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.
Mountain Laurel runs leaner on nursing hours than most homes in the country, 3.14 per resident day against a national average of 3.86, and weekends are thinner still, roughly 17 percent below what the building staffs Monday through Friday. That gap matters when a resident needs help on a Sunday. Turnover sits at 62.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The inspection record is where this home stands out: 87 deficiencies, eight of them serious enough to put residents in harm's way and three tied to abuse, plus $204,839 in fines across ten penalties. CMS placed it in the Special Focus Facility program, which is reserved for the small share of homes with persistent problems.
Careview Health And Rehab Of Minocqua runs 72 certified beds under individual for-profit ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 8 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The inspection history is heavier: 85 deficiencies on the current record, including 6 at harm or jeopardy level and 12 tied to abuse, with three fines totaling $42,834. Federal inspectors were last in the building on January 27, 2026. If you're weighing this one, ask directly how they staff weekends and what changed since that inspection.
Arvin Post Acute runs 81 beds under a for-profit LLC, and its current record carries 53 deficiencies, three at the harm or jeopardy level, three tied to abuse. Federal fines total $80,498 across two penalties. Nurse staffing sits at 3.73 hours per resident day, roughly 4% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays. All three CMS star ratings land at the low end: two stars for health inspections, one for quality measures, one for staffing. The most recent inspection is dated March 26, 2026. For a family weighing this home against others in Kern County, the abuse-related findings and the weekend staffing dip are the two things worth asking about directly.
Paradigm At Sweeny runs on thin staffing. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 16% below what the home already provides on weekdays. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The inspection record backs that up: 21 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse. A for-profit LLC operates the 90-bed home, and while its quality measure score looks good, the 1-star inspection and staffing ratings tell the more relevant story. One fine of $11,905 is on record.
Pleasanton North runs on thin staffing: 2.68 nurse hours per resident per day, roughly 31% below the national average of 3.86, and weekends drop another 16% below its own weekday levels. The inspection record is the bigger concern, 47 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with two fines totaling $167,869 and a health inspection rating of 1 out of 5. Turnover at 42.3% is slightly better than the 45.8% national figure, but that's the one number here that isn't working against the home. The most recent inspection was July 2025, so the record is current.
Avir At Camp Wood runs 86 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86. That thin coverage gets thinner on weekends, when staffing drops about 9% below its own weekday level, which matters most when families are visiting and aides are stretched.
The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. CMS has fined the home twice, totaling $86,254, and the most recent inspection was July 31, 2025. Its health inspection rating lands at 3 out of 5, quality measures at 2, and staffing at 1, the numbers point to a home where care is being delivered, but with real strain.
Avir At Killeen runs on 3.18 nursing hours per resident day, about 18 percent under the national average, and weekend coverage drops roughly 15 percent below its own weekday level. Staff turnover sits at 52.1 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record shows 60 deficiencies, ten of them at the harm or jeopardy level and six tied to abuse, with six fines totaling $137,749. The last inspection was April 17, 2025. Ownership is a for-profit corporation, and 120 beds are certified. The quality measure score looks better than the rest, but it's the staffing and inspection numbers a family should weigh.
The Blossoms At The Village runs 120 beds in Hot Springs under corporate ownership, and its last inspection came back clean on the serious stuff, 17 deficiencies on record, none at the harm or jeopardy level, no abuse findings. That's worth something. What pulls the numbers down is the workforce: 3.20 nurse hours per resident per day, about 17% under the national average, with weekends roughly 10% thinner than weekdays. Turnover sits at 71.2% against a national 45.8%, meaning most of the people caring for your family member are likely new to the building. A recent inspection and no harm-level citations suggest the place isn't unsafe. It does suggest you should ask who's actually on the floor on a Sunday.
South Platte Rehabilitation and Nursing in Brush runs on thinner nurse coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekdays. That shortfall shows up in the staffing rating, and the 64.7% annual turnover means the aides and nurses at the bedside are often new. Its inspection record carries 18 deficiencies, three serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $49,843. Ownership is a for-profit LLC with 78 certified beds. The last state inspection was October 8, 2024. Quality measures score mid-range, but staffing and safety are where families should focus questions.
Mantey Heights runs about 19% leaner on nurse staffing than the national average, 3.12 hours per resident day against 3.86, and it thins out further on weekends, when coverage drops roughly 8% below its own weekday level. That staffing picture gets harder to defend alongside a 58.3% annual turnover rate, well above the 45.8% national figure, because residents see a rotating cast rather than a consistent crew. The inspection record is the heavier concern: 55 deficiencies on file, seven of them serious enough to put residents in harm's way, plus nine tied to abuse. Three fines totaling $117,284 have followed. Whatever the quality measures show, the people responsible for daily care here are stretched thin and constantly changing.
Civita Care Center At Newington runs on 3.12 nursing hours per resident per day, about 19% under the national average, and weekend coverage dips roughly 8% below its own weekday level. The current record carries 57 deficiencies, six of them at harm or jeopardy level, four tied to abuse, plus four fines totaling $120,238. Staff turnover sits at 49.3%, above the national 45.8%. Ownership is a for-profit limited liability company across 180 beds, and its last inspection was November 2025. When a home is cited this often for harm-level and abuse-related problems while staffing less than average, those are the things worth asking about directly before you decide.
Alden Debes runs 268 certified beds in Rockford under corporate ownership, and its staffing is the first thing to look at: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. Turnover sits at 56.1% against a national 45.8%, so aides and nurses cycle through faster than typical, and CMS gives staffing 1 out of 5 stars. The inspection record is the harder problem, 44 deficiencies, five at harm or jeopardy level and six abuse-related, with $129,985 in fines and a 2-star inspection rating. Quality measures score 4 out of 5, but recent inspections still found serious problems.
Landmark of Richton Park runs 294 beds in Cook County under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average, and weekends drop about 14% below what the home itself staffs on weekdays, with turnover at 54.2% against a national 45.8%. The inspection history shows 70 deficiencies on the current record, 14 of them at harm or jeopardy level and 9 tied to abuse, plus six fines totaling $519,652. Its last inspection was in March 2025, and CMS rates staffing 1 out of 5 stars.
Allure Of Zion runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and weekend staffing dips only about 8% below its weekday level. That's real coverage on paper. But 53.5% of staff turned over in a year, against a 45.8% national average, so the people delivering those hours keep changing. The inspection record is where the story turns: 66 deficiencies, 8 at harm or jeopardy level, 10 abuse-related, four fines totaling $255,454, and a health inspection rating of 1 out of 5. The last inspection was July 2024. High staffing hours and a troubled inspection history can coexist, one measures presence, the other measures what happens.
The Pearl of Downers Grove runs on thin staffing: 3.60 nurse hours per resident day, about 7% under the national average, and weekends drop roughly 8% below its own weekday levels. Turnover sits at 64.9% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago. The current record carries 58 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus a $30,794 fine. The last inspection was April 14, 2025. For-profit corporate ownership, 145 beds. The pattern here is understaffing, instability, and a documented history of serious problems.
Princeton Rehab & Hcc runs 225 certified beds on Chicago's south side, and the staffing numbers are the first thing that stands out. At 2.64 nurse hours per resident day, it sits about a third below the national average, and weekends drop roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is heavy: 49 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $32,136 from a February 2025 inspection. Staff turnover, at 47.1%, runs slightly above the national rate, which means new faces are constant.
Nurse staffing at Arc At Normal runs 2.81 hours per resident day, roughly 27 percent under the national average of 3.86, and weekends dip below even that. The current record carries 72 deficiencies, including 8 at the harm or jeopardy level and 16 tied to abuse. Two fines total $62,192, and the last inspection was February 2025. Turnover sits at 40 percent, a bit better than the 45.8 percent national figure, but that one comparatively decent number doesn't offset a 1-out-of-5 staffing rating or the inspection and quality scores both at 2. This is a for-profit limited liability company operating 141 certified beds, and the pattern across these numbers is consistent.
Bria Of Chicago Heights runs 112 certified beds under for-profit LLC ownership, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average of 3.86. Weekends drop about 15 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 33 deficiencies, seven of them at the harm or jeopardy level, six tied to abuse, with four fines totaling $165,764 and a survey as recent as May 2025. Turnover at 41.9 percent is slightly better than the 45.8 percent national figure, but that's the one number here working in its favor.
Wabash Senior Living runs 156 certified beds in Carmi under for-profit LLC ownership, and its staffing numbers are the first thing worth understanding: 3.21 nurse hours per resident per day against a national average of 3.86, with weekends running about 7% leaner than weekdays. Annual turnover sits at 61.1% while the national figure is 45.8%, meaning roughly six in ten caregivers left within the year. The health inspection side looks stronger, a 4-out-of-5 rating and a recent survey date, but 15 deficiencies sit on the current record, five at harm or jeopardy level and one abuse-related, plus a single fine of $93,679. Quality measure and staffing ratings both land near the bottom of CMS's five-point scale.
The Haven of Tuscola runs on 2.94 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 14% under its own weekday level. That thin coverage shows up in the inspection record: 87 deficiencies, five at harm or jeopardy level and five abuse-related, with three fines totaling $68,631. Staff turnover sits at 46.7%, slightly above the national rate. Federal ratings give this for-profit LLC one star each for health inspections and staffing, two for quality measures, and the most recent inspection was January 28, 2025. When a building carries that many citations alongside that few staff hours, families should ask hard questions before admitting anyone.
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?