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.
California Nursing & Rehabilitation Center has 81 deficiencies on its current record, including three tied to abuse and two that rose to the level of harm or jeopardy. That's a lot for an 80-bed home, and it lines up with the one-out-of-five inspection rating. Staffing hours look decent on paper at 4.16 per resident day, but weekends run about 9% thinner than weekdays, and the federal staffing rating still lands at two stars. Three fines totaling $82,845 are on file. The last inspection was May 7, 2026, so the record is current. For a for-profit LLC operating in Riverside County, the pattern here is thin coverage when it matters and repeated citations that haven't gone away.
Goldwater Care Marseilles is run by a hospital district, and its record shows real strain. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and weekends drop about 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 52.3 percent, well above the 45.8 percent national figure.
The inspection history is the bigger concern: 59 deficiencies on record, including 8 at the harm or jeopardy level and 5 tied to abuse. Three fines total $227,365, and the most recent inspection was June 14, 2024. Resident outcome measures look better than the staffing picture, but that gap rarely holds up without enough consistent hands on site.
Harmony Park Ridge runs 298 beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip slightly further below its own weekday levels. The inspection record is the bigger concern: 52 deficiencies, 11 of them at harm or jeopardy level and 10 abuse-related, with five fines totaling $223,201. Federal inspectors last visited in March 2025 and rated health inspections 2 out of 5. For a building this size, that many serious findings points to problems that persist between surveys rather than one bad week.
Pearl Of Joliet runs 214 beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 57 deficiencies, including 5 at harm or jeopardy level and 3 tied to abuse; CMS has fined the home four times for $109,368 total. Turnover at 42.6% is slightly better than the 45.8% national figure, which is one of the few numbers here that isn't working against it.
Haven Of Champaign runs 60 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. The inspection history is heavier: 75 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, plus $12,425 in fines. Staff turnover, at 42.6%, actually comes in slightly under the national rate, which suggests the problems here aren't mainly about keeping people.
Serenity Estates At Morris runs on 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 11% below the home's own weekday level. That thin coverage shows up in the CMS staffing star rating of 1 out of 5, and the quality measure score matches it at 1 out of 5. The inspection record carries 44 deficiencies, including one at the harm or jeopardy level, though none are abuse-related, and the last inspection was December 18, 2025. This is a for-profit limited liability company with 142 certified beds, and the health inspection rating of 3 out of 5 is the strongest number on the page.
Hillcrest runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop another 18 percent below its own weekday coverage. Staff turnover sits at 75 percent against a national rate near 46 percent, so the people providing care change often. The inspection record carries 73 deficiencies, including three at the level where residents were actually harmed or put in jeopardy, plus four tied to abuse; two fines total $25,450, and the most recent inspection was March 2026. Ownership is a for-profit limited liability company. The quality measure score looks acceptable, but that reflects charted care, not the staffing and oversight problems the state has repeatedly cited.
Crystal Heights runs lean on nursing staff, 3.07 hours per resident per day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That's a gap families feel on Saturday afternoons, not on a tour. Annual turnover sits at 63.5% versus 45.8% nationally, so the aide who knows your mother may not be there in six months. Sixteen deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was June 2025. A corporate owner took over within the past year and has paid $10,489 in fines. The pattern reads as a building in transition, not crisis.
Pontchartrain Health Care Center is a 182-bed for-profit home in Mandeville, and the numbers are hard to dress up. Nurse staffing sits at 3.55 hours per resident day against a national average of 3.86, and it gets thinner on weekends, dropping about 17% below the home's own weekday level, so the coverage your relative gets on a Saturday is lighter than what the home itself staffs Monday through Friday. Staff turnover is 54.7%, meaning more than half the nursing workforce turns over in a year, well above the 45.8% national figure. The current record carries 45 deficiencies, three at harm or jeopardy level, one abuse-related, plus a $105,898 fine, and CMS has placed the home in its Special Focus Facility program.
Tupelo Community Care Center runs 120 certified beds as a nonprofit corporation, and the numbers tell a mixed story. Staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 19% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Turnover is 60.8% against a national 45.8%, meaning most of the people caring for your relative are relatively new. The inspection record is the harder read: 34 deficiencies, five at harm or jeopardy level, one abuse-related, and six fines totaling $75,044.
Lee's Summit Place runs on thin nursing coverage: 2.91 nurse hours per resident per day against a national average of 3.86, and weekends dip roughly 15% below what the home itself staffs on weekdays. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in turnover of 73.9%, well above the 45.8% national figure, meaning the aides and nurses around your family member are likely to keep changing. The inspection record is more reassuring: a 4-out-of-5 health inspection rating, with the most recent survey in April 2025 and 30 deficiencies logged, just one of them serious enough to involve harm or jeopardy. No abuse deficiencies appear on the current record.
Ellicott Center runs 160 certified beds in Buffalo under for-profit LLC ownership, and the numbers worth knowing start with staffing: 3.48 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 17% below its own weekday coverage. That thinner weekend floor is where gaps tend to show up. Staff turnover sits at 61.3%, well above the 45.8% national figure, which means aides and nurses are cycling through often enough that familiarity with residents is hard to build. On the inspection side, the home carries 33 deficiencies on its current record, including one at the harm or jeopardy level and one abuse-related, plus a $10,868 fine. The last inspection was February 2025, so the record is recent.
Signature Healthcare of Roanoke Rapids runs a 108-bed for-profit home where the staffing numbers are the main thing to know. Nurses provide 3.25 hours of care per resident per day, about 16% under the national average, and weekends drop roughly 17% below the home's own weekday level. Turnover sits at 66.7% against a national 45.8%, which means the people caring for residents are often new. The health inspection record shows 24 deficiencies, one serious enough to reach harm or jeopardy, and federal fines total $9,110. The quality measure stars look strong, but quality scores depend on staff having time to document and follow through. A recent inspection in May 2026 means the record is current, not old.
Pruitthealth-Neuse runs about 2.80 nurse hours per resident day against a national average near 3.86, and weekends drop roughly a quarter below its own weekday staffing. With 110 certified beds, that thin coverage adds up fast when a resident needs help between Friday night and Monday morning. Turnover sits at 38%, which is actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each shift gets. The inspection record is the heavier concern: 40 deficiencies, seven at harm or jeopardy level, five tied to abuse, and $88,115 in fines across four penalties, with the most recent inspection in December 2025.
Medina Bsd Opco runs 60 beds as a for-profit corporation, and its staffing numbers tell two different stories. Overall nurse coverage sits slightly above the national average at 4.05 hours per resident day, but weekends drop about 19% below the home's own weekday level, so the people there Saturday and Sunday aren't getting the same attention as midweek. Meanwhile, 73.5% of staff turned over in a year, well above the 45.8% national figure, which means many caregivers are still learning the building. Eighteen deficiencies sit on the current record, two involving harm or jeopardy and one tied to abuse, with nine fines totaling $55,035. A 2/5 staffing rating and 2/5 inspection rating back that up.
Fairview Manor runs on 3.16 nurse hours per resident per day, roughly 18 percent below the national average, and weekends drop about 16 percent below its own weekday staffing. That thin coverage shows up in the federal ratings, where staffing gets one star out of five. The inspection record carries 21 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with the most recent inspection dated April 10, 2026. Annual turnover sits at 47.5 percent, a bit above the national 45.8 percent. For-profit corporate ownership, 121 beds, and a record that leans on quality measures for its better marks rather than on staffing or inspections.
New Martinsville Health & Rehab runs a 100-bed for-profit operation, and the staffing numbers are where the trouble starts. At 3.30 nurse hours per resident per day, it sits about 15 percent under the national average of 3.86, and weekends drop roughly another 16 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit and residents need eyes on them. Turnover of 45.7 percent roughly matches the national rate, meaning the revolving door isn't unusual, just constant. The inspection record is heavier: 54 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $49,442 fine. A 2/5 inspection rating and 1/5 staffing rating reflect what those numbers show.
Avina On 32Nd runs about 2.89 nursing hours per resident per day, roughly a quarter below the national average, and weekends are thinner still, around 16% below its own weekday coverage. Staff turnover sits at 48.6%, a few points above the national figure, and the state's current record shows 42 deficiencies, including one at the harm or jeopardy level and six tied to abuse. The last inspection was November 20, 2024. One fine totaling $26,322 is on file. Corporate-owned and Medicare-certified for 110 beds, this is a home where the numbers point to thin staffing and a long citation history rather than isolated problems. If you're considering it, ask directly how many nurses are on the floor on a Saturday night.
Laramie Health and Rehabilitation runs 105 certified beds under corporate for-profit ownership, and the staffing numbers are where you notice the strain first. At 2.89 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly another 17% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 51.8% tops the national rate, meaning many of the people caring for residents are still learning the building. The current record carries 24 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with $43,618 in fines and the last inspection in October 2024.
Buena Vida Nursing and Rehab runs about 2.5 nurse hours per resident each day, roughly a third below the national average, and weekends dip even further. That thin coverage sits alongside a 94.2% annual turnover rate, more than double the national figure, meaning the people caring for residents are, more often than not, new to the building. Inspections turned up 15 deficiencies, one involving actual harm and one tied to abuse. The quality scores look strong, but those measure clinical outcomes, not whether enough hands are on deck. Ownership is corporate and for-profit.
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?