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.
Fulton Nursing & Rehab runs on 2.76 nurse hours per resident day, roughly 28% under the national figure of 3.86, and weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 63.6% against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its inspection record, last reviewed in June 2025, carries 50 deficiencies, including one at the harm level and two tied to abuse, plus an $8,018 fine. All three CMS star ratings land at 2 out of 5. For a 100-bed for-profit home, those numbers describe thin, unstable staffing layered over a troubled survey history.
Lutheran Nursing Home runs 113 certified beds in Concordia under for-profit LLC ownership, and its staffing is the number that stands out: 3.14 nurse hours per resident day, about 19% under the national average, with weekends dipping roughly 12% below its own weekday coverage. Annual turnover sits at 52.5% against a 45.8% national figure, so the people providing that care are cycling through faster than average. Inspections look better on paper, a 4/5 health inspection rating as of August 2025, no deficiencies at the harm level, but 27 total deficiencies include 4 tied to abuse, and one fine of $41,886 is on record. The staffing rating of 2/5 tells you where the pressure actually lives.
Cotton Point Living Center runs about 4.11 nurse hours per resident day, roughly 7% above the national average, so the raw staffing number looks fine. The problem is what's around it. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 63.1% against a national average of 45.8%, meaning the aides and nurses in the building keep changing, which matters most for residents who need consistent hands.
Then there's the record itself: 32 deficiencies, one at the level of actual harm or jeopardy and four tied to abuse, plus a $14,069 fine. The most recent inspection was March 2025.
Adept Nursing & Rehab Of Gretna runs 63 certified beds under corporate for-profit ownership, and its nurse staffing works out to 4.04 hours per resident day, roughly 5% above the national average of 3.86. That edge fades on weekends, when coverage drops about 11% below the home's own weekday level. Staff turnover sits at 87.1% against a national average of 45.8%, so most of the people caring for residents are relatively new to the building. The current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated March 5, 2026. All three CMS star ratings, health inspections, quality measures, staffing, land at 2 out of 5.
Buckingham At Norwood runs 240 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 7% below its own weekday coverage, so the thinnest shifts are also the least supervised. Turnover at 39.1% is actually better than the 45.8% national figure, which is worth noting, but it doesn't offset a record of 25 deficiencies, two at harm or jeopardy level, one abuse-related, plus a $76,226 fine. The most recent inspection was April 2026. CMS gives the place 2 of 5 stars for both health inspections and staffing.
Clovis Healthcare and Rehabilitation Center runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 2.82 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop about 12% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover at 40.4% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hours are scheduled in the first place. The inspection record carries 49 deficiencies, seven of them at harm or jeopardy level and eight abuse-related, plus a single $81,641 fine.
Matthews Health & Rehab Center runs 166 certified beds under corporate ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national figure of 3.86. Weekends drop about 9 percent below the home's own weekday coverage, and annual turnover hits 53.8 percent against a national 45.8 percent, so the aides and nurses your family would see are changing often.
The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $82,703 in fines across two penalties. Its last inspection was April 2026, and CMS gives it middling marks on quality measures but weaker ones on health inspections and staffing.
August Healthcare at Wilmington runs 120 beds as a for-profit corporation, and the staffing numbers are the first thing you notice. At 2.83 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover is 52.3% against a 45.8% national figure, so the people providing care keep changing. On the current record there are 35 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $27,378 fine. Inspectors were last in on May 15, 2025. The inspection and quality ratings land mid-range, but the staffing rating is 1 out of 5, which is where a lot of this traces back to.
Autumn Care of Raeford runs on 3.00 nurse staffing hours per resident day, roughly 22% under the national average, which is why CMS gives it a single star for staffing. Weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. The current record carries four deficiencies, two of them at the harm or jeopardy level and one abuse-related, plus $32,631 in fines across two penalties. Turnover sits at 48.5%, a few points above the national rate. Ownership is a for-profit corporation. The last inspection was February 26, 2026, so the record is recent, and what's on it is serious.
Bermuda Commons runs 117 certified beds in Advance under for-profit LLC ownership, and its staffing sits about 18% below the national average at 3.17 nurse hours per resident day. Weekends drop roughly another 9% off its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 41% is a little better than the 45.8% national figure, which matters, but 21 deficiencies on the current record, two of them at harm or jeopardy level, and $28,043 in fines point to real gaps in care delivery. Inspectors were last on site April 29, 2026.
Longmeadow Care Center runs about 3.06 nurse hours per resident each day, roughly a fifth below the national average, and weekend coverage slips another 7% below its own weekday levels. Staff turnover sits at 61.2% against a national figure near 45.8%, so the people caring for residents are, more often than not, new to the building. The inspection record tells its own story: 36 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $47,486 fine. The most recent state inspection was in April 2025, so the findings are current rather than stale. Corporate for-profit ownership. The quality-measure scores look strong on paper, but a one-star inspection rating and thin, churning staffing are what families actually live with day to day.
Rocky River Gardens runs on 3.21 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends drop another 14 percent below its own weekdays. That thin coverage shows up in the numbers: a one-star CMS staffing rating, 58.7 percent annual turnover against a national 45.8 percent, and a one-star health inspection rating backed by 44 deficiencies on record, five of them at harm or jeopardy level and three tied to abuse. The $68,068 in fines across three actions and an April 2024 inspection round out a pattern that's hard to read kindly. Its five-star quality measure score stands alone against all of it.
Stillwater runs 3.56 nurse hours per resident day, about 8% under the national average, and weekend staffing barely dips below its own weekday numbers, that part is steady. The bigger issue is retention: 66.1% of nursing staff turned over in a year, well above the 45.8% national figure, and CMS gives the home just one star for staffing. Its current record carries 25 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection dated April 2026. Quality measures score well and inspections land mid-range, which is why the overall picture comes out average despite the thin staffing and churn.
Als Woodstock runs 42 beds in Woodstock under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 59.5% against a national 45.8%, which means the aide helping your mother today is more likely than not to be gone within the year. The health inspection record shows 38 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $42,094; the last inspection was October 31, 2024. Resident care measures score well, but that's paperwork versus the floor.
The nurse staffing number here is the first thing I'd look at. At 3.43 hours per resident day, it runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday level, so coverage is thinnest when families tend to visit. Annual turnover of 67.3% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. Inspections tell a similar story: 32 deficiencies on record, including one at the harm level and four tied to abuse, plus a $183,316 fine. The last inspection was September 2023, so that record has had time to age without a fresh look.
The Pavilion at Stow runs about 51 beds under corporate ownership, and its staffing is the number that stands out: 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, with weekends dipping another 7% below its own weekday level. That thin coverage shows up in the 1-out-of-5 staffing rating. Turnover sits at 72.1% against a national 45.8%, so the aides and nurses cycling through are often new. Inspections last happened in August 2023, and the record carries 27 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy. Health and quality measures both land mid-range at 3 stars, which suggests care isn't falling apart, but the workforce behind it keeps changing.
Glendora Health Care Center runs about 49 beds in Wooster, and its nurse staffing sits at 3.34 hours per resident per day, roughly 13% under the national average, with weekends a bit thinner than weekdays. The bigger concern is turnover: 67.6% of staff leave annually, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. Inspections back that up. The home has 38 deficiencies on its current record, including four tied to abuse and one at the harm or jeopardy level, plus a $17,080 fine. Federal inspectors last visited in September 2024.
Altercare Zanesville runs 99 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.65 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 51.3% against a 45.8% national average, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 48 deficiencies, four at harm or jeopardy level, two tied to abuse, and $198,156 in fines. The most recent inspection was May 2025.
Thunder Care and Rehabilitation runs 154 certified beds in Moore, and the staffing numbers are the first thing to notice: 3.06 nurse hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday level. Turnover sits at 58.9%, well above the 45.8% national figure. The inspection record is heavier still, 42 deficiencies, four at harm or jeopardy level, eight tied to abuse, and one fine of $30,137. CMS has placed this for-profit, individually owned home in its Special Focus Facility program, and the most recent inspection was April 24, 2025.
Drumright Nursing Home carries 31 deficiencies on its current record, and four of those rose to the level of actual harm or jeopardy to residents, with three tied to abuse. Inspectors were last in the building in September 2025, so this isn't a stale picture. The fine history backs it up: three penalties totaling just over $102,000. Turnover runs at 78.1% a year against a national average near 46%, which means the aides and nurses caring for your family member are, more often than not, new and still learning the building. All three CMS ratings, inspections, quality measures, staffing, sit at the lowest possible mark. For-profit, limited liability ownership. If you're considering this one, ask hard questions before signing anything.
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?