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.
The Springs at Rochester Hills has a 1-out-of-5 health inspection rating and 80 deficiencies on its current record, 12 of them abuse-related, with 6 cited at the level where residents were actually harmed or put in jeopardy. Fines total $150,532 across four penalties, and that last inspection was recent, dated December 2025.
Staffing sits at 3.66 nurse hours per resident day, slightly under the 3.86 national average, and weekends drop about 14% from the home's own weekday levels. A 60.2% annual turnover rate, well above the 45.8% national figure, means the aides and nurses working weekends are often new. For-profit, individually owned, 126 beds. Worth asking administrators directly how they're addressing the abuse citations before you decide.
Optalis Health And Rehabilitation At St. Francis runs about 3.04 nurse staffing hours per resident day, roughly 21 percent under the national average, and it thins out further on weekends, which sit about 11 percent below the home's own weekday level. Staff turnover hits 60.4 percent against a national 45.8 percent, meaning most of the people caring for your family member are new to the building. The inspection record shows 40 deficiencies, three at harm or jeopardy level and one tied to abuse, with two fines totaling $131,073 and a February 2026 inspection. Corporate for-profit ownership, and the staffing numbers tell you what that combination has meant here.
Rock Point Nursing Center runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 55.6% against a national 45.8%, so aides and nurses are cycling out faster than average. The inspection record looks steadier: a 4-out-of-5 health inspection rating, 21 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the last survey was March 2026. Quality measures score 2 out of 5, staffing 1 out of 5. The corporation that owns it keeps the building compliant on paper while running thin on the floor.
Apple Ridge runs on thin staffing. At 2.74 nurse hours per resident per day, it's about 29% below the national average of 3.86, and weekends dip even lower than its own weekdays. That shortfall shows up in its one-out-of-five staffing rating, and it's compounded by turnover: 62.9% of staff leave each year, against a national average of 45.8%. The inspection record carries 39 deficiencies, including 7 tied to abuse, though none rose to the level of actual harm or jeopardy. The last inspection was September 11, 2024. Quality measures also land at two out of five. This is a for-profit corporate home where the numbers point to a persistent staffing problem rather than a one-time slip.
Current River Nursing Center runs on about 3.27 nursing hours per resident per day, roughly 15 percent below the national average, and weekend coverage drops further still, about a tenth thinner than its own weekdays. Staff turnover sits at 73.5 percent against a national figure near 46 percent, so the people caring for residents are, more often than not, new to the building. The inspection record shows 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, and the last state visit was in August 2025. All three CMS star categories land at two out of five. For-profit corporate ownership, thin staffing, and heavy turnover are the pattern here, not a single bad month.
Brunswick Health Care Center runs 60 beds under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. Nurse coverage sits at 3.77 hours per resident day, a bit under the national average, and it dips roughly 7% further on weekends, but the bigger signal is a 75% annual turnover rate, well above the 45.8% national figure. That kind of churn means residents see a rotating cast of caregivers. The inspection record is heavy: 53 deficiencies, four at harm or jeopardy level and four abuse-related, with a $15,143 fine and a 1-out-of-5 health inspection rating. Quality measures score well, but consistent staffing and a clean inspection history are what keep people safe day to day.
Potosi Manor runs on thinner staffing than most homes, 3.28 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That matters most on Saturdays and Sundays, when residents still need the same care with fewer hands on deck.
The bigger issue is turnover: 74.6% of nursing staff leaving annually, against a national rate near 46%. Combine that with 21 deficiencies on record, including one at the harm level and one tied to abuse, and a $13,627 fine, and you get a home with real compliance problems behind its October 2024 inspection. The corporate owner operates it for profit, so ask who's actually on the floor on a Sunday afternoon before you decide.
Fulton Manor runs on thin staffing: 2.60 nurse hours per resident per day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 85.9%, nearly double the national rate, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 49 deficiencies, six tied to abuse, with the most recent survey in January 2025. The corporate owner operates for profit. Taken together, the numbers describe a home where care depends heavily on a workforce that keeps changing.
Aspire Senior Living Excelsior Springs runs 108 beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.01 nurse hours per resident day, it sits about 22% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover of 59.6% means well over half the nursing staff leaves each year, national turnover runs 45.8%. The current record lists 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was recent, January 2026. A 3/5 on health inspections and 2/5 on quality measures suggest the care itself isn't the main concern here, the thin, unstable staffing is.
Good Samaritan Society - Grand Island Village runs 67 certified beds as a nonprofit, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The 63.8% annual turnover is the number that stands out most: well above the 45.8% national figure, which means a good share of the people caring for residents are still learning the building. Its record shows 22 deficiencies, including one at the harm level and one abuse-related, with a single $10,033 fine. The last inspection was 2025-12-30, so the picture is current.
Casa De Oro Center in Las Cruces runs 158 certified beds under corporate ownership, and the numbers that matter most here aren't good. The health inspection record sits at the lowest federal rating, with 97 deficiencies on file, three of them at harm or jeopardy level and nine tied to abuse. That combination is why CMS has placed this home in its Special Focus Facility program, a designation reserved for the country's most troubled nursing homes, and the two fines totaling $68,554 reflect it. Staffing tells a quieter story: 3.44 hours per resident day lands about 11% under the national average, weekends run roughly 13% thinner than weekdays, and turnover sits at 58.5% against a national 45.8%.
Briarcliff Manor Center runs about 3.23 nurse hours per resident day, roughly 16% under the national average, and staffing drops further on weekends. That shortfall shows up in a 55.6% annual turnover rate, well above the 45.8% national figure, and a one-out-of-five staffing rating from CMS. Inspections tell a harder story: 33 deficiencies on the current record, including two at the harm level and three tied to abuse, plus $97,282 in fines across two penalties. The most recent inspection was in March 2025, so the picture is current rather than stale. Census size is 120 certified beds under for-profit partnership ownership. Quality measures score well, but that sits against thin staffing and a two-out-of-five inspection rating.
Waters Edge runs on 2.95 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 8% below what it manages on weekdays. That thin staffing shows up against a 55.6% annual turnover rate, meaning more than half the nursing staff leaves each year. Its current record carries 23 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $153,911 fine. The quality measure score is high, but inspectors last visited in August 2025 and rated the health inspection side 1 out of 5. For a family weighing this one, the staffing and inspection numbers are the ones to sit with.
Pine Acres Center For Nursing And Rehabilitation is a 106-bed for-profit run by a corporation, and its record shows the strain. The health inspection rating sits at 1 out of 5, with 27 deficiencies on file, 10 of them serious enough to cause harm or put residents in jeopardy, plus 2 tied to abuse. Two fines total $122,460. Staffing tells a similar story: 3.30 nurse hours per resident day, about 15% under the national average, and weekends run roughly 9% leaner than weekdays. Turnover at 45.5% is basically the national norm, so the problem isn't retention, it's how few hands are scheduled against how many residents need them.
Woodhaven's staffing sits just a hair above the national average at 3.89 hours per resident day, but that number comes with a catch: weekends run roughly 6% thinner than weekdays, and more than half the nursing staff turned over in the past year, 58.6% against a national 45.8%. The inspection record is where it gets harder to explain away. Twenty-four deficiencies are on file, five of them serious enough to involve harm or jeopardy to residents, and two tied to abuse. Three fines total $128,210, and the most recent inspection was August 2025. For a 115-bed for-profit home, the pattern points to a building that struggles to keep consistent, experienced hands on the floor.
Carolina Rivers runs on thin staffing. At 3.57 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 7% below what the home already does during the week. The bigger warning sign is turnover: 65.5% of staff leave each year, against a national rate near 46%. Its most recent inspection was in December 2025 and produced a clean record of 7 deficiencies, none at the harm level, though one was abuse-related, plus a single fine of $4,271. That inspection record is genuinely strong. The daily reality of who's actually on the floor, and how often that changes, is the part worth asking about.
Laurel Park runs lean on nursing staff, 2.75 hours per resident per day against a national average of 3.86, and weekends drop about 15% below what the building manages on weekdays. That's the number families feel when a call light takes a while. Staff turnover sits at 64.7%, well above the 45.8% national figure, so the people caring for your relative are often new to the building. The inspection record shows 33 deficiencies, including one at the harm level and one abuse-related, with a $10,868 fine. A May 2025 inspection is recent enough that the picture is current. The corporation that owns it has run up this record under the same roof.
Roxboro Healthcare & Rehab Center runs 140 certified beds as a for-profit corporation, and the staffing numbers are where your attention should go first. At 3.13 nurse hours per resident day, it sits roughly 19% under the national average of 3.86, and weekends dip about 6% below its own weekday levels. Annual turnover of 58.9% is well above the 45.8% national figure, meaning the people caring for residents change often. Twenty deficiencies are on record, two serious enough to involve harm or jeopardy, with one fine of $56,778. The most recent inspection was December 2025, so the picture is current. Quality measures score well; the hands-on care hours tell a different story.
Capital City Gardens runs 3.33 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly another 13 percent below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.5 percent against a national 45.8, meaning more than half the nursing staff leaves within a year. The current inspection record shows 37 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with one fine totaling $196,256. Inspectors were last in on April 22, 2026. The quality measure score is high; the staffing and inspection scores are both 1 out of 5.
Hopewell Grove runs on 3.25 nurse hours per resident per day, about 16% under the national figure of 3.86, and weekends drop roughly another 10% below what the building manages Monday through Friday. That thin coverage shows up in the inspection record: 45 deficiencies, three of them serious enough to put residents in harm's way, and a $32,380 fine, all inspected as recently as February 2026. Staff turnover sits at 46.4%, essentially the national rate, so the churn isn't the outlier here, the shortfall in hands-on time is. For-profit corporate ownership, 100 beds, and a one-star inspection history. Ask about weekday-to-weekend staffing before you visit.
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?