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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 881–900 of 10,187, best-graded first.

A

87/100

Kingwood Skilled Nursing And Therapy

Oklahoma City, OK · Oklahoma County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
39%
Serious cites
0

Kingwood Skilled Nursing and Therapy runs 3.44 nurse hours per resident per day, roughly 11% under the national average of 3.86, a gap families should weigh, since daily hands-on time is what shows up on a Tuesday afternoon. Weekend staffing dips about 2% below its own weekday level, so the difference isn't dramatic, but it's worth asking who covers Saturdays. Turnover sits at 39%, better than the 45.8% national figure, meaning fewer unfamiliar faces at the bedside. Inspections turned up 17 deficiencies, none at the harm or jeopardy level, though three were abuse-related, plus one fine of $15,180; the last inspection was May 2026. Corporate-owned and 105 beds.

A

87/100

Mangum Skilled Nursing And Therapy

Mangum, OK · Greer County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
53%
Serious cites
0

Mangum Skilled Nursing And Therapy runs 140 certified beds under for-profit partnership ownership, and the nurse staffing number, 4.07 hours per resident day, sits about 5% above the national average of 3.86. That sounds solid until you notice weekends drop roughly 7% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows four deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $14,069; the most recent inspection was December 2024. Strong quality measure scores and a recent survey help, but consistent weekend coverage and retention are the real questions to ask about.

A

87/100

Dallas Retirement Village Health Center

Dallas, OR · Polk County

CMS 4/5 121 beds For-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
44%
Serious cites
0

Dallas Retirement Village Health Center runs a for-profit, individually owned home with 121 certified beds, and its nurse staffing sits at 5.40 hours per resident day, roughly 40% above the national average of 3.86. That's the real story here, though weekend coverage drops about 13% below its own weekday level, and staff turnover lands at 44%, close to the national 45.8%. The current record shows 35 deficiencies, none at harm or jeopardy level, but one abuse-related citation on file. Inspections are recent, with the last one dated April 2026, and CMS gives it middling marks for health inspections and quality measures while staffing earns 4 of 5 stars.

A

87/100

Avamere Rehabilitation Of Junction City

Junction City, OR · Lane County

CMS 4/5 53 beds For-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
46%
Serious cites
0

Avamere Rehabilitation of Junction City runs 53 beds under corporate ownership, and its nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, with weekend coverage dipping about 7% below its own weekday levels. The tradeoff shows up in its record: 35 deficiencies, including 6 tied to abuse and 3 serious enough to put residents in harm's way, plus one fine of $8,678. Staff turnover of 45.6% lands right at the national figure, so continuity isn't a strength here. Your last inspection was fairly recent, in July 2025, and the quality measure rating is strong, but those harm-level and abuse-related findings are the numbers worth asking about directly.

A

87/100

Marquis Tualatin Post Acute Rehab

Tualatin, OR · Clackamas County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
5.47 /day
Staff turnover
46%
Serious cites
0

Marquis Tualatin runs a genuinely strong nurse staffing line, 5.47 hours per resident day, roughly 42% above the national average, and that's the single best thing in its file. The catch is that weekends thin out about 13% from weekday levels, so coverage isn't as steady as the headline number suggests. Turnover sits at 46.2%, basically level with the national rate, and the inspection record is where things get harder: 11 deficiencies, one at harm or jeopardy level, two tied to abuse, with a 2-out-of-5 inspection rating. The most recent survey was May 2026. For-profit corporate ownership. Strong hours, but a recent record worth asking about directly.

A

87/100

Laurel View Village

Davidsville, PA · Somerset County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
5.04 /day
Staff turnover
54%
Serious cites
0

Laurel View Village runs on a church-affiliated nonprofit model in Davidsville, and the staffing numbers back up the good marks: 5.04 nurse hours per resident day, roughly 30% above the national figure of 3.86. Weekends dip about 14% below the home's own weekday coverage, and turnover sits at 54.1% against a national 45.8%, both worth knowing if your family visits or calls mostly on Saturdays and Sundays. The record shows 18 deficiencies, none at harm or jeopardy level, though one is abuse-related and needs a direct question. Its last inspection was May 2026, so the picture is current.

A

87/100

Shenango Presbyterian Seniorcare

New Wilmington, PA · Lawrence County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
46%
Serious cites
0

Shenango Presbyterian runs 32 certified beds in New Wilmington under nonprofit ownership, and its staffing sits about 21% above the national average for nurse hours per resident day. That margin matters most on weekends, which run roughly 8% below its own weekday level, a dip, but one that starts from a higher baseline than most homes. Inspection history is the standout: one deficiency on record, none at harm or jeopardy level, none abuse-related, with the most recent inspection dated August 2025. Annual turnover lands at 45.5%, essentially matching the national rate, so the staffing strength isn't coming from unusually stable retention. Quality measures score mid-range even as staffing and inspections score at the top.

A

87/100

Harmony Physical Rehabilitation

Monroeville, PA · Allegheny County

CMS 5/5 30 beds Non-profit
Nurse hours
4.13 /day
Staff turnover
29%
Serious cites
0

Harmony Physical Rehabilitation runs 30 certified beds in Monroeville under nonprofit ownership, and the staffing numbers are the first thing worth noting: 4.13 nurse hours per resident day, roughly 7% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 29%, well under the national 45.8%, that kind of retention usually means consistent caregivers. The inspection record shows four deficiencies, none at the harm level and none abuse-related, with the most recent survey dated February 2026. With 5/5 marks on both health inspections and quality measures, the weak spot is staffing depth, not care quality.

A

87/100

Avera Sister James Care Center

Yankton, SD · Yankton County

CMS 5/5 194 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
31%
Serious cites
0

Avera Sister James Care Center runs on 4.10 nurse hours per resident per day, roughly 6% above the national average, and its weekend coverage dips about 10% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night care. Staff turnover sits at 31.3%, well under the national 45.8%, which suggests people stay. Nine deficiencies on the current record, one serious enough to reach harm or jeopardy level, none abuse-related, and the last inspection was May 2026, so the record is recent rather than stale. Nonprofit ownership under Avera. The numbers point to a home that's generally steady on staffing and quality, with one inspection finding worth reading closely.

A

87/100

Nhc Healthcare, Dickson

Dickson, TN · Dickson County

CMS 5/5 191 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
39%
Serious cites
0

NHC Healthcare, Dickson runs 191 certified beds under corporate for-profit ownership, and the numbers behind its A grade are mostly steady rather than spectacular. Nurse staffing sits at 3.95 hours per resident day, a hair above the national average, though weekends drop roughly 13% below what the home provides on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 38.8%, better than the 45.8% national figure, which suggests people tend to stay. Six deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated April 2026.

A

87/100

Nhc Place At Cool Springs

Franklin, TN · Williamson County

CMS 4/5 121 beds For-profit
Nurse hours
4.97 /day
Staff turnover
49%
Serious cites
0

Nhc Place At Cool Springs runs on unusually heavy nurse coverage, 4.97 hours per resident day against a national average of 3.86, roughly 29% more hands-on time than most homes. Weekend staffing dips about 12% below its own weekday level, so the generous weekday numbers aren't quite matched on Saturdays and Sundays. Turnover sits at 48.9%, a bit above the 45.8% national figure, which means a fair amount of churn among the people doing that care. The inspection record shows 8 deficiencies, 2 serious enough to involve harm or jeopardy, none abuse-related, and the last full inspection was September 2022, over two years ago. Corporate for-profit ownership, and four-out-of-five ratings on health inspections, quality measures, and staffing.

A

87/100

Avir At Paris

Paris, TX · Lamar County

CMS 5/5 98 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
41%
Serious cites
0

Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.

A

87/100

Redmond Care And Rehabilitation Center

Redmond, WA · King County

CMS 5/5 139 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
26%
Serious cites
0

Redmond Care And Rehabilitation Center runs about 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That's the tradeoff you're weighing against a 26.2% turnover rate, well below the 45.8% national figure, meaning the aides and nurses here tend to stay. Its inspection record shows 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State surveyors were last in on June 13, 2025, so that picture is current. The for-profit corporate owner runs 139 beds, and the home's quality measure scores are strong. Read the staffing pattern carefully: slightly thin overall, thinner on weekends, but a stable workforce.

A

87/100

Bainbridge Island Health & Rehab Center

Bainbridge Island, WA · Kitsap County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
23%
Serious cites
0

Bainbridge Island Health & Rehab runs on a stable crew: 23.3% annual turnover against a national average near 46%, which matters more than the headline staffing number. Nurse coverage sits at 3.91 hours per resident day, barely above the 3.86 national average, and weekends drop roughly 10% below weekday levels, so the consistency comes from who stays, not from deep benches. The record shows 19 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last inspection was November 2025. For a for-profit LLC, steady retention and clean inspection scores are the real story here.

A

87/100

Lynnwood Post Acute Rehabilitation Center

Lynnwood, WA · Snohomish County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Lynnwood Post Acute Rehabilitation Center runs 67 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, so the thinnest shifts land when families often visit. Turnover is 41.9%, a bit better than the 45.8% national figure. The inspection record shows 50 deficiencies, none at harm or jeopardy level, but four are abuse-related, which is worth asking about directly. The last inspection was July 8, 2025, so the picture is current. Quality measures score well; the inspection side is where the caution lives.

A

87/100

Eagle Pointe Healthcare Center

Parkersburg, WV · Wood County

CMS 2/5 150 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
32%
Serious cites
0

Eagle Pointe runs 150 beds in Parkersburg under corporate ownership, and the staffing picture is genuinely better than most: 3.95 nurse hours per resident day, just above the national average, with turnover at 31.7% against a national 45.8%. That retention matters, fewer unfamiliar faces on the floor. Weekends drop about 13% below weekday coverage, though, so ask how that gap gets filled. The harder question is the inspection record: 61 deficiencies, two at harm or jeopardy level, six abuse-related, and a 2-out-of-5 health inspection rating, even with the most recent survey in July 2025. Ask to see the plan of correction for the abuse citations specifically.

A

87/100

Rennes Health And Rehab Center-De Pere

De Pere, WI · Brown County

CMS 5/5 137 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
42%
Serious cites
0

Rennes Health and Rehab Center-De Pere runs nurse staffing at 4.73 hours per resident day, roughly 22% above the national average, and that shows up in its staffing rating. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 42.4%, a bit better than the 45.8% national figure. The home carries 12 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated January 15, 2026. Quality measures land mid-range at 3 out of 5 stars, so the clinical picture isn't quite as strong as the staffing and inspection numbers. Corporate for-profit ownership.

A

87/100

St Marys Home For The Aged

Manitowoc, WI · Manitowoc County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
52%
Serious cites
0

Staffing at St Marys Home for the Aged runs well ahead of most homes, about 5.09 nurse hours per resident day against a national average near 3.86, and weekends stay fairly close to weekday coverage, dipping roughly ten percent rather than falling off a cliff. Inspections back that up: the most recent visit was December 2025, and its twelve deficiencies include nothing at the harm level and nothing abuse-related. The caution is turnover, 51.5 percent a year against 45.8 nationally, meaning roughly half the nursing staff leaves annually. Church-affiliated nonprofit ownership tends to bring steadier long-term direction, but consistent staffing depends on who actually stays.

A

87/100

Life Care Center Of Casper

Casper, WY · Natrona County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
44%
Serious cites
0

Life Care Center of Casper runs a 120-bed for-profit operation where the staffing numbers are genuinely better than most. At 4.17 nurse hours per resident day, it sits about 8% above the national average, and its CMS staffing and quality ratings both come in at the top of the scale. Weekend coverage dips roughly 14% below weekday levels, and turnover runs 44.2%, essentially in line with the national figure, not an outlier in either direction. The inspection record is where it gets more mixed: 16 deficiencies on file, none at harm or jeopardy level, but one tied to abuse. The last survey was in October 2024.

A

87/100

Valley Village Care Center

North Hollywood, CA · Los Angeles County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
19%
Serious cites
0

Valley Village Care Center runs on unusually steady staffing for a for-profit home, 4.53 nurse hours per resident day, roughly 17% above the national average, with weekend coverage dipping only about 12% below weekdays. Turnover sits at 19.4%, well under the 45.8% national figure, which suggests aides and nurses tend to stay. The catch is the inspection record: 79 deficiencies on file, including three tied to abuse, and a two-star health inspection rating despite a four-star quality measure score. The most recent inspection was in May 2026. Consistent hands on deck, but a paper trail that warrants questions before you sign anything.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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