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.
Chesapeake Health and Rehabilitation Center runs 180 certified beds as a for-profit, individually owned home, and the staffing numbers are the first thing you'd notice. At 2.92 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly 19% below its own weekday coverage. That thinness shows up over time: annual turnover is 63.3% against a 45.8% national figure, meaning most of the people caring for residents are relatively new. Inspectors rated health inspections 1 out of 5 and staffing 1 out of 5, with 53 deficiencies on the current record, five serious enough to involve harm or jeopardy. The last inspection was December 2021, so the record you're reading is years old.
Norview Heights runs on thin staffing. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 19% below what the home itself manages on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bigger tell: 69.6% of nursing staff leave each year, against a national 45.8%, which means the people caring for residents are often new and still learning the building. The inspection record shows 46 deficiencies, one serious enough to involve harm or jeopardy, and the last full inspection was in October 2021, nearly three years stale. Corporate-owned, 60 beds, and a staffing star of 1 out of 5.
Glenburnie Rehab & Nursing Center runs a 125-bed for-profit partnership in Henrico County, and its numbers pull in opposite directions. The quality measure score is perfect, but everything else tells a harder story: nurse staffing sits at 3.20 hours per resident day against a national average of 3.86, weekend coverage drops roughly 22% below its own weekday levels, and annual turnover hits 69.4% while the country averages 45.8%. On inspections, CMS gives it 1 out of 5 stars, with 127 deficiencies on the current record, four tied to abuse and one at the harm or jeopardy level, plus a $54,211 fine. A January 2024 inspection is the most recent on file.
Park Rose runs 5.14 nurse hours per resident day, comfortably above the national average of 3.86, so the raw staffing number looks like a strength. The catch is consistency and stability: weekend coverage drops about 16% below weekdays, and turnover sits at 49.1% against a national 45.8%, meaning nearly half the staff leaves each year. Inspections tell the harder story, 76 deficiencies on record, including 4 at harm or jeopardy level and 7 tied to abuse, with three fines totaling $256,703. For-profit corporate ownership, a 2/5 inspection rating, and a July 2025 inspection date round out a record that asks more questions than the staffing hours alone answer.
Beckley Healthcare Center runs 201 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.20 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly 21% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 55.5% tops the 45.8% national figure, meaning aides and nurses cycle through constantly. The current record carries 71 deficiencies, including 7 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $81,361. Inspectors were last in on January 13, 2026.
Honey Grove Nursing Center runs 102 certified beds under corporate for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.50 nurse hours per resident per day, it sits roughly 9% under the national average of 3.86, and weekends drop another 8% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record backs that up: 40 deficiencies, four serious enough to reach harm or jeopardy level, and two fines totaling $213,797. No abuse citations appear on the current record, and the most recent inspection was in December 2025, so the picture is current rather than stale.
Heritage Gardens runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday levels. That's a real gap when a resident needs help on a Saturday. Annual turnover sits at 59.7%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current inspection record shows 22 deficiencies, one at harm or jeopardy level and four abuse-related, with a $38,840 fine and the most recent inspection in November 2024. The quality measure score looks strong, but that's built from chart data, not from how the place is actually staffed day to day.
Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.
Park Manor of McKinney is owned by a hospital district, and its clinical quality scores look decent, four out of five stars on CMS's quality measures. The problem is the people doing the work. Nurse staffing sits at 3.25 hours per resident per day, about 16 percent under the national average, and weekends run roughly 19 percent thinner than weekdays, so your mother's Sunday care isn't the same as her Tuesday care. Staff turnover is 62.4 percent against a national 45.8 percent, meaning most of the aides who know her will be gone within a year. Eighteen deficiencies sit on the current record, two serious enough to involve harm, with one fine of $29,426.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.
Colonial Rehabilitation and Nursing is an 80-bed for-profit home in Colorado Springs, and the numbers tell a fairly consistent story. Nurse staffing runs about 3.08 hours per resident day, roughly a fifth below the national average, and weekends dip below its own weekday levels, which matters most for residents who need help when families are away. The 61.5% annual turnover means most of the people caring for your relative likely won't be there a year from now.
Its inspection record shows 39 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus one fine of $24,453. The last inspection was July 2025, so that record is current, not stale.
Mystic Healthcare & Rehabilitation Center runs 100 certified beds under for-profit LLC ownership, and the numbers here deserve a careful look before you decide anything. Nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, and it thins out further on weekends, running about 7% below the home's own weekday level. Staff turnover hits 58.8% against a national average of 45.8%, meaning well over half the nursing team leaves each year. The current inspection record carries 41 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $38,860. The most recent inspection was January 14, 2026.
Harborview Health Center Of Augusta runs on thinner staffing than most homes, 3.52 nurse hours per resident day against a national average of 3.86, and the gaps show up on weekends, when coverage dips slightly below its own weekday level. The bigger concern is turnover: 63.8% of staff leave each year, well above the 45.8% national figure, which makes consistent care hard to sustain. Its inspection record carries 24 deficiencies, one serious enough to reach the harm level, and the most recent inspection was June 2025. Quality measures score 1 out of 5 and inspections 2 out of 5, so the pattern across staffing, state surveys, and clinical outcomes all points the same direction.
Nurse staffing at Altamaha Healthcare Center runs 2.78 hours per resident per day, roughly 28% under the national average of 3.86, and weekends dip about 6% below the home's own weekday levels. That thin coverage shows up in the federal stars: one out of five for staffing, one for health inspections, two for quality measures. The inspection record carries 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $4,017 and the most recent inspection dated August 9, 2025. Annual turnover sits at 50%, above the 45.8% national figure, at a 62-bed for-profit corporate home.
Buchanan Healthcare Center runs 60 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 2.89 nurse hours per resident each day, it sits about a quarter below the national average of 3.86, and turnover runs at 74.5%, well past the 45.8% typical elsewhere. Weekend coverage dips slightly below its own weekday level, so there's no surge to catch up.
The good news: 15 deficiencies on record, but none at the harm level and none abuse-related, and the last inspection was in March 2025. So the care isn't dangerous on paper, it's thin. Quality and staffing star ratings both sit at 1/5, which tells you the shortfalls are consistent, not one bad month.
Avantara Joliet runs 154 certified beds under for-profit LLC ownership, and its staffing is the number that stands out most: 3.71 nurse hours per resident day, a bit under the national average, with weekends running about 5% lighter than weekdays. Annual turnover sits at 70% against a national 45.8%, which means the people caring for your relative are, more often than not, new to the building. The inspection record shows 40 deficiencies, six serious enough to involve harm or jeopardy, plus three fines totaling $33,535. The most recent inspection was December 24, 2025. Nothing here is abuse-related, but a staffing rating of 1 out of 5 alongside that turnover rate tells you where the strain lives.
Aliya Of Oak Lawn runs 191 beds under for-profit LLC ownership, and the numbers tell a hard story. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average of 3.86, and weekend coverage dips roughly 3% below its own weekday level, meaning help is thinnest exactly when families tend to visit. Staff turnover is 62% against a national average of 45.8%. On the inspection side, CMS records 81 deficiencies, 16 at harm or jeopardy level and 13 abuse-related, with three fines totaling $299,044; the most recent inspection was January 16, 2025. Quality measure scores look strong, but that's the one bright spot in an otherwise difficult picture.
Aperion Care Lakeshore runs 313 beds on Chicago's South Side, and the numbers that matter most here are the ones about hands on residents. At 2.45 nurse hours per resident day, staffing sits roughly 37% under the national average, and weekends run about 11% thinner than the home's own weekdays. Turnover is genuinely low at 22.2%, well under the national 45.8%, but steady staff can't offset a schedule this thin. The inspection record is the harder read: 96 deficiencies, 8 at harm or jeopardy level, 7 abuse-related, and $249,799 in fines across five penalties. The last inspection was February 2025. If you're considering this one, ask specifically how many nurses are on the floor on a Saturday night.
Doctors Nursing & Rehab Center runs 120 beds in Salem under for-profit LLC ownership, and the numbers paint a rough picture. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip about 4 percent below what the home already provides on weekdays. Staff turnover is 53.3 percent against a national average of 45.8 percent, so more than half the nursing team turns over in a year.
The inspection record is where things get serious: 35 deficiencies, five at harm or jeopardy level, eight tied to abuse, and three fines totaling $107,564. The most recent inspection was March 13, 2026. If you're considering this home, ask directly what's changed since then.
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?