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.
Loft Rehab of Rock Springs carries 94 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy, and eight tied to abuse. Those aren't paperwork problems. The health inspection rating sits at 1 out of 5, and the staffing rating matches it, 2.85 nurse hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time. Weekend coverage drops another 11% below the home's own weekday numbers. Turnover at 43.7% is marginally better than the 45.8% national figure, which is the only number here that isn't working against it. A $17,870 fine and a March 2025 inspection round out the picture.
Monmouth Rehab and Nursing is a 58-bed for-profit home in Warren County, and the numbers that matter most here are the inspection ones. Its current record carries 48 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, a pattern serious enough that CMS has issued 4 fines totaling $233,350, with the most recent inspection dated March 20, 2026. Staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays. Annual turnover, at 45.5 percent, is essentially the national rate.
Pinckneyville Nursing & Rehab is a for-profit, LLC-owned home with 60 certified beds in Perry County. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends run about 13% thinner than weekdays, so coverage tends to dip right when families are most likely to visit. Annual turnover hits 50%, above the 45.8% national figure. Inspectors last visited in April 2025 and cited 19 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $100,864 in fines on record. The 4/5 inspection rating doesn't carry the rest: the 1/5 quality measure score is the deeper concern.
Allison Pointe runs 159 certified beds on Indianapolis's east side, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and weekends dip about 10 percent below what the home itself staffs during the week, so coverage thins out exactly when families tend to visit. Annual turnover of 58.1 percent runs well above the 45.8 percent national figure, meaning the people caring for residents are often new to the building.
The inspection history is heavy: 69 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. A $56,381 fine is on file, and the most recent inspection was February 25, 2026, recent enough to reflect how the home operates now.
Lincolnshire runs 3.26 nurse hours per resident day, about 16% under the national average, and weekends drop roughly 18% below its own weekday staffing. That thin coverage lines up with the federal staffing rating of 1 out of 5, and the health inspection rating is also 1 out of 5, the current record shows 57 deficiencies, though none reached harm or jeopardy level and none involved abuse. One fine totaling $3,418 has been levied. The last inspection was November 24, 2025, so the record is recent. Quality measures score better, at 3 out of 5, which suggests the clinical metrics tracked by CMS look steadier than the day-to-day staffing and inspection picture.
Terrace At Solarbron runs 3.53 nurse hours per resident day, roughly 9% under the national average, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 67% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current inspection record carries 31 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in March 2026. As a nonprofit, it isn't answering to shareholders, but the numbers describe a building where consistency is the problem.
Lantern Park Specialty Care runs 90 certified beds in Coralville under nonprofit ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 6% below its own weekday levels. Turnover tells a sharper story: 59.4% annually against a national 45.8%, meaning well over half the nursing staff leaves each year. The inspection record shows 47 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse, plus one fine totaling $62,595. CMS rated its last inspection two stars on health and two on quality measures, with staffing at three. The most recent survey was July 2025.
Stone Cottage Care Center runs 41 beds in Sigourney under for-profit LLC ownership, and its nurse staffing sits at 3.80 hours per resident day, just under the national average, with weekends running about 6% thinner than weekdays. The bigger issue is consistency: turnover hits 53.8% against a 45.8% national rate, meaning nearly six in ten caregivers left over the year. Its inspection record shows 69 deficiencies, including three at harm or jeopardy level and seven tied to abuse, with one fine totaling $18,682 and a survey as recent as September 2025. State inspectors and quality measures both land at the bottom of CMS's five-star scale; staffing is the relative bright spot at three stars.
Merriam Gardens runs on 3.01 nurse staffing hours per resident day, roughly 22 percent under the national average of 3.86, and weekends dip another 8 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 50 percent against a national 45.8 percent. The 36 deficiencies on record include nothing flagged at harm or jeopardy level and no abuse citations, which matters, but ten fines totaling $74,562 and a two-star inspection rating suggest the problems are persistent rather than isolated. The last inspection was October 2024, so the record is reasonably current. For-profit, limited liability ownership. Ask about weekday-to-weekend staffing patterns and how they hold onto aides.
Via Christi Village Pittsburg runs a nonprofit home with 96 beds, and its nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, though weekend coverage drops roughly 7% below its own weekday level. The bigger issue is turnover: 88.8% annually, nearly double the national rate of 45.8%, meaning the people caring for residents are constantly changing. On inspections it holds a 3-star rating with 29 deficiencies on record, including two at the harm level and one tied to abuse, plus a $13,397 fine. Ownership changed within the past year, and its last inspection was October 2024.
Good Shepherd Health And Rehabilitation runs 118 certified beds in Phelps under corporate for-profit ownership, and the numbers worth your attention are the inspection record and the staffing. Fourteen deficiencies sit on the current record, six of them serious enough to reach harm or jeopardy level, and one tied to abuse, with four fines totaling $29,852. Nurse staffing comes in at 3.42 hours per resident day, roughly 11 percent under the national average, and weekend coverage holds flat against weekdays rather than dropping. Turnover at 39.6 percent is actually better than the 45.8 percent national figure, which suggests some steadiness in the workforce even as oversight problems persist. The last inspection was September 2024, so the record is fairly current.
The Village of Lebanon runs 54 beds under for-profit partnership ownership, and its payroll sits almost exactly at the national norm, 45.6% turnover against 45.8% nationally, so the staffing churn here isn't unusually bad for the industry. What stands out more is the quality measure rating of 1 out of 5, which is where the clinical picture looks weakest, and 12 deficiencies on the current record including one tied to abuse. Inspectors were last on site in August 2025 and found nothing at the harm or jeopardy level, which matters. Eight fines totaling $45,335 is real money, though not extreme for a home this size.
Southeast Rehabilitation & Skilled Care Center is a 171-bed for-profit home in North Easton with a record that should give you pause. Inspectors have logged 67 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, and CMS rates all three of its star categories, health inspections, quality measures, and staffing, at just one out of five. Its 3.13 nurse staffing hours per resident day runs about 19 percent below the national average, and weekends dip roughly 10 percent below its own weekday levels. The one bright spot is turnover: 27.5 percent against a national average of 45.8 percent, meaning the staff who are there tend to stay. The most recent inspection was July 31, 2025, with a single fine of $11,947 on record.
Northwood runs about 2.83 nursing hours per resident day, roughly 27% under the national average of 3.86, and it doesn't add help on weekends, when staffing dips another 3% below its own weekday level. The tradeoff isn't explained by retention: turnover is 23.8%, well below the national 45.8%, so people tend to stay. What the record shows instead is a pattern of problems: 55 deficiencies, three at harm or jeopardy level, five tied to abuse, and two fines totaling $165,780. The most recent inspection was August 2025, and the health inspection rating sits at 1 out of 5.
Oakridge Manor runs lean on the floor: 2.82 nurse hours per resident day against a national average of 3.86, and weekends drop about 7% below its own weekday staffing. Turnover at 38.2% is actually better than the 45.8% national figure, so the home isn't bleeding caregivers, but the hours they're scheduled for are thin. The deficiency record is what stands out: 52 total, three at harm or jeopardy level, two abuse-related, and $62,259 in fines. The last inspection was May 2025, so the record is current. For-profit corporate ownership, 64 beds. Ask about weekend coverage and what changed after those harm-level citations before you decide.
Rochester Restorative Care Center has enough nurses on paper, 4.18 hours per resident day, about 8% above the national average. But that number hides a churn problem: every nursing position turns over roughly twice as fast as the national rate, and weekend coverage drops below what the home staffs on weekdays. Its inspection record carries 55 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, which is reserved for the worst-performing nursing homes in the country. Four fines total $425,426. The staffing star looks fine. Almost nothing else does.
The Pillars of Biloxi runs 180 beds under for-profit LLC ownership, and its current inspection record carries 42 deficiencies, five of them at the harm or jeopardy level, three tied to abuse. Fines total $47,692 across four penalties, and the most recent inspection was August 2025, so that record is recent, not stale.
Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run about 8% thinner than weekdays. Annual turnover is 57%, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. With the health inspection rating at 1 out of 5 and quality measures at 2, the staffing number is the strongest part of this home's profile, and it's still below average.
Landmark Of Desoto runs 60 certified beds in Horn Lake under for-profit limited liability ownership. Nurse staffing sits at 2.78 hours per resident day, roughly 28% under the national average of 3.86, and weekends dip about 12% below the home's own weekday coverage. Staff turnover is 56.5% against a national average of 45.8%, so a lot of the people providing care are relatively new to the building.
The inspection record shows 21 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $10,527. CMS gives 2 out of 5 stars across health inspections, quality measures, and staffing, a consistent picture of a home where both the workforce and the oversight record run below standard, and recent inspection activity in March 2026 means that record is current.
Greenville Health Care Center runs 60 certified beds as a for-profit limited liability company, and its state inspection history is genuinely decent: four out of five stars for health inspections, with the most recent visit in March 2025 and no deficiencies at the harm or jeopardy level. The staffing picture is the opposite story. One star out of five, with annual turnover at 64.1 percent against a national average of 45.8 percent, roughly two-thirds of the direct-care workforce cycling out in a year. Eighteen deficiencies sit on the current record, one tied to abuse. Quality measures land at three stars. Good inspections can't paper over thin, constantly changing staff.
Nazareth Living Center runs on thin staffing margins. At 3.69 nurse hours per resident day, it sits below the national average, and weekends dip about 11% below its own weekday levels, so the hours when families visit most are often the leanest. The bigger warning sign is turnover: 77.4% of nursing staff leaving annually, well above the 45.8% national figure, which typically means less continuity for residents who need consistent caregivers. Its inspection record shows 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,928. The most recent inspection was March 2025, so the record is current, not stale. This nonprofit has real problems worth asking about 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?