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.
Lecom At Presque Isle runs 135 beds as a nonprofit, and its staffing sits at 3.73 hours per resident day, a bit under the 3.86 national average, but the bigger issue is consistency. Weekend coverage drops about 12% below its own weekday level, and annual turnover of 53.5% runs well above the 45.8% national figure, so the faces around residents change more often than they should. The current record shows 17 deficiencies, one tied to abuse, though none rose to harm or jeopardy level. A January 2026 inspection keeps the record recent, and its quality measure score is the weakest of its federal ratings.
Meadowcrest is a 50-bed for-profit in Bethel Park, and the inspection record is where the trouble sits: 42 deficiencies, including one at the harm or jeopardy level and three tied to abuse. A one-star health inspection rating backs that up. The last inspection was in March 2026, so the file is recent rather than stale. Staffing isn't the headline problem, 3.76 nurse hours per resident day is only about 3% under the national average, though weekends run roughly 7% thinner than weekdays, and turnover at 46.5% sits just above the national figure. The quality measure rating, 3 out of 5, suggests some clinical care is being tracked well despite the citations.
Lancaster Nursing and Rehabilitation Center is a 446-bed for-profit home, and its biggest issue is staffing. At 3.04 nurse hours per resident day, it runs about 21% below the national average of 3.86, and weekends are roughly 8% thinner than its own weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 56%, well above the 45.8% national figure, meaning the people caring for your relative are often new. The current record shows 34 deficiencies, none at the harm level but one abuse-related, with an inspection dated May 2026. The one-star staffing rating tells you where the pressure is.
Hilltop Heights runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That gap matters most when families visit on Saturdays and Sundays and find fewer hands on deck. Annual turnover sits at 56.2%, meaning more than half the nursing staff leaves each year, which makes consistent care hard to build. The inspection record is the bigger concern: 76 deficiencies on file, including one abuse-related finding, and the most recent state visit was January 8, 2026. Corporate ownership and a one-star inspection rating round out a picture of a home that needs close watching before you sign anything.
Seton Manor runs 3.24 nurse hours per resident per day, about 16 percent under the national average of 3.86, and its weekend staffing drops roughly 9 percent below its own weekday level, the stretch when families tend to visit and notice. Staff turnover sits at 49.6 percent against a national 45.8 percent, so the people providing that thin coverage are also frequently leaving. The inspection record is the strong part: 17 deficiencies, none at harm or jeopardy level, no abuse findings, and a survey as recent as February 2026. Ownership is corporate for-profit, and the 129-bed home draws a 2/5 on CMS staffing and quality measures alongside its 4/5 inspection score.
Horsham Center for Jewish Life is a 324-bed for-profit home in Montgomery County, and the numbers pull in two directions. Residents get 3.57 hours of nursing care per day, about 8% under the national average, and weekend staffing drops roughly 9% below its own weekday level, so a Sunday shift runs leaner than a Tuesday. Turnover sits at 45.9%, essentially the national norm, which means the churn isn't unusual but also isn't helping.
What stands out is the inspection record: 48 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $114,699, with the most recent inspection in June 2025. The 5/5 quality measure rating reflects chart-based clinical metrics, while the 1/5 staffing rating reflects what families actually feel day to day. Ask about weekend coverage and the plan of correction before you visit.
Athens Nursing and Rehabilitation Center runs 90 beds under corporate ownership, and the staffing numbers tell a story worth sitting with. At 3.39 nurse hours per resident day, it sits roughly 12 percent under the national average of 3.86, and weekends dip about 8 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 49.3 percent edges past the 45.8 percent national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 57 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level as of the May 2026 survey. Quality measures and health inspections both scored low, and the pattern across these numbers points to a home struggling on multiple fronts at once.
Calhoun Convalescent Center runs on 3.16 nursing hours per resident per day, roughly 18 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. That thin coverage shows up in the numbers: 60 percent annual turnover, well above the 45.8 percent national figure, and 28 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse. Ownership is for-profit corporate, and CMS gave it one star each for health inspections and staffing, with three fines totaling $63,106. The most recent inspection was February 24, 2026. Quality measures scored three stars, the one measure that isn't flagging problems.
Avantara Huron runs on thin staffing and a rough inspection history. Nurses provide 3.40 hours per resident day, roughly 12 percent under the national average, and weekends drop about 13 percent below what the home manages on weekdays. Staff turnover sits at 54.7 percent, nearly nine points above the national figure, which means the people caring for residents keep changing. The current inspection record carries 21 deficiencies, five of them serious enough to involve harm or jeopardy, and four tied to abuse. State inspectors last visited in March 2026. This is a for-profit limited liability company operating 119 certified beds, with one fine totaling $8,338 on record.
Avondale runs on 3.31 nurse hours per resident day, roughly 14 percent under the national average, and weekends dip about 12 percent below its own weekday numbers. That staffing shortfall matters more than the quality measure score suggests, because 56.3 percent of staff left last year, well above the 45.8 percent national rate, meaning the people providing that thin coverage are often new. The January 2025 inspection found 18 deficiencies, one serious enough to reach harm or jeopardy level, though none involved abuse. This is a for-profit limited liability company, and the pattern across staffing, turnover, and inspection results is consistent rather than a one-time bad survey.
The Waters of Johnson City runs on 3.26 nurse hours per resident per day, about 16 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. Staff turnover sits at 57.3 percent against a national 45.8 percent, so the people caring for residents are changing faster than average. Twelve deficiencies appear on the current record, two of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was in February 2025. The building is for-profit, LLC-owned, with 84 certified beds.
Rosewood Heights runs 64 beds in Killeen under corporate ownership, and its staffing is the number that stands out. At 3.81 nurse hours per resident day it sits just under the national average, but weekends drop roughly 12% below its own weekday level, and turnover runs 67.6% 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 shows 15 deficiencies, 5 of them at harm or jeopardy level, plus $42,298 in fines across three penalties. A recent August 2025 inspection and no abuse citations are the bright spots. Ask about weekend coverage and how they keep CNAs.
Magnolia Manor runs on 2.92 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage is where the real trouble sits: 24 deficiencies on the current record, four at harm or jeopardy level, three tied to abuse, and two fines totaling $230,279. Turnover at 39.7% is actually better than the national 45.8%, so the problem isn't retention, it's how few hands are on deck when they are there. The last inspection was July 2025, so the picture is current, not stale. For-profit corporate ownership, and a staffing star of 1 out of 5, tell you where the money goes.
Avir At Weatherford runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands when families typically visit. Staff turnover sits at 70.4% 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 shows 18 deficiencies, two of them at harm or jeopardy level and three tied to abuse, with $22,356 in fines across two penalties. Ownership is a for-profit corporation, and the last inspection was in February 2026.
Avir At Enchanted Rock runs on a hospital district's budget out in Gillespie County, and the numbers show where that leaves residents. Nurses provide 3.44 hours of care per resident each day, roughly 11 percent under the national average, and weekends dip about 15 percent below the home's own weekday staffing. The bigger red flag is turnover: 78.9 percent of staff leave within a year, against a national average of 45.8, so the people providing that already-thin care are constantly new. Inspectors have cited 47 deficiencies, including 5 at the harm level and 8 tied to abuse, with $63,121 in fines. Quality scores look good on paper, but staffing and inspections tell the harder story.
Palo Pinto Nursing Center runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 45.6%, essentially the national rate, so the staffing shortfall isn't an exodus problem, it's how many hours the building puts on the floor. The inspection record shows 22 deficiencies, including two at the harm level and two tied to abuse, with a $41,036 fine and a survey completed in September 2025. The corporate owner operates it for profit across 106 certified beds. Families weighing this one against others nearby should ask how the weekend shifts are actually covered.
Piney Forest runs a 120-bed for-profit building in Danville, and the staffing numbers are where your attention should go first. The 3.04 nurse hours per resident day sits roughly 21% under the national average, weekends dip about 10% below the home's own weekday coverage, and 63.4% annual turnover means a large share of the people caring for residents are new or on their way out. The inspection record is genuinely better than that: a 4-star health inspection rating and no deficiencies at the harm level. But 28 total deficiencies, including two tied to abuse, is still a lot of paperwork to carry, and staffing is the piece families feel every day.
Twin Lakes is a 140-bed nonprofit home in South Hill, and its inspection record is genuinely the bright spot here, a 4 out of 5 on health inspections, with the last survey done in May 2023. But 27 deficiencies sit on the current record, three of them serious enough to involve harm or jeopardy, plus one abuse-related citation. The bigger daily concern is staffing: 3.10 nurse hours per resident, roughly 20 percent under the national average, thinning out further on weekends. And 72 percent of staff turned over in a year, against 45.8 percent nationally, means the people at the bedside keep changing.
Thalia Gardens runs on 3.15 nursing hours per resident day, roughly 18 percent under the national average, and weekends drop about 26 percent below what the home itself staffs on weekdays. Annual turnover sits at 61.8 percent against a national 45.8 percent, so the people left covering those shifts are often new. The inspection record shows 72 deficiencies, including one at the harm or jeopardy level and three tied to abuse, and the most recent inspection was April 2026. Ownership is a for-profit corporation. Quality measures score well, but that reflects charted care, not the hands available to deliver it.
Autumn Care of Suffolk runs 110 certified beds under individual for-profit ownership, and the staffing picture is the place to start. At 3.44 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekend coverage drops roughly another 9% below its own weekday level. That thin coverage shows up in the staffing star rating and in a 66% annual turnover rate, well above the 45.8% national figure, meaning aides and nurses cycle through quickly. The inspection record carries 52 deficiencies, including two at the harm level and two tied to abuse. Quality measures score well, but the last inspection was September 2024, and a strong quality score doesn't offset persistent short-staffing. Ask about weekend coverage and turnover directly.
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?