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.
Ridgewood Manor runs about 3.32 nurse staffing hours per resident day, roughly 14% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. Annual turnover sits at 71.2%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are likely to change often. The inspection record shows 39 deficiencies, including one at the harm level and two tied to abuse, with $87,789 in fines across two penalties. Quality measures look strong on paper, but staffing is where this home falls short, and that gap is what matters day to day.
Harmar Place in Marietta runs 86 certified beds as a nonprofit, and the numbers raise real questions. Nurse staffing sits at 3.67 hours per resident day, below the national average, and it drops another 12% on weekends, so care gets thinnest exactly when families tend to visit. Staff turnover of 56.1% means more than half the nursing workforce leaves each year, well above the national rate, and that churn shows in the record: 58 deficiencies, including 7 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $202,275. A recent March 2025 inspection and a 1-star health inspection rating don't offset the 4-star quality measure score.
Louisville Gardens runs 99 certified beds under for-profit LLC ownership, and the numbers worth your attention are on the staffing side. Nurse coverage sits at 3.82 hours per resident day, just under the national average, and weekends drop another 9% below what the home staffs on weekdays. Turnover is the harder number: 79.4% of nursing staff leaving annually against a national rate of 45.8%. The inspection record shows 53 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a $115,891 fine and a September 2025 inspection. Quality measures score well, but that sits alongside bottom-tier inspection and staffing ratings. Ask about weekend coverage and how they're holding onto caregivers.
Geneva Center runs 80 certified beds in Ashtabula County, and the staffing numbers are where your attention should go first. At 3.06 nurse hours per resident day, it sits about 21% under the national average, weekend coverage dips roughly 10% below its own weekday level, and turnover hits 66.7% against a national 45.8%. That combination means the people caring for your family member are stretched and often new. The current record carries 25 deficiencies, including one at the harm level and one abuse-related. A 3/5 inspection rating and 4/5 quality measures aren't alarming on their own, but with a last inspection dated April 2026 and staffing that thin, ask hard questions before you commit.
Altercare of Canal Winchester runs 72 certified beds under corporate for-profit ownership, and the numbers split sharply. Nurse staffing sits at 3.78 hours per resident per day, a bit under the national 3.86, and weekends drop roughly 13% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Staff turnover is 60.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record carries 61 deficiencies, including five at harm or jeopardy level and three abuse-related, plus $66,791 in fines. Quality measures score well; inspections and staffing don't.
Avenue At Brooklyn runs 111 certified beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends dip about 7% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5%, well above the 45.8% national figure, which means the people providing care keep changing. The inspection record shows 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $56,301 in fines and a February 2025 inspection. Quality measures score well; staffing and inspections do not.
Oakridge Nursing Center runs 104 beds in Durant under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.57 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger red flag is turnover: 77% annually against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. Twenty deficiencies are on record, one serious enough to involve harm, with a $14,069 fine. The last inspection was January 2025.
Choctaw Nation Nursing Home runs on 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage slips slightly below its own weekday level. The bigger concern is staff churn: 70% annual turnover against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent attention. Inspectors cited 30 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $38,532 fine and a June 2025 inspection. The quality measure rating sits at 1 out of 5. This is a limited liability, for-profit home, and the numbers show a building where oversight and retention are both under strain.
Ignite Medical Resort Norman runs 52 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86, with weekends dipping about 9 percent below its own weekday coverage. Turnover tells a bigger story: 68 percent annually against a national 45.8 percent, meaning most of the people caring for residents are new to the building. The current record carries 23 deficiencies, two of them serious enough to reach harm or jeopardy level, along with one fine of $16,660 and a health inspection star of 1 out of 5; the last survey was August 2024. Quality measures score well, but that's where the good news stops.
The Memory Care Center At Emerald runs on thinner nursing coverage than most homes nationally, 3.39 hours per resident day against a 3.86 average, and weekends get even leaner, dropping about 6% below its own weekday staffing. Its 68.9% annual turnover is well above the 45.8% national figure, meaning the people caring for residents are frequently new to the building. On inspections, 51 deficiencies sit on the current record, including two at the harm level and five tied to abuse, with $29,001 in fines and a one-star inspection rating; the most recent look was May 2024. For-profit LLC ownership. Families should ask direct questions about weekend coverage, staff retention, and how those abuse-related findings were resolved.
Lakewood Rehabilitation & Healthcare Center runs 110 certified beds in Nanticoke under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.45 nurse hours per resident day, it sits about 11% under the national average of 3.86, weekends dip roughly 8% below its own weekday levels, and annual turnover hits 58.9% against a national 45.8%. The inspection record is the harder problem: 100 deficiencies on file, six at harm or jeopardy level, nine abuse-related, and four fines totaling $291,613, with the most recent inspection dated April 2026 giving a 1-star health inspection rating. Quality measures score well at 4 stars, but staffing earns 2, a gap worth asking about directly.
Bryn Mawr Extended Care Center runs 3.10 nursing hours per resident per day, roughly 20% under the national average of 3.86, and weekends drop about 11% below its own weekday staffing. That thin coverage shows up in the inspection record: 51 deficiencies, four of them at the level where a resident was harmed or put in immediate jeopardy, plus two tied to abuse. Annual turnover sits at 37.7%, actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled. A 160-bed for-profit corporation with a one-star health inspection rating and $35,925 in fines. The most recent inspection was March 12, 2026, so that record is current.
Kinzua Nursing and Rehab runs 106 certified beds in Warren under for-profit LLC ownership, and the numbers show a home operating below average on several fronts at once. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national figure, and weekends dip roughly 4% below the home's own weekday levels, so coverage is thinnest when families tend to visit. Staff turnover is 48.9%, higher than the 45.8% national average, which matters because consistent caregivers know residents' routines. The current record carries 34 deficiencies, including one at the harm or jeopardy level, plus a single $223,355 fine. The last inspection was December 11, 2025, so the record is recent.
Quality Life Services - Apollo runs 177 certified beds under for-profit LLC ownership, and its nursing staff provides 3.25 hours of care per resident each day, roughly 16 percent below the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, and annual turnover sits at 61.7 percent against a national rate of 45.8, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 73 deficiencies, three of them at the harm or jeopardy level and five tied to abuse, with one fine of $43,759 and a survey from May 2025.
River's Bend is a 198-bed for-profit home in Harrisburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and it drops about 10% further on weekends, so coverage is thinnest exactly when families tend to be there. The inspection record is the bigger concern: 56 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with the most recent inspection in March 2026. Staff turnover runs 48.1%, above the national rate, which means caregivers are cycling through. One fine of $19,841 is on file. Ask direct questions about weekend staffing and how abuse allegations get handled.
Oak Ridge runs 142 certified beds in Taylor under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits roughly 14% under the national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 45%, basically level with the national figure, so that's not the differentiator here. The inspection record is: 65 deficiencies, six at harm or jeopardy level, nine abuse-related, and two fines totaling $104,143. CMS scored its last inspection on February 6, 2026, one star, with staffing also one star.
Nurse staffing at Royal Middletown runs 3.21 hours per resident day, about 17% under the national average, and weekends dip roughly 8% below the home's own weekday levels. Turnover sits at 62.5% against a national average of 45.8%, so the people providing care change often. The current inspection record carries 26 deficiencies, four tied to abuse and two serious enough to put residents in harm's way, along with one fine of $30,590. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5. This for-profit partnership was last inspected on April 30, 2026, and its record is thin where it matters most.
Elmhurst Rehabilitation and Healthcare Center runs 206 beds in Providence under for-profit LLC ownership, and the numbers show strain. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. The inspection record carries 51 deficiencies, including 7 at harm or jeopardy level and one tied to abuse, with four fines totaling $167,593; the most recent look came in January 2026, and CMS rated all three of its star categories at 2 out of 5. Staff turnover, at 42.8%, is actually slightly better than the 45.8% national figure, one of the few spots where this home doesn't lag.
Brookview runs on 3.00 nurse hours per resident day, about 22% under the national average, and weekends drop roughly another 12% below its own weekday staffing. That thin coverage shows up in the inspection record: 14 deficiencies, 4 serious enough to put residents in harm's way, 3 tied to abuse, and $42,599 in fines. Staff turnover sits at 49%, slightly worse than the 45.8% national figure, so the people providing care keep changing. The last inspection was January 8, 2026, meaning the record is current, not old news. This is a for-profit LLC with 132 certified beds, and the pattern across staffing, turnover, and serious deficiencies is consistent rather than a one-time slip.
Good Samaritan Society Canistota runs 3.23 nurse hours per resident day, about 16% under the national average of 3.86, and weekend coverage drops roughly another 11% below its own weekday levels. That staffing pattern sits alongside a 68% annual turnover rate, well above the 45.8% national figure, which means the people providing care are changing over faster than average. The current inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $9,009. The most recent inspection was in March 2026, so the record is current rather than stale.
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?