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 - Lakehaven runs 90 certified beds in Valdosta under corporate for-profit ownership, and the direct-care hours reflect that: 3.21 per resident day against a national average of 3.86, with weekends running about 8% thinner than weekdays. Staff turnover sits at 58% while the national figure is 45.8%, so the people showing up are often new. The current inspection record carries 14 deficiencies, four of them serious enough to involve harm or jeopardy, one abuse-related, and a $68,297 fine. Last inspection was August 2025. If you're weighing this one, ask how they're holding weekday coverage together when nearly three in five staff leave each year.
Sandy Springs Center for Nursing and Healing runs 165 certified beds under for-profit LLC ownership, and its staffing numbers are the main thing to know before you tour. Nurses provide 3.19 hours per resident day, roughly 17 percent under the national average, and weekend coverage drops about 11 percent below what the home staffs on weekdays. Annual turnover sits at 70.5 percent against a national 45.8 percent, meaning most of the people caring for your family member are new to the building. The current inspection record carries 36 deficiencies, three of them at the harm or jeopardy level and one abuse-related, with the last inspection dated April 2026.
Pine View runs thin on nursing hours, 2.73 per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday pace. The federal stars reflect that: one out of five for staffing, one for quality measures, two for health inspections. Turnover sits at 42%, a touch better than the 45.8% national figure, and the current record shows 19 deficiencies with none at harm level, though one is abuse-related, plus a single $4,017 fine. The most recent inspection was February 2026, so the picture is current. For-profit, LLC-owned, 128 beds. Families should ask directly how weekend coverage is handled and what that abuse citation involved.
Oak Creek Rehabilitation Center runs on thin staffing: 3.59 nurse hours per resident per day, about 7% under the national average, and weekends dip roughly 10% below its own weekday levels. That shortfall shows up in the government's staffing rating, which sits at the lowest tier possible, and in a turnover rate of 72.2%, well above the 45.8% national figure, meaning most of the people caring for residents are still learning the building. Sixteen deficiencies sit on the current record, including two at the harm level and three tied to abuse, plus one fine of $13,627. The quality measure score is strong, but quality measures depend on consistent staff to deliver them.
Loft Rehab & Nursing Of Normal carries 83 deficiencies on its current record, and 14 of those reached the harm or jeopardy level. Seven are abuse-related, which is the category families tend to care about most. The home is licensed for 116 beds under a for-profit limited liability company, and its last inspection was in October 2024. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends run about 8% thinner than weekdays. Annual turnover is 56.3%, well above the 45.8% norm. Five fines totaling $406,595 round out the record. Compare that against the quality measure rating of 5, a number that looks better than the inspection and staffing picture around it.
Arcadia Care Bloomington runs a 115-bed for-profit home, and the staffing numbers are the place to start: 2.59 nurse hours per resident per day, roughly a third below the national average, with weekends running about 7% thinner than weekdays. That shortfall lines up with a 1-out-of-5 staffing rating from CMS. Turnover sits at 39.1%, which is actually better than the 45.8% national figure, so the issue isn't retention, it's how few hands are on the floor per resident. The inspection record is heavy: 58 deficiencies, five at harm or jeopardy level, 14 abuse-related, and three fines totaling $179,825, with the most recent inspection in April 2025.
The Citadel of Bourbonnais runs a 107-bed for-profit operation where the staffing numbers are the real story. At 3.46 nurse hours per resident day, it sits about 10% under the national average, and weekends dip another 13% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. Annual turnover of 58.1% is well above the 45.8% national figure, so the people providing care are cycling through faster than average.
Inspectors last visited in September 2024 and turned up 21 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related. The 4/5 inspection rating and 2/5 quality measures don't offset a 1/5 staffing score.
You're looking at a 120-bed for-profit home in Cook County where the nursing hours don't stretch far. At 2.93 per resident day, staffing sits roughly a quarter below the national average of 3.86, and weekends run about 10% thinner than weekdays, that's when families tend to visit, so it's worth asking who's actually on the floor then. The inspection record is the harder part: 36 deficiencies, four serious enough to involve harm or jeopardy, five tied to abuse, and two fines totaling $53,141. Turnover at 38.2% is better than the 45.8% national figure, which helps some, but the state came in as recently as July 2025. Go see it, and ask specifically about those abuse-related findings.
Hallmark Healthcare of Pekin runs 71 beds and staffs nurses at 3.03 hours per resident day, roughly 22 percent under the national average, with weekends running about 11 percent thinner than weekdays. Turnover hits 56.7 percent against a national 45.8 percent, so the people caring for your relative keep changing. The inspection record shows 43 deficiencies, five serious enough to put residents in harm's way and six tied to abuse, plus four fines totaling $49,745. The most recent inspection was October 2024. Corporate-owned and for-profit, this home's quality scores look better on paper than its staffing and inspection history support.
Carlyle Healthcare & Sr Living runs 109 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.21 nurse hours per resident per day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, but that's a small comfort. What concerns me more is the record: 21 deficiencies, four at harm or jeopardy level and four abuse-related, with a 2/5 inspection rating, a 1/5 quality measure rating, and a July 2024 inspection that's now well behind you. Ask about the abuse citations directly.
Alta Rehab at Fairmont runs 186 beds on Chicago's West Side, and its nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, though weekends drop roughly 12% below its own weekday levels. The bigger problem is its record: 71 deficiencies, four of them at the harm or jeopardy level and four abuse-related, plus three fines totaling $98,784. Staff turnover of 46.5% is essentially the national rate, so continuity isn't a strength either. Ownership is corporate for-profit, and its last inspection was September 2025. That volume and severity of findings, paired with a 2/5 staffing and inspection rating, is what drives the low grade.
Warren Barr Lincoln Park runs about 109 beds on the city's North Side, and the numbers that stand out are the staffing ones. Nurses give residents roughly 3.31 hours of care per day against a national average of 3.86, and weekends run thinner than weekdays by about 7%, that's when families often notice less help on the floor. Staff turnover sits at 51.2%, well above the 45.8% national figure, so the people caring for your relative may be new fairly often. The current inspection record carries 36 deficiencies, including 2 at the harm level and 3 tied to abuse, along with a $117,488 fine. The most recent inspection was in November 2025, so the picture is current.
Tri-State Village runs lean on nursing hours, 3.29 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday coverage, so care gets thinnest exactly when families tend to visit. Its inspection record is heavier than you'd want: 56 deficiencies, 12 of them at the level where harm or jeopardy to residents is possible, three tied to abuse, and five fines totaling $279,810. The one genuine bright spot is turnover at 25.8%, well under the national 45.8%, meaning the staff who are there tend to stay. A for-profit limited liability company operates the 84-bed home, last inspected April 30, 2025.
Aliya On 87Th carries 75 deficiencies on its current record, ten of them serious enough to cause harm or jeopardy and five tied to abuse. That's an unusual concentration of high-severity findings for a single home. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average, and it thins further on weekends. Staff turnover matches the national rate, so retention isn't the outlier here, the shortfall in hands-on hours is. The 5/5 quality measure rating contrasts sharply with a 1/5 on both inspections and staffing, and $343,276 in fines across five penalties tells you regulators have acted more than once.
Allure of Galesburg runs on thin nursing coverage: 3.12 hours per resident day against a national average of 3.86, with weekends about 5% leaner than weekdays, so the gaps families notice tend to show up on Saturdays and Sundays. Staff turnover sits at 45.2%, essentially the national rate, meaning the aides and nurses cycling through are not unusually transient, but the low staffing star reflects fewer hands overall. The inspection record is the harder read: 60 deficiencies, 7 of them at harm or jeopardy level and 17 tied to abuse, plus two fines totaling $271,833. Quality measures score well, but the last inspection was July 2025 and the health inspection star remains 1 out of 5.
Aliya Of Palos Park runs a for-profit corporate operation with 129 certified beds, and the numbers there are worth a close look. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends dip about 3 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 54.8 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, 10 at harm or jeopardy level and 2 abuse-related, with four fines totaling $354,885. Quality measures score well, but staffing and inspection results tell a different story.
Greenup Rehab and Nursing runs 54 beds under individual for-profit ownership, and its staffing is the number that stands out: 2.76 nurse hours per resident per day, roughly 28% under the national average of 3.86. Weekends drop another 11% below its own weekday level, and annual turnover sits at 57.7% against a national 45.8%, so the people who remain are stretched thin and the roster keeps churning. The inspection record shows 37 deficiencies, 5 of them abuse-related, with the most recent inspection in September 2024. Federal staffing and health inspection ratings both come in at 1 out of 5; the quality measure rating is 3.
Southwood Healthcare Center is a for-profit home in Terre Haute with a staffing problem that shows up in the numbers: 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends run about 11% leaner than weekdays. Annual staff turnover sits at 57%, well above the 45.8% national figure, which helps explain the low staffing rating. The inspection record is heavier to carry, 49 deficiencies, including two at the harm level and four tied to abuse, plus a $40,790 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. The quality measure rating looks better, but that's built from resident assessments, not the staffing and inspection issues a family would actually feel day to day.
Valley View runs 94 beds in Elkhart under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.32 nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 8% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 59% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record backs that up: 47 deficiencies, including several tied to abuse and two at the harm level, plus a single $284,560 fine. The quality measure score doesn't cancel out a one-star inspection history with that kind of churn.
Springhill Village is county-owned, and the numbers show a home that gets inspected well but runs lean on the floor. Nurse staffing sits at 3.32 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday level. Annual turnover runs 61.7%, well above the 45.8% national figure. The health inspection side holds up at 4 stars, with 17 deficiencies on record and none at harm or jeopardy level. Quality measures and staffing both land at 2 stars. The February 2026 inspection is recent. What you're weighing is solid oversight against thin, unstable coverage.
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?