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.
Heart Of The Ozarks runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 14% below its own weekday staffing. Annual turnover sits at 52.9% against a national 45.8%, so nearly a third of the typical caregiver churn comes on top of an already thin floor. The good news is inspections: a 4/5 health inspection rating, with the last visit in August 2024 and none of the 23 deficiencies flagged at harm or jeopardy level, though two are abuse-related, which families should ask about directly. Quality and staffing measures both land at 2/5, and that gap between a clean inspection record and weak daily numbers is the whole story here.
Ignite Medical Resort Carondelet runs 162 certified beds in Kansas City under for-profit LLC ownership, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 7% below its own weekday numbers, and annual turnover hits 66% against a national 45.8%, so the people who remain are stretched thin. The current record carries 72 deficiencies, including one at the harm or jeopardy level and two tied to abuse. A 4/5 quality measure score stands out against a 1/5 staffing rating, and the last inspection was January 16, 2026. Ask about direct-care hours on weekends before you decide.
Point Lookout runs on thin staffing. At 2.59 nurse hours per resident per day, it sits about a third below the national average of 3.86, and weekends drop roughly another 15% below what the home manages on weekdays. That shows up in the federal staffing rating, which lands at the lowest tier. The inspection record carries 33 deficiencies, one of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in October 2024. Ownership is a for-profit corporation, and turnover at 47.9% edges past the national 45.8%. Quality measures rate below average at 2 out of 5.
Daybreak Nursing Center holds a five-star inspection record, with 13 deficiencies on file and none rising to harm or jeopardy, a genuinely clean survey history, and the last visit was recent, in November 2025. The problem sits on the staffing side. At 3.28 nurse hours per resident day, this for-profit home runs roughly 15% under the national average, and weekends dip about 8% below its own weekday numbers. Annual turnover of 55.7% sits nearly ten points above the national rate, meaning more than half the nursing staff leaves each year. Inspections say the care processes are sound; the daily coverage underneath them is thin and constantly rebuilding.
Oakdale Care Center runs on 2.57 nursing hours per resident per day, roughly a third below the national average of 3.86, and that thin coverage gets thinner on weekends, when staffing drops about 13% below its own weekday level. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. On paper the record has bright spots: a 4/5 health inspection rating, 22 deficiencies with none at the harm or jeopardy level, and a recent inspection in February 2026. One abuse-related deficiency is on the books, though. The staffing number is the one worth sitting with.
Crown Rehab runs about 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip another 13% below its own weekday numbers, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 45.2%, essentially matching the national rate, so retention isn't the problem here; raw hours are. The inspection record shows 31 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level, and the most recent survey was in March 2025. Cass County families weighing this one should ask how the weekend floor is actually staffed.
St Elizabeth Care Center runs on 1.70 nurse staffing hours per resident day, which is less than half the national average of 3.86, and weekends drop about 11% below its own weekday level, so the thinnest coverage happens when families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, and the home carries 42 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A single fine of $37,733 is on file. The last inspection was February 2025, so the record is recent rather than stale. Corporate ownership and a 1-out-of-5 staffing rating round out a picture worth weighing carefully.
Campbell Healthcare runs on 2.91 nurse hours per resident per day, roughly a quarter below the national figure of 3.86, and the gap widens on weekends, when staffing drops about 15% from its own weekday level. That thin coverage shows up in the federal staffing rating, which sits at the bottom of the scale, and in turnover of 52.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. Inspections look better: a recent visit in August 2025 and a clean record on harm and abuse, though 27 deficiencies remain on file. Corporate-owned and for-profit, this one leans on its survey record to offset weak day-to-day staffing.
Troy Manor runs on 2.57 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends dip another 11 percent below its own weekday levels. That thin coverage sits behind a one-star health inspection rating and a record of 71 deficiencies, including six at the harm or jeopardy level and ten tied to abuse. Two fines add up to $104,685. Staff turnover, at 38.3 percent, is actually better than the national 45.8 percent, and the quality measure rating is a middling three stars. But the last inspection was April 2024, and the staffing and inspection numbers are what families should weigh most.
Crestview Home runs on thin nursing coverage. At 2.89 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends are slightly leaner than weekdays. Staff turnover is 57.5% a year, well above the national 45.8%, so familiar faces cycle out fast. The inspection record is heavy, 58 deficiencies, though none at harm or jeopardy level and none abuse-related. One fine of $14,498 is on file, and the most recent inspection was in March 2025. The quality measure rating of 3/5 suggests clinical outcomes aren't the problem; the staffing numbers and inspection volume are. For-profit, limited liability ownership. Ask about consistent weekday-to-weekend coverage before deciding.
St. Peters Post Acute runs 130 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 72% 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 backs that up: 63 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $69,999 fine. The last inspection was December 2024, so the picture is current, not stale.
Emerald Nursing & Rehab in Omaha runs on thinner staffing than most homes, at 3.43 nurse hours per resident day against a national average of 3.86. Weekends drop further, about 11% below its own weekday levels, so coverage is stretched exactly when families tend to visit. The 60.3% turnover rate matters too, well above the 45.8% national figure, meaning the aides and nurses caring for your relative are frequently new. Its inspection record shows 53 deficiencies, including 9 abuse-related and 3 at the harm level, with $87,389 in fines. The most recent inspection was January 2026, so that record is current, not old.
Accura Healthcare of Tekamah runs 44 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and annual turnover reaches 51.6% against a national 45.8%, meaning more than half the nursing staff turns over each year. The current record carries 15 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level. CMS rates staffing 1 out of 5 stars, with inspection and quality measures each at 2. The most recent inspection was February 12, 2026. Families should ask how weekend coverage is actually staffed and how abuse-related findings were resolved.
Northstar Post Acute runs on thin staffing, 3.36 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14 percent below its own weekday coverage. That's a real gap when aides are already stretched, and it shows in the numbers: 62.5 percent annual turnover means most of the people caring for residents weren't there a year ago. The inspection record is where things get serious. Seventy-eight deficiencies, one at the harm level and eleven tied to abuse, plus a $70,296 fine and a spot in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. The last inspection was February 2026.
The Elms Center runs on 3.02 nurse hours per resident day, well under the national figure of 3.86, and weekend coverage drops about 12% below its own weekday level. That thin staffing shows up in the numbers: 64% of staff turned over in the past year against a national 45.8%, and CMS gives the home its lowest mark, 1 star, for staffing. Inspections look steadier, a 3 for health and 3 for quality measures, with the most recent visit in February 2026, but 19 deficiencies sit on record, one serious enough to cause harm, plus a $9,770 fine. It's a for-profit LLC with 52 beds, so the question is whether staffing improves or the pattern holds.
Complete Care at Laurelton runs about 3.39 nurse hours per resident per day, roughly 12 percent under the national average, and weekends dip another 10 percent below its own weekdays. That thin coverage shows up in the numbers that matter most: staff turnover sits at 72.4 percent against a national average of 45.8 percent, meaning most of the people caring for your relative are new, or about to be. The health inspection record carries 24 deficiencies, including two at the harm level and one abuse-related, with $163,101 in fines. Its last inspection was June 2025. The quality measure score looks strong on paper, but that's largely built from charted data, not from how the place is actually staffed day to day.
The Rehabilitation Center of Albuquerque runs on thinner nursing coverage than most homes, 3.47 hours per resident day against a national average of 3.86, and it gets skimpier on weekends, when staffing drops about 13% below its own weekday level. That matters more when you see the inspection record: 49 deficiencies, six of them at the harm or jeopardy level and five tied to abuse, with $40,999 in fines across two cases. Staff turnover sits at 64.8%, well above the 45.8% national figure, meaning the people caring for residents are cycling out fast. Ownership is a for-profit corporation, and the last inspection was June 27, 2025.
Nurse staffing at White Sands runs about 3.16 hours per resident day, roughly 18% under the national average, and weekends drop another 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. On inspections, the record shows 35 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with two fines totaling $21,528; the most recent inspection was March 2026. Staff turnover sits at 46.6%, essentially in line with the national average rather than worse, so the problems here look more like persistent short staffing and a serious inspection history at this corporate-owned, 118-bed building than a retention crisis.
Heritage Park runs on 2.34 nurse staffing hours per resident day, roughly 39% under the national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main story here, and it lines up with ten deficiencies on the current record, three of them abuse-related, though none at the harm or jeopardy level. The nonprofit ownership doesn't change the math: turnover sits at 46.3%, essentially matching the national rate, and the last health inspection was in March 2024. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Elderwood Of Uihlein At Lake Placid runs 156 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 2.62 nurse hours per resident day, it sits roughly a third below the national average of 3.86, and weekends dip about 8% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 61.3% outpaces the national 45.8%, which matters because consistent caregivers know residents' routines. The current record shows 26 deficiencies with none at harm or jeopardy level and none abuse-related, and the last inspection was October 2024. State surveyors rated health inspections 2 out of 5 stars.
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?