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.
Mountain View Post Acute runs 74 certified beds in Ellensburg under corporate ownership, and the numbers that matter most here are the inspection ones. Seventy-two deficiencies sit on its current record, including seven at the harm or jeopardy level and eleven tied to abuse. CMS fined this home five times for a total of $241,528, and its most recent inspection in February 2026 landed at one star. Staffing is thin, too: 3.78 nurse hours per resident day is slightly under the national average, weekend coverage drops about 19% below weekdays, and turnover runs 62.2% against a national 45.8%. The quality measure score doesn't offset any of that.
Ohio Valley Health Care runs 66 certified beds in Parkersburg under corporate for-profit ownership, and its nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 7% below the home's own weekday level, so coverage thins exactly when families tend to visit. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $21,580 fine. Quality and staffing measures both land at 1 out of 5 stars, though the last inspection was recent, in March 2026. If you're weighing this one, ask directly about weekend nurse coverage and how that abuse citation was resolved.
River Oaks runs on a staffing model that doesn't hold. Nearly every employee who worked there a year ago is gone now, turnover sits at 95.6% against a national average of 45.8%, and the staffing star rating reflects it at 1 out of 5. That churn shows up in the record: 37 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with two fines totaling $60,095. The health inspection rating is also 1 star, though the quality measure score of 4 suggests some clinical targets are being met on paper. Ownership is a for-profit limited liability company. The most recent inspection was April 17, 2026.
Hillside Medical Lodge runs on thinner staffing than most homes its size, 3.10 nurse hours per resident day against a national average of 3.86, with weekends dropping about 16% below its own weekday levels. That's the number families should weigh hardest, since it's the one that shapes daily care. Turnover sits at 46.7%, roughly in line with the national figure, and the home changed owners within the past year, which often means new management still settling in. The good news: 13 deficiencies on record with none at harm or jeopardy level and none abuse-related, plus a four-star health inspection rating and a recent December 2025 inspection. Quality measures land at two stars.
Larkspur runs 120 beds in Lufkin under corporate for-profit ownership, and the numbers tell a split story. The clinical side looks steady, four out of five stars on health inspections and quality measures, with the most recent inspection in April 2025. But staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average, and weekends drop about 16% below the home's own weekday coverage. Annual turnover hits 54%, well above the 45.8% national figure, and the record shows 26 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $30,928 in fines. Strong inspection results and thin, churning staffing don't cancel each other out. Ask how weekends and evenings are actually covered.
Heritage Plaza runs 3.15 nurse staffing hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday levels. That thin coverage shows up in the numbers: 57.4 percent annual turnover against a national 45.8 percent, and 43 deficiencies on the current record, including three at the harm or jeopardy level and five tied to abuse. Three fines total $89,633, and the most recent inspection was April 23, 2025. Corporate-owned and certified for 95 beds, it scores well on quality measures but poorly on inspections and staffing, a pattern worth asking about directly before you visit.
Twin Pines runs 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 8% below its own weekday levels. That thin coverage sits behind a one-star staffing rating and a one-star inspection record: 63 deficiencies on file, four serious enough to put residents in harm or jeopardy, one tied to abuse, plus three fines totaling $37,199. The most recent inspection was February 2026, so the record is current, not stale. With 200 beds under corporate for-profit ownership, families should ask directly who is on the floor overnight and on weekends, and request the latest inspection report before deciding.
Golden Estates runs 3.29 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 20% below its own weekday staffing. Nearly six in ten staff left over the past year, 58.5% turnover against a 45.8% national figure, which means the people caring for your relative are often new and still learning the building. The record shows 32 deficiencies, including six at harm or jeopardy level and two tied to abuse, plus three fines totaling $161,844. That inspection history and thin staffing sit behind the low marks, even though the quality measure score looks better on paper.
Ridgewood At The Woodlands is owned by a hospital district and holds 126 certified beds, but the numbers on its current record are hard to ignore. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 16% below its own weekday level. Annual turnover of 70.8% is well above the national 45.8%, which matters because constant churn makes consistent care harder to deliver.
The inspection history backs that up: 21 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $14,020 fine. Its last inspection was June 2025.
Cedar Creek runs on thin staffing. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 18 percent below what the home manages during the week, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 94.4 percent of staff leaving in a year, more than double the national rate, which means the aides and nurses who know your mother's routines are constantly being replaced by people learning them for the first time. Forty total deficiencies on record, three tied to abuse, with the last inspection in May 2026. Corporate-owned, 62 beds. Ask to see weekday and weekend staffing schedules side by side before you decide.
Legacy At Jacksonville runs a 101-bed for-profit operation that just got through a health inspection with no findings at the harm or jeopardy level, which is worth something, 11 deficiencies on the record and only one tied to abuse, none serious enough to endanger a resident. But the nursing side tells a different story: 3.17 nurse hours per resident per day against a national average of 3.86, a staffing rating of 1 out of 5, and weekends running about 13% thinner than weekdays. Quality measures land at 2 out of 5, with two fines totaling $27,345 on the books. Inspection day looked fine; the daily staffing math is the part I'd ask about.
Brookdale Lakeway runs on thinner staffing than most homes its size, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what it manages Monday through Friday. That gap matters because care doesn't pause on Saturdays. Annual turnover sits at 55.3%, well above the 45.8% national figure, so the aides and nurses your family member sees are cycling through faster than average. The inspection record backs this up: 23 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $91,420 in fines. The most recent inspection was in August 2025. Quality measures score well, but the staffing and oversight numbers are where the concern lives.
Legend Oaks in Waxahachie runs 121 certified beds under individual for-profit ownership, and the staffing picture is the first thing to notice: 3.55 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. That thin weekend coverage matters, because turnover sits at 57.6%, well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The inspection record backs it up: 35 deficiencies, five serious enough to put residents in harm's way, one tied to abuse, and $41,215 in fines across three actions, with the most recent inspection in February 2026.
Cypress Creek runs 122 certified beds under individual for-profit ownership, and its staffing is the number that stands out: 3.23 nurse hours per resident day, roughly 16% under the national average, with weekends dipping about 16% below its own weekday levels. Annual turnover sits at 66.7% against a national average of 45.8%, so the aides and nurses in the building change often. The record shows 20 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus $74,263 in fines across two penalties; the most recent inspection was May 29, 2025.
Northside Health Care runs 115 certified beds in Gadsden under corporate for-profit ownership, and its nurse staffing sits at 3.73 hours per resident day, slightly under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, and annual turnover hits 56% against a national 45.8%. The inspection record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, but a single fine of $221,520 on file. The last inspection was October 2019, so that snapshot is old. Quality measures score low; staffing scores comparatively well. For families, the questions worth asking are about weekend coverage and how the home has changed since that last look.
Colonial Care Center has 196 certified beds and enough nursing staff, 4.36 hours per resident day, about 13% above the national average, with turnover at 36.6% that beats the typical home. That part isn't the problem. The problem is the inspection record: 82 deficiencies, five serious enough to put residents in harm's way, four tied to abuse, and $140,904 in fines across four penalties. The most recent inspection was February 2026, so the record is current. Weekend staffing dips about 6% below weekday levels, and the quality measure rating sits at 2 out of 5. In a for-profit corporate chain, staffing hours alone don't offset that kind of enforcement history.
The inspection record is the place to start here: 23 deficiencies, four of them serious enough to cause actual harm, five tied to abuse. Two fines add up to more than $427,000. This is a nonprofit home, but that hasn't kept it out of trouble, the most recent inspection was in January 2025, so the findings are current, not stale.
Nurse staffing of 3.27 hours per resident day sits about 15% under the national average, and weekends run slightly thinner than weekdays. Annual turnover of 56% is well above the 45.8% norm, which makes it harder to hold onto consistent caregivers.
For families weighing this one, the harm-level and abuse-related findings matter more than any single rating.
Marietta Center For Nursing And Healing runs 154 beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.27 nurse hours per resident day, roughly 15% under the national average, with weekends about 10% thinner than weekdays. That shortfall shows up in the CMS staffing rating of 1 out of 5. Turnover sits at 63.3% against a national 45.8%, meaning most of the people caring for your relative are fairly new to the building. The current inspection record carries 30 deficiencies, including three at harm or jeopardy level and three tied to abuse. State surveyors were last in on June 15, 2025.
Crossroads of Flowery Branch carries 31 deficiencies on its current record, including two tied to abuse, and its last inspection was in January 2026. The for-profit LLC runs 100 certified beds with total nurse staffing at 2.67 hours per resident day, roughly 31 percent under the national average of 3.86, and weekend coverage dips about 3 percent below its own weekday level. Annual turnover sits at 48.5 percent, a bit above the national 45.8 percent, and CMS gives the place one out of five stars for both staffing and quality measures, two for health inspections. Families weighing this one should ask directly how the abuse-related findings were resolved.
Fayetteville Center for Nursing & Healing runs 162 certified beds under for-profit LLC ownership, and the staffing numbers are where the concern sits. Nurses provide 3.41 hours per resident day, roughly 12% under the national average, and weekends drop about 13% below the home's own weekday coverage. Annual turnover of 56.9% is well above the 45.8% national figure, so aides and nurses are cycling through frequently. On the record: 23 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus two fines totaling $11,171. The last inspection was June 13, 2025. Ask about weekend coverage and how they screen and supervise staff 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?