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.
Stonebridge Desoto runs 56 beds under a for-profit limited liability company, and its inspection history is the strongest thing going for it, four out of five stars, with the most recent visit in March 2025 and no abuse citations on record. The trouble sits elsewhere. Staffing earns one star, and the home loses about 68 percent of its staff each year against a national average near 46 percent, which is a lot of churn for a building this size. There are 25 deficiencies on the current record, one serious enough to involve harm, plus a single fine of $6,368. Quality measures land at two stars. Families should ask how the home keeps consistent caregivers on the floor.
Joplin Gardens runs on 92 certified beds and a for-profit LLC structure, and the staffing numbers are the first thing worth knowing: 3.08 nurse hours per resident per day against a national average of 3.86, with weekend coverage dipping about 7% below its own weekdays. That thin schedule sits alongside 61.9% annual staff turnover, well above the 45.8% national figure, so the people providing care change often. Inspectors last visited in August 2024 and found 25 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none abuse-related. Federal ratings put quality measures and staffing at the bottom of the scale, with health inspections somewhat higher at two stars.
Adept Nursing & Rehab Of North Platte runs 94 beds under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.49 hours per resident day, about 10 percent under the national average, and it thins out further on weekends, roughly 14 percent below its own weekday level, which is when families tend to visit and notice. Staff turnover is the bigger red flag: 63.2 percent a year against a national average of 45.8 percent, meaning most of the aides and nurses you'd meet are relatively new. Add 23 deficiencies on the current record, two of them serious enough to risk harm, plus $44,343 in fines, and the two-out-of-five ratings on health inspections and quality measures line up with what the record already says.
Monument Healthcare and Nursing Center runs 160 certified beds in Scottsbluff under for-profit LLC ownership, and its staffing hours sit just barely above the national average, about 2%, which sounds fine until you notice weekends drop roughly 11% below its own weekday level. Turnover is the bigger problem: 63% annually against a national average of 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record backs that up: 44 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with two fines totaling $28,182 and a 1-out-of-5 rating on both health inspections and quality measures.
Good Samaritan Society - St Luke's Village runs 60 certified beds in Kearney as a nonprofit, and the numbers behind its federal ratings are worth walking through. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, roughly 9% thinner, and weekends dip about 14% below what the home itself staffs on weekdays. Staff turnover is 64.7%, well above the 45.8% national figure, so the people providing care change often.
The inspection record shows 28 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $11,654. CMS scored the home 1 out of 5 on both health inspections and quality measures, and 2 out of 5 on staffing. That last inspection was April 14, 2026.
Excel Care At Wayne is a for-profit LLC home with 120 beds, and its staffing is where the trouble starts. At 3.28 nurse hours per resident day, it runs about 15% under the national average of 3.86, weekends dip another 9% below its own weekdays, and turnover sits at 75.2% against a national 45.8%, that's three out of four caregivers leaving in a year, which makes consistent care hard to sustain. Inspections in December 2024 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus an $8,281 fine; the health inspection rating lands at 2 of 5 stars. The 4-star quality measure score reflects charted outcomes, but those depend on the staff actually being there to chart them.
Atlas Post Acute At Woodbury Country Club reports 4.03 nurse hours per resident day, slightly above the national average, but that number hides two problems: weekend staffing drops about 11% below its own weekday level, and 56% of staff turn over each year against a national 45.8%. The inspection record is the harder read, 42 deficiencies, five at harm or jeopardy level, four abuse-related, and $561,530 in fines across two cases, all reflected in a one-star health inspection rating. Memory care and rehab units can look fine day to day while the paperwork shows repeated, serious problems; the most recent inspection was April 2025, so the record is current, not stale.
Buffalo Center For Rehabilitation And Nursing runs 200 certified beds under corporate for-profit ownership, and its staffing looks decent on paper, 4.22 nurse hours per resident day, about 9% above the national average. But that number hides a lot. Weekend coverage drops roughly 11% below its own weekday level, and annual turnover sits at 60.2% against a national average of 45.8%, meaning most of the people providing that care are new and likely to leave. The inspection record is where the real trouble sits: 36 deficiencies, three at harm or jeopardy level, eight tied to abuse, and $139,721 in fines. A 1-out-of-5 inspection rating and a June 2025 inspection round that out.
White Oak Manor-Shelby runs 160 certified beds as a for-profit corporation, and the staffing numbers are the first thing a family should look at. At 3.43 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 12 percent below its own weekday level, meaning the thinnest coverage lands when families often visit. Staff turnover of 62.8 percent, against a national figure near 46 percent, suggests aides and nurses are cycling through faster than residents can get used to them. Eighteen deficiencies sit on the current record, five serious enough to involve harm or jeopardy and two tied to abuse. Five fines total $42,972.
Edgecombe Health Center By Harborview runs about 3.10 nurse hours per resident per day, roughly 20% under the national average of 3.86, and weekends drop another 11% below its own weekday pace. That staffing level earned a 2 out of 5 from CMS, and the quality measures came in at 2 as well. The inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse; the last inspection was March 2025. Turnover at 37.2% is actually better than the 45.8% national figure, so the problem here isn't retention, it's how few hours each resident gets, especially on weekends.
The Oaks runs on 3.37 nurse hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below what it manages on weekdays. Staff turnover sits at 65.8% against a national 45.8%, so nearly two of every three caregivers left last year, that's a lot of unfamiliar faces for 131 residents. The current record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was August 2025. All three CMS ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Corporate-owned and for-profit, this home isn't failing outright, but staffing and retention are where it's weakest.
Highland House runs on thinner nurse coverage than most homes in the country, 3.50 hours per resident day against a national average of 3.86, and weekends dip even further, about 9% below its own weekday level. That matters more than it sounds, because the stretch of the week with the least clinical oversight is also when families tend to visit. Staff turnover sits at 68.4%, well above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building and to each other. The record shows 14 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last full inspection was in March 2026.
Wellington Rehabilitation and Healthcare runs on thinner nursing coverage than most homes in the country, about 3.36 nurse hours per resident each day, roughly 13 percent under the national figure, with weekends dipping further below its own weekday pace. The inspection record shows 24 deficiencies, including one at the harm level and one tied to abuse, plus a $15,642 fine. Staff turnover sits at 46.2 percent, right around the national rate. With a for-profit corporate owner and a November 2025 inspection, the numbers point to a home where you'd want to ask specific questions about who's on the floor at night and on weekends before deciding.
Gastonia Health & Rehab Center runs on thin staffing and a lot of turnover. At 3.56 nurse hours per resident per day, it sits about 8% below the national average, and weekends drop roughly 13% below its own weekday numbers, meaning the thinnest coverage lands exactly when families tend to visit. The bigger concern is 84.6% annual turnover against a national 45.8%, so most of the people caring for your relative are new and likely to leave within the year. Sixteen deficiencies sit on the current record, four at harm or jeopardy level and two tied to abuse, with $15,808 in fines. The last inspection was December 2025.
The Meadows On University runs a for-profit LLC with 95 beds, and the numbers show some strain. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends dip roughly 10% below the home's own weekday coverage, so families visiting Saturday or Sunday may notice thinner attention. Staff turnover is the bigger flag: 65% annually against a national 45.8%, meaning nearly two-thirds of the nursing team turns over each year. The current inspection record carries 20 deficiencies, one serious enough to involve harm or jeopardy, plus a $41,041 fine. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Majestic Care of Middletown runs 200 certified beds under for-profit LLC ownership, and its staffing sits about 11% under the national average at 3.43 nurse hours per resident day. Weekends drop roughly another 12% below its own weekday coverage, which is when falls and infections tend to get missed. Turnover, at 45.3%, is essentially the national rate. What separates this home is its inspection record: 60 deficiencies, including 7 tied to abuse and 2 at harm or jeopardy level, plus a $108,164 fine. The most recent inspection was June 2025. CMS rates its staffing and health inspections 1 out of 5 stars each.
Best Care Health and Rehabilitation runs 101 certified beds in Wheelersburg under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.51 nurse hours per resident day, it sits roughly 9% under the national average, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 56% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The record shows 43 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. Its last inspection was October 2024, and the health inspection and staffing ratings both came back at 2 out of 5.
Aventura At West Park runs on thin staffing: 3.69 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 9% below its own weekday levels, and annual turnover hits 68.8% against a national norm of 45.8%. That churn matters more than any single inspection finding. The record backs it up, 41 deficiencies, one serious enough to reach harm or jeopardy, seven tied to abuse, and a $16,801 fine, with the last inspection in April 2024. Corporate for-profit ownership, 125 beds, and a CMS staffing rating of 1 out of 5. What the quality measure score of 4 out of 5 reflects is the clinical data the home reports on its own residents; it doesn't offset what inspectors found or how fast the staff turns over. Ask about direct-care staffing on weekends before you decide anything.
Astoria Place Of Waterville runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average of 3.86, weekends drop roughly another 10% below its own weekday level, and turnover hits 47.6%. The inspection record is heavier: 48 deficiencies, including five at the harm or jeopardy level and five tied to abuse, with three fines totaling $59,889 and a 1-out-of-5 health inspection rating. Quality measures score well, but that reflects charted care, not the staffing and oversight under it.
Hawthorn Glen runs about 3.14 nursing hours per resident per day, roughly 19% under the national average, and weekends drop another 7% below its own weekday levels. Staff turnover sits at 66.2% against a national 45.8%, nearly two-thirds of the nursing staff leaving in a year. The current record shows 37 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was July 31, 2025, so the picture is current. Ownership is a for-profit corporation, and the staffing star comes in at 1 out of 5 while quality measures score 4, a split worth asking 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?