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.
Avir At River Valley is run by the hospital district, and its recent inspection history is the strongest part of the picture, a four-out-of-five health inspection rating with 25 deficiencies on record, none of them rising to actual harm or jeopardy. But staffing is where the numbers get thin. At 3.08 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekend coverage drops about 8% below its own weekday level, and annual turnover runs 76% against a national 45.8%. Two abuse-related deficiencies also appear on the current record. The quality measure rating lands mid-range. If you're weighing this one, ask how they hold a shift together on a Sunday.
Bella Terra St George runs 149 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 2.99 nurse hours per resident day against a national average of 3.86, with weekends running about 14% thinner than weekdays. Annual turnover hits 64.8%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 64 deficiencies, 12 of them at harm or jeopardy level and 7 tied to abuse, with $81,346 in fines across two penalties. A recent inspection date doesn't erase that history. The quality measure score looks fine on paper; the direct-care and safety record is what families actually live with.
Old Southwest Health and Rehabilitation runs 130 beds in Roanoke under for-profit LLC ownership, and its last full inspection was in March 2024. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends run about 12% lighter than the home's own weekdays. Staff turnover is the number that should concern you most: 69.5% a year against a national average of 45.8%. On the current record there are 129 deficiencies, including four at the harm or jeopardy level and eight tied to abuse; two fines total $143,823. Ask about weekend coverage and how they keep consistent aides before you visit.
Waverly Rehabilitation and Healthcare Center runs about 3.03 nursing hours per resident day, roughly 22% under the national average, and weekend coverage drops another 14% below its own weekday level. Staff turnover sits at 71.6% against a national figure of 45.8%, so the aides and nurses in the building change over faster than at most homes. On paper the inspection history looks better, a 2023 visit, 25 deficiencies with none flagged at harm or jeopardy level, but eight of those are abuse-related, and a for-profit partnership structure tends to explain where the staffing money goes. The quality measure rating holds at 3 out of 5; the staffing rating does not.
Star City Rehabilitation and Nursing runs 116 certified beds in Roanoke under corporate for-profit ownership, and its staffing numbers are the main thing to know before you tour. Total nurse coverage sits at 3.72 hours per resident day, a bit under the national average, and weekend staffing drops roughly 12 percent below what the home provides on weekdays. Annual turnover hits 68.3 percent, well above the 45.8 percent national figure, meaning the aides and nurses caring for your relative are likely to change often. The inspection record shows 31 deficiencies, none rising to harm or jeopardy and none abuse-related, with the last inspection in February 2024.
Glenville Health & Rehab runs on 3.06 nurse hours per resident day, about 21% under the national average, and weekend staffing drops roughly 13% below what the home itself provides on weekdays. That thin coverage shows up against a 54.1% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record is the harder part: 51 deficiencies, including three tied to abuse and one serious enough to put a resident in harm's way, plus a $39,390 fine. The most recent inspection was April 2026, so the record is current, not stale. It's a for-profit LLC with 65 beds, and the numbers say the same thing across staffing, quality, and oversight.
Beaver Dam Health Care Center carries 110 deficiencies on its current record, 11 of them serious enough to put residents in immediate harm, 15 tied to abuse. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which it's in. The 1-out-of-5 health inspection rating reflects it, and the two fines on file total nearly $96,000. Staffing sits at 3.36 hours per resident day against a national 3.86, and it thins out further on weekends by about 14 percent. Annual turnover runs 56.1 percent, roughly ten points above the national average, meaning the people caring for residents here are cycling through faster than almost anywhere else. Owned by an individual for profit, licensed for 90 beds.
Lakeshore at Siena runs 4.70 nurse hours per resident day, about 22% above the national average, but weekends drop roughly 14% below its own weekday level, so the coverage your family sees Monday isn't what shows up Saturday. And the staff delivering it turn over at 73.3% a year, against 45.8% nationally, meaning most caregivers are new. The inspection record is the hard part: 57 deficiencies, four at harm or jeopardy level, eight abuse-related, with the most recent inspection in February 2026. The church-affiliated nonprofit ownership hasn't translated into a clean survey history. Strong weekday staffing is real. It's carrying a lot of weight here.
Complete Care At Grande Prairie runs on thinner nurse coverage than most homes, 3.44 hours per resident day against a national average of 3.86, with weekends dipping even further below its own weekday pace. That staffing gap matters more given a 60.9% annual turnover rate, meaning the aides and nurses in the building change over faster than they can learn residents' routines, and 21 deficiencies sit on the current record, including three serious enough to cause harm and five tied to abuse. State inspectors last visited in May 2026, though the limited liability ownership and a $65,556 fine suggest oversight has been active. Ask about weekend nurse coverage and how they screen staff before you decide.
Gainesville Convalescent Center runs on thin nurse staffing, 3.08 hours per resident day against a national average near 3.86, and weekends are roughly 11% leaner than weekdays, so coverage thins exactly when families tend to visit. The county hospital district owns the 112-bed home, and its inspection record shows 50 deficiencies, four at harm or jeopardy level and four tied to abuse; two fines total $99,075. Staff turnover of 73.8% sits well above the 45.8% norm, meaning many caregivers are new. Quality measures score well, but surveys and staffing don't, which is where the trouble actually lives.
Riverview runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends dip even further, about 9% below its own weekday coverage. That thinness shows up in the workforce itself: 67.7% annual turnover, well above the 45.8% norm, meaning roughly two of every three caregivers are new to the building each year. Inspectors have logged 38 deficiencies, eight serious enough to put residents in harm's way and seven tied to abuse, with $156,748 in fines across four actions. The last survey was March 2025, so the record is current. A for-profit limited liability company owns the place, and the inspection history is where the trouble concentrates.
Heritage Place Of Decatur runs 60 certified beds as a for-profit corporation, and its last inspection on November 21, 2025 sits fairly recent. The inspection history is the strong part: 13 deficiencies on record, none at harm or jeopardy level and none abuse-related, which lines up with a 4-out-of-5 health inspection rating. Staffing is where the picture shifts. At 2.99 nurse hours per resident day, it runs about 23% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, thin coverage getting thinner when families tend to visit. Quality measures come in at 2 out of 5. Ask how they cover weekends before you decide.
Hilltop Park runs 132 beds in Weatherford under limited-liability, for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a related story: 73.3% of nursing staff leaving annually, against a national 45.8%. The record shows 22 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $102,810 fine. Last inspection was September 2025. Resident care measures score well; staffing and inspection results do not.
Richmond Health Care Center runs about 3.66 nurse hours per resident day, roughly 5% under the national average, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65.5%, well above the 45.8% national figure, which is a lot of churn for a 92-bed nonprofit home. Its inspection record shows 23 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $78,036. Inspections were current as of September 2025, and the health and quality ratings hold at 4 stars each. The staffing number is where this one separates from the pack.
Avir At Meadow Creek runs on thin staffing: 3.11 nurse hours per resident day against a national average of 3.86, with weekends about 11% leaner than weekdays. Turnover sits at 45.9%, essentially identical to the national rate, so retention isn't the outlier here, the raw hours are. The inspection record is the bigger problem. Twenty-two deficiencies, six of them serious enough to involve harm or jeopardy, two tied to abuse, and $119,203 in fines across two events. The most recent inspection was April 2025, so the picture is current, not stale. Families should ask directly how those harm-level findings were corrected and who is on duty on Saturday and Sunday.
Avir At Fort Worth runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 11% below what it manages on weekdays. Staff turnover sits at 71.6%, well above the 45.8% national figure, so the people providing most of the hands-on care are frequently new to the building. The inspection record is where the real weight sits: 42 deficiencies, nine serious enough to put residents in harm's way, six tied to abuse, and six fines totaling $272,419, with the most recent inspection in April 2025. High marks on quality measures don't offset a staffing and compliance picture like that.
The Crescent runs on thinner staffing than most homes in Texas and across the country, 3.61 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 13% below its own weekday level. That matters when you consider the inspection record: 41 deficiencies, seven of them serious enough to put residents in harm's way, seven tied to abuse, and $107,921 in fines across seven separate penalties. Annual staff turnover sits at 59.4%, well above the 45.8% national figure, so the people caring for your family member are probably new and likely to leave. The most recent inspection was February 26, 2026.
The Suites Pasadena runs on thinner nurse staffing than most homes nationally, 3.66 hours per resident day against a 3.86 average, and weekends drop about 13% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover sits at 75.5% against a 45.8% national figure, so the people caring for your family member are likely to keep changing. Behind the numbers: 46 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, plus nine fines totaling $324,713. State inspectors were last in on January 16, 2026.
Willow Park Rehabilitation and Care Center runs 125 certified beds under corporate for-profit ownership, and its inspection record looks solid on paper: a 4-out-of-5 health inspection rating, a recent April 2025 survey, and 24 deficiencies with none at the harm or jeopardy level. Staffing is where the picture changes. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 9% below its own weekday coverage. Annual turnover hits 75%, well above the 45.8% national figure, and there's one abuse-related deficiency on record. Stable inspection results paired with thin, churning staffing is the pattern worth weighing if your family is considering this home.
Treviso Transitional Care runs 140 beds in Longview under for-profit LLC ownership, and the numbers tell a story worth hearing. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, roughly 16% thinner, and weekends drop about 12% below what the home itself staffs on weekdays. Annual turnover of 53.4% outpaces the 45.8% national figure. Its inspection record carries 52 deficiencies, four at harm or jeopardy level and six abuse-related, plus a $150,705 fine; the most recent inspection was August 26, 2025. Resident outcome measures score well, but the hands-on care and safety picture is where the concern lives.
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?