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.
Myrtles Nursing Center runs 98 beds in Columbia under individual for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 69.5% is well above the national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Eighteen deficiencies sit on the current record, none at harm level, though one is abuse-related. The last inspection was October 2024. Quality measures score 1 out of 5, the weakest area in its federal profile.
Stonebridge Florissant runs on thin staffing. At 3.28 nurse hours per resident day, it sits roughly 15 percent under the national average, and weekends drop another 18 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 75.9 percent of staff leave within a year, well above the 45.8 percent national figure, which means unfamiliar faces and constant retraining.
The inspection record is current, dated August 2025, with 37 deficiencies but none flagged at harm or jeopardy level, and none abuse-related. That's a meaningful distinction. Still, a 1-out-of-5 staffing rating with that churn rate is the number to weigh hardest when you tour.
The Manor in Poplar Bluff runs about 4.10 nurse hours per resident day, roughly 6% above the national average, but that cushion thins on weekends when staffing drops about 18% below its own weekday level. Annual turnover sits at 61.9% against a national average of 45.8%, so a large share of the people providing that care are new or on their way out.
The current record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was April 2025. State inspectors rated health inspection at 4 of 5 stars, but quality measures came in at 1 of 5.
Ash Grove Healthcare Facility runs on thinner staffing than most homes you'll compare it to, about 3.20 nurse hours per resident day against a national average near 3.86, with weekends dropping roughly 16% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Annual turnover of 63.6% is well above the 45.8% national figure, so the people providing that care are changing often. The inspection record is genuinely decent: a 4-out-of-5 health inspection rating, no deficiencies at the harm or jeopardy level, and a current survey from January 2025. But 16 deficiencies including two abuse-related citations, and a 1-out-of-5 quality measure rating, mean the day-to-day clinical picture doesn't match the strong inspection score.
Rehab Of Kansas City South runs about 3.10 nurse hours per resident each day, roughly 20% under the national average of 3.86, and weekends are about 17% thinner than its own weekdays. That staffing shortfall shows up in other numbers: 59.5% of staff left over the past year against a 45.8% national rate, and CMS gives staffing a single star out of five. The inspection record carries 45 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and the last survey was in February 2025. This is a for-profit LLC with 100 certified beds, a two-star inspection rating, and a three-star quality measure score.
Pine Grove Manor runs 3.14 nurse hours per resident day, about 19 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. That thin staffing sits alongside a one-star inspection record carrying 34 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus $31,665 in fines across two penalties. Quality measures score well, but that's family-reported and assessment-based data; the inspection and staffing numbers are what regulators actually observed. The last inspection was March 2026, so the record is current. For-profit corporate ownership, 77 beds, and a staffing picture that leaves little margin when a resident needs more attention than the schedule allows.
Corning Center runs on thin staffing, and the numbers say so. At 3.20 nurse hours per resident per day, it sits about 17 percent under the national average, and weekends drop roughly 24 percent below its own weekday levels, which matters most when families visit and aides are stretched thinnest. Annual turnover of 64.5 percent is well above the 45.8 percent national figure, so the people caring for your relative are likely to change often. What keeps this home from looking worse on paper is a clean inspection record: 11 deficiencies, none at the harm or jeopardy level, no abuse findings, and a March 2024 inspection. The care seems safe; the question is whether there's enough of it.
Elderwood At Liverpool runs 160 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The staffing star rating comes in at 1 out of 5, with quality measures at 2 and health inspections at 3. Its record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $56,921. The last inspection was February 2026, so the picture is current.
Elderwood At Hornell passes its health inspections cleanly, a five-star record, just eight deficiencies and none of them causing harm or involving abuse. The trouble is who's left to do the work. At 2.75 nurse hours per resident day, staffing sits roughly 29% under the national average, and it thins out further on weekends. A 63.5% annual turnover rate means most of the aides and nurses on a given shift are relatively new, which matters more when there are fewer of them. One fine of $4,194 is minor. For-profit LLC ownership, 122 beds, last inspected in February 2024. Strong surveys, thin coverage, families should ask pointed questions about evening and weekend staffing specifically.
Elderwood At Cheektowaga runs 3.27 nursing hours per resident day, roughly 15% under the national average, and weekends dip another 15% below its own weekday staffing. That thin coverage shows up in a 63% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses walking into residents' rooms are often new to the building. The current inspection record carries 23 deficiencies, including three tied to abuse, though none rose to harm or jeopardy level. Quality measures look strong at 4 out of 5 stars, but the 2-star health inspection and 2-star staffing ratings, under for-profit LLC ownership, tell a more cautious story.
The Gardens of Fairfax runs on thin staffing. At 3.71 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 17% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells the harder story: 68.8% of staff leave each year, well above the 45.8% national figure, so the people caring for residents keep changing.
The inspection record is heavy, 47 deficiencies, including one at the harm level and seven tied to abuse, plus 24 fines totaling $145,170. The most recent inspection was in February 2026, so the record is current. Corporate ownership is a for-profit limited liability company.
Magnolia Manor - Greenwood runs on 3.25 nurse staffing hours per resident day, roughly 16% under the national average, and weekends drop about 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with two fines totaling $13,075 and a one-star health inspection rating. Staff turnover sits at 47.9%, slightly above the national 45.8%. This is a for-profit limited liability company, 88 beds, last inspected June 2025.
Creekview runs about 3.37 nurse hours per resident each day, roughly 13 percent under the national average, and weekend staffing drops another 16 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 66.7 percent against a national 45.8 percent, meaning most of the people charting care this year likely won't be there next year. The current record shows 23 deficiencies, none at harm or jeopardy level and none abuse-related, but the two-star inspection rating suggests the pattern, not just the count, is what inspectors noticed. Quality measures score well at four stars; that's real, though it rests on a workforce that keeps changing.
Briarwood runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 15% below its own weekday staffing. Turnover sits at 69% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. Fourteen deficiencies appear on the current record, four of them abuse-related. None rise to harm or jeopardy level, and the most recent inspection was in May 2025, so the picture is current rather than stale. The quality measure rating of 1 out of 5 is the number that should give you pause; staffing at 2 out of 5 and inspections at 3 out of 5 round out a home that isn't failing outright but isn't steady either.
Vanayer Senior Living runs 91 certified beds in Martin under individual for-profit ownership, and the numbers show a building that's staffed thinner than most. Total nurse coverage sits at 3.49 hours per resident day, roughly 10% under the national figure, and weekends dip about 18% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Half the staff turned over in the past year, above the 45.8% national rate, which matters because new aides don't know residents yet. Nine deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $8,589 in fines. The last inspection was November 2025, so that record is recent.
Meadowbrook Healthcare And Rehabilitation Center runs 83 certified beds in Pulaski, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. That gap shows up most on weekends, when coverage drops about 13% below what the home staffs on weekdays. The record itself is fairly clean on safety, 8 deficiencies total, none at the harm level and none tied to abuse, with the last inspection dated February 2026 and a 4-star health inspection rating. Quality measures come in at 2 stars, though, which fits with thin staffing. Corporate for-profit ownership means decisions about direct-care hours get made with margin in mind.
Ripley Healthcare and Rehab Center runs 144 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which sounds better than it is. Weekend staffing drops about 22% below the home's own weekday level, so the coverage your family member gets on a Saturday looks nothing like a Tuesday. Staff turnover is 45.7%, essentially identical to the national average, meaning nearly half the workforce turns over each year. Eleven deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and CMS has fined the home $66,472. The last inspection was May 2026.
Park Village runs 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop another 15% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record carries 52 deficiencies, eight at harm or jeopardy level and seven tied to abuse, with six fines totaling $221,389. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Quality measures look strong at 5/5, but that score sits alongside a 1/5 on both inspections and staffing, a split worth asking about directly.
Swan Health At Wichita Falls runs 72 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.24 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly 6% below the home's own weekday coverage, so the thinnest hours come when families often visit. The record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection on March 20, 2025. CMS gives it 4 stars for health inspections but only 1 for staffing and 2 for quality measures. The tension is clear: surveyors found relatively few serious problems, yet the daily staffing numbers and quality metrics are where the weakness lives, especially on weekends.
Riverside Health & Rehab runs 180 beds in Danville under corporate ownership, and its inspection history is genuinely decent, a 4-out-of-5 federal rating with no deficiencies at the harm level. The problem sits elsewhere. Nurse staffing comes in at 2.96 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays. Annual turnover of 53% tops the 45.8% national figure, so the people providing most of the hands-on care are cycling through quickly. Twenty-two deficiencies are on the current record, one abuse-related, with the last inspection in September 2023. Ask how they cover weekend shifts before you decide.
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?