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.
Bedford Care Center of Marion runs on a for-profit LLC model with 120 certified beds, and its staffing numbers tell two different stories. Nurses provide 5.10 hours per resident day, roughly a third more than the national average, but weekends drop about 19% below weekday coverage, and annual turnover hits 88.9%, nearly double the national rate, meaning the people providing that care cycle through constantly. The inspection record is where the real trouble sits: 27 deficiencies on file, 7 of them serious enough to involve harm or jeopardy, plus 2 abuse-related findings and $244,855 in fines across three penalties. A recent March 2026 inspection and low marks on both health inspections and quality measures round out a picture that staffing hours alone can't fix.
Camdenton Windsor Estates runs on thin staffing: 2.78 nurse hours per resident day against a national average of 3.86, and weekends dip about 16 percent below its own weekday levels, so coverage is scarcest exactly when families tend to visit. Three out of four employees left over the past year, the national figure is closer to 46 percent, and CMS rates the home 1 out of 5 on quality measures and 2 out of 5 on both staffing and health inspections. Its record shows 45 deficiencies, including one at the harm level and two tied to abuse. The last inspection was April 10, 2025.
Bernard Care Center runs on 1.99 nurse hours per resident day, roughly half the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in its CMS staffing rating of 1 out of 5, and the health inspection and quality measure ratings sit at 2 out of 5 each. State inspectors have cited 68 deficiencies, none rising to harm or jeopardy and none abuse-related, with one fine of $37,388 on record. Turnover is 45.3%, basically in line with the national figure. The last inspection was December 2025. Ownership is a for-profit limited liability company.
Valley View runs about 3.13 nurse hours per resident day, roughly 19% under the national average, and the gap widens on weekends when staffing drops another 17%. That thin coverage sits behind a 2-out-of-5 CMS staffing rating, and with 62.5% of staff turning over annually against a national 45.8%, caregivers are cycling through faster than residents can get to know them.
The inspection record shows 25 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse. Two fines totaling $62,733 have been levied, and the most recent inspection was October 2024. This individually owned, for-profit home in Moberly carries real compliance problems alongside its staffing shortfall.
Aegis Health and Rehabilitation in Wildwood runs 66 certified beds under individual for-profit ownership, and its federal record is a heavy one: 66 deficiencies logged, five of them at the level where residents were actually harmed or put in jeopardy. Staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection history is the sharpest signal. This home's last full inspection was in May 2025, and its health inspection star rating stands at 1 out of 5. One fine on record totals $275,739. Turnover at 41.7% is slightly better than the 45.8% national figure, but that's the only number here that isn't working against it. Ask about the plan of correction for those five harm-level citations before you tour.
Fair View Health Care Center runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends dip another 11% below its own weekday staffing. That thin coverage lines up with the federal staffing and quality ratings both sitting at 1 out of 5, while the inspection rating reached 3, the surveyors found problems, but nothing at the harm or jeopardy level. Thirty-five deficiencies sit on the current record, including one abuse-related finding, from an inspection dated August 2024. The corporate for-profit owner keeps 75 beds certified here, and families weighing this Sedalia home should ask directly how the weekend shift is covered.
Nurse staffing at Rochester Center runs 3.27 hours per resident day, roughly 15 percent under the national average, and weekends dip about 18 percent below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.1 percent against a national average of 45.8 percent, meaning more than half the nursing team leaves within a year. On the inspection side, the record shows 30 deficiencies, two of them harm-level and one abuse-related, with a $9,315 fine and a January 2025 inspection. This is a for-profit LLC, and the low staffing and inspection ratings line up with the turnover.
Elderwood At Hamburg runs 166 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble sits. At 3.02 nurse hours per resident day, it's about 22 percent below the national average of 3.86, and weekends dip roughly 16 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells a related story: 71.7 percent annually against a national average of 45.8 percent, so the people caring for residents are cycling through fast. Inspections in June 2025 turned up 15 deficiencies, including one at the harm level and two tied to abuse, plus a $26,000 fine. Medicare's staffing rating of 2 out of 5 reflects what those hours look like in practice.
Louisburg Healthcare runs 92 beds under for-profit LLC ownership, and the staffing numbers are where it shows most. At 3.16 nurse hours per resident day, it sits roughly 18 percent under the national average, and weekends drop another 17 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 51.3 percent runs above the national 45.8 percent, so the people providing that care keep changing.
The inspection record is heavier still: 26 deficiencies, two serious enough to involve harm or jeopardy, and $153,104 in fines across three penalties. A March 2025 inspection is recent, so the picture isn't stale. Resident outcomes score well on quality measures; the staffing and inspection side is what's dragging this down.
Charlotte Health & Rehabilitation Center runs 3.58 nurse staffing hours per resident per day, about 7% under the national average, and weekends drop roughly 17% below its own weekday levels. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 36 deficiencies, including 8 at the harm or jeopardy level and 3 tied to abuse, with four fines totaling $132,506. The last inspection was January 28, 2026. For-profit, limited liability ownership, 90 beds. When harm-level findings, abuse citations, thin weekend coverage, and heavy turnover all show up at one address, that pattern is what families should weigh.
Minot Health and Rehab runs a for-profit operation under a limited liability company, and the numbers show real strain. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average, but weekends drop roughly 17% below weekday levels, and annual turnover hits 88.1% against a national average of 45.8%, meaning the aides and nurses caring for your relative are very likely new to the building. The current record carries 23 deficiencies, four serious enough to involve harm or jeopardy and four tied to abuse, with three fines totaling $39,212. The last inspection was June 10, 2025.
Hillsboro Health and Rehab runs on 2.11 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops about 9% below what it manages on weekdays. The inspection record backs up what those numbers suggest: 19 deficiencies, three of them serious enough to put residents in harm's way, three tied to abuse, plus a $119,308 fine. Its last full inspection was October 2023, so that record has had time to stand. The quality measure score looks better on paper, but measures are largely self-reported, and no quality number outweighs that little direct care time.
Astoria Skilled Nursing And Rehabilitation runs 83 beds in Canton under corporate ownership, and the numbers that stand out are the ones about people. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national figure, and it thins out further on weekends, about 15% below the home's own weekday level. Staff turnover is 63.1%, well above the 45.8% national average, which means the aides and nurses your family member sees are frequently new. The health inspection record shows 48 deficiencies, including five at the harm level and four tied to abuse, with $147,894 in fines. The quality measure score looks strong, but that's built on charted data, not on how the place is actually run day to day.
Forest City Nursing and Rehab Center is a 132-bed for-profit home in Susquehanna County, and the numbers point to staffing strain. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, meaning the thinnest coverage comes when families tend to visit. That staffing shortfall shows up in the inspection record too: 19 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,405 fine. The most recent inspection was February 2025, so the picture is current. There's no abuse finding on file, which matters. But with both staffing and quality measures at the bottom of CMS's scale, this is a home worth asking hard questions about before committing.
Good Samaritan Society De Smet runs 46 beds as a nonprofit, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average. Weekends are thinner still, about a fifth below its own weekday coverage. The bigger concern is the record: 17 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus $27,989 in fines. Staff turnover hits 64.4% against a national 45.8%, meaning nearly two-thirds of the workforce leaves each year. Inspectors were last on site in May 2025. A nonprofit mission doesn't automatically produce steady hands on deck, and here the numbers say it hasn't.
Firesteel Healthcare Center runs about 10% below the national average for nurse staffing, at 3.47 hours per resident day, and weekends get thinner still, roughly 15% lighter than the home's own weekdays. The 55% annual turnover rate means more than half the nursing staff leaves within a year, well above the 45.8% national figure. The inspection record is the bigger concern: 33 deficiencies on file, eight serious enough to put residents at risk of harm, one tied to abuse, and $153,308 in fines across six penalties. Ownership is a for-profit limited liability company. The most recent inspection was April 25, 2025, so the picture is current. Ask about weekend coverage and how they've addressed the abuse-related finding.
Quality Center for Rehabilitation and Healing is a 280-bed for-profit home in Lebanon, and the numbers there deserve a careful look before you decide anything. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekend coverage drops about 17% below what the home staffs on weekdays, which matters because that's often when families visit and when problems surface. The inspection record shows 19 deficiencies, including one at the harm level and one tied to abuse, plus a $13,305 fine; the last full inspection was in August 2023. Staff turnover, at 45.3%, is essentially average.
Willow Ridge runs 265 beds in Fort Worth under a for-profit LLC, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident day, roughly a fifth below the national average, with weekends dipping about 13% below its own weekday coverage. The inspection record backs that up, 39 deficiencies in total, 14 at harm or jeopardy level and 5 abuse-related, plus seven fines adding to $321,244. Quality measures score well, but the health inspection and staffing ratings both sit at the bottom of the federal scale, and the most recent survey was July 2025.
Oak Brook Health Care Center in Whitehouse is run by a hospital district, and its inspection record is genuinely strong, a five-star health inspection rating and only four deficiencies on the current record, with one at the harm level and none related to abuse. The problem sits with staffing. At 3.05 nurse hours per resident day, this home runs about 21 percent below the national average, and weekends dip roughly 17 percent below its own weekday coverage. Turnover is 66.4 percent against a national 45.8 percent. That combination, solid inspections, thin and churning staff, is what pulls the overall picture down to average.
Regency Health and Rehabilitation Center runs 60 beds in Yorktown under for-profit LLC ownership, and its staffing is the number that stands out. At 3.17 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekends drop about 21% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new. The current record shows 31 deficiencies, none at harm or jeopardy level, but one tied to abuse. Its last inspection was February 2024.
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?