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.
Gonzales Healthcare Center runs 120 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.57 nurse hours per resident day, about 7 percent under the national average, with weekends dipping roughly 11 percent below its own weekday levels. Turnover sits at 43.5 percent, slightly better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is. Fifty-one deficiencies are on file, three of them at harm or jeopardy level and 22 abuse-related, with two fines totaling $92,032 and the most recent inspection dated May 2025. A 1-out-of-5 health inspection rating alongside a 2-out-of-5 quality measure rating tells you where the trouble concentrates.
The Oaks Care Center in Pineville runs lean on nursing staff, 3.25 hours per resident day against a national average of 3.86, with weekends about 7% thinner than weekdays. Turnover sits at 49.5%, above the 45.8% national figure, and the 14 deficiencies on record include one abuse-related finding but nothing flagged at harm or jeopardy level. Its inspection history is genuinely strong, though: a 5/5 health inspection rating and a visit as recent as January 2026. The tension between clean inspections and thin day-to-day staffing is worth weighing, ask how many nurses are actually on the floor on a Saturday.
Ouachita Healthcare and Rehabilitation Center runs 167 certified beds in Monroe under for-profit limited liability ownership, and its staffing is the weak spot. At 3.33 nurse hours per resident per day, it sits about 14 percent under the national average of 3.86, and weekends drop roughly 13 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 42.2 percent is slightly better than the 45.8 percent national figure, and the 26 deficiencies on record include one abuse-related citation but none flagged at harm or jeopardy level. A single fine of $31,844 and a recent April 2026 inspection round out the picture.
Landmark of Rayne runs 130 certified beds under for-profit LLC ownership, and its staffing numbers tell the real story. Total nurse coverage sits at 3.98 hours per resident day, modestly above the national average of 3.86, but weekends drop about 26% below the home's own weekday level, so the care you'd observe on a Tuesday isn't what a Saturday looks like. Staff turnover is 70.5% against a national 45.8%, meaning most of the people caring for residents are relatively new. Inspections in April 2025 produced 26 deficiencies, none at harm level but one abuse-related, and CMS gave 2 out of 5 stars across health inspections, quality measures, and staffing alike.
Camelot Rehabilitation at Magnolia Park runs 4.06 total nurse hours per resident day, roughly 5% above the national average of 3.86, so the raw staffing number looks fine at first glance. The trouble sits underneath it: weekend staffing drops about 13% below the home's own weekday level, and annual turnover hits 62.7% against a national average of 45.8%, which is a lot of churn for a 160-bed for-profit LLC. CMS gave it one star for staffing and two for health inspections, with 33 deficiencies on the current record, none flagged as harm, jeopardy, or abuse. The last inspection was March 2026, so the record is recent.
Orchard Hill runs 139 beds under for-profit limited liability ownership, and the staffing numbers are the first thing to look at. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover runs 55.3% against a national 45.8%, meaning aides and nurses cycle through faster than usual. The inspection record is heavier still: 99 deficiencies, two at harm or jeopardy level, nine tied to abuse, and one fine of $50,122. The most recent inspection was April 2026, so that record is current, not stale.
Wedgemere runs lean on nursing hours, 3.56 per resident day, roughly 8% under the national average, and weekends are thinner still, about 11% below its own weekday coverage. The inspection record is the bigger concern: 50 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $129,794 fine, with federal health and staffing ratings both at the bottom of the scale. Staff turnover, at 43.8%, is actually slightly better than the 45.8% national average, so retention isn't the main problem here. The last inspection was in January 2025, so the record is recent. If you're considering this home, ask directly how the abuse deficiency was resolved and what weekend coverage looks like on the evening shift.
Adviniacare At Northbridge runs 154 beds under for-profit LLC ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 13% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is 38%, which is actually better than the 45.8% national figure, and the inspection record is recent, clean at the harm level, and free of abuse citations. But 33 deficiencies and a one-out-of-five quality measure score tell you the day-to-day care outcomes aren't matching the inspection result.
Hampden Post Acute runs 3.63 nurse hours per resident day, roughly 6% under the national figure, and weekends drop about 10% below its own weekday levels. The bigger number is turnover: 63.9% of nursing staff left over the year, against a national average near 46%. Inspections look solid on the surface, a 4-out-of-5 star rating, with the most recent visit in January 2026, but the record carries 23 deficiencies, one serious enough to involve harm or jeopardy. Ownership is a for-profit limited liability company. With 135 beds and a 1-star staffing rating, the question for your family is whether the coverage holds up on a Saturday, not whether the last survey went well.
Vantage At Westfield runs 98 beds under corporate ownership, and the staffing numbers are the first thing to look at: 3.49 nurse hours per resident day, roughly 10% under the national average, with weekends dipping about 8% below its own weekday levels. That thin coverage shows up in the inspection record too, 27 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Annual turnover sits at 50%, above the 45.8% national figure, which means unfamiliar faces are common. The last inspection was January 2025, so the record is recent. Nothing here is catastrophic, but the pattern is consistent: less staff time, more cited problems.
Royal Wood Mill Center runs 94 certified beds in Lawrence under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends drop about 14% below its own weekday coverage, and annual turnover hits 50% against a national 45.8%. The current inspection record carries 26 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse. CMS gives it 3 stars for health inspections, 2 for quality measures, and 2 for staffing, with the most recent inspection dated March 25, 2026. Those aren't disqualifying numbers on their own, but the abuse-related citations and harm-level findings are the parts worth asking the administrator about directly before you decide.
Mount Carmel Care Center sits in Lenox with 69 certified beds and a church-affiliated nonprofit owner, and its nurses put in 4.10 hours per resident day, roughly 6% above the national average, with weekend coverage running about 6% thinner than its own weekdays. That staffing edge is real, but it's undercut by 73.3% annual turnover against a 45.8% national figure, meaning the people providing that care are largely new to the building. The record shows 22 deficiencies, one serious enough to trigger a harm-level citation, plus a single $46,410 fine. The most recent inspection closed in April 2025, so the picture is current. Good daily coverage, unstable workforce, and a recent serious finding, that's the tension worth weighing.
Royal Of Cotuit runs on 3.32 nurse hours per resident day, about 14% under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That thinner weekend coverage matters because this for-profit LLC carries 35 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, with $7,901 in fines. Staff turnover sits at 47.7%, slightly above the national 45.8%, and all three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. The most recent inspection was March 31, 2026. If you're weighing this one, ask directly how weekends are covered and what changed after those abuse-related findings.
Lee Healthcare runs 88 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.18 nurse hours per resident day against a national average of 3.86, with weekends running roughly 9% thinner than weekdays. That shortfall shows up in who stays and who leaves, annual turnover of 62.3% against a national 45.8% means roughly three in five caregivers are new each year, and it's hard to build familiarity with residents that way. The current inspection record carries 34 deficiencies, one serious enough to reach harm or jeopardy level, though none are abuse-related. State inspectors were last in on September 10, 2025, and the quality measure rating sits at 1 out of 5.
Optalis Health & Rehabilitation of Whitehall runs 125 certified beds under corporate for-profit ownership, and the numbers worth your attention are on the staffing and inspection side. Nurses provide about 3.23 hours per resident day, roughly 16 percent under the national average, and weekend coverage drops about 7 percent below what the home staffs on weekdays. Meanwhile, 57.8 percent of staff turned over in a year against a national rate near 46 percent, which makes consistent care hard to hold onto. The current inspection record carries 59 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse; the most recent inspection was March 5, 2026.
Greenfield Rehab And Nursing Center runs a 105-bed for-profit operation in Royal Oak, and the numbers tell a mixed story. Nurses provide 3.34 hours per resident per day, roughly 13 percent under the national average, and weekend coverage drops about 10 percent below what the home staffs on weekdays. Staff turnover sits at 55.8 percent, well above the national 45.8 percent, so the people at the bedside keep changing. Inspectors cited 76 deficiencies on the current record, including 6 at the harm or jeopardy level and 14 tied to abuse, with four fines totaling $367,987. The quality measure rating is strong at 4 out of 5, but the inspection rating is 1 out of 5, and the last survey was July 25, 2025.
The Waterview Woods in Eveleth runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the inspection record: 39 deficiencies, four serious enough to cause harm or put residents in jeopardy, two tied to abuse, and three fines totaling $55,269. Staff turnover sits at 50%, higher than the 45.8% national rate, so caregivers are cycling through steadily. Medicare's own ratings put staffing at the bottom and inspections and quality measures each below middle. Corporate ownership takes the profit here, not the residents. The last inspection was November 2025.
Ms Care Center of Greenville sits at 90 certified beds under corporate for-profit ownership, and its last inspection came in February 2025, recent enough that the record reflects current conditions. The inspection history is the bright spot: 13 deficiencies on file, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. What pulls the picture down is staffing. At 3.35 nurse hours per resident day, it runs about 13% under the national average, weekends drop roughly another 10% below its own weekday level, and annual turnover of 70.6% means most of the people caring for your family member are new. A 1-out-of-5 quality measure rating suggests the clinical outcomes aren't holding up either.
River Oaks runs a 90-bed home in Steele, and the staffing numbers are where I'd start. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Turnover is the bigger flag: 60.6% of staff leaving annually against a national 45.8% means aides and nurses are cycling through constantly, and that's hard on residents who need consistency. The inspection record shows 15 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $41,389. The most recent inspection was in August 2025, so the picture is current. Ownership is for-profit, individual.
Nurse staffing at The Villa At Blue Ridge runs about 3.10 hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 12% under its own weekday level. That matters because direct care is what most shapes daily life, and here it's stretched.
The numbers behind the grade tell a clearer story than a letter can. Staff turnover sits at 73.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record, 40 deficiencies, including seven tied to abuse and one at the harm level, was last updated in October 2024, so it's recent, not stale. For-profit, limited-liability ownership. Worth asking hard questions before you decide.
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?