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.
Lakeshore Village runs on thinner staffing than most Texas nursing homes can claim as an excuse. At 3.19 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 15% below what the building itself manages Monday through Friday. That matters more than the quality measure score suggests, because 52 deficiencies sit on the current record, seven at harm or jeopardy level, two tied to abuse, with $107,407 in fines and a one-star inspection rating. Annual turnover of 52.1% means more than half the nursing staff leaves each year, against 45.8% nationally. Hospital district ownership hasn't translated into stability here, and the April 2026 inspection is the only recent look regulators have taken.
Southland Rehabilitation and Healthcare Center runs 150 certified beds in Lufkin under corporate, for-profit ownership, and the staffing numbers are where the trouble shows. At 3.24 nurse hours per resident day, it sits roughly 16% under the national average of 3.86, weekends drop about 17% below its own weekday level, and annual turnover hits 51.6% against a national 45.8%. That thin, churning coverage lines up with a 1-out-of-5 staffing rating and a 2-out-of-5 inspection rating. The record carries 22 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $188,884. Quality measures score 4 out of 5, but good marks on paper don't offset hands-on care that runs consistently short.
Focused Care At Orange runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.03 nurse hours per resident day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover of 40.7% is actually better than the national 45.8%, so the issue isn't churn, it's raw coverage. The inspection record is heavier: 29 deficiencies, four at harm or jeopardy level, three tied to abuse, and $193,434 in fines across three penalties. A 1/5 inspection rating and 1/5 staffing rating sit alongside a more forgiving 3/5 on quality measures. The most recent inspection was April 2025, so this picture is current.
Cavalier Healthcare of Trussville runs 125 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.34 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 14% below its own weekday level, so care thins out exactly when families tend to visit. Annual turnover of 78.5% is well above the national 45.8%, meaning the people caring for your relative are likely new, or about to be. The inspection record is better: nine deficiencies, none at harm level, though one is abuse-related, and six fines totaling $40,486. The last inspection was May 2021, so that record is aging.
Vista Ridge runs about 18% below the national average on nurse staffing, and weekends drop another 12% below its own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 64.2% against a national 45.8%, roughly two of every three caregivers left within the year. The inspection record shows 31 deficiencies, including three at the harm level and three tied to abuse, with $41,772 in fines. A December 2025 inspection is recent, and the 3/5 health inspection and quality scores aren't alarming on their own. The staffing number is the one worth pressing on during a tour.
Kiowa Hills Rehabilitation and Nursing is a for-profit, limited liability company running 83 certified beds in Colorado Springs. The staffing numbers tell the main story: 2.75 nurse hours per resident day, roughly 29% under the national average, and weekends run about 12% thinner than weekdays. Turnover sits at 54% against a national 45.8%, so the people who do show up don't tend to stay long. Its record shows 64 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the last inspection was January 16, 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5.
Westlake Health and Rehabilitation Center is a 107-bed for-profit home in Greeley, and the numbers pull in different directions depending on what you weigh most. Its last inspection was in April 2024 and came back strong on health and safety, with 12 deficiencies on record, just one at the harm level, and no abuse citations. Staffing is where the trouble sits: 3.01 nurse hours per resident day runs about 22 percent under the national average, weekends dip another 11 percent below its own weekday level, and turnover hits 72.3 percent against a national 45.8. A decent inspection history can't offset a workforce that thin and that unstable.
Wadsworth Glen Health Care and Rehabilitation Center in Middletown is a 102-bed for-profit home, and the numbers worth knowing about are its staffing and its inspection record. The federal data puts total nurse staffing at 0.02 hours per resident day against a national average of 3.86, a gap of roughly the entire national figure, and weekend staffing drops about 43 percent below what the home manages on weekdays. Annual turnover sits at 51.9 percent, higher than the 45.8 percent national average. On inspections, the home carries 46 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with its most recent inspection dated August 11, 2025. CMS rates its staffing 1 out of 5 stars.
Tierra Pines Center runs a 120-bed for-profit operation in Largo, and the staffing numbers are the first thing you'd notice: 3.31 nurse hours per resident day, roughly 14 percent under the national average, with weekends thinner still. That shortfall is the main reason the federal staffing rating sits at 1 out of 5, and it's happening alongside a 58.3 percent annual turnover rate, well above the 45.8 percent national figure, which means the people caring for your relative are frequently new. The record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $4,147, with the most recent inspection in January 2025.
Harborview Rome runs on thinner nursing coverage than most homes, 3.44 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below what the home itself staffs on weekdays. The 11 deficiencies on its current record include one at the harm level and two tied to abuse, which is the kind of finding that should prompt questions about supervision and how complaints get handled. Turnover sits at 46.5%, essentially tracking the national rate, so continuity of caregivers isn't unusually bad here. What stands out is the combination: a below-average staffing floor paired with a recent inspection and serious deficiency findings. Ask the administrator directly what changed after December.
Harborview Tifton runs on thinner staffing than most homes in the country, 3.54 nurse hours per resident day against a national average of 3.86, and weekends get about 15 percent leaner than its own weekdays, which is when families tend to visit and notice. The inspection record is the harder read: 34 deficiencies on file, four of them serious enough to reach harm or jeopardy, four tied to abuse, and $22,032 in fines across three penalties. Staff turnover sits at 50 percent, above the 45.8 percent national figure, meaning the people caring for residents are often new. Ownership is a for-profit limited liability company. The most recent inspection was December 3, 2025.
Glenvue Health & Rehab runs 160 certified beds in Glennville under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 15% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with two fines totaling $4,893. Inspectors were last in on April 17, 2025. CMS rates staffing 1 out of 5 stars and quality measures 2 out of 5, which is where the real story lives, not in the inspection history.
The Grove of Elmhurst runs 180 beds under corporate ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. That gap shows up on weekends too, when coverage dips about 2% below the home's own weekday level, and nearly half the nursing staff turned over in the past year, above the 45.8% national figure. Its inspection record carries 51 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $61,031 fine. The last full inspection was May 2025.
Gilman Healthcare Center runs 99 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.12 hours per resident per day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 44.2% is close to the national 45.8%, so retention isn't the standout problem; the inspection record is. Twenty-six deficiencies are on file, six at harm or jeopardy level and four abuse-related, with four fines totaling $167,929. The most recent inspection was May 2024.
Accolade Healthcare of Savoy runs 213 certified beds under for-profit LLC ownership, and the nursing hours show it: 3.30 per resident day against a national average of 3.86, with weekends running about 7% leaner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, so the people at the bedside keep changing.
The inspection record is the harder part. CMS has logged 107 deficiencies here, 12 of them at harm or jeopardy level and 10 abuse-related, plus four fines totaling $196,659. The last inspection was December 2024, so the record is recent, not stale. Families weighing this one should ask what those harm-level findings involved and how the home has changed since.
La Bella Of Alton runs on thin staffing: 2.75 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. That shows up in the numbers, a one-star CMS staffing rating and 49.6% annual turnover, slightly worse than the 45.8% national figure. The 180-bed for-profit home carries 53 deficiencies on its current record, including five at the harm or jeopardy level and three tied to abuse, plus five fines totaling $85,546. Its last inspection was March 25, 2024. A four-star quality measure rating doesn't offset what the inspection and staffing data show, so ask hard questions before considering this one.
Avantara Chicago Ridge runs 203 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, and annual turnover hits 68.9% against a national 45.8%, so the people caring for residents are cycling out fast. The inspection record shows 41 deficiencies, five at harm or jeopardy level and one tied to abuse, with three fines totaling $137,658; the most recent inspection was January 10, 2025. Its quality measure score looks strong, but that reflects charted clinical outcomes, not the staffing and safety picture a family actually walks into.
Thryve Of Crestwood runs 297 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.08 nurse hours per resident day, it sits about 20 percent under the national average of 3.86, and weekend coverage drops roughly another 13 percent below its own weekday level. The inspection record raises harder questions: 46 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, with five fines totaling $298,926 and a 2-out-of-5 health inspection rating. Annual turnover of 48.2 percent edges past the national 45.8 percent, so even the staff who are there keep changing.
Park View Rehab Center runs on 2.32 nurse hours per resident per day, roughly 40% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits behind a record of 68 deficiencies, including 10 at the harm or jeopardy level and 15 tied to abuse, plus seven fines totaling $597,010. Staff turnover is 39.7%, slightly better than the national 45.8%, and the last inspection was September 2025. The for-profit LLC structure and 2/5 inspection and staffing ratings round out the picture.
Generations At Applewood runs 154 certified beds in Matteson under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average, with weekends running about 12% thinner than its own weekdays. Staff turnover is 55.9%, well above the 45.8% national figure, which means the people providing that already-stretched care are cycling out faster than average. The inspection record is where it gets serious: 62 deficiencies, 16 at harm or jeopardy level, three tied to abuse, and six fines totaling $518,939. A quality measure score of 4 out of 5 sits oddly beside a 1 out of 5 on health inspections, but the survey history and the money owed tell the more reliable story.
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?