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.
Legends Care runs 65 beds in Massillon under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below the home's own weekday levels. Annual turnover hits 57.8%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the heavier concern: 72 deficiencies, four at harm or jeopardy level, eleven abuse-related, and $317,114 in fines. A recent inspection in June 2025 means the record is current. Resident care measures look strong, but staffing and compliance don't.
Emerald Care Center Tulsa runs on thinner nurse coverage than most homes in the country, about 3.48 hours per resident per day, roughly 10% under the national average, and weekends drop further below its own weekday staffing. The bigger concern is turnover: 73.6% of staff leaving annually, against a national average near 46%, which means whoever is at the bedside is often new. The inspection record backs that up, 67 deficiencies, two at harm or jeopardy level, three tied to abuse, and ten fines totaling $91,783. A for-profit limited liability company owns it. The most recent inspection was November 2025, so the record is current, not stale.
Jan Frances Care Center runs 132 certified beds in Ada, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.06 hours per resident per day, roughly a fifth under the national average, and weekends drop about 12% below what the home already provides on weekdays. Staff turnover is 56.8%, well above the 45.8% national figure, meaning the people doing the hands-on care keep changing. On the inspection side, the record shows 43 deficiencies, including five at the harm or jeopardy level and four tied to abuse; the most recent inspection was January 9, 2025. A single fine of $13,733 is also on file.
Abbeyville runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends dip another 8% below its own weekday coverage. Staff turnover sits at 55.1% against a national 45.8%, which means the people caring for residents are, more often than not, still learning the building. The current record carries 34 deficiencies, two tied to abuse, though none reached the harm or jeopardy level CMS tracks most closely. A for-profit limited liability company owns the 172 beds, and the most recent inspection was April 2026. Three stars for health inspections, two for quality measures, two for staffing.
Harborview Rehabilitation Care Center in Doylestown runs on thinner staffing than most homes: 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday levels, exactly when families tend to visit. Annual turnover sits at 49%. The bigger concern is the inspection record, 50 deficiencies, two at harm or jeopardy level, one tied to abuse, and $68,903 in fines across three penalties. Federal inspectors last visited in September 2024 and rated health inspections and quality measures 1 out of 5. Corporate ownership, 120 beds. The staffing number is the closest thing to good news here; it's the harm-level findings that should shape your questions.
Nurse staffing at this Phoenixville home runs about 3.16 hours per resident day, roughly 18% under the national average, and weekends dip even lower than weekdays. Annual turnover is 69.5%, meaning most of the people caring for your relative will be gone within a year, against a national rate near 46%. The inspection record shows 32 deficiencies, including two at the level that put residents in actual harm or jeopardy and three tied to abuse. A single fine of $94,695 is on file from an inspection completed in August 2025. Ownership is a for-profit limited liability company, and while its quality measure star sits at 5, that score describes charted care, not whether enough hands are present to deliver it.
If you're weighing Hopkins Center for someone in your family, the staffing numbers are the first thing to look at. Nurses provide 3.42 hours of care per resident per day, about 11 percent under the national average, and weekends run roughly 8 percent thinner than weekdays, so the coverage gaps land when families tend to visit. Turnover sits at 50 percent, above the national 45.8 percent, meaning many of the people involved in daily care are still learning the building. On inspections, the record shows 49 deficiencies, including 7 at the harm or jeopardy level and 6 tied to abuse, plus six fines totaling $155,155. That history, reviewed again in August 2025, is worth asking about directly.
Edenbrook On Second Ave runs 160 certified beds under for-profit LLC ownership, and the staffing picture is thin: 3.62 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday levels. Turnover sits at 65.6%, well above the 45.8% national figure, which means the people caring for residents change often. The current record shows 43 deficiencies, including one at the harm or jeopardy level and four abuse-related citations, and the last inspection was in May 2026. CMS rates staffing and quality measures at 2 stars each and inspection results at 2, all below the midpoint. Families weighing this home should ask directly about weekend coverage and how the abuse citations were resolved.
Bethlehem North runs on 3.22 nurse hours per resident day, about 16% under the national average of 3.86, and weekends are staffed roughly 11% thinner than weekdays. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5. Turnover runs 55.9% against a national 45.8%, so aides and nurses cycle through steadily, and 28 deficiencies sit on the current record, including two tied to abuse, though none reached harm or jeopardy level. The most recent inspection was February 2026. It's a 217-bed for-profit corporate home; with 2s for both inspections and quality measures, the numbers don't point to a place running on much margin.
Cranberry Place runs 150 certified beds in Butler County under nonprofit ownership, and its nurse staffing sits right at the national average, about 3.90 hours per resident day. The problem is who's left on weekends, when coverage drops roughly 15% below its own weekday level, and how fast the staff turns over: 66.3% annually against a national 45.8%. That churn shows up in the inspection record, where 87 deficiencies include 9 abuse-related citations and 6 at the harm or jeopardy level, drawing two fines totaling $42,774. The most recent inspection was January 31, 2026, so the record is current. Families weighing this home should ask specifically how weekend coverage and staff retention are being addressed.
Peachtree Centre runs a 151-bed for-profit operation in Gaffney, and the staffing numbers are the first thing a family should sit with. At 3.02 nurse hours per resident day, it's about 22% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. Turnover sits at 64.6% against a national 45.8%, meaning roughly two of every three caregivers are new to the building each year. Eighteen deficiencies are on record, none at harm or jeopardy level and none abuse-related, which matters, but the most recent inspection was May 2026.
Sandpiper Post Acute runs on 3.05 nurse hours per resident day, roughly a fifth less than the national average, and staffing thins out further on weekends. More than half its nurses left over the past year, well above the typical rate. The inspection record is heavier: 47 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and five fines totaling about $85,000. Federal inspectors gave it one star for both staffing and health inspections, though its quality measure score came in at three. A Charleston County family weighing this 176-bed for-profit home should ask hard questions about who's on the floor at 2 a.m. and how abuse concerns were resolved.
Dyersburg Health and Rehabilitation Center runs 123 certified beds under for-profit LLC ownership, and the staffing numbers are where you'll want to focus. Nurse hours come in at 3.53 per resident per day against a national average of 3.86, and weekends drop about 12% below the home's own weekday coverage, that's the kind of gap families notice when they visit on a Saturday. Turnover sits at 57.1% versus 45.8% nationally, so aides and nurses cycle through faster than average. The inspection record is recent, December 2025, with 18 deficiencies total, 8 at harm or jeopardy level and 2 abuse-related. Quality measures score 2 out of 5, staffing 2 out of 5, while inspections hold at 4.
Vista Hills runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 15% below what the home manages on weekdays. The bigger problem is retention, 95.8% annual turnover means the aides and nurses caring for residents are, on average, gone within about a year, against a national rate near 46%. Inspectors have cited 72 deficiencies, including five tied to abuse and one at the harm level, and fined the corporate owner $40,465. The quality measure score looks good on paper, but that's family-reported data, and it sits alongside a one-star staffing rating.
Spanish Fork Rehabilitation and Nursing runs on 2.74 nurse staffing hours per resident day, roughly 29% under the national average of 3.86, and weekends dip about 5% below its own weekday level. That thin coverage sits behind a 69.6% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside are often new and still learning the residents. Inspectors last visited in November 2025 and logged 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with $69,083 in fines across two cases. State inspectors and quality measures both score well above average, but those snapshots can't offset day-to-day staffing this lean.
Bayside runs 3.38 nursing hours per resident day, roughly 12 percent under the national average of 3.86, and weekends drop about 14 percent below its own weekday coverage. Staff turnover sits at 77.9 percent against a national figure of 45.8 percent, so the people caring for residents keep changing. The inspection record shows 66 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $113,068 fine and a one-star health inspection rating. Quality measures score well at four stars, but that number reflects resident assessments, not how the place is run day to day.
Amelia Rehabilitation and Healthcare Center runs on about 2.93 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 14% below its own weekday pace. That thin margin shows up in the workforce itself: 61.6% of staff leave each year, well above the 45.8% national figure, so residents see a rotating cast rather than familiar faces. The inspection record is harder to explain away, 60 deficiencies on file, including three at the harm level and seven tied to abuse, with the most recent state visit back in November 2023. A limited liability company operates the 100-bed home for profit. Good quality scores can't offset that.
Parkersburg Center runs on 3.05 nurse staffing hours per resident day, roughly 21% under the national average of 3.86, and weekends drop about 8% below what the home already schedules during the week. Staff turnover sits at 56% against a national 45.8%, so the aides and nurses your family would see are likelier than average to be new or on their way out. The inspection record shows 60 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $16,562 fine and a December 2025 inspection behind a one-star health inspection rating. That combination, thin coverage, high churn, and a long citation history, is what drives the low marks here.
Autumn Lake Healthcare at Greenfield runs a for-profit LLC home with 112 certified beds on Milwaukee's south side, and the staffing picture is genuinely mixed. Nurses provide 4.41 hours per resident day, roughly 14% above the national average, but weekend coverage drops about 10% below the home's own weekday level, so the help you'd want on a Saturday isn't quite what the weekday numbers suggest. What's harder to get past is the record: 64 deficiencies, seven at harm or jeopardy level, eight tied to abuse, and two fines totaling $152,619. Annual turnover of 76.2% means most of the staff caring for your family member this year likely won't be there next year.
Bay Ridge Healthcare Center runs 58 certified beds in La Porte under corporate for-profit ownership, and the numbers on its current record are worth a close look. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekend coverage drops roughly 13% below the home's own weekday level, the stretch when families often can't visit. Staff turnover runs 57.7% against a national 45.8%, so the people caring for your relative may keep changing. The inspection record shows 32 deficiencies, six at harm or jeopardy level and six abuse-related, with $18,054 in fines. The most recent inspection was February 2025.
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?