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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 841–860 of 10,187, best-graded first.

A

87/100

Wexford Senior Care Center

Cadillac, MI · Wexford County

CMS 5/5 131 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
48%
Serious cites
0

Wexford Senior Care Center runs 4.13 nurse hours per resident day, roughly 7% above the national average, though weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 48.4%, a bit higher than the 45.8% national figure, so even with solid staffing numbers, you'd want to ask how they keep consistent caregivers in the building. The inspection record is strong: a 5 out of 5 health inspection rating, last surveyed in August 2025, with 17 total deficiencies and none at the harm or jeopardy level. One abuse-related citation is on the record, which is worth asking about directly.

A

87/100

Medilodge Of Cass City

Cass City, MI · Tuscola County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
36%
Serious cites
0

Medilodge of Cass City runs a tight ship on inspections, a 4-out-of-5 health inspection rating and a recent survey from August 2025. But look closely at staffing: 3.77 nurse hours per resident day is slightly under the national average, and weekends run about 15% lighter than weekdays, so coverage can thin out when families visit. The good news is turnover sits at 35.9%, well below the national 45.8%, meaning you're more likely to see familiar faces. With 32 deficiencies on record but none rising to harm or jeopardy, and no abuse findings, the problems here look more like paperwork and process than resident safety.

A

87/100

Medilodge Of Haggerty Road

Plymouth, MI · Wayne County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
37%
Serious cites
0

Medilodge of Haggerty Road runs about 3.48 nurse hours per resident each day, roughly 10% under the national average, and weekend coverage drops another 11% below its own weekday level, so care thins out exactly when families tend to visit. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and three tied to abuse, and CMS rated its health inspections just 2 out of 5. Staff turnover sits at 36.8%, which is actually better than the 45.8% national figure. The quality measure score of 5 out of 5 contrasts sharply with that inspection history, worth asking what's behind the gap.

A

87/100

The Villa At Rose City

Rose City, MI · Ogemaw County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
28%
Serious cites
0

The Villa At Rose City is a for-profit LLC home with 102 beds, and its numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, and weekends run about 15% thinner than weekdays, that gap matters when families visit on Saturdays and find fewer hands on deck. Turnover is unusually low at 27.6% against a national 45.8%, which suggests a stable core staff, but the inspection record is the real concern: 37 deficiencies, four at harm or jeopardy level, three tied to abuse, and a $50,895 fine. The most recent inspection was April 2026. Quality measures look strong, but quality scores and inspection findings often measure different things.

A

87/100

Bay Shores Senior Care And Rehab Center

Bay City, MI · Bay County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
36%
Serious cites
0

Bay Shores runs 126 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 11% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is the bright spot: 35.7% against a national average of 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record shows 29 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. Last inspection was March 2026, so the record is recent. Quality measures score well; staffing and inspections are more mixed.

A

87/100

Grayling Nursing & Rehabilitation Community

Grayling, MI · Crawford County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
37%
Serious cites
0

Grayling Nursing & Rehabilitation Community runs 72 certified beds under corporate, for-profit ownership, and the staffing picture is mixed. Nurses provide 3.41 hours per resident day, about 12% under the national average of 3.86, and weekends dip roughly 9% below the home's own weekday numbers. Turnover sits at 37%, which is actually better than the 45.8% national rate, so the people who stay tend to stay. What keeps this from being an easy recommendation is the inspection record: 17 deficiencies, two of them at harm or jeopardy level and one abuse-related, with the last inspection on March 11, 2026. Quality measures score well; the health inspection side is where the risk lives.

A

87/100

Lincoln Haven Nursing & Rehabilitation Community

Lincoln, MI · Alcona County

CMS 3/5 39 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
47%
Serious cites
0

Lincoln Haven runs a 39-bed for-profit home in Alcona County, and the numbers are mostly steady rather than standout. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage, a gap worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 46.7%, close to the national 45.8%, so it isn't bleeding caregivers faster than most. The 23 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection was April 2026, so the record is fairly current.

A

87/100

Regency At Westland

Westland, MI · Wayne County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
32%
Serious cites
0

Regency At Westland runs 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. That thin weekend coverage matters more than the overall number suggests. Turnover sits at 32%, well below the 45.8% national average, so the staff who are there tend to stay. On inspections, the record shows 18 deficiencies with one at harm or jeopardy level, no abuse citations, and a single fine of $10,062. The last inspection was January 29, 2026. Corporate-owned and 120 beds. The care record is decent; the daily staffing margin is where the risk lives.

A

87/100

Shelby Crossing Health Campus

Shelby Townhip, MI · Macomb County

CMS 5/5 57 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
22%
Serious cites
0

Shelby Crossing Health Campus runs 57 certified beds in Macomb County under for-profit LLC ownership, and the numbers here look steady. Nurse staffing sits at 4.54 hours per resident day, roughly 18% above the national average, and weekend coverage dips about 14% below its own weekday level, so ask how that gap gets handled on Saturdays and Sundays. Annual turnover is 21.9%, less than half the national figure, which matters because consistent aides tend to know residents' routines. Seven deficiencies are on record, none at the harm or jeopardy level and none abuse-related, with a recent inspection.

A

87/100

Wellbridge Of Romeo

Romeo, MI · Macomb County

CMS 5/5 124 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
38%
Serious cites
0

Wellbridge of Romeo runs a tight ship on the clinical side. The 124-bed for-profit home holds five out of five stars on both health inspections and quality measures, with its last survey in December 2025 and no deficiencies at the harm or jeopardy level across its 11 citations on record. Nurse staffing sits at 3.87 hours per resident day, essentially level with the national average, though weekends run about 8% lighter than weekdays. Staff turnover lands at 38.3%, noticeably better than the 45.8% national figure. One abuse-related deficiency is on the books, which is the kind of thing worth asking about directly before you tour.

A

87/100

The Willows At Howell

Howell, MI · Livingston County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
34%
Serious cites
0

The Willows At Howell runs a tight ship on nurse staffing, 3.85 hours per resident day, essentially matching the national average and strong enough for a four-star staffing rating. More telling is the turnover: 34.4% annually against a national average of 45.8%, which suggests people stick around here more than they do at most homes. The fourteen deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection closed out in March 2026. Weekend coverage dips about 6% below weekday levels, worth asking about if your family member needs more help on Saturdays and Sundays.

A

87/100

The Estates At Linden Llc

Stillwater, MN · Washington County

CMS 5/5 51 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
51%
Serious cites
0

The Estates at Linden runs 3.47 nurse hours per resident day, roughly 10 percent under the national average of 3.86, and weekend coverage drops about another 10 percent below its own weekday levels. Staff turnover sits at 51.3 percent against a national 45.8 percent, so the people around your relative change fairly often. Its inspection record shows 12 deficiencies, including one at the harm or jeopardy level and two tied to abuse. On the other hand, the last inspection was recent, January 2026, and the quality measure side of things holds up well. For-profit, LLC-owned, 51 beds in Stillwater. The staffing numbers and that abuse finding are what you'd want to ask about directly.

A

87/100

The Villas At Richfield

Richfield, MN · Hennepin County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
28%
Serious cites
0

The Villas At Richfield runs lean on nurse staffing, 3.27 hours per resident day, about 15% under the national average, with weekends roughly 9% thinner than weekdays. What stands out instead is retention: 28.4% turnover against a 45.8% national rate, which suggests people stay, even if there aren't quite enough of them. The inspection record shows 36 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. This for-profit LLC was last inspected in May 2026, and a 3/5 health inspection rating sits alongside 4/5 marks for quality measures and staffing.

A

87/100

Lake Ridge Care Center Of Buffalo, Inc.

Buffalo, MN · Wright County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
48%
Serious cites
0

Lake Ridge Care Center in Buffalo runs at 4.38 nurse hours per resident day, roughly 13% above the national average of 3.86, which is the kind of cushion that matters on a bad night. Turnover sits at 48.3%, just above the national 45.8%, so the people giving that care keep changing. Its last inspection was January 8, 2026, and the current record carries nine deficiencies, one of them serious enough to involve harm or jeopardy, though nothing abuse-related. Weekend staffing drops about 10% below the home's own weekday level, a gap families should ask about directly.

A

87/100

North Pointe Health & Rehabilitation

Meridian, MS · Lauderdale County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
33%
Serious cites
0

North Pointe runs leaner on turnover than most, 32.5% versus a national average near 46%, and its nurse staffing sits well above the national mark, roughly 5.4 hours per resident day against 3.86. Weekend coverage dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows eight deficiencies, none at the harm level, though one is abuse-related and deserves a direct question. Quality measures score low even as staffing scores high, a split that often means the day-to-day care is adequately staffed but clinical outcomes lag.

A

87/100

Carthage Senior Care

Carthage, MS · Leake County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
28%
Serious cites
0

Carthage Senior Care runs on 4.67 nurse hours per resident day, about 21% above the national average, and its staff tends to stay, turnover of 27.8% is well under the national 45.8%. Inspectors have cited four deficiencies, none involving harm or abuse, and the last visit was in May 2024. The trade-off shows up in quality measures, where the home scores 2 out of 5 despite strong marks for staffing and inspections. Weekend coverage also dips roughly 15% below weekday levels, which matters if your family visits on Saturdays or Sundays.

A

87/100

Sumner Place

Lincoln, NE · Lancaster County

CMS 4/5 104 beds Non-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
28%
Serious cites
0

Sumner Place runs on more nursing hours than most homes in the country, 4.14 per resident day against a national average of 3.86, and the weekend dip is mild, roughly 10% below its own weekdays. Staff stick around, too: 27.8% annual turnover is well under the 45.8% national figure, which matters more than any single inspection. The current record shows six deficiencies, none causing harm and none tied to abuse, and the last state visit was in May 2025. This is a nonprofit corporation with 104 beds, a four-star inspection history, and no red flags in the numbers.

A

87/100

Heritage Estates

Gering, NE · Scott Bluff County

CMS 4/5 102 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
52%
Serious cites
0

Heritage Estates in Gering runs on a nonprofit corporate model with 102 certified beds, and the staffing numbers back up its five-star staffing rating: 4.44 nurse hours per resident day, roughly 15% above the national average of 3.86. That said, weekend coverage drops about 14% below the home's own weekday level, something worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 51.5%, higher than the 45.8% national average. The inspection record is clean where it counts: seven deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was April 2025. Quality measure and health inspection ratings both sit at four stars.

A

87/100

Heritage Of Bel Air

Norfolk, NE · Madison County

CMS 5/5 112 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
36%
Serious cites
0

Heritage of Bel Air runs a nonprofit shop with 112 certified beds in Norfolk, and the numbers underneath its grade tell a mixed but mostly reassuring story. Nurse staffing sits at 3.94 hours per resident day, a bit above the national average, and the 35.8% turnover rate is meaningfully better than the typical 45.8%, people tend to stay here. Inspections are another matter: 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none involve abuse. The most recent inspection was July 31, 2025. Quality measures score well, but weekend staffing drops about 15% below weekday levels, which is worth asking about if your family visits on Saturdays and Sundays.

A

87/100

Parkside Manor

Stuart, NE · Holt County

CMS 5/5 40 beds Government Medicaid
Nurse hours
3.52 /day
Staff turnover
36%
Serious cites
0

Parkside Manor is city-owned, and the numbers show a home that runs lean but steady. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends dip roughly 9% below its own weekday levels, worth asking about if your family visits on Saturdays. What stands out is retention: turnover is 35.7% against a national 45.8%, which suggests people stay. The inspection record shows 8 deficiencies, none at harm or jeopardy level, though 2 are abuse-related and worth reading closely. Its last inspection was March 2026, so the record is current. Quality and staffing star ratings both land at 4 out of 5.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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