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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 861–880 of 10,187, best-graded first.

A

87/100

Marquis Care At Centennial Hills

Las Vegas, NV · Clark County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
30%
Serious cites
0

Marquis Care At Centennial Hills runs on 4.70 nurse hours per resident day, roughly 22% above the national average, and its staff turnover of 29.5% sits well below the 45.8% national figure, both signs of a stable, well-resourced floor. Weekend coverage dips about 8% from weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. The 26 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in mid-2025, so the picture is current. A for-profit corporate owner, 120 beds, and strong marks on inspections and quality measures round it out.

A

87/100

Covenant Living Of Keene

Keene, NH · Cheshire County

CMS 4/5 20 beds Non-profit
Nurse hours
5.32 /day
Staff turnover
47%
Serious cites
0

Covenant Living of Keene runs a small household, 20 certified beds, under nonprofit ownership. The staffing numbers are the story here: 5.32 nurse hours per resident day puts it well above the national average, and weekends dip only about 15% below its own weekday coverage, which is a smaller drop than many places show. Turnover sits at 46.9%, roughly in line with the national figure. Inspections in June 2025 turned up 11 deficiencies, none at the harm or jeopardy level, though one was abuse-related. A 4/5 inspection rating and 3/5 on quality measures round out a record that's solid on direct care, less distinguished on clinical outcomes.

A

87/100

Runnells Center For Rehabilitation & Healthcare

Berkeley Heights, NJ · Union County

CMS 2/5 300 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
36%
Serious cites
0

Runnells Center runs 300 certified beds in Berkeley Heights under corporate for-profit ownership, and the staffing picture is genuinely better than average, 4.24 nurse hours per resident day against a national figure of 3.86, with turnover at 36.2% compared to 45.8% nationally. Weekends dip about 9% below weekday coverage, which is worth asking about directly. The trouble sits on the inspection side: a 1-out-of-5 health inspection rating, 28 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. One fine totaling $14,901 has been levied, and the most recent inspection was August 14, 2025. Solid staffing and strong quality measures don't erase a record like that.

A

87/100

Meadow Lakes

East Windsor, NJ · Mercer County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
42%
Serious cites
0

Meadow Lakes runs on a nonprofit model with 60 certified beds, and its nurse staffing sits at 4.63 hours per resident day, roughly 20% above the national average of 3.86. Staff turnover comes in at 42.1%, slightly better than the 45.8% national figure, though weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The tradeoff shows up in inspections: a 2/5 health inspection rating and 19 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 18, 2025. Quality measures land at 3/5.

A

87/100

Dellridge Health & Rehabilitation Center

Paramus, NJ · Bergen County

CMS 3/5 123 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
31%
Serious cites
0

Dellridge runs 4.10 nurse hours per resident day, about 6% above the national average, and its staff turnover of 30.7% is well below the 45.8% national figure, that stability matters more than a single staffing snapshot. Weekend coverage dips roughly 7% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is the soft spot: 22 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, and the last survey was December 2024. A 2/5 inspection rating sits against 5/5 quality measures and 4/5 staffing, which tells you the day-to-day care metrics look strong while the survey history is thinner.

A

87/100

Maple Glen Center

Fairlawn, NJ · Bergen County

CMS 4/5 159 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
24%
Serious cites
0

Maple Glen Center runs 159 beds in Fairlawn under corporate ownership, and its strongest number is retention: 23.8% annual turnover against a national average of 45.8% means aides and nurses tend to stay, which matters more for daily care than almost anything else on paper. Staffing sits at 3.19 nurse hours per resident day, roughly 17% under the national 3.86, and weekends dip about 9% below the home's own weekday level, so coverage is thinner than average and thinnest when families visit. Inspections in September 2025 turned up 19 deficiencies, none at harm level, one abuse-related. Quality measures score well; the tradeoff is fewer hands per resident.

A

87/100

Country Arch Care Center

Pittstown, NJ · Hunterdon County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
40%
Serious cites
0

Country Arch Care Center runs 3.74 nurse hours per resident day, a bit under the national average of 3.86, and weekends dip about 6% below its own weekday coverage. Turnover sits at 39.7%, better than the 45.8% national figure, so the staff you meet are more likely to still be there next year. The record shows 27 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. Inspections are recent, and the quality measure score is perfect. For-profit, individually owned, 130 beds in Pittstown.

A

87/100

Careone At Livingston

Livingston, NJ · Essex County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
11%
Serious cites
0

Careone At Livingston runs 120 beds under for-profit LLC ownership, and the staffing picture is the strongest part of the story: 4.21 nurse hours per resident day, roughly 9% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, which is a normal pattern but worth knowing if your family visits primarily on Saturdays and Sundays. Annual turnover of 11.3% is remarkably low against a national average of 45.8%, suggesting a stable crew that knows the residents. The current record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in August 2025.

A

87/100

Careone At Teaneck

Teaneck, NJ · Bergen County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
30%
Serious cites
0

Careone At Teaneck runs about 4.52 nurse hours per resident per day, roughly 17% above the national average, and weekend staffing dips about 12% below its own weekday levels, so the coverage is solid on paper but thinner on Saturdays and Sundays. Turnover sits at 29.5%, well below the national 45.8%, which suggests a steadier workforce than most. The current record shows 19 deficiencies with none at the harm level, though four are abuse-related, a category worth asking about directly. The last inspection was in July 2025, so the picture is recent.

A

87/100

Mary Manning Walsh Nursing Home Co Inc

New York, NY · New York County

CMS 5/5 362 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
30%
Serious cites
0

Mary Manning Walsh, the 362-bed nonprofit home on the Upper East Side, stacks up well against most of what's out there, and the numbers show why. Its 3.71 nurse staffing hours per resident day sit about 4 percent under the national average, and weekends run roughly 14 percent thinner than weekdays, worth asking about if your family member needs help at 7 a.m. on a Sunday. But turnover is the real story: 30.3 percent against a national average of 45.8 percent, meaning the aides and nurses who show up tend to stay. A recent September 2025 inspection left 12 deficiencies, none at the harm level, though 2 were abuse-related, which you should ask about directly.

A

87/100

Gold Crest Care Center

Bronx, NY · Bronx County

CMS 5/5 175 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
36%
Serious cites
0

Gold Crest Care Center in the Bronx runs 175 beds under corporate ownership, and its inspection record is the main story here: four out of five stars from CMS, with 11 deficiencies on file but none at the harm or jeopardy level. That last part matters more than the raw count. Staffing sits at 3.73 hours per resident day, a bit under the national average, and weekends drop about 11% below the home's own weekday levels, which is where thin coverage tends to show up. Turnover, though, is 36.1% against a national 45.8%, comparatively steady. Two abuse-related deficiencies are worth asking about directly.

A

87/100

Pine Valley Center For Rehabilitation And Nursing

Spring Valley, NY · Rockland County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
28%
Serious cites
0

Pine Valley runs 160 beds in Spring Valley under for-profit limited liability ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. Weekends drop about 11% below its own weekday staffing, so coverage thins when families tend to visit. Turnover is the standout: 28.4% against a national 45.8%, meaning aides and nurses here tend to stay. Inspections are current as of December 2025, though the record carries 23 deficiencies, 4 tied to abuse, none at harm or jeopardy level. The health inspection rating lands at 2 out of 5 while quality measures and staffing each reach 4.

A

87/100

King David Center For Nursing And Rehabilitation

Brooklyn, NY · Kings County

CMS 4/5 271 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
23%
Serious cites
0

King David Center runs 271 beds in Brooklyn under for-profit partnership ownership, and its staffing sits just barely above the national average, 3.92 nurse hours per resident day against 3.86, so don't read that number as generous. Weekend coverage drops about 11% below what the home staffs on weekdays, which is where shortfalls tend to show up. The genuinely strong figure is turnover: 22.8% against a national average of 45.8%, meaning aides and nurses here tend to stay. Inspections turned up 18 deficiencies, none at the harm level, though two were abuse-related, and the most recent visit was in late 2025.

A

87/100

Brookhaven Health Care Facility, Llc

East Patchogue, NY · Suffolk County

CMS 4/5 160 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
29%
Serious cites
0

Brookhaven runs a 160-bed for-profit home in East Patchogue, and its staffing sits slightly above the national average, with a turnover rate of 29.2% that's well under the national 45.8%. That's a meaningful edge, consistent caregivers matter more than most families realize. Weekend coverage, though, drops about 13% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $7,901. Inspections are recent, and the quality and staffing ratings both land at four stars, with health inspection at three.

A

87/100

Edna Tina Wilson Living Center

Rochester, NY · Monroe County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
37%
Serious cites
0

Edna Tina Wilson Living Center is a 120-bed nonprofit in Rochester, and its inspection record is the strongest thing about it: five deficiencies on file, none at the harm level, none abuse-related, and its most recent inspection was in April 2025. Nurse staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, though weekends run about 13 percent thinner than weekdays, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 37.1 percent against a national average of 45.8 percent, which suggests people tend to stay. On the federal star ratings, inspections and quality measures both come in at the top.

A

87/100

The Laurels Of Pender

Burgaw, NC · Pender County

CMS 4/5 98 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
36%
Serious cites
0

The Laurels Of Pender runs 4.09 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.5% is meaningfully lower than the 45.8% typical elsewhere, a sign people tend to stick around. Weekend coverage drops about 15% from weekday levels, so ask how that plays out on Saturdays and Sundays. Ten deficiencies sit on the current record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The most recent inspection was January 15, 2026. Resident care measures score at the top of CMS's five-point scale, while inspections land in the middle.

A

87/100

Fox Run Manor

Findlay, OH · Hancock County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
39%
Serious cites
0

Fox Run Manor in Findlay runs 120 beds under corporate ownership, and its inspection record is the weak spot: 33 deficiencies on file, including one at the harm level and two tied to abuse. The most recent inspection was in April 2024, so that record is fairly current. Staffing sits at 3.75 nurse hours per resident day, a bit under the national average, and weekends run roughly 11% thinner than weekdays. Turnover is 39.1%, which is better than the 45.8% national figure. The quality measure score is strong, but quality measures largely reflect clinical documentation, not whether residents are safe or adequately staffed. Inspection findings and weekend coverage matter more to daily life.

A

87/100

Otterbein North Shore

Lakeside, OH · Ottawa County

CMS 5/5 20 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
53%
Serious cites
0

Otterbein North Shore runs a small 20-bed nonprofit home in Lakeside, and the staffing numbers stand out: 4.80 nurse hours per resident day, roughly a quarter above the national average, with a five-star CMS staffing rating to match. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on a Saturday. Turnover sits at 53.1%, higher than the 45.8% national average, which matters in a building this size where one departure is felt. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was March 2026, so the picture is current.

A

87/100

Atlantes The

Cincinnati, OH · Clermont County

CMS 5/5 30 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
34%
Serious cites
0

Atlantes The is a small for-profit home in Clermont County, just 30 certified beds, and the numbers behind its A grade hold up. Nurse staffing runs 4.48 hours per resident day, about 16% above the national average, and its 34.4% annual turnover sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. Its inspection record is clean: zero deficiencies on file, none at the harm level, none abuse-related, with the most recent inspection dated April 30, 2026. The one soft spot is weekends, when staffing drops roughly 12% below its own weekday level. Worth asking how that gap gets covered.

A

87/100

Oaks At Bethesda The

Zanesville, OH · Muskingum County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
26%
Serious cites
0

The Oaks At Bethesda runs 55 certified beds in Zanesville under corporate, for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends drop about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the standout number in a good way: 26% against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year. The tradeoff is the inspection record, 21 deficiencies, three of them at harm or jeopardy level, no abuse citations, and a survey completed May 28, 2026. Quality measures score well, but the harm-level findings are what a family should ask about directly.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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