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.
Ambassador Nursing & Rehab Center runs on 2.58 nurse hours per resident per day, roughly a third below the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 20.2%, well under the national 45.8%, which means the staff who are there tend to stay. The record is where the trouble shows: 62 deficiencies, 5 at harm or jeopardy level, 8 abuse-related, and $134,388 in fines. A 190-bed for-profit LLC in Chicago, inspected most recently in August 2025, with middling marks on health, quality, and staffing. Ask about weekend coverage and how those abuse citations were resolved.
Highland Health Care Center runs on thin staffing: 3.31 nurse hours per resident day, about 14% under the national average, with weekends even leaner than weekdays. That's the number behind its one-star staffing rating, and it matters more than the four-star quality measure score, which reflects a narrower set of clinical metrics.
The inspection record is where the real weight sits. Twenty-six deficiencies, four of them serious enough to put residents in harm's way, three tied to abuse, and a $35,875 fine. The most recent state visit was in September 2024, so the picture is current, not stale.
Ownership is a for-profit limited liability company, and turnover runs at 66.7% against a national 45.8%. That churn makes consistent care hard to sustain.
Loft Rehab & Nursing of Canton runs 90 beds as a for-profit corporation, and the numbers that stand out most are on the staffing side. At 2.92 nurse hours per resident day, it's roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday coverage, meaning the thinnest shifts get thinner. Turnover sits at 47.5%, a bit above the national 45.8%. The inspection record shows 26 deficiencies, three of them at harm or jeopardy level, with $134,115 in fines across three penalties; the most recent inspection was August 2024. No abuse deficiencies are on record.
Evergreen Nursing & Rehab Center runs 120 certified beds in Effingham under corporate ownership, and its recent inspection history isn't the problem, a 4-out-of-5 health inspection rating with 15 deficiencies on record, four of them serious enough to cause harm, and no abuse findings. The trouble sits in the staffing numbers. At 2.78 nurse hours per resident day, it runs about 28% below the national average of 3.86, weekends dip another 4% below its own weekday levels, and annual turnover hits 68.5% against a national 45.8%. One fine totaling $10,542 is on the books. People are being cared for here, but the floor is thin and the faces change often.
Country Health runs lean on nurses: 3.08 hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday pace. That thin coverage shows up in the inspection record, 53 deficiencies, eight serious enough to involve harm or jeopardy, 13 tied to abuse. Staff turnover sits at 53.6%, well above the 45.8% national figure, meaning the people providing daily care keep changing. This nonprofit campus in Gifford has been fined twice, totaling $150,053, and its last inspection was September 24, 2025. The quality measure score of 3 out of 5 is the strongest part of the file; staffing and health inspection scores both land at 2.
Oak Park Oasis runs 204 beds under for-profit partnership ownership, and the staffing numbers are the first thing that stand out. At 2.98 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about another 15% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover at 32.1% is actually better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. The inspection record is harder to explain away: 52 deficiencies, including five at harm or jeopardy level and six tied to abuse, plus seven fines totaling $244,182. The most recent inspection was October 2024.
Timber Point runs on 2.70 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 13 percent below its own weekday level. That thin bench shows up in the numbers: 51.7 percent annual turnover against a national 45.8 percent, a 1-out-of-5 staffing rating from CMS, and a chain of 35 deficiencies, five serious enough to reach harm or jeopardy, three tied to abuse. Two fines totaling $131,617 sit on the record, and the most recent inspection, in June 2025, is recent enough to assume it reflects how things run now. With a 2-out-of-5 inspection rating and corporate for-profit ownership, the pattern is consistent rather than a single bad month.
Continental runs 208 beds on Chicago's West Side with a corporate for-profit owner, and the staffing math is thin: 2.70 nurse hours per resident day, roughly 30% under the national average, and weekends drop about 11% below its own weekday levels. Turnover at 31.8% is better than the 45.8% national figure, so the people who stay tend to stay. What stands out more is the inspection record, 97 deficiencies, nine serious enough to put residents in harm's way, eleven tied to abuse, and twelve fines totaling $305,887. The most recent inspection was May 2025, so it's current. If you're considering this one, go visit on a weekend and ask directly how they staff then.
Aperion Care Dolton runs 88 certified beds under corporate for-profit ownership, and its staffing sits at 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, which matters when needs don't pause on Saturdays. Turnover at 31.9% is actually better than the 45.8% national figure, so retention isn't the main problem here; the raw hours and inspection record are.
The March 2024 inspection left 32 deficiencies on the current record, including four at the harm or jeopardy level and three tied to abuse. Four fines total $168,629. With staffing star at 1 out of 5 and inspection at 2, the numbers point to thin coverage and repeated serious findings rather than one bad survey.
Evercare Of Lebanon runs 90 certified beds under for-profit LLC ownership, and the staffing picture is the first thing that stands out: 3.06 nurse hours per resident day, about 21% under the national average of 3.86, with weekends running roughly 12% lighter than weekdays. That thin coverage shows up in the inspection record, 37 deficiencies, seven at harm or jeopardy level, six abuse-related, and four fines totaling $303,529, with the most recent inspection in December 2024. Staff turnover at 33.3% is actually better than the 45.8% national figure, so the instability here isn't primarily about people leaving; it's about too few hours on the floor relative to what residents need.
Coulterville Rehab & Hcc runs on 3.11 nurse hours per resident per day, roughly 19% under the national average, and weekends drop another 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 12 deficiencies, two of them at harm or jeopardy level and two abuse-related, plus a $113,818 fine. Turnover sits at 47.1%, slightly above the national 45.8%, so caregivers are cycling through. The last inspection was August 2024. Corporate-owned and certified for 75 beds, it earns middling marks on quality measures but the lowest tier for staffing. If you're considering this one, ask directly how many nurses are on the floor on a Saturday night.
Countryside Care Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops another 10% beneath its own weekday level. More than six in ten staff left over the past year, 62.5% turnover against a national 45.8%, so the people showing up are often new. Its inspection history is the harder problem: 61 deficiencies on the current record, seven serious enough to put residents in harm's way, five tied to abuse, and $317,916 in fines across seven penalties. The five-star quality measure score reflects charted care, not whether enough hands are there to deliver it.
Grey Stone runs 3.58 nurse hours per resident day, about 7% under the national average, and weekend coverage drops roughly 11% below what the home staffs on weekdays. Annual turnover sits at 57.5% against a national 45.8%. The inspection record is the heavier problem: 24 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with three fines totaling $193,383. That record earned a 1-star health inspection rating, and while the last inspection was recent, in August 2025, the pattern behind it matters more than the date. A for-profit limited liability company owns the 100-bed building.
Advena Living At Fountainview runs lean on staff. At 3.18 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 15% below its own weekday coverage. That thin margin shows up in the workforce itself: 72.2% annual turnover, well above the 45.8% national figure, meaning the aides and nurses your family member sees are frequently new. The inspection record carries 35 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $30,566. The most recent inspection was January 2025, so the picture is current. Quality measures score low against inspection and staffing marks that land mid-range.
Louisburg Healthcare and Rehabilitation Center runs about 3.49 nurse hours per resident per day, roughly 10% under the national average, and weekends dip another 11% below its own weekday levels. Staff turnover sits at 38.6%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 24 deficiencies, one serious enough to involve harm or jeopardy, and a $19,218 fine, with the most recent inspection in August 2025. The quality measure rating of 1 out of 5 is the weakest mark in the file. For-profit ownership through a limited liability company, 60 beds.
Bradford Heights runs on thin nursing coverage, 3.18 hours per resident per day against a national average of 3.86, and weekends drop about 12% below what the home itself manages Monday through Friday. That shortfall shows up in CMS's staffing rating, which sits at the lowest mark, and in turnover of 57.1% against a national 45.8%, meaning the aides and nurses at the bedside keep changing. Inspectors logged 22 deficiencies on the current record, none rising to harm or jeopardy and none abuse-related, with the last visit in September 2025. The limited liability company ownership takes profit out of the picture, but the staffing numbers are the ones families should weigh.
Glenview runs 3.35 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop about 8 percent below the home's own weekday staffing. That thin coverage compounds with a 58.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses at the bedside keep changing. Inspectors logged 11 deficiencies, two tied to abuse, with the most recent visit in June 2025. The company is a for-profit LLC. Taken together, low hours, high churn, a 1-out-of-5 staffing rating, the pattern is a home running lean, and families should ask directly how many aides are on the floor on a Sunday evening.
Harvest Manor is a for-profit LLC home in Denham Springs with 171 certified beds, and the numbers behind its record are hard to dress up. Nurses provide 3.35 hours of care per resident per day, roughly 13 percent under the national average, and weekend staffing drops about 13 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Its inspection history includes 31 deficiencies, five at harm or jeopardy level and six tied to abuse, with two fines totaling $304,311 and a place in CMS's Special Focus Facility program. Staff turnover, at 44.2 percent, actually sits slightly under the national average, so the trouble looks less like a retention problem and more like persistent shortfalls in care and oversight.
Cape Cod Post Acute Care in Brewster runs 135 certified beds under for-profit LLC ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.35 hours per resident day, about 13 percent under the national average, and weekends drop roughly another 10 percent below what the home itself staffs on weekdays. Annual turnover is 50 percent, higher than the 45.8 percent national figure, and the inspection record shows 69 deficiencies, including 8 at the harm or jeopardy level and 2 tied to abuse. One fine totaling $298,483 is on file, and the most recent inspection was in May 2025. Ask about weekend coverage and turnover directly.
Oak Knoll runs 123 beds under corporate ownership, and its staffing sits just under the national average at 3.79 hours per resident day, close enough that the bigger issue is the weekends, which run about 12 percent thinner than weekdays. Turnover at 41.4 percent is actually a little better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is: 27 deficiencies, including two at the harm level and one tied to abuse, plus a single $211,819 fine. With quality and staffing each at two stars and the last inspection dated February 2026, the pattern is thin coverage on weekends alongside a serious 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?