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.
Willow Branch runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, which is when families often notice. The 48.6% annual turnover means nearly half the nursing staff leaves each year, so the people caring for your relative may not be the ones who were there six months ago. The current inspection record shows 11 deficiencies, three serious enough to involve harm or jeopardy, though none were abuse-related. The most recent inspection was April 30, 2025, so it's fairly current. Ownership is a for-profit limited liability company. Worth asking the administrator directly how they cover weekend shifts and what they're doing about retention before you decide.
Andersonville Tn Opco runs 103 certified beds as a for-profit LLC, and its recent inspection history is genuinely solid, a four-star health inspection rating, only seven deficiencies on record, none of them causing harm or involving abuse, and an inspection as recent as December 2025. The problem sits elsewhere: nurse staffing at 3.28 hours per resident day trails the national average by roughly 15%, weekends run about 8% thinner than weekdays, and annual turnover hits 61.4% against a national figure near 46%. Quality measures land at two stars. A clean survey record matters, but it can't fully offset thin coverage and a workforce that keeps cycling out.
The Waters of Springfield runs on thin nurse coverage, 2.90 hours per resident day against a national average of 3.86, and weekends dip about 11 percent below its own weekdays, so the thinnest shifts are the ones families visit. Staff turnover sits at 63 percent, well above the 45.8 percent national figure, which means the people caring for your relative are often new and still learning the building. Inspectors cited 20 deficiencies, including two at the harm level and four tied to abuse, with $35,552 in fines; the most recent inspection was in May 2025. The quality measure score looks strong on paper, but that reflects charted clinical data, not day-to-day staffing or the inspection record.
Mineral Wells Nursing & Rehabilitation has a split personality in the federal data. Its last inspection was in April 2025, and it earned a top five-star health inspection rating with twelve deficiencies on record, one of which rose to the harm or jeopardy level and one tied to abuse. Where it struggles is staffing: 3.05 nurse hours per resident day sits about 21 percent under the national average, weekend coverage drops roughly 11 percent below its own weekdays, and annual turnover runs 95.6 percent against a national 45.8. That churn is the number that should worry you most, because it means the people caring for your relative are, more often than not, new to the building.
Paradigm At The Creek runs 120 certified beds in Wharton under for-profit LLC ownership, and the staffing numbers are the first thing to notice. Its 3.23 nurse hours per resident day sit well under the national average, weekend coverage drops further below its own weekday level, and more than half the nursing staff turned over in a year, a rate noticeably above the national figure. The inspection record backs that up: 38 deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and four fines adding up to just over $52,000. All three CMS star ratings sit at the lowest tier. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
If you're considering Oakmont Healthcare And Rehabilitation Center Of Katy, the staffing numbers are what stand out first. Nurses provide 2.91 hours of care per resident per day, roughly a quarter below the national average, and weekend coverage drops about 10% below what the home staffs on weekdays. Annual turnover runs 92.6%, more than double the national rate of 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record shows 23 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $12,740 fine. The last inspection was November 2024, so the record is reasonably current. Ownership is a for-profit corporation.
Avir At Stephenville runs 102 certified beds and leans on a nursing staff that logs 3.33 hours per resident day, roughly 14% under the national average, with weekends about 13% thinner than its own weekdays. That shortfall shows up in the numbers: 82.3% annual turnover against a national 45.8%, a one-star staffing rating, and 31 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse. A single fine of $204,614 sits on the books, and the most recent inspection, in July 2025, produced a two-star health inspection result. Ownership is corporate and for-profit, which may help explain the staffing math.
Avir At Western Hills runs on lean nurse staffing: 3.16 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That gap shows up in the payroll, 75% of staff turned over in a year, well above the 45.8% national figure, and it's a big reason the staffing rating sits at 1 out of 5 even though quality measures score 4. The inspection record carries 31 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus $16,562 in fines. The most recent inspection was May 2025, so the picture is current, and this corporate-owned home is licensed for 120 beds.
Arlington Heights runs 170 certified beds in Fort Worth, and the numbers that stand out are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends drop about 11% below the home's own weekday level, and annual turnover hits 91.6% when the national figure is 45.8%, which means the aide or nurse your mother sees on Tuesday may not be there by spring. The inspection record shows 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $31,539 in fines and a 2/5 health inspection rating. Ownership is for-profit, individual.
Treemont's staff turnover runs about 94 percent a year, roughly double the national average, which tells you the people caring for residents here are, more often than not, new to the building. That instability shows up in the numbers: 41 deficiencies on the current record, five serious enough to involve harm or jeopardy, six tied to abuse, and four fines totaling $63,262. Federal inspectors last visited in July 2025 and rated the home two stars for health inspections, two for quality measures, and one for staffing. It's a for-profit limited liability company with 130 certified beds.
Santa Fe Health & Rehabilitation Center runs 116 certified beds in Weatherford under for-profit LLC ownership, and its staffing is the number that stands out. At 2.89 nurse hours per resident per day, it's about a quarter below the national average of 3.86, and weekends dip roughly 15% below its own weekday level, which matters when families visit and needs don't pause. Annual turnover of 59.7% runs well above the national 45.8%, so familiar faces are hard to keep. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2025. CMS rates its staffing 1 out of 5 stars, while inspections and quality measures each land at 3.
Bel Aire Center runs 58 certified beds in Newport under corporate ownership, and the numbers raise real questions about day-to-day care. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and it thins out further on weekends, roughly 8% below the home's own weekday levels. Staff turnover of 59.3% runs well above the 45.8% national figure, which matters because residents see fewer familiar faces. The inspection record is the heavier concern: 31 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse, with two fines totaling $286,973. Quality measures look strong at 4 stars, but that's a narrower slice of the picture than staffing and inspections.
Williamsburg Post Acute has 130 beds and a staffing problem that shows up in the numbers: 2.82 nurse hours per resident day against a national average of 3.86, and weekend coverage that dips about 13% below its own weekday level. Annual turnover sits at 63.1%, well above the 45.8% national figure, which means the people around your family member change often. The inspection record adds 31 deficiencies, five tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was in October 2024, so it's reasonably current. The for-profit LLC ownership is worth knowing, but staffing is the thing to ask about directly.
Deep Creek runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That thin schedule sits alongside a 65.9% annual turnover rate, well above the 45.8% national figure, which means the aides and nurses at the bedside keep changing. The inspection record is heavy, 57 deficiencies with none rising to harm or jeopardy and nothing abuse-related, but the last on-site survey was July 2021, so that picture is dated. For-profit partnership ownership, 120 beds. Ask how they cover weekends and how long their current staff have actually been there.
Albemarle Health & Rehabilitation Center runs 120 certified beds in Charlottesville under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.65 nurse hours per resident day, about 6% under the national average, thinning further on weekends. More telling is the 61.5% annual turnover, well above the 45.8% national figure, which means the aides and nurses caring for residents are constantly changing.
That instability shows up in the inspection record: 61 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $197,490 in federal fines. The most recent inspection was October 2025. A five-star quality measure score sits alongside one-star ratings for staffing and health inspections, which is worth understanding before you visit.
Autumn Lake Healthcare At Crystal Springs runs 84 certified beds in Elkins under corporate ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, weekends run about 10% thinner than weekdays, and annual turnover hits 74.1% against a national 45.8%, meaning most of the people caring for your family member in any given year are new to the building.
The inspection record backs that up: 71 deficiencies on file, five of them abuse-related, with the most recent state visit in March 2025. Staffing scored lowest of the three federal ratings, and quality measures landed near the bottom too. Worth asking hard questions about who's on the floor on a Sunday.
Maple Ridge runs 80 beds under corporate ownership, and its staffing sits about 7% under the national average at 3.58 nurse hours per resident day. Weekends drop roughly 8% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover at 40.8% is actually better than the 45.8% national figure, which matters for consistency of care. The harder numbers are the 31 deficiencies on record, including two at harm or jeopardy level and two abuse-related, plus a $14,433 fine. The most recent inspection was April 30, 2025, so the record is current, not stale.
Mercy Health Services runs 60 certified beds in Milwaukee under corporate ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.73 hours per resident day, a bit under the national average, and weekends drop about 12% below what the home staffs on weekdays. Turnover is the bigger concern: 62.3% of staff left over the past year, against a national average of 45.8%. Inspections in May 2025 turned up 32 deficiencies, including two at the harm level and eight related to abuse, with $47,753 in fines on record. CMS rates the home 2 out of 5 on both staffing and quality measures, and 3 on inspections.
Sunflower Park Health Care runs 3.24 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip about 15 percent below its own weekday coverage. That thin staffing sits atop 100 percent annual turnover, every nurse replaced over a year, against a national rate near 46 percent. Inspectors cited 52 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with $190,538 in fines. The quality measure score looks strong, but it reflects charted care, not the hands available to deliver it. The most recent inspection was January 7, 2026.
Cypress Woods runs lean on nurses, 2.65 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That thin floor shows up in the numbers: annual turnover of 64.2% means most of the people caring for your family member are newer than the average aide elsewhere, and CMS itself rates staffing at just one star out of five.
The counterweight is inspection history. Twenty deficiencies on record, one serious enough to involve harm or jeopardy, and a single $22,104 fine, but a four-star health inspection rating and a recent survey from January 2025. This is a for-profit limited liability company where the care, when it happens, has generally satisfied state inspectors, even as the daily staffing margin stays slim. Ask about weekend coverage specifically.
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?