to 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage slips a little further, about 2% below its own weekday numbers, and staff turnover sits at 43.3%, slightly better than the 45.8% national figure. What stands out more is the inspection record: 60 deficiencies, including 7 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $202,448. The last full inspection was June 2024, and CMS rated the health inspection and staffing domains 2 out of 5. For-profit corporate ownership, thin nursing hours, and a long serious-deficiency history are the things to weigh here.
Belhaven runs on 2.60 nurse hours per resident day, roughly a third less than the national average, and weekends drop another 11% below its own weekday levels. Staff turnover sits at 33.9%, which is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are on deck in a 221-bed building. The inspection record is where it gets heavy: 100 deficiencies, ten at harm or jeopardy level, eleven tied to abuse, and five fines totaling $320,068. The last inspection was December 2025. A corporation owns it, and the federal staffing and inspection stars both sit at one out of five.
California Terrace runs on 2.21 nursing hours per resident per day against a national average near 3.86, roughly 43% less hands-on care than typical. Weekends thin out further, about 14% below the home's own weekday staffing, and the current inspection record carries 88 deficiencies, including 7 at harm or jeopardy level and 11 tied to abuse. Five fines total $363,575, and the most recent inspection was August 2025. Turnover at 41.1% actually sits slightly under the national figure, so the problem isn't retention so much as how few staff there are to begin with. Cook County families comparing options should weigh that 297-bed size against a one-star inspection history.
Landmark of Lincoln Park runs 178 beds under for-profit limited liability ownership, and the staffing numbers are the first thing I'd want you to see: 2.76 nurse hours per resident day, roughly 28% under the national average, and weekends dip about 9% below its own weekday level. The inspection record is heavier than that shortfall alone, 74 deficiencies, seven at harm or jeopardy level, 13 tied to abuse, and three fines totaling $116,630. Turnover sits at 40.3%, slightly better than the 45.8% national figure, so retention isn't the weak point here. The most recent inspection was June 12, 2025, so the record is current.
Chalet Living & Rehab runs on 2.51 nurse hours per resident day, roughly a third below the national average, and weekend coverage dips further below its own weekday level. That thin margin shows up in the inspection record: 54 deficiencies, four at harm or jeopardy level, six tied to abuse, and $390,344 in fines. The one number that stands out in the other direction is staff turnover at 20.4%, well under the national 45.8%, a stable workforce that nonetheless hasn't translated into adequate hours per resident. This is a 219-bed for-profit run by a corporation, last inspected January 9, 2026. The question for your family isn't whether the staff care; it's whether there are enough of them on weekends.
Hallmark Hc Of Carlinville is city-owned, which is unusual, most homes are run by chains or private operators, and it holds 49 beds, so it's small. Where it struggles is staffing: 3.10 nurse hours per resident day sits about 20% under the national average, and weekends drop roughly 12% below what the home itself staffs on weekdays. Turnover lands at 45%, basically level with the national figure, so that's not the problem here. What stands out is the inspection record: 24 deficiencies, three of them serious enough to put residents at risk of harm, plus one fine totaling $25,493. The most recent state visit was February 2025, so the picture is current.
South Elgin Living & Rehab Center runs on 3.18 nurse hours per resident day, roughly 18% under the national average, and weekend coverage dips about 12% below its own weekday level, so the thinnest shifts are when families tend to visit. That's the tension here: staff turnover of 24.5% is unusually low against a 45.8% national figure, yet 58 deficiencies sit on the current record, including four at harm or jeopardy level and five tied to abuse, with $230,403 in fines. The last inspection was May 2024. Consistent caregivers matter, but they're working inside a for-profit operation whose inspection history has been the persistent problem.
Harmony Palos runs a 130-bed for-profit home in Palos Heights, and the staffing numbers are the first thing to notice. At 3.08 nurse hours per resident day it sits about 20% under the national average, weekends dip further, and 64.1% annual turnover means many of the aides and nurses your relative sees are still new. The inspection record shows 42 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $25,874; the most recent state visit was November 2024. Ownership is a limited liability company, which limits who is personally on the hook if something goes wrong.
The Haven of Bridgeport runs about 2.59 nurse hours per resident per day, roughly a third below the national average of 3.86, and staffing drops another 13% on weekends when oversight tends to be thinnest. That thin coverage shows up in the results: a 1-out-of-5 CMS staffing rating, 20 deficiencies on the current record including two at harm or jeopardy level and one tied to abuse, with the last inspection in May 2024. Annual turnover sits at 48.6%, above the 45.8% national figure. For-profit corporate ownership and a 2-out-of-5 quality measure rating round out a picture worth weighing carefully against other homes in the area.
Aperion Care Midlothian runs on 3.04 nurse staffing hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 13% below what the home staffs on weekdays. That matters because turnover sits at 56%, well above the 45.8% national figure, so the people covering those shifts are often new. Inspectors cited 32 deficiencies on the current record, including two at the harm level and three tied to abuse, and the most recent inspection was July 2025. One fine totaling $19,565 has been assessed. The home is individually owned for profit, holds 91 certified beds, and its staffing and health inspection ratings both sit at the low end of CMS's scale.
Arcadia Care Kewanee runs on 3.12 nurse hours per resident per day, roughly 19% under the national average, and staffing gets thinner on weekends, about 9% below its own weekday level. That's the pattern behind a one-star CMS staffing rating. The 56 deficiencies on record include four at the harm or jeopardy level and three tied to abuse, plus a single $201,299 fine. Turnover is actually the better number here at 31.1%, well under the national 45.8%, so the problem isn't churn so much as how few hands are scheduled. The last inspection is recent, January 2026, and the quality measure rating sits at three stars.
South Shore Rehabilitation runs 248 beds on Chicago's far southeast side, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.2% is close to the national figure, so that's not the outlier here. What stands out is the inspection record: 55 deficiencies, six at harm or jeopardy level, two tied to abuse, and five fines totaling $478,448. The most recent inspection was August 2025. For-profit, limited liability ownership. Ask about weekend coverage and the plan of correction before you decide.
Aspyre Of Waukegan runs a lean ship on the floor: 3.15 nurse staffing hours per resident day, roughly 18% under the national average, with weekends dipping about 14% below its own weekday numbers. Turnover, though, sits at 26.4%, well below the 45.8% national figure, so the people who stay tend to stay. The trouble is what's on the record: 37 deficiencies, four at harm or jeopardy level, four tied to abuse, and two fines totaling $135,606, with the most recent inspection in February 2026. For-profit corporate ownership, 115 beds, and a one-star health inspection rating. The staffing math and the citation history are the two things to weigh hardest before deciding.
Aperion Care Kokomo runs 105 beds under for-profit LLC ownership, and its staffing numbers are the clearest trouble spot: 3.34 nurse hours per resident per day sits about 14% under the national average, weekends drop roughly 12% below its own weekday coverage, and 57.7% of staff turn over each year against a 45.8% national rate. That thin, churning workforce is hard to separate from the inspection record, 32 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one $15,593 fine. The last inspection was recent, August 2025. Quality measures score mid-range, but low staffing and a long deficiency history are what a family should weigh here.
Vermillion Convalescent Center runs on 2.76 nursing hours per resident each day, roughly 29 percent under the national average of 3.86. Weekends drop about 13 percent below what the home itself staffs on weekdays, so coverage thins out right when families tend to visit. The county owns it, and turnover sits at 46.8 percent, close to the national 45.8. Inspectors were last in on August 19, 2025, and the current record carries 21 deficiencies, none at harm or jeopardy level, but three tied to abuse. The staffing star lands at 1, quality at 2, health inspection at 3.
Aperion Care Arbors in Michigan City runs 180 beds under corporate ownership, and the staffing numbers are the first thing worth noticing: 3.42 nurse hours per resident per day, about 11% under the national average, with weekends running roughly 14% below its own weekday level. Annual turnover sits at 49.6%, higher than the 45.8% national figure. The inspection record is heavier still, 69 deficiencies on the current record, including 2 at the harm or jeopardy level and 4 tied to abuse. The last inspection was in December 2025, and CMS scored health inspections and staffing at 1 out of 5 stars each. Quality measures came in at 3.
Carmel Health & Living Community is county-owned, which can mean stability, but the numbers here tell a harder story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 14% thinner than weekdays, so the coverage gap shows up exactly when families tend to visit. Staff turnover is the bigger worry: 69.8% a year against a national average of 45.8%, which means the people caring for your relative are often brand new. The inspection record backs that up: 30 deficiencies, two of them serious enough to put residents at risk of harm, plus one fine. The state last inspected in September 2025.
The Waters of Lebanon runs on 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 10 percent below its own weekday levels. Staff turnover sits at 65.9 percent against a national 45.8 percent, so the people caring for residents change often. Its record shows 31 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level; the last inspection was September 11, 2025. CMS rates staffing 1 out of 5 stars and inspections 2 out of 5, while quality measures score 4 out of 5, a split worth asking about directly. Corporate ownership means decisions about staffing levels get made well above the building.
Signature Healthcare of Muncie is a for-profit home with 140 beds, and its inspection record is the first thing to look at: 59 deficiencies, including 17 tied to abuse and one at the level that caused actual harm or put residents in jeopardy. The last inspection was March 20, 2026, so the record is recent. Nurse staffing sits at 3.80 hours per resident day, slightly below the national average, and it thins out on weekends by roughly 15% compared to weekdays. Staff turnover is 70.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The quality measure rating looks strong on paper, but that's survey data, not the inspection findings.
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?