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.
Granville Center runs on 3.01 nurse hours per resident day, roughly 22 percent under the national average, and weekend coverage drops about 11 percent below what it manages on weekdays. Staff turnover sits at 74.3 percent, well above the 45.8 percent national figure, that's most of your caregivers replaced within a year. The current record shows 23 deficiencies, none at harm or jeopardy level but one tied to abuse, with the last inspection in December 2024. The corporate owner runs this for profit. Quality measures score well, but that's the number families see last; staffing is the one they feel daily.
Elderwood at Ticonderoga is a for-profit, LLC-run home with 84 certified beds in Essex County, and its staffing is the number that stands out: 3.01 nurse hours per resident day, about 22 percent under the national average of 3.86. Weekend coverage runs roughly 9 percent thinner than weekdays, and turnover sits at 48.6 percent against a national 45.8 percent. The current inspection record shows 27 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and CMS has fined the home once for $4,516. Its last inspection was July 15, 2024. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
Heritage Green runs on 2.42 nursing hours per resident per day, roughly a third below the national average of 3.86, and weekends drop about 11% below its own weekday coverage. That staffing shortfall shows up in the federal stars: one out of five, while inspections and quality measures each sit at two. Staff turnover is 51.1%, higher than the 45.8% national rate, so caregivers are cycling through faster than average. The current record carries 16 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. This is a nonprofit corporation with 134 certified beds and a recent inspection, dated February 27, 2026, a lot of eyes on the place, but the hours at the bedside tell the bigger story.
Belaire runs about 3.45 nurse hours per resident each day, roughly 11 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday staffing. That thinner weekend coverage matters, since fewer nurses on duty is when problems tend to surface. The inspection record backs that up: 17 deficiencies, five serious enough to involve harm or jeopardy, and two fines totaling just over $202,000, a lot for an 80-bed home. Turnover sits at 44.9 percent, essentially the national rate. The 4/5 quality measure score is the bright spot, but inspection and staffing ratings both land at 2/5, and the most recent survey was July 2025. Ask to see the plan of correction for those harm-level citations.
Harrison Pavilion runs on 3.31 nursing hours per resident day, about 14 percent under the national average, and weekends drop roughly another 15 percent below its own weekday level. That thin coverage shows up in the numbers: 69.3 percent annual turnover, well above the 45.8 percent national figure, and a one-star staffing rating from CMS. The health inspection record is heavier than most, 67 deficiencies, three flagged at harm or jeopardy level, three abuse-related, and the last inspection was September 2025. A four-star quality measure score stands out against all of that, but quality measures come from resident assessments, not from how many hands are on the floor.
Troy Rehabilitation and Healthcare Center runs 155 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.05 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends drop about 11% below its own weekday staffing, and annual turnover sits at 48.3%, slightly above the national rate. The current record shows 36 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $35,968 fine. Its last inspection was April 7, 2026, and CMS gives it one star for staffing against four for quality measures.
What that mix suggests is a home where care planning may look fine on paper while the floor runs thin, especially on weekends. If you're considering it, ask directly how many nurses and aides are on duty on a Saturday evening, and how they cover callouts.
Eastland runs on thin nursing coverage: 3.34 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover sits at 52.7%, well above the 45.8% national figure, which means the people caring for residents keep changing. The inspection record backs that up, 46 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $237,624 in fines across three penalties.
Worth noting the split: residents' quality measures score 5 out of 5, while staffing scores 1 and inspections 2. That gap usually tells you the care model itself is sound on paper but the workforce behind it isn't stable enough to deliver it consistently. Ask about weekend coverage and turnover directly.
Dixon Healthcare Center runs on thinner nursing coverage than most homes, about 3.47 nurse hours per resident each day, roughly 10% under the national average, and weekends drop another 13% below its own weekday levels. The bigger worry is who's left to provide that care: annual turnover hits 61.2%, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces.
The inspection record is where things get serious. Ninety deficiencies are on file, six of them involving actual harm or jeopardy, and thirteen tied to abuse. Three fines total $195,872. A recent April 2026 inspection is a good sign on paper, but the quality measure score is doing heavy lifting against a staffing picture and inspection history that tell a rougher story.
Mccrea Manor runs on thin staffing: 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less help than the typical home. Weekends are lighter still, and nearly 68% of staff turned over in the past year, well above the 46% national figure, that kind of churn means unfamiliar faces at the bedside. The good news is that care quality measures score well and the 32 deficiencies on record include none tied to harm, abuse, or jeopardy, with an inspection as recent as December 2025. The trade-off is straightforward: fewer hands per resident, especially on Saturdays and Sundays.
Centerville Health and Rehab is a 120-bed for-profit home in Dayton, and the staffing numbers are the first thing I'd flag. At 3.03 nurse hours per resident per day, it runs about 21% below the national average, with weekends even thinner than weekdays. That thin coverage shows up in a 66.7% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for your family member are, more often than not, new to the building. On the plus side, the quality measure rating is strong and no deficiency reached actual harm. But 56 deficiencies, five abuse-related, and a recent July 2025 inspection mean I'd ask hard questions before moving anyone in.
Lakeridge Villa runs about 3.09 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday staffing. That thin coverage helps explain a 1-out-of-5 staffing rating and a 69.4% annual turnover rate, well above the 45.8% national figure. The inspection record shows 40 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level. Hamilton County families comparing options should weigh whether the 4-out-of-5 quality measure score holds up when the people delivering that care keep changing.
Bennington Glen is a for-profit home in Marengo with a clean recent inspection, 4 out of 5 stars, dated April 2026, with 23 deficiencies on record but only one at the harm level and none tied to abuse. The problem sits elsewhere: nurse staffing runs 2.83 hours per resident day, roughly 27% under the national average, and weekends drop about 12% below the home's own weekday coverage. Turnover is the other flag at 63.5%, well above the 45.8% national figure, which matters because you're trusting a rotating cast with daily care. Good inspections don't cancel out thin staffing; they just mean nothing has gone badly wrong yet. Ask specifically who's on the floor on Saturday.
Crystal Care of Coal Grove runs 57 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.16 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday coverage. Turnover sits at 48.8%, a few points above the national figure, and the CMS staffing rating lands at 1 out of 5. The inspection record shows 25 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $159,708, though the most recent inspection was September 2025, so that picture is current, not stale. Quality measures score 5 out of 5, which is a genuine bright spot, but strong clinical metrics don't offset thin daily coverage.
Crystal Care Center of Ashland runs on a for-profit LLC structure, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, with weekend coverage dipping a few points further. Turnover is high at 55.9%, and the health inspection record shows 23 deficiencies, two serious enough to reach harm or jeopardy level, along with one fine of $17,345. The last inspection was in May 2025. Quality measures score well, but the staffing shortfall is the number that matters most for day-to-day care.
Broadway Care & Rehab Center runs 105 certified beds in Muskogee under for-profit LLC ownership, and its overall nurse staffing of 3.93 hours per resident day sits only about 2% above the national average, a thin margin that mostly disappears on weekends, when coverage drops roughly 26% below the home's own weekday level. Staff turnover is 55.1% against a 45.8% national average, meaning more than half the nursing staff leaves each year. The inspection record is the harder problem: 28 deficiencies, including two at harm or jeopardy level and three tied to abuse, with $37,638 in fines and a May 2025 inspection that produced a 1-star health inspection rating.
Walnut Grove runs on thinner staffing than most homes its size, 3.29 nurse hours per resident day against a national average of 3.86, and weekends are leaner still, about 13% below its own weekday coverage. That gap matters, because 67.7% of staff turned over last year versus 45.8% nationally, meaning the people providing that care are often new to the building. The inspection record reflects it: 22 deficiencies, including one at the harm or jeopardy level and four related to abuse, plus a $31,460 fine. The last full inspection was February 2025. Quality measures score well, but the hands-on side of the operation is where the concern sits.
Quality Life Services - New Castle runs 204 beds and sits about 11% under the national average for total nurse staffing, with weekends dipping roughly 7% below its own weekdays. That thin coverage shows up in the staffing rating and a turnover rate of 55.9%, a full ten points above the national figure, a lot of churn for a building this size. The current inspection record carries 17 deficiencies, none flagged at harm or jeopardy level and none abuse-related, which matters more than the raw count suggests. State inspectors were last in on May 8, 2025, so the picture is reasonably fresh. A for-profit LLC operation with middling quality measures and lighter-than-average staffing; worth asking how they cover callouts and weekends before you decide.
McMurray Hills runs on thinner nursing coverage than most homes, about 3.29 nurse hours per resident each day, roughly 15% under the national average, and weekends drop another 15% below its own weekday levels. Staff turnover sits at 67.3%, well above the 45.8% national figure, so the people caring for residents change often. Inspectors cited 17 deficiencies on the current record, three tied to abuse, though none rose to actual harm or jeopardy; the most recent visit was December 6, 2024. The nonprofit ownership doesn't offset what the numbers show on staffing and quality measures, both rated 2 out of 5.
West Reading Skilled Nursing and Rehabilitation Center runs about 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop another 10% below its own weekday levels. That thin coverage shows in the turnover number too: 56.8% of staff leave each year, against a national average near 46%. The current record carries 31 deficiencies, none flagged at harm or jeopardy level and none abuse-related, and the last inspection was January 29, 2026. Federal staffing rating is 1 out of 5, health inspection 2 out of 5, quality measures 3 out of 5, under corporate for-profit ownership across 176 certified beds.
Edenbrook North runs 152 certified beds in Williamsport under for-profit limited liability ownership, and its nurse staffing sits at 3.76 hours per resident day, about 3% under the national average of 3.86. Weekends dip roughly 8% below its own weekday coverage, and annual turnover hits 47.6%, slightly above the 45.8% national figure. The inspection record shows 56 deficiencies, including five tied to abuse, with no harm-level citations, and one fine totaling $305,250. Both the health inspection and quality measure ratings come in at 2 out of 5 stars, while staffing rates 3. The most recent inspection was April 2026.
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?