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.
Ignite Medical Resort Chesterton runs 70 certified beds as a for-profit, individually owned home, and the numbers that stand out are staffing and inspections. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekends drop roughly 12% below what the home staffs on weekdays. Turnover is the sharper figure: 74.2% annually against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 53 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 24, 2026. Quality measures score well; inspections and staffing do not.
Altoona Nursing and Rehabilitation Center carries 48 deficiencies on its current record, including one tied to abuse, though none reached the harm or jeopardy level. The 106-bed for-profit home in Polk County was inspected most recently on March 19, 2026. Where the numbers get harder to explain away is staffing: CMS gives it 1 out of 5 stars there, and its annual turnover sits at 97.8 percent against a national average of 45.8 percent. That means the aides and nurses caring for residents are, almost without exception, new to the building each year. Inspection and quality measures each land at 2 stars. Families weighing this home against others nearby should ask directly how they hold onto caregivers.
Norwalk Nursing and Rehabilitation Center is a 45-bed for-profit home in Warren County, and the numbers pull in different directions. Its last inspection, at the end of 2025, produced seven deficiencies, none at the harm level, but one abuse-related, and CMS gives it solid marks on health inspections. Staffing is the problem: a one-star rating there, with annual turnover of 95.3% against a national average of 45.8%, meaning nearly the whole workforce turns over every year. Quality measures sit at two stars. A recent, mostly clean inspection record matters, but a building where almost nobody stays on staff is hard to run consistently, and that's what holds the overall picture down.
Accura Healthcare of Toledo runs about 2.89 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 9% below its own weekday staffing. That thin coverage shows up in the numbers: a 56.5% annual turnover rate against a national average of 45.8% means the aides and nurses at the bedside keep changing. Inspectors cited 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with the most recent visit in January 2026. Ownership is corporate, for-profit. Nothing here is abuse-related, but the staffing, turnover, and inspection history are the parts worth pressing the administrator on before you decide.
Diversicare Of Haysville runs about 2.88 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 13% below its own weekday level, so the thinnest shifts come exactly when families tend to visit. Staff turnover sits at 55.2% against a national 45.8%, meaning more than half the nursing team turns over in a year. The inspection record is the harder problem: 40 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $38,327 in fines. The 4/5 quality measure score reflects reported care outcomes, but the 1/5 inspection rating and 2/5 staffing rating describe what surveyors actually found. This for-profit LLC is licensed for 119 beds.
The inspection record at Medicalodges Frontenac shows 29 deficiencies, one of them serious enough to involve actual harm or jeopardy to a resident, and a federal fine of $16,858. Staff turnover runs at 56.3 percent a year, well above the 45.8 percent national average, and CMS rates staffing at just one star out of five. With 55 certified beds and corporate for-profit ownership, the numbers point to a building where workers cycle through quickly and care problems have been documented, not hypothetical. If you're considering this one for someone you love, ask the administrator directly how they're addressing the turnover and what changed after the November 2024 inspection.
Oakview runs about 3.47 nurse hours per resident per day, roughly 10% under the national average, and weekends dip about 14% below its own weekday staffing. That thinner weekend coverage matters most when families visit and when residents need help at meals and bedtime. The bigger concern is turnover: 67.7% of nursing staff left over the year, well above the 45.8% national average, which means caregivers are often new and unfamiliar with residents. Inspections in September 2025 turned up 16 deficiencies, two serious enough to put residents at risk of harm, plus $15,646 in fines. State surveyors last visited in late 2025, so the record is current. Limited liability ownership with for-profit status rounds out the picture.
Hartland Park runs 150 certified beds under for-profit LLC ownership, and the staffing numbers tell you most of what you need to know. Nurses provide 3.44 hours per resident day, roughly 11% below the national average of 3.86, and weekends dip another 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 46.2%, essentially matching the national rate, which means this isn't a retention crisis so much as a staffing floor that never gets high enough. The inspection record is the harder read: 33 deficiencies, two at harm or jeopardy level, one abuse-related, and two fines totaling $12,925, with the most recent inspection in June 2025.
Franklin-Simpson runs on 3.06 nurse hours per resident day, about a fifth below the national figure of 3.86, and weekends drop roughly 14% under its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 50.6%, higher than the 45.8% national average, and the federal staffing rating reflects that at 1 out of 5. The inspection history is the counterweight: a 4-out-of-5 health inspection rating, though the current record still carries 15 deficiencies, two at harm or jeopardy level and two tied to abuse. It's a for-profit LLC, 98 beds, last inspected July 2025. Quality measures rate 2 out of 5.
Metairie Health Care Center runs 202 beds under for-profit LLC ownership, and its staffing sits about 9% under the national average at 3.53 nurse hours per resident day. That shortfall gets worse on weekends, when coverage drops roughly 13% below the home's own weekday level, meaning the thinnest shifts land exactly when families tend to visit. Turnover at 39.5% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled. What stands out most is the inspection record: 38 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with $132,895 in fines across two penalties. The most recent inspection was December 17, 2025.
Valley View runs lean on nursing hours, 3.45 per resident per day, roughly 11% under the national average, and weekends get thinner still, dropping about 13% below its own weekday coverage. That staffing pattern shows up in the federal stars too, where the home earns 2 out of 5 for staffing and just 1 out of 5 on quality measures. Its inspection record carries 16 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with a single $37,310 fine. Turnover is the one bright spot: 34.8% against a national 45.8%. The last inspection was January 2026. The limited liability, for-profit owner keeps the financial risk at arm's length.
Plymouth Rehabilitation runs 186 certified beds under corporate ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 14% below what the home itself staffs on weekdays, so the weakest coverage lands when families tend to visit. Turnover is the one number that beats the norm: 30.5% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record is the harder read, 47 deficiencies, three at harm or jeopardy level, three tied to abuse, and a $141,373 fine, with the most recent inspection in February 2026. All three CMS star ratings land at 2 out of 5.
Sachem Center runs on thinner nurse coverage than most homes, about 3.43 hours per resident day against a national average near 3.86, and weekends dip roughly 6% below what it manages on weekdays. Turnover is actually better than average at 38.5%, so the issue isn't retention so much as how many hands are on deck at once. The inspection record is the harder read: 43 deficiencies, four serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $65,753, with the most recent inspection in April 2025. A for-profit limited liability company operates the 111-bed building, and its federal ratings sit at two stars across health inspections, quality measures, and staffing.
Majestic Care of Flushing runs 140 certified beds under corporate for-profit ownership, and its staffing sits at 3.54 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, and 57% of staff turned over in a year against a national rate near 46%. The inspection record is the harder part: 67 deficiencies, including 10 at harm or jeopardy level and 3 tied to abuse, with $140,142 in fines across three actions. Quality measures score well, but that's the piece families can't verify at the bedside. A 1-out-of-5 inspection rating, last surveyed June 2025, tells you what regulators keep finding.
Brandon Community Care Center runs 230 beds under for-profit LLC ownership, and its staffing is genuinely a bright spot, 4.58 nurse hours per resident day, roughly 19% above the national average of 3.86. But that staffing comes with a catch: weekend coverage drops about 13% below weekday levels, and turnover sits at 60.4% against a national average of 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, 11 at harm or jeopardy level, 4 abuse-related, and $97,553 in fines, with the most recent inspection in July 2025. Good weekday hours can't offset that pattern.
Meridian's Oaks Rehabilitation and Healthcare Center runs 82 certified beds under for-profit LLC ownership, and the numbers there deserve a careful read before you consider it. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and it thins out further on weekends, about 13% below the home's own weekday level. Annual turnover hits 60.2%, well above the 45.8% national figure, so the people caring for residents are frequently new.
The current inspection record carries 34 deficiencies, five of them at harm or jeopardy level and eight abuse-related, with $42,487 in fines across three penalties. The most recent inspection was June 26, 2025. Ask about those abuse deficiencies directly, and about how weekend coverage is handled.
Pass Christian Health and Rehabilitation Center runs 60 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop another 12% below its own weekday coverage, which matters most when families visit and needs go unmet. Annual turnover hits 71.2%, well above the 45.8% national figure, so the people caring for residents keep changing. Eighteen deficiencies sit on the current record, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $8,224 has been levied. The last inspection was September 4, 2025.
Woodland Manor runs 178 certified beds under for-profit LLC ownership, and its last health inspection came through in late March 2026 with a clean record on harm-level deficiencies, 39 findings total, none rising to actual harm or jeopardy, though one is abuse-related. The staffing picture is where the trouble sits: 3.76 nurse hours per resident day, a bit under the national average, with weekends about 8% thinner than weekdays and turnover at 63.1% against a national 45.8%. Inspectors rated the place 4 of 5, but quality measures and staffing both came back 1 of 5. High turnover plus weekend gaps is what tends to wear on day-to-day care.
Grandview Healthcare Center runs on thin staffing: 3.11 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 9% below what the home already provides on weekdays. That's the number worth weighing, because turnover sits at 68.6% against a national 45.8%, most of the people caring for your relative are likely new to the building. The record shows 24 deficiencies, including one at the harm level and one tied to abuse, and the quality measure score came in low. A recent inspection doesn't erase a pattern like that. If you're considering this one, ask how they hold staffing on weekends and what's changed since January.
Nick's Health Care Center runs on 2.55 nurse hours per resident day, roughly a third below the national average of 3.86, and weekend coverage drops further below its own weekday level. That thin margin shows up in the numbers: 64.4% annual staff turnover against a national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record carries 30 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with $21,922 in fines across two penalties. The most recent inspection was in October 2025, so the picture is current, not stale. A 70-bed for-profit limited liability company in Plattsburg, it's worth asking direct questions about direct-care staffing on weekends 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?