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 Johnson City runs 60 beds under corporate ownership, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekend coverage drops another 11% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover of 65.5% is well above the 45.8% national figure, which matters because residents see a rotating cast rather than familiar faces.
The inspection record is the harder part: 28 deficiencies, six of them serious enough to reach harm or jeopardy level, and $74,691 in fines across three penalties. The most recent inspection was June 4, 2026. Quality measures score mid-range, but staffing and health inspections both sit at one star out of five.
Pruitthealth - Palmyra runs 250 certified beds in Albany, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends drop about 15% below what the home itself provides on weekdays, so coverage is thinnest exactly when families tend to visit. The inspection history is the heavier concern: 32 deficiencies on the current record, four of them at the harm or jeopardy level and two abuse-related, plus a $48,909 fine. Staff turnover of 47.9% runs slightly above the national rate, meaning caregivers cycle through faster than average. A for-profit LLC operates it, and the most recent inspection was November 2025.
Fort Valley Crossing runs 3.65 nurse hours per resident day, about 6% under the national average, and weekend staffing drops roughly 18% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The bigger number is turnover: 70.3% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its three CMS star ratings sit at 2 of 5, with 18 deficiencies on record, none at harm or jeopardy level and none abuse-related. A December 2025 inspection is recent, so the picture is current, not stale. For-profit LLC ownership. Nothing here is alarming on paper, it's a home running leaner than average in both hours and consistency.
Bria Of Geneva runs 107 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses give 3.76 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage, so the thinnest shifts land when families visit and outside oversight is quietest. Annual turnover sits at 61.5% versus 45.8% nationally, meaning most of the people caring for your relative are new to the building. The health inspection rating is solid at 4 of 5, but the current record carries 32 deficiencies, including one at harm or jeopardy level and two tied to abuse.
Dubuque Specialty Care runs about 2.89 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 17% below its own weekday coverage. Staff turnover sits at 57.1% against a national 45.8%, meaning more than half the nursing team leaves each year. The inspection record carries 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $53,372 fine, and the most recent inspection was July 30, 2025. Quality measures score mid-range, but thin staffing and high turnover are the numbers that matter most for day-to-day care.
Arabella Health & Wellness Of Meridian runs 84 certified beds under corporate for-profit ownership, and its inspection record is genuinely the strong point: 15 deficiencies on file, none at harm or jeopardy level, one tied to abuse, and the most recent survey came in April 2025. The trouble sits elsewhere. Nurse staffing averages 3.41 hours per resident day, roughly 12% under the national figure, weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 66.7% against a 45.8% national average. That combination, thin coverage that thins further on weekends, with most of the workforce leaving each year, is what pulls the quality and staffing measures down, even with a clean recent inspection.
Florissant Valley runs 3.94 nurse hours per resident day, a hair above the national average of 3.86, but look closer and the picture changes. Weekend staffing drops roughly 17% below the home's own weekday level, and annual turnover sits at 68.8% against a national figure of 45.8%, meaning most of the people caring for residents are relatively new and the weekend crew is thinner. The inspection record shows 72 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in November 2024. For a 98-bed for-profit corporate home, those numbers, not the staffing headline, are what a family should weigh.
Lansdowne Village runs 145 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.4% against a 45.8% national figure means aides and nurses are cycling through constantly. The inspection record backs that up: 71 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, with a $15,015 fine on file. Last inspected in November 2025.
Autumn Oaks Caring Center is a for-profit, individually owned home with 120 beds in Mountain Grove. Staffing sits slightly under the national average at 3.79 nurse hours per resident day, but the bigger issue is consistency: weekend coverage drops about 19% below weekday levels, and annual turnover runs 55.7% against a national 45.8%. That churn shows up in the inspection record too, 30 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $48,539 from a January 2025 visit. Quality measure scores sit at the bottom of CMS's scale, and the health inspection rating is well below average, though staffing earned a middle mark.
Riverview Nursing Center in Mokane runs 60 beds under individual for-profit ownership, and the numbers pull in different directions. Inspectors have found the place in good shape, a clean five-star health inspection record as recently as May 2025, with 13 deficiencies on file and none rising to actual harm. The daily experience is a different question. Nurse staffing sits at 3.25 hours per resident, about 16 percent under the national average, and drops roughly another quarter on weekends. Staff turnover runs 64.3 percent against a national 45.8, meaning most of the people caring for your family member will be gone within a year. Quality measures come in at one star.
Heartland Care and Rehabilitation Center runs 102 certified beds in Cape Girardeau under individual for-profit ownership. The staffing numbers are the place to start: 3.05 nurse hours per resident per day, about 21% under the national average, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 66.2%, well above the national 45.8%.
What keeps this home from being a harder call is its inspection record, five stars, cleaned up recently, and 11 deficiencies with none at the harm level and none related to abuse. The tradeoff is real, though: residents get solid care oversight but thin coverage, especially on weekends. If you're considering it, ask how the weekend shift is actually staffed.
Aspire Senior Living Oak Grove runs a 90-bed for-profit home in Jackson County, and the staffing numbers are the first thing that stand out. At 2.73 nurse hours per resident day, it's roughly 29% under the national average of 3.86, and weekends dip about 16% below its own weekday level. Turnover sits at 38.9%, actually better than the 45.8% national figure, so retention isn't the problem here, raw coverage is.
The inspection side looks stronger: a 4/5 health inspection rating and 27 deficiencies on record with none at the harm level, though 2 are abuse-related. But the 1/5 quality measure rating, paired with a 2024-08-02 inspection date, suggests the clinical picture doesn't match the survey results.
Springfield Villa runs on 2.96 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 20% below what the home itself staffs on weekdays. That thin coverage is hard to separate from the rest of the record: 64% annual turnover, a one-star CMS staffing rating, and 36 deficiencies logged, including three at the harm or jeopardy level and one tied to abuse. The last inspection was November 2023, and there's a $69,595 fine on file. Quality measures score mid-range at three stars, but with staffing this far under the norm and a for-profit LLC structure, the numbers point to a home where care depends heavily on who happens to be on shift.
Norwich Rehabilitation & Nursing Center runs 80 certified beds as a for-profit LLC, and the numbers show a home stretched thin. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 18% below what the home itself staffs on weekdays, meaning care thins out exactly when families tend to visit. Staff turnover is 58.4%, well above the 45.8% national figure, so the people providing care keep changing. The current record carries 12 deficiencies, including one at the harm level and one abuse-related, plus seven fines totaling $63,215. The last inspection was August 2025, so the picture is recent, not stale.
Person Memorial Hospital runs 56 certified beds in Roxboro under for-profit LLC ownership, and its staffing number is the first thing that stands out: 3.10 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The record shows 22 deficiencies, including one at the harm level and one abuse-related, plus eight fines totaling $58,807, and the most recent inspection was December 2025. Federal ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
University Health And Rehabilitation Center runs 126 beds in Durham under for-profit LLC ownership, and the staffing numbers are where the trouble starts. Nurses provide 3.31 hours per resident day against a national average of 3.86, weekends drop roughly 16% below the home's own weekday level, and annual turnover hits 62.2% when the national figure is 45.8%. Inspectors have cited 37 deficiencies, five of them at harm or jeopardy level and two abuse-related, with three fines totaling $129,754. The quality measure score looks strong, but that reflects charted clinical data, not the hands available to deliver care. A family weighing this home should ask how many aides are actually on the floor on a Saturday.
Majestic Care Of Bryan runs 149 certified beds under for-profit LLC ownership, and its staffing is the clearest problem: 3.24 nurse hours per resident day, about 16% under the national average, with weekend coverage dropping roughly another 16% below its own weekday level. Turnover sits at 45.7%, essentially the national rate, so the issue isn't churn so much as how few hands are scheduled on any given day. The inspection record backs that up, 57 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with $74,055 in fines and a 2/5 inspection rating. The most recent inspection was December 2025. Quality measures score well, but staffing doesn't.
Palisade Healthcare Center runs about 18% below the national average on nurse staffing, and weekends drop roughly another 17% below its own weekday level. The inspection record is the harder problem: 29 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $154,946. A 60% annual turnover rate against a 45.8% national average means the people at the bedside keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The quality measure score looks strong on paper, but it sits on top of a staffing and inspection record that families should ask about directly.
Huntingdon Health & Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.41 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly 20% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 49.2% tops the national figure, which means the people caring for your relative are often new. The inspection record shows 18 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $52,156 fine. The most recent inspection was January 2026, so the picture is current rather than stale.
Fortress Nursing and Rehabilitation runs 2.84 nurse hours per resident day, roughly 27% under the national average, and weekend coverage drops about 22% below its own weekday levels. That thin staffing sits alongside a 79.7% annual turnover rate, well above the 45.8% norm, so the people caring for residents change often. The current record carries 19 deficiencies, four of them at the harm or jeopardy level and three tied to abuse, plus a $17,014 fine; the most recent inspection was January 22, 2026. Ownership is a for-profit limited liability company. Quality measures score well, but staffing and inspection findings are where the trouble shows.
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?