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.
Pruitthealth - Lilburn runs 152 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 3.02 nurse hours per resident day against a national average of 3.86, roughly 22% below. Weekends drop about 15% below the home's own weekday coverage, and turnover sits at 48.9%. The inspection record is heavy, 23 deficiencies, three at harm or jeopardy level, three abuse-related, plus a $59,423 fine. Quality measures score well, but that's the one bright spot against a 1/5 inspection rating and a 1/5 staffing rating. A recent May 2025 inspection means the record is current, not stale. If you're considering this home, ask directly how they cover weekends and what's changed since that inspection.
Arrowhead Post Acute runs 115 certified beds in Jonesboro as a for-profit LLC, and its nurse staffing sits at 3.07 hours per resident day, roughly 21% under the national average of 3.86. Weekends get thinner still, with staffing about 9% below the home's own weekday level, so the coverage gap shows up most when families tend to visit. The current record carries 32 deficiencies, none flagged at harm or jeopardy level and none abuse-related, and the most recent inspection was June 12, 2025. Federal ratings put health inspections and quality measures at 2 out of 5 stars each, with staffing at 1. Those numbers together explain the middling grade better than any single figure does.
Pine Crest runs on about 2.48 nurse hours per resident day, roughly a third below the national average, and weekends drop another 18% under its own weekday level. Nine of the 53 deficiencies on record sit at harm or jeopardy level, and there are ten abuse-related citations plus four fines totaling nearly $120,000. The one bright spot is turnover, 30.3% against a national 45.8%, so the staff who are there tend to stay. But with a 1-star inspection rating and a 199-bed for-profit partnership, the numbers suggest a building where the care depends heavily on which shift your relative happens to get.
Aperion Care Wesley runs 108 beds on Chicago's South Side under corporate for-profit ownership, and the numbers show a building stretched thin on the people side. Nurse staffing sits at 3.74 hours per resident day, slightly under the national average, but the bigger issue is consistency: weekends run about 16% leaner than weekdays, and annual turnover hits 56.7% against a national 45.8%. Inspectors have logged 48 deficiencies, three serious enough to put residents in harm's way, with $63,832 in fines and a January 2025 inspection. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.
Axiom Healthcare of Flora runs 99 certified beds under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends thin out further, dropping about 21% below the home's own weekday levels, and staff turnover lands near 43.6%, slightly better than the 45.8% national figure.
What stands out more is the inspection record: 23 deficiencies on file, including two at the harm or jeopardy level and five tied to abuse, plus $9,110 in fines. The last inspection came in October 2024, and the quality measure rating sits at 1 out of 5. A 4-star health inspection rating looks decent on its own, but it doesn't erase that deficiency list.
Alden Town Manor runs 249 beds in Cicero, and the staffing numbers are the first thing I'd want you to see. At 3.21 nurse hours per resident day, it sits roughly 17% under the national average, and weekends drop about 16% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record backs that up: 49 deficiencies, nine of them at the harm or jeopardy level, nine tied to abuse, and six fines totaling $270,515. Turnover at 40.3% is a little better than the national 45.8%, but that's the one number here working in its favor.
Hillview Senior Living & Rehab runs about 2.85 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 10% below its own weekday coverage, that thin margin is where the staffing picture gets its lowest marks. The good news sits on the inspection side: six deficiencies on record, none causing harm or involving abuse, and a survey completed in June 2025, so the home's last look from regulators is recent and clean. What pulls the overall picture down is the split between how the place is run and how residents are actually doing, state inspectors found little to fault, but the clinical quality measures and the day-to-day staffing numbers tell a quieter story worth asking about directly.
Arcadia Care Rock Island runs 177 beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.05 hours per resident day, modestly above the national average, but weekends run about 16% thinner than weekdays, a gap families often feel when they visit. The bigger concern is the inspection record: 31 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus three fines totaling $105,810. Turnover at 46.4% is essentially the national rate. The most recent inspection was August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 quality measure score suggests the clinical measures look better on paper than the day-to-day oversight does.
Abbington Vlge runs about 2.96 nursing hours per resident each day, roughly a quarter below the national average of 3.86, and weekends drop another 20% below its own weekday coverage. Staff turnover sits at 58.3%, well above the 45.8% national figure, which means the aides and nurses your family member sees are changing often. The home carries 37 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a 3/5 inspection rating and 2/5 ratings for both quality measures and staffing. Owned by a for-profit corporation and last inspected in April 2026, it clears the safety bar but runs lean on people. Ask how they cover a weekend callout.
Majestic Care of Jefferson Pointe runs 135 certified beds in Fort Wayne under corporate, for-profit ownership, and the staffing numbers are the first thing that stand out. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 18% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 57.4% tops the national 45.8% by a wide margin, meaning the people caring for residents are often new to the building. The current record carries 27 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with the last inspection dated March 2026.
Crown Point Health Campus is county-owned, and it's in the CMS Special Focus Facility program, which is a short list of homes the government tracks because problems keep showing up. The inspection record backs that up: 67 deficiencies currently on file, including one at the harm level and two tied to abuse, with a single fine of $25,665. Nurse staffing runs 3.26 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below the home's own weekday coverage, that's when gaps tend to bite. The last inspection was in March 2026, so the record is current, not stale. If you're considering this one, ask specifically what the abuse-related findings involved and how weekend coverage is handled.
Accura Healthcare Of Cresco is a 46-bed for-profit home where the numbers matter more than any single grade. Its nurse staffing sits at 3.91 hours per resident day, only about 1% above the national average, and that thin margin erodes on weekends, when coverage drops roughly 21% below the home's own weekday level. Annual turnover is 80.6%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record shows 57 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was January 29, 2026. Every CMS star rating here, health inspections, quality measures, and staffing, comes in at the lowest tier. Ask about weekend coverage and how they keep residents safe when staff turns over that fast.
Park Grove is a for-profit limited liability operation in Madisonville with 71 certified beds, and its numbers land below average on nearly every federal measure. Nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national figure, and weekends run about 15% thinner than weekdays, a gap families often feel when they visit on a Saturday. Turnover is 46%, basically at the national rate, so continuity isn't the standout problem here. The inspection record is: 16 deficiencies on file, two serious enough to involve harm or jeopardy, and $12,860 in fines across two penalties. Its most recent inspection was in June 2025, so the picture is current. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
You're looking at 109 beds in Opelousas, and the numbers here deserve a careful read. Nurse staffing sits at 3.72 hours per resident day, a bit under the national figure, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover runs 51.3%, well above the 45.8% national average, which means the people caring for residents are frequently new.
The inspection record shows 35 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $66,824 in fines and a September 2025 inspection. Ownership is a for-profit limited liability company. Two stars on health inspections and one on quality measures round out the picture.
Ascension Oaks runs 102 certified beds in Gonzales under for-profit LLC ownership, and its last inspection was June 12, 2025. Staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse; two fines total $158,838. Annual turnover of 45.6% is essentially the national rate, meaning the staff churn here isn't unusual, but it isn't a strength either.
Legacy Nursing and Rehabilitation of Lafourche runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 18% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 50.6%, above the 45.8% national figure, meaning close to half the nursing staff leaves within a year. The current record shows eight deficiencies, one serious enough to involve harm or jeopardy, plus a $24,501 fine. This for-profit corporate home was last inspected in February 2026. With 72 beds, it's small enough that one bad shift is felt everywhere.
Shreveport Manor runs 127 beds as a for-profit partnership, and the numbers that stand out most are on the staffing side. At 2.76 nurse hours per resident day, it sits roughly 29% under the national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.8% against a national 45.8%. Those aren't small gaps. The inspection record is steadier, 23 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and the most recent survey was in August 2025. Quality measures land mid-range at 3 stars. What you're looking at is a home that isn't cited for serious harm but consistently staffs thinner than average, with a workforce that turns over faster than most.
Alpine Skilled Nursing runs 144 beds in Ruston under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.15 nurse hours per resident day, roughly 18 percent under the national average, with weekends about 16 percent thinner than weekdays. That thin coverage shows up in the CMS staffing rating, which sits at the lowest mark, and the quality measure rating matches it. Turnover is a relative bright spot at 35.6 percent against a 45.8 percent national figure, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The last inspection was January 13, 2026.
The Broadway Nursing and Rehabilitation Center runs 126 certified beds as a nonprofit corporation in Lockport, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, with weekends about 16% thinner than weekdays. The inspection record is the bigger concern: 23 deficiencies currently on file, two of them at the harm or jeopardy level and two abuse-related, plus two fines totaling $29,126. Staff turnover at 44.7% is essentially at the national average, so retention isn't the outlier here. The quality measure rating of 1 out of 5 is where the clinical picture looks weakest, and that's separate from the staffing and inspection scores.
Courtyards Comm Living Center runs 66 certified beds in Fulton under individual for-profit ownership, and the numbers tell a split story. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 15% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover hits 50.8%, well above the 45.8% national figure. The bigger concern is the inspection record: 39 deficiencies, 11 at harm or jeopardy level, four abuse-related, and three fines totaling $117,659. The most recent inspection was May 2025. Strong staffing ratings don't offset that many serious findings.
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?