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.
Aperion Care Monroe runs 38 beds in Bloomington under corporate ownership, and its nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is 46.4 percent, close to the 45.8 percent national figure, meaning nearly half the nursing staff changes over in a year. The current record shows 24 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was August 2025, and CMS gives it 3 stars for health inspections, 2 for quality measures, and 1 for staffing.
Waters of Wakarusa runs 133 certified beds as a for-profit partnership, and its current inspection record carries 32 deficiencies, one of them at the harm or jeopardy level, though none abuse-related. Staffing sits at 3.46 nurse hours per resident day against a national average of 3.86, weekends run about 9% thinner than weekdays, and annual turnover is 57.1% compared with 45.8% nationally. A single fine of $14,661 appears on the record, and the most recent inspection was March 14, 2025. The one-star health inspection rating tells you where the trouble concentrates: not in the quality measures, which score mid-range, but in how consistently the building meets federal requirements day to day.
Harmony Cedar Rapids runs 74% annual staff turnover against a national average of 45.8%, that means roughly three in four caregivers who work here won't be here a year from now. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national figure, and weekends drop another 9% below the home's own weekday coverage. Its current inspection record carries 27 deficiencies, four of them serious enough to put residents at risk of harm, and the health inspection rating sits at 1 out of 5 stars. Ownership is for-profit, through a limited liability company. The most recent inspection was March 3, 2026, and CMS has fined the home once, for $10,358.
Crestview Specialty Care runs 65 certified beds in West Branch under nonprofit corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 62.7% is well above the 45.8% national figure, meaning the people caring for residents are cycling through fast.
What stands out most is the inspection record: 28 deficiencies, six of them serious enough to cause harm or jeopardy, and three fines totaling $216,061. The most recent inspection was December 2025. No abuse citations appear on file. Staffing and quality measures both land mid-range, but that deficiency history is the real weight here.
Meadowbrook Rehabilitation Hospital in Gardner runs 42 beds under for-profit LLC ownership, and the numbers worth your attention are on the inspection side. The current record shows 47 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, and CMS gave the home a 1 out of 5 on health inspections. Three fines totaling $98,974 have been levied. Staffing sits at 3.73 nurse hours per resident day, a bit under the national average, with weekends running roughly 10% lighter than weekdays, and turnover at 51.1% against a national 45.8%. Quality measures rate better than the inspection record does, but that gap itself tells you something.
Great Plains Post Acute runs about 3.63 nursing hours per resident per day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits on top of a 78.9% annual turnover rate, far above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The record shows 61 deficiencies, nine of them serious enough to put residents at risk of harm, five tied to abuse, plus $49,505 in fines from five separate penalties. A for-profit LLC owns the 118-bed building, and its last inspection was April 22, 2026.
Kenwood View runs a for-profit operation with 82 beds, and its staffing is the first thing I'd flag. At 3.22 nurse hours per resident day, it sits about 17% under the national average, and weekends drop another 13% below its own weekday levels, so coverage thins out right when families tend to visit. The current inspection record carries 47 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse. Quality measures score 1 out of 5, and that's with a December 2024 inspection, so the picture is fairly recent. Turnover near 45% matches the national rate, meaning steady churn rather than stability. Worth asking direct questions before committing.
Wilson Care and Rehab runs 3.68 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 11% below its own weekday staffing. Turnover sits at 65.1% against a national average of 45.8%, which means the aides and nurses your family member sees are cycling through faster than at most homes. The 28 deficiencies on record aren't the alarming kind, none at harm level, none tied to abuse, and the last inspection was recent, December 2025. But with 40 beds, for-profit LLC ownership, and middling marks on both quality measures and staffing, this is a home where the numbers say adequate, not strong.
Belleville Healthcare and Rehabilitation Center runs about 3.09 nurse staffing hours per resident per day, roughly 20 percent under the national average of 3.86, and weekends drop another 13 percent below its own weekday levels, which matters when families visit less and problems go unnoticed. Staff turnover sits at 50.9 percent against a national 45.8 percent, so the people caring for residents keep changing. Its record shows 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $33,616 in CMS fines. The most recent inspection was September 16, 2025. This is a for-profit corporation-owned home where all three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Hilltop Lodge runs on thinner nurse coverage than most homes in the country, 3.42 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level, which is when families tend to visit and notice. The inspection record is the bigger concern: 43 deficiencies, including six tied to abuse and two serious enough to put residents in harm's way, with $28,937 in fines behind them. Annual turnover sits slightly above the national rate. The most recent inspection was in January 2026, so the findings are current, not stale. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly what changed since that inspection.
Arma Operator runs 45 beds under for-profit LLC ownership, and its most recent inspection in December 2024 landed a 4-out-of-5 health inspection rating, that part holds up. The trouble sits elsewhere. Nurse staffing runs 3.54 hours per resident day, roughly 8% under the national average, and weekends dip another 8% below its own weekday coverage. Staff turnover of 41.2% is slightly better than the 45.8% national figure but still means a lot of churn. Sixteen deficiencies sit on the current record, including 2 at harm or jeopardy level and 2 tied to abuse, with one fine of $14,069. Quality measures scored 2 out of 5.
Spring Hill Care and Rehab runs 45 beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurse coverage sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends drop about 4 percent below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is the harder fact: 80 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building. Inspections in June 2025 turned up 36 deficiencies, including one at the harm level and four tied to abuse, with a $21,645 fine on record.
Madisonville Health and Rehabilitation runs 94 certified beds as a for-profit corporation, and its staffing sits around 3.09 nurse hours per resident day, roughly 20% under the national average of 3.86. Weekends drop about 10% below the home's own weekday coverage, so the thinnest shifts are the ones families often visit. Annual turnover is 48.7%, a bit above the 45.8% national figure, which means caregivers cycle through faster than average. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was May 1, 2025, so the picture is fairly recent. Federal ratings land at 3 out of 5 for inspections and 2 out of 5 each for quality measures and staffing.
Fulton Nursing and Rehabilitation runs on 2.82 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in its staffing rating, which sits at the bottom of CMS's five-point scale, while its quality measure rating lands at two stars. Turnover is 45.9%, essentially identical to the national figure, so this isn't a retention crisis, it's a coverage problem. Nine deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, and the most recent inspection was in May 2025.
Somerset Nursing and Rehabilitation runs 123 certified beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, a bit under the national average of 3.86. That gap is small, but weekends drop about 11% below the home's own weekday coverage, and CMS gave staffing a single star. Turnover is 45.7%, essentially identical to the national figure, so that's not the differentiator here. The inspection record is: 19 deficiencies, four of them at harm or jeopardy level, three tied to abuse, with the last inspection in June 2025. Two-star marks on health inspections and quality measures round it out. Families weighing this one should ask directly about weekend nurse coverage and how the abuse-related findings were resolved.
The nurse staffing number at Mt. Sterling Health & Rehab, 3.85 hours per resident day, lands almost exactly on the national average. That's about where the good news ends. Staff turnover runs 50%, well above the typical 45.8%, and weekend coverage drops about 8% below what the home staffs on weekdays, so the hours that look adequate on paper thin out when families are most likely to visit. The health inspection record shows a 1-out-of-5 star rating with 26 deficiencies, including one at the harm level and two tied to abuse. One fine totaling $13,520 is on file. The most recent inspection, in March 2026, is current, but the findings behind it aren't reassuring.
Green Acres runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends dip about 15% below what the home itself staffs during the week. That thinner weekend coverage matters most when families visit and when residents need help. Annual turnover sits at 51.5%, above the 45.8% national figure, so many of the aides and nurses you meet may be relatively new. The good news: 11 deficiencies on the current record, none involving harm or abuse, and the last inspection was recent, in August 2025. It's a for-profit limited liability company with 60 beds, so ask who owns it now and how long the director of nursing has been there.
Sycamore Heights runs 96 beds in Louisville under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. At 3.25 nurse hours per resident day, it sits roughly 16% under the national average, and weekends dip about 12% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover of 60.7% is well above the 45.8% national figure, which means the people caring for your relative are likely to change often. Its inspection record shows 23 deficiencies, four serious enough to involve harm or jeopardy, plus two fines totaling $21,879. The most recent inspection was February 2026, so that record is current.
Countryside Center runs a 53-bed for-profit operation in Carlisle County, and its staffing is the first thing to look at. Nurses provide 3.16 hours per resident per day, roughly 18% under the national average, and weekends drop about 13% below its own weekday numbers. Turnover sits at 46.8%, a touch above the national figure. On the plus side, the health inspection record is strong, four stars, eight deficiencies with none at harm or jeopardy level and no abuse findings, last inspected in February 2026. Quality measures and staffing both score two stars, which tells you where the tradeoffs land: a clean inspection history paired with thin day-to-day coverage.
Kaplan Healthcare Center runs on 3.28 nurse staffing hours per resident day, about 15% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. The 28 deficiencies on its current record include two at the harm or jeopardy level and one tied to abuse, with $34,508 in fines across two penalties. Staff turnover sits at 47.7%, slightly above the national figure, and the last inspection was December 3, 2025. Ownership is corporate for-profit. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. That combination of thin weekend coverage, high turnover, and serious deficiency findings is what drives the low grade.
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?