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.
Country Club Retirement Ctr Iv carries a one-star health inspection rating and a one-star staffing rating, and the numbers behind those marks are worth sitting with. State inspectors logged 45 deficiencies, four of them serious enough to involve actual harm or jeopardy, and three tied to abuse. Staff turnover runs at 69.8% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new to the building. The quality measure score is high, but that reflects charted care, not the hands available to deliver it. A for-profit limited liability company operates the 62-bed home, and its last full inspection was September 2024.
Aurora Manor runs on 3.57 nurse staffing hours per resident day, roughly 8 percent under the national average, and weekend coverage drops about 14 percent below what it manages on weekdays. Staff turnover sits at 66.7 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. Inspectors have cited 25 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with the most recent visit in January 2026. Corporate ownership and a two-star inspection history round out the picture. If you're considering this one, ask hard questions about abuse-prevention training and who actually staffs the weekend shifts.
Majestic Care Of Point Place runs a for-profit corporate operation with 82 certified beds in Toledo, and the numbers that stand out most are about people, not buildings. Nurses provide about 3.57 hours of care per resident per day against a national average of 3.86, and weekends dip roughly 14% below what the home manages Monday through Friday, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 58.4%, well above the 45.8% national figure, which means the people caring for your relative are cycling out faster than average. The current record carries 41 deficiencies, including one at the harm level and one tied to abuse. That abuse citation and the harm-level finding are the details worth pressing the administrator on directly.
Beavercreek Health and Rehab runs on thin staffing. At 3.27 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 7% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 67.1% of staff leave each year, against a national average of 45.8%, so the people caring for your relative are often new and still learning the building. Inspectors have cited 51 deficiencies, one serious enough to involve harm or jeopardy, and the most recent visit was September 2024. Ownership is a for-profit corporation. The quality measure rating is a middle-of-the-road 3, but that reflects charted care, not the hands actually available at the bedside.
The numbers at 24th Place in Norman describe a home running short on just about every measure. Total nurse staffing sits at 3.04 hours per resident day, about 21% under the national figure of 3.86, and weekend coverage drops roughly 5% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 75.3% against a national 45.8%, which means most of the people caring for residents this year likely won't be there next year.
The inspection record backs that up: 33 deficiencies, four serious enough to put residents in harm's way, two tied to abuse, plus $23,179 in fines and a one-star health inspection rating.
Meadow View runs 3.14 nursing hours per resident per day, about 19 percent under the national average of 3.86, and weekends drop roughly another 10 percent below its own weekday staffing. That thin coverage sits behind a 2-out-of-5 CMS staffing rating and 60 percent annual turnover, well above the 45.8 percent national figure, so the aide or nurse your family sees most weeks may not be there long. The current record shows 31 deficiencies, including one at the harm level and three abuse-related, with a single $105,587 fine. A September 2025 inspection is recent enough to trust the picture, though a 4-out-of-5 quality measure rating suggests some care processes work despite the staffing strain.
Kadima Rehabilitation & Nursing At Irwin runs 120 certified beds in North Huntingdon under for-profit LLC ownership, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average, and it thins further on weekends, dropping about 9% below the home's own weekday level. Staff turnover is 65.6%, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. The inspection history is the harder read: a one-star health inspection rating, 62 deficiencies on the current record, three at harm or jeopardy level, and six tied to abuse. That last inspection was recent, in December 2025.
Pottstown Skilled Nursing and Rehabilitation Center runs about 3.33 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends drop another 12% below its own weekday numbers. Staff turnover sits at 49.6% against a national average of 45.8%, so the people showing up are changing often. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2025. CMS gives it middling marks on health inspections but just one star each for quality measures and staffing. Ownership is a for-profit corporation. The care is licensed and monitored, but thin staffing and heavy turnover are the patterns worth weighing.
The numbers at Mountain City start with the nursing hours: 3.35 per resident day against a national average of 3.86, and weekends run about a tenth thinner than weekdays, so coverage is weakest exactly when families tend to visit. Fifty-one deficiencies sit on the current record, five of them serious enough to involve harm or jeopardy, six tied to abuse, plus a $171,403 fine. Turnover at 36.2% is actually better than the 45.8% national figure, which tells you the problem here isn't retention so much as how few hours each resident gets. State inspectors were last in on February 7, 2025.
Gettysburg Center runs on thinner staffing than most homes its size, and that gap shows up on weekends when coverage drops another 8 percent below its own weekday level. The 34 deficiencies on record, four of them serious enough to put residents in harm's way, three tied to abuse, point to problems that go beyond paperwork. Annual turnover sits at 52.7 percent, meaning more than half the nursing staff leaves each year, which makes consistent care hard to sustain. A for-profit corporation operates the 118-bed building, and its most recent inspection was in March 2026.
Carnegie Park Post Acute runs 180 beds in Pittsburgh under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.31 nurse hours per resident day, roughly 14 percent under the national average, with weekends running about 10 percent thinner than weekdays. Annual turnover hits 65.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. The inspection record shows 43 deficiencies, including one at the harm level and two abuse-related, and the last inspection was in March 2026. A single $10,419 fine and a 1-out-of-5 staffing rating round out the picture.
Crawford Care Center runs 157 certified beds in Saegertown under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 6% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 63% against a national 45.8% means most of the people caring for your relative are new to the building. The inspection record backs that up: 51 deficiencies currently on file, two at harm or jeopardy level, one abuse-related, and a $151,253 fine. Its last inspection was April 30, 2026.
Clepper Manor runs 54 beds in Sharon under corporate ownership, and its staffing numbers sit a bit under where they need to be. Nurse coverage comes to 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below the home's own weekday levels, so the thinnest coverage lands exactly when families tend to visit and when problems surface. Annual turnover of 59.6% is well above the 45.8% national figure, meaning more than half the staff turns over yearly. Twelve deficiencies sit on the current record, including two at harm or jeopardy level and two tied to abuse, plus a single fine of $169,599. The April 2025 inspection is recent, and the three-out-of-five marks across inspection, quality, and staffing confirm a home that's adequate on paper but carrying real risk underneath.
Mabry Health Care runs 80 certified beds in Gainesboro under for-profit LLC ownership, and its strongest card is inspections, a 4/5 health inspection rating with the most recent visit in February 2025 and no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.15 hours per resident day against a national average of 3.86, roughly 19% below, and that thin coverage holds steady through the weekend rather than dipping further, which is small comfort when the baseline is already low. Staff turnover of 55.7% tops the 45.8% national figure, so the people providing that care keep changing. Quality measures land at 2/5. Clean inspections only mean so much without enough consistent hands on the floor.
The Waters of McKenzie is a 66-bed for-profit home in Carroll County, and its biggest soft spot is staffing. At 3.41 nurse hours per resident day, it runs about 12% under the national average, and weekends dip roughly 8% below its own weekday coverage. Turnover sits at 66% against a national 45.8%, which means a lot of unfamiliar faces moving through the building.
The inspection record is more mixed: 13 deficiencies on file, but none involving harm or abuse, and a survey as recent as April 2025. Quality measures land mid-pack. Nothing here screams danger, but the staffing numbers are the thing I'd keep asking about, who's actually on the floor at 2 a.m. on a Sunday.
Henderson Health and Rehabilitation Center runs 132 certified beds under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and weekends drop about 12% below what the home staffs on weekdays, which is when gaps tend to show up. Annual turnover is 54.8%, well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Its inspection history includes 16 deficiencies, three of them at the harm or jeopardy level, plus one fine totaling $81,328. The most recent inspection was November 19, 2025.
Broadway Nursing & Rehabilitation runs 237 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.65 nurse hours per resident day, under the national average, with weekends about 13% leaner than weekdays. Annual turnover sits at 51.4%, so more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, including 3 at harm or jeopardy level and 8 abuse-related, with two fines totaling $84,129. CMS rated staffing 1 out of 5 stars and health inspections 2 out of 5, though quality measures scored 4. Ask about weekend coverage and how they screen and supervise staff.
Longview Hill is a hospital-district home with 198 beds, and the numbers show a building under real strain. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 10% below what the home itself provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover near 50% means the aides and nurses caring for residents are often new to the job. The inspection record backs that up: 60 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and more than $225,000 in fines.
Lily Springs runs a 116-bed for-profit home in Lampasas, and the numbers behind its federal record are worth walking through. Nurse staffing sits at 3.53 hours per resident per day, roughly 8% under the national average, and it drops another 9% on weekends, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 57.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The inspection record shows 56 deficiencies, six of them at harm or jeopardy level and three tied to abuse, with $86,207 in fines. The most recent inspection was May 2025.
Focused Care At Mount Pleasant runs 122 beds under for-profit LLC ownership, and the numbers that stand out aren't the quality measures, those actually rate well above average. The problem is everything around them. Nurse staffing sits at 3.16 hours per resident day, about 18% under the national figure, with weekends dipping roughly 8% below the home's own weekday level. Staff turnover hits 48.4%. The inspection record carries 82 deficiencies, including four at the harm level and six tied to abuse, plus five fines totaling $223,296, and the most recent inspection was July 2025. High quality scores can't offset thin coverage and that citation history.
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?