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.
Harmony Care At Stamford runs on a thin staffing margin, and that's the main thing to know. Nurses give residents about 3.69 hours of care per day, roughly 5% under the national average, and weekend coverage drops nearly 29% below what the home staffs on weekdays. Turnover sits at 65.6%, well above the 45.8% national figure, so the people showing up are often new. Inspections look better: a 4-star health inspection rating, no deficiencies at the harm level, though 19 total deficiencies include 2 tied to abuse, and one fine of $36,875 is on record. The most recent inspection was April 30, 2025, and this for-profit partnership is licensed for 112 beds.
Birchwood runs 3.11 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 12% below its own weekday levels. Annual turnover is 93.6% against a national average near 46%, meaning most of last year's caregivers are gone. Inspections, though, are a different story: a 5/5 health inspection rating with 13 deficiencies on record, none causing harm or involving abuse, and the last visit was June 2025. Cooper's home is clean on paper but thin on the floor, and a C reflects that split.
Lakeridge Nu runs on thin nursing coverage, 2.97 nurse hours per resident day against a national average of 3.86, and weekends dip below even that. Staff turnover sits at 61.5% while the national figure is 45.8%, which means the aides and nurses your family member sees are cycling out faster than at most homes. The inspection record shows 31 deficiencies, including one at the harm level and one tied to abuse, plus a $30,561 fine. Ownership is for-profit corporate. The most recent inspection was in March 2026, so the picture is current.
Mexia Ltc Nursing And Rehab runs 66 certified beds under corporate for-profit ownership, and its nurses put in 4.11 hours per resident day, about 6% above the national average. That staffing edge comes with a catch: weekends run roughly 12% thinner than weekdays, and annual turnover sits at 61.9% against a national 45.8%, so the faces change often. The inspection history is recent, December 2025, and 16 deficiencies are on record, including one at the harm level and one tied to abuse, plus a single $19,822 fine. Quality measure scores land at the bottom of CMS's scale while inspections sit near the top, a split worth asking about directly.
Focused Care At Crane runs light on nursing staff, 3.16 hours per resident day against a national average of 3.86, with weekends about 14 percent thinner than weekdays. That earned a 1-out-of-5 staffing rating from CMS, and turnover sits at 47.3 percent, slightly above the national rate of 45.8 percent. The inspection record shows 33 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $42,357 fine. A 4-out-of-5 quality measure rating and a June 2025 inspection suggest some things are being tracked, but the staffing numbers and the deficiency history are what a family should weigh hardest here.
Ridgmar Medical Lodge runs on 3.27 nurse hours per resident day, about 15% under the national average, and weekends dip another 13% below its own weekday coverage. That thin staffing shows up in the numbers: 52.7% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including four at the harm or jeopardy level and four tied to abuse, with three fines totaling $29,598. The hospital district owns the building, so it isn't a chain cutting corners for profit, but ownership type doesn't change what families have to weigh here. Quality measures score well; staffing and inspections don't. If you're considering it, ask specifically how weekends are covered.
Fairfield Nursing & Rehabilitation Center is run by a hospital district, and its inspectors clearly find little to fault: a five-star health inspection record, 10 deficiencies with none rising to harm or jeopardy, and a visit as recent as December 2025. Where the numbers turn is staffing. At 3.09 nurse hours per resident day, this home sits about 20% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Turnover tells the same story, 96.7% annually against a national 45.8%, meaning nearly the whole nursing staff cycles through in a year. Good inspections, thin and unstable coverage.
The Carlyle at Stonebridge Park runs a 112-bed for-profit building in Southlake, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover is 60.9% against a national 45.8%, which means the aides and nurses who know your mother may not be there in six months. The current record shows 35 deficiencies, including two at harm or jeopardy level and one abuse-related, plus $125,895 in fines. The last inspection was January 2026.
Avir At Veterans Memorial runs 120 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, with weekends about 10% leaner than weekdays. Annual turnover is 52.8% against a national rate of 45.8%, so aides and nurses are cycling out faster than usual. The inspection record is where the real weight sits: 27 deficiencies, five at harm or jeopardy level, two tied to abuse, and $22,840 in fines, with the most recent inspection dated April 2026. Quality measure scores look strong, but staffing and inspection results pull hard in the other direction.
Midlothian Healthcare Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends dropping another 11% below its own weekday level. That thin coverage shows up in a 64.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for your relative are often new and still learning the building. The record carries 17 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, plus four fines totaling $50,830. Its last inspection was December 2024. Before you decide, ask how they're addressing turnover and weekend coverage.
The Blossoms At Newport runs on thinner staffing than most homes, 3.70 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below what the home staffs on weekdays. That matters because nurse turnover sits at 71.6%, well above the 45.8% national figure, meaning the people providing care change often. The inspection record shows 27 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $21,823 in fines across two penalties. Its last inspection was in May 2026, so the record is recent rather than stale. The home is for-profit and LLC-owned. Families should ask how weekend coverage and turnover are handled directly.
Eagle Lake Nursing and Rehab in Saint Petersburg is a 59-bed for-profit home, and its biggest strength is nurse staffing: about 4.29 hours per resident day, roughly 11% above the national average. That's real, but it's not enough to offset everything else. The health inspection rating sits at 1 out of 5, with 49 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, and one abuse-related. Two fines total $312,600, the last inspection was August 2024, and weekend staffing drops about 6% below weekdays. When a home has strong hours but this many inspection problems, the staffing isn't translating into safe care.
Winter Park Care And Rehabilitation reports zero total nurse staffing hours per resident day on its federal record, the national average is 3.86, and its staffing star rating sits at 1 out of 5. The 103-bed, for-profit home carries 33 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus one fine of $73,968; its last inspection was July 10, 2025, and health inspections earned 2 out of 5 stars. Quality measures scored 4 out of 5, which is the one bright spot, but resident outcomes depend on people being present to deliver care. If you're considering this home, ask directly who is on the floor overnight and on weekends.
Pruitthealth - Macon runs 228 certified beds as a for-profit corporation, and the staffing numbers are where the trouble sits. At 3.49 nurse hours per resident day, it's about 10% under the national average, and weekends drop roughly 16% below its own weekday level, that's when families tend to visit and notice. Turnover at 41.9% is actually a bit better than the 45.8% national figure, but the health inspection and quality measure ratings both sit at 2 out of 5, with staffing at 1. The 25 deficiencies on record include none at harm or jeopardy level and none abuse-related, and the last inspection was May 2025, so the record is current.
Pruitthealth - Swainsboro runs on 3.09 nurse hours per resident per day, roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday staffing. That thin coverage shows up in the federal ratings: one out of five stars for staffing, two for health inspections, two for quality measures. The current inspection record carries six deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent visit dated April 2026. Turnover sits at 41.8 percent, actually a bit better than the 45.8 percent national figure, which tells you the problem here isn't retention so much as how few hands are scheduled on any given shift.
Atrium Health Care Center runs on thin nursing coverage, 2.54 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. That gap matters because direct care is what residents actually feel. The inspection record backs it up: 54 deficiencies, 8 serious enough to involve harm or jeopardy, 17 tied to abuse, plus two fines totaling $163,637. Turnover at 25.3% is better than the 45.8% national figure, which is a real point in its favor for continuity of care. But a for-profit LLC with a 1-out-of-5 staffing rating leaves little cushion when someone calls in sick on a Saturday.
Rock River Health Care runs on thin nursing coverage, 2.69 hours per resident per day against a national average of 3.86, roughly 30 percent below. Weekends drop another 19 percent under its own weekday level, so the thinnest shifts land when families tend to visit. The 45 deficiencies on record, including five at harm or jeopardy level and two tied to abuse, sit alongside four fines totaling $95,885. Staff turnover at 30.6 percent actually beats the national 45.8 percent, which suggests the problem isn't retention so much as how few nurses are scheduled. Inspectors were last in on December 10, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, come in at 2 out of 5.
Nurse staffing here runs about 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop another 4 percent below the home's own weekday numbers, so the thinnest coverage lands when families tend to visit. The record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A 2/5 health inspection rating and a 2/5 quality measure rating sit behind the staffing figure. Ownership is a for-profit limited liability company. The last inspection was March 3, 2026. If you're weighing this one, ask specifically how the abuse deficiency was resolved and what nurse coverage looks like on Saturday and Sunday.
Moweaqua Rehab & Hcc carries 76 deficiencies on its current record, and 8 of those rose to the level of actual harm or jeopardy, 4 tied to abuse. That's a lot of serious findings for a 70-bed home, and it's why the health inspection rating sits at 1 out of 5 stars. The single fine on file runs $146,900, which tells you regulators treated at least one problem as significant. Staffing is also rated 1 star, so the people caring for residents are stretched thin relative to what CMS expects. Quality measures land at 3 stars, but that's the one bright spot in an otherwise rough picture. The last inspection was November 2024, so this record is recent, not stale.
Paoli Health And Living Community is county-owned, with 109 certified beds in Orange County. Nurse staffing runs 3.26 hours per resident day, about 16% under the national average, and weekends drop roughly 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 58% against a national 45.8%, meaning more than half the nursing staff leaves each year.
The inspection record is the heavier problem: 28 deficiencies, two at harm or jeopardy level and two abuse-related, with $28,138 in fines. The last inspection was April 11, 2025. Quality measures score well, but one star on health inspections and two on staffing tell you where the trouble actually lives.
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?