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.
Hilltop Skilled Nsg & Rehab runs 108 beds as a for-profit LLC, and its nurse staffing sits around 3.36 hours per resident day, roughly 13% under the national average. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. That staffing picture lines up with a 1-out-of-5 CMS staffing star. Turnover at 44.6% is essentially the national rate, meaning the home isn't churning workers faster than average, it's just running lean. What stands out more is the inspection record: 60 deficiencies, 8 at harm or jeopardy level, 8 abuse-related, and $177,262 in fines across three penalties. The most recent inspection was October 18, 2024.
Complete Care At The Boulevard carries 84 deficiencies on its current record, and 11 of those rose to the level where a resident was actually harmed or put in immediate jeopardy. Another 14 are abuse-related. Those aren't paperwork problems. Six fines total $378,581, and the most recent inspection, in February 2025, is recent enough to reflect how the place runs now.
Nurse staffing sits at 2.97 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover is 53.4%, meaning more than half the nursing staff leaves each year. For-profit corporate ownership at 156 beds.
The quality measure score looks good. Staffing and inspections do not. When families ask me where to start, I tell them the inspection record.
Arcadia Care Aledo runs about 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip even lower. That thin coverage shows up in the inspection record: 67 deficiencies, 9 at harm or jeopardy level, 11 abuse-related, and four fines totaling $193,582, with the most recent inspection in March 2025. Staff turnover is 38.7%, better than the 45.8% national figure, so the problem isn't retention so much as how few hands are on deck and how often care has fallen short.
Landmark At 95Th Rehabilitation And Nursing Center carries 228 certified beds on Chicago's South Side, and the staffing numbers are where the trouble starts. At 2.61 nurse hours per resident day, it runs roughly a third below the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 40.8% is actually a bit better than the 45.8% national figure, but it doesn't offset much given the hours on the floor. The inspection record is the heavier concern: 98 deficiencies, 14 tied to abuse, 10 at harm or jeopardy level, and six fines totaling $505,715.
Pearl of St Charles runs on thin staffing: 3.33 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below what the home already provides on weekdays. That gap shows up in turnover, too, 59.1% of staff leave each year, well above the 45.8% national figure, which means caregivers are continually new to residents who need consistency. The record backs this up: 51 deficiencies, five serious enough to involve harm or jeopardy, one tied to abuse, and $41,294 in fines across three penalties. A February 2025 inspection is recent, so the picture isn't stale. For-profit LLC ownership, and a 2/5 on health inspections. Worth asking hard questions before choosing this one.
Symphony Maple Crest runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 10% below what the home staffs during the week. More than half its nurses left in the past year, 53.4% turnover against a national 45.8%, so the people providing care keep changing. The inspection record shows 46 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, and four fines totaling $373,007. Ownership is a for-profit limited liability company. Whatever the quality measures say, they're being produced by thin, unstable staffing, and that combination is what families should weigh when they visit.
Archer Heights Healthcare runs 249 certified beds on Chicago's Southwest Side, and the staffing numbers tell you a lot: 2.43 nurse hours per resident per day, roughly 37% under the national average, with weekends about 13% thinner than weekdays. Turnover sits at 53.5%, well above the 45.8% national figure, so the people left are often covering for the ones who left. The inspection record is the harder problem, 124 deficiencies, 18 at harm or jeopardy level, 16 tied to abuse, and five fines totaling $596,515. A 4/5 on quality measures can coexist with all of that because those measures come from resident assessments, not from how the place is actually run.
La Bella At Clifton runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home itself staffs on weekdays. That thin coverage sits behind a one-star CMS staffing rating. The inspection record is heavy: 53 deficiencies, five at harm or jeopardy level, six tied to abuse, and four fines totaling $146,139. The last inspection was May 2025, so the picture is current. Ownership is a for-profit LLC. Turnover at 37.7% is actually below the national average, which means the problem isn't retention so much as how few hours each resident gets.
Nurse staffing at Signature Healthcare Of Terre Haute runs 3.94 hours per resident day, just above the national average, but that number hides a gap: weekends are about 13% thinner than weekdays. It's a for-profit corporation with 54.9% annual turnover, well above the 45.8% national figure, and the current record holds 49 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse. Two fines total $66,207, and the last inspection was March 2026. A 176-bed building with that kind of record and a 1-out-of-5 inspection rating is worth a hard look before you decide.
Hickory Creek At New Castle runs 36 certified beds as a nonprofit, and the numbers families tend to ask about first are the ones worth sitting with. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends dipping about 8% below the home's own weekday level, the staffing star rating lands at 1 out of 5. Turnover is the sharper number: 69.4% annually against a national average of 45.8%, meaning most of the people caring for your family member may not be there in a year. The current record shows 16 deficiencies, none at harm or jeopardy level, but three tied to abuse. Its last inspection was May 29, 2026.
The numbers out of Fort Dodge Health and Rehabilitation describe a 65-bed for-profit home where nurse staffing runs about 3.18 hours per resident day, roughly 18% under the national average, and drops another 14% on weekends, when families often visit and needs don't pause. Staff turnover sits at 48.8%, above the national figure, and the inspection record shows 48 deficiencies, six of them serious enough to put residents at risk of harm, two tied to abuse, with $166,043 in fines across two penalties. The most recent inspection was in February 2026, so that record is current. A 1-out-of-5 health inspection rating and 2s for staffing and quality measures aren't isolated problems, they line up with what the underlying numbers already show.
Westwood Specialty Care is a nonprofit home with 85 beds in Sioux City, and the numbers families tend to ask about first are the inspection ones. Its record carries 79 deficiencies, including two at the harm level and one tied to abuse, plus two fines totaling $181,086, and the most recent inspection was in April 2026, so this isn't a stale file. Staffing sits at 3.20 nurse hours per resident day, roughly 17 percent under the national average, with weekends running about 13 percent thinner than weekdays and turnover at 49.3 percent. Ownership being nonprofit doesn't offset any of that on its own.
Diversicare Of Sedgwick runs on 2.96 nurse hours per resident per day, about a quarter below the national average, and weekend staffing drops roughly another 10% under its own weekday level. That thin coverage shows up in the inspection record: 32 deficiencies, two involving actual harm or jeopardy, one tied to abuse, and a $51,670 fine. Staff turnover hits 78% against a national 45.8%, meaning most of the people caring for residents are new to the building. The last inspection was May 2025, so the record is current rather than stale. For-profit ownership through a limited liability company. The quality measure score is decent; the staffing and inspection scores are not, and staffing is what you'd actually feel day to day.
El Dorado Care and Rehab runs 50 certified beds under for-profit limited liability ownership, and its staffing tells the clearest story here. At 3.73 nurse hours per resident day, it sits slightly under the national average, and weekends drop about 14% below its own weekday coverage. The bigger concern is turnover: 83% of staff leave annually, against a national average near 46%, that kind of churn makes consistent care hard to maintain. Its record shows 34 deficiencies, including one at the harm level and two tied to abuse. Health inspection and staffing each earned 2 of 5 stars from CMS, with quality measures at 3. The most recent inspection was in April 2026.
Wurtland Nursing and Rehabilitation runs 126 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover hits 50% against a 45.8% national figure. Inspections back that up. Twenty-four deficiencies sit on the current record, eight serious enough to involve harm or jeopardy, and one fine of $69,908 has been levied. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating tell you regulators and the payroll data agree. The most recent inspection, in March 2026, is the record to ask about directly.
Twin Oaks runs lean on nursing staff, 3.23 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday coverage. That kind of dip matters, because fewer nurses on Saturday and Sunday is when problems tend to go unnoticed. The inspection record is heavier than most: 42 deficiencies, including 12 flagged as abuse-related, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 45.3%, almost exactly the national figure, so retention isn't the issue here, the numbers suggest the home simply isn't staffing at the level its 148 residents need, and its recent August 2025 inspection kept the health rating at 2 out of 5.
Camelot Leisure Living runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below its own weekday staffing. Annual turnover sits at 60.9% against a national 45.8%, meaning most of the aides and nurses your family would see are relatively new. The inspection record shows 40 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $47,067 fine and a 1-out-of-5 health inspection rating. A corporate-owned home of 91 beds with that citation history and that much churn is worth a careful visit before you decide anything.
Creekside runs 80 beds in Hagerstown under for-profit LLC ownership, and the staffing numbers are the first thing you should look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.7% means most of the people caring for your relative are new, and against a 45.8% national rate that's a lot of churn. The inspection record is worse: 104 deficiencies, six at harm or jeopardy level, twelve abuse-related, two fines totaling $111,536, and CMS has placed it in the Special Focus Facility program.
Colony Center For Health And Rehabilitation is a 92-bed for-profit home in Abington, and the numbers here are worth sitting with before you tour. Nurse staffing runs 3.52 hours per resident day, roughly 9% below the national average, and weekends drop about 11% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, plus 2 fines totaling $25,593. Staff turnover sits at 50%, above the 45.8% national figure, which matters because consistent caregivers know residents. CMS rated its last inspection 1 out of 5 stars, with quality measures also at 1.
Grand Trace runs on 3.30 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekend coverage dips about 5% below its own weekday numbers. Staff turnover sits at 58.8% against a national 45.8%, so nearly three in five workers leave within a year. Its record shows 39 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus $48,153 in fines across two penalties, with the most recent inspection in March 2025. The federal star ratings land at one out of five for both health inspections and quality measures, and two for staffing. This is a for-profit limited liability company operating 96 certified beds.
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?