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 Azalea Heights runs 120 certified beds in Tyler under for-profit LLC ownership, and its nurse staffing sits at 2.60 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 25 deficiencies, three of them serious enough to put residents at harm or jeopardy, with two fines totaling $27,550 and a December 2025 inspection. Staff turnover of 43.8% is close to the national 45.8%, so the problem isn't retention so much as how few hands are scheduled per resident.
Ballinger Healthcare and Rehabilitation Center runs on thin staffing. At 3.04 nurse hours per resident per day, it sits about 21% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger flag is turnover: 96.1% annually, meaning the aides and nurses caring for residents are, in large part, new to the building, against a national rate near 46%. Its 13 deficiencies include one abuse-related citation but none at the harm level, and the last inspection was November 2024. For-profit LLC ownership. Ask about weekend coverage and how long current staff have actually been there.
Avir At Winnsboro runs a 112-bed for-profit home, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average. Weekends drop another 14 percent below its own weekday levels, and staff turnover hits 59.4 percent against a national figure of 45.8. That combination matters more than any single number here, because thin coverage and constant turnover tend to reinforce each other. The current inspection record carries 50 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $21,554 in fines. The most recent inspection was June 25, 2025. If you're considering this one, ask directly how they cover weekends and what they've changed since that inspection.
Regency Village runs 122 certified beds in Webster under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.8% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building.
The inspection record is heavier still: 28 deficiencies, including 5 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $22,718. State inspectors last visited in May 2025.
Winfield Rehab & Nursing runs about 3.2 nurse hours per resident per day, roughly 17% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 62.1%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through an 83-bed building. The inspection record is where things get serious: 48 deficiencies, nine at harm or jeopardy level, ten tied to abuse, and five fines totaling $355,773. The quality measure score looks fine on paper, but that reflects charted care processes, not the staffing and safety problems inspectors keep documenting. For-profit individual ownership, and the last inspection was December 2025.
Arbor Grace runs on thinner staffing than most homes, about 3.08 nurse hours per resident day against a national average near 3.86, and weekends dip roughly 6% below its own weekday levels. That shortfall shows up in the numbers: 58.6% annual turnover, well above the 45.8% national figure, plus 38 deficiencies on record, four serious enough to involve harm or jeopardy and one tied to abuse. Two fines totaling $44,434 round out the picture. The last inspection was February 2026, so the record is current, this isn't stale history. A for-profit LLC operating 80 beds with a 1/5 quality measure rating is a home where you'd want to ask hard questions about who's actually on the floor.
If you're weighing Brownsville Nursing and Rehabilitation Center for someone you love, the staffing numbers are the thing to sit with. Nurses provide 2.88 hours of care per resident per day, roughly a quarter below the national average, and weekends run about 13 percent thinner than weekdays. Staff turnover sits at 62 percent, well above the 45.8 percent national figure, which means caregivers cycle through fast and familiarity suffers. The inspection record is heavier still: 42 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, plus $63,287 in fines. A recent August 2025 inspection and a strong quality-measure score don't offset a 1-out-of-5 staffing rating and a 1-out-of-5 inspection rating. Ask hard questions before choosing this one.
Corpus Christi Nursing and Rehabilitation Center runs on 3.00 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 11% below its own weekday level. That thin margin matters because turnover sits at 59.8% against a national 45.8%, close to six in ten staff leaving in a year, which makes consistent care hard to hold onto. The inspection record shows 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one fine of $13,397 and a survey dated June 2025. Nonprofit ownership hasn't translated into stronger staffing here.
Groveton Nursing Home is a 47-bed for-profit in Trinity County, and the split in its federal ratings is the whole story. Inspectors rate it well, four stars, six deficiencies total, only one serious enough to cause harm, none tied to abuse, and the most recent visit was in September 2025. But staffing sits at one star, and that gap matters: a home can pass inspection on any given day while running thin the rest of the year. One fine has been levied, $56,378, which isn't small for a building this size. If you're considering it, ask how many direct-care hours residents actually get per day and how often they use agency or temporary staff.
Lakewest runs on thin nursing coverage, 3.20 hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That's the kind of gap families notice as slower call buttons and rushed meals. Staff turnover sits at 71.7% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago.
The inspection record carries 42 deficiencies, including one at the harm level and five tied to abuse. Two fines total $25,799, and the most recent inspection was January 2026. A government hospital district owns it. Strong quality scores don't offset staffing this thin and a record this long.
Caprock Nursing & Rehabilitation runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekends dip about 9% below its own weekday staffing. That thin coverage meets a workforce where 93.3% of staff turn over each year, more than double the national rate, so the people providing care keep changing. The current record holds 27 deficiencies, three at harm or jeopardy level and four abuse-related, plus one fine of $10,145. The most recent inspection was May 21, 2025. Quality scores look strong on paper, but the staffing and inspection record is where the real story sits.
Twin Pines North runs on 3.20 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below its own weekday levels. That thin coverage shows in the numbers: 96.3 percent annual staff turnover, more than double the national rate, which means the aide or nurse caring for your relative this month is likely gone within the year. Twenty-six deficiencies sit on the current record, including two tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was April 2025. Corporate-owned and for-profit, the home rates one star for staffing and two for quality measures.
The Enclave runs on thinner nursing coverage than most homes, 3.63 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages on weekdays, so the thinnest shifts land when families tend to visit. Staff turnover sits at 60.9%, well above the 45.8% national figure, which means the people caring for residents keep changing. Inspectors cited 46 deficiencies on the current record, including three tied to abuse and one at the harm level, and the last inspection was in August 2025. That combination of low staffing, high turnover, and repeat citations is what drives the low rating here.
Skilled Care of Mexia is run by the local hospital district, and its inspection record is genuinely decent, a 4/5 health inspection rating, 17 deficiencies logged with three at the harm level and none tied to abuse. The problem sits almost entirely on the staffing side. At 3.17 nurse hours per resident day, this home runs about 18% under the national average, and weekends drop another 10% below its own weekday pace. Then there's turnover: 97.2% against a national average of 45.8%, meaning the aides and nurses around your relative are largely new to the building. Care can look fine on paper and still feel thin when the same faces never stay long enough to learn a resident's habits.
Avir At Patriot runs 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in the numbers: a 52.7% annual turnover rate, more than 45.8% nationally, and a one-star CMS staffing rating. The inspection record carries 77 deficiencies, four of them at harm or jeopardy level and four abuse-related, with $153,192 in fines across three penalties. The most recent inspection was August 2025. Quality measures score better, but the staffing and inspection picture is what a family should weigh.
East Terrace is a for-profit LLC with 99 beds in Los Angeles, and its record is a hard one to read. State inspectors have cited 85 deficiencies, five of them at harm or jeopardy level and 13 tied to abuse, with six fines totaling $176,430. The federal inspection rating sits at one star out of five, and the last survey was recent, December 2025, so the findings aren't old history. Total nurse staffing of 4.04 hours per resident day edges just past the 3.86 national average, but weekends run about 7% thinner than weekdays, so coverage isn't steady across the week. If you're weighing this one, ask what those abuse citations involved and how the home has changed since December.
Jonesboro Center for Nursing and Healing runs 129 certified beds as a for-profit LLC, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86, with weekends dropping about 18% below its own weekday levels. That thin coverage shows up in the federal staffing rating, which lands at 1 out of 5, while annual turnover hits 56.8% against a national 45.8%. Inspections tell a similar story: 23 deficiencies on record, none at harm or jeopardy level and none abuse-related, with three fines totaling $16,801 and the most recent inspection dated February 2026. No single finding is alarming on its own, it's the combination of light staffing and heavy turnover that families should weigh.
Plaza West runs 151 certified beds as a for-profit LLC, and the numbers tell a consistent story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86, and weekends drop roughly 22% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 58.7% is well above the 45.8% national figure, which means the people caring for your relative are often new. The inspection record is the heavier concern: 63 deficiencies, including one at the harm level and one abuse-related, with ten fines totaling $93,073 and a March 2025 inspection.
Timber Springs Rehab and Retirement is a for-profit LLC home with 153 beds in Springhill, and its numbers pull in opposite directions. The most recent inspection, from March 2026, came back clean enough to earn a top federal rating, and none of the 12 deficiencies on record involved actual harm, though one was abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.14 nurse hours per resident per day sits about 19 percent under the national average, and weekends run roughly 12 percent thinner than weekdays. Federal quality measures also rate low. A strong inspection can mask thin daily coverage, so ask how many aides are actually on the floor on a Saturday.
Optalis Health And Rehabilitation Of Canton runs 150 certified beds under corporate for-profit ownership, and the staffing numbers explain a lot. Nurses provide 3.44 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends drop about 16 percent below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover sits at 73.4 percent against a national 45.8, meaning most of the people caring for your relative are new to the building. The inspection record backs this up: 74 deficiencies, four at harm or jeopardy level, eleven abuse-related, and one fine of $140,322. Quality measures score well, but that sits on top of a staffing and compliance picture that isn't reassuring.
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?