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.
Manor Court of Carbondale runs a nonprofit operation with 120 certified beds, and its nurse staffing comes in at 4.42 hours per resident day, which is roughly 14 percent above the national average. That's a real strength on paper, though weekend coverage drops about 15 percent below the home's own weekday level, and staff turnover sits at 52.1 percent against a national average of 45.8 percent, meaning the people delivering that care are cycling out faster than is typical elsewhere. The inspection record is where things get harder to explain: 38 deficiencies currently on file, six of them serious enough to involve harm or jeopardy, three tied to abuse, plus three fines totaling $126,274. The most recent inspection was June 2025.
Osage Rehab runs 46 beds under for-profit LLC ownership, and the staffing numbers are where I'd start: 3.06 nurse hours per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. Turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is heavier still, 44 deficiencies, two at harm or jeopardy level and three tied to abuse, plus a $14,433 fine. That inspection was recent, December 2025. If you're weighing this one, ask about weekend coverage and how abuse-related findings were resolved.
Central Guest House in Baton Rouge runs on 3.29 nurse staffing hours per resident day, roughly 15 percent under the national average of 3.86, and weekends drop about 13 percent below what the home itself staffs on weekdays. Turnover sits at 49.3 percent against a national 45.8, so nearly half the nursing staff leaves each year. Inspectors have logged 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $26,790; the last inspection was March 2026. Ownership is a for-profit limited liability company, and the staffing and quality measure ratings both come in at two out of five.
Pines Retirement Center Of Baton Rouge runs a for-profit limited liability operation with 85 certified beds, and the numbers carry some weight. Nurse staffing sits at 3.98 hours per resident day, slightly above the national average, but the weekend dips about 12% below weekday levels, and turnover is 73.5% against a national average of 45.8%, that churn matters more than the small staffing edge. Inspections tell the harder story: 68 deficiencies on record, three at the harm or jeopardy level, six tied to abuse, and a single fine of $174,993, with the most recent inspection in September 2025.
The staffing cushion doesn't offset that record. When you're comparing homes, ask specifically about the abuse deficiencies and the harm-level citations.
Oakland Nursing & Rehabilitation Center is a for-profit, LLC-owned home with 100 certified beds in Garrett County, and the numbers behind its record are worth understanding. Nurse staffing sits at 3.16 hours per resident day, roughly 18 percent under the national average, and weekends run about 10 percent thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover lands at 45.3 percent, essentially in line with the national figure, which means this isn't a churn problem so much as a thin-staffing one. What stands out most is the inspection record: 72 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $16,559 in fines and a December 2025 inspection. All three CMS star ratings come in at one out of five.
Oxford Rehabilitation & Health Care Center runs 120 beds in Haverhill under for-profit LLC ownership, and its staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the heavier concern: 41 deficiencies, one at harm or jeopardy level, four tied to abuse, and $265,351 in fines across two penalties. Staff turnover at 36% is actually better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. A February 2026 inspection is recent, so the record reflects current conditions.
Haverhill Rehabilitation and Healthcare Center runs 128 certified beds under corporate ownership, and the staffing numbers tell the clearest story. At 3.53 nurse hours per resident day, it sits about 9% under the national average of 3.86, weekend coverage drops roughly 11% below its own weekday level, and annual turnover hits 56.5% against a national 45.8%. Inspectors have logged 43 deficiencies on the current record, including two at the harm or jeopardy level and five tied to abuse, with two fines totaling $29,749. The last inspection was March 19, 2026, and CMS gives the home a single star for staffing.
Adviniacare Newburyport runs 111 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to notice. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Turnover lands at 44.3%, close to the national 45.8%, so retention isn't the outlier here, thin daily coverage is. The inspection record carries 72 deficiencies, eight at harm or jeopardy level and four abuse-related, with five fines totaling $322,104. The last inspection was September 2025, so the record is current, not stale. A 1/5 staffing star and 2/5 quality measures tell you where the pressure shows up.
Somerset Ridge Center runs 135 certified beds under for-profit LLC ownership, and its state survey history comes out clean where it matters most, 16 deficiencies on record, but none at the harm or jeopardy level, and none abuse-related. Inspectors were last in the building in December 2025, so the picture is current. Where the numbers get less comfortable is staffing: 3.58 nurse hours per resident day sits about 7% under the national average, weekends drop roughly 14% below the home's own weekday levels, and annual turnover runs 53.7% against a national 45.8%. One fine totaling $214,420 appears on the record. The 4-star inspection rating and 2-star quality and staffing ratings tell you what kind of tradeoff you're looking at.
The Villa At Green Lake Estates is a for-profit, 85-bed home in Orchard Lake with a staffing picture that runs below the national average, about 3.54 nurse hours per resident day against 3.86 nationally, and thins out further on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover sits at 65.2%, well above the 45.8% national figure. Its inspection record is the heavier concern: 50 deficiencies, six at the harm or jeopardy level and three abuse-related, with four fines totaling $528,432 and a health inspection rating of 1 out of 5. The quality measure rating of 4 shows some clinical metrics land well, but the inspection and staffing numbers tell the more consequential story.
Bedford Care Center of Mendenhall runs 60 certified beds under limited liability ownership, and the staffing picture is mixed. At 4.11 nurse hours per resident day, it sits about 7% above the national average, but weekends drop roughly 9% below its own weekday levels, and annual turnover hits 61.1% against a national 45.8%. The bigger problem is what inspectors found: 23 deficiencies on the current record, six of them at harm or jeopardy level, with four fines totaling $101,514 and a February 2025 inspection. Both the health inspection and quality measure ratings sit at 1 out of 5 stars. Turnover that high plus that many serious deficiencies is a combination worth asking about directly before you decide.
Marymount Manor runs 174 beds in Eureka under corporate ownership, and its staffing is thinner than it looks at first glance, 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 8% below what the home itself staffs on weekdays. The bigger concern is stability: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. On inspections, the record shows 51 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $132,696 fine and a June 2025 inspection. The pattern in these numbers, heavy turnover, weekend shortfalls, repeat serious findings, is what drives the low marks on quality and inspection performance despite the staffing star.
Stonebridge Villa Marie runs on thin staffing. At 3.15 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the number that stands out most: 74.3% of staff leave each year, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. The health inspection record shows 33 deficiencies, two tied to abuse, though none reached the level of actual harm or jeopardy. Last inspected in August 2024 under for-profit limited liability ownership.
Milan Health Care Center runs on 2.01 nurse staffing hours per resident day, roughly half the national figure of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: a one-star CMS staffing rating, a one-star inspection rating, and 45 deficiencies on the current record, including two at the harm or jeopardy level and eight tied to abuse. Staff turnover sits at 58.8% against a national 45.8%, so the people providing that care keep changing. Inspectors were last in on March 5, 2025, and one fine of $49,897 stands against the home. Corporate-owned, 100 beds, quality measures rated mid-pack, the staffing and inspection picture is where the concern lives.
New Mark Rehab runs 199 beds in Kansas City under for-profit LLC ownership, and its nursing hours come in around 3.51 per resident day, roughly 9% under the national average, with weekends dipping another 9% below its own weekday coverage. That thin schedule sits alongside a 70.6% annual turnover rate, well above the 45.8% national figure, meaning the staff present are often new. The inspection record shows 44 deficiencies, including four at harm or jeopardy level and six tied to abuse, with two fines totaling $12,279 and a June 2025 inspection. CMS rates staffing 1 out of 5 stars and health inspections 2 out of 5, while quality measures land at 3.
Westview Nursing Home runs on 2.32 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 62.5% against a national 45.8%, so the aides and nurses who know your mother's routine may not be there in six months. Its inspection record is the harder problem: 49 deficiencies, six at harm or jeopardy level, two tied to abuse, and a $42,680 fine, with the last inspection in May 2025. The quality measure score looks decent, but that reflects charted care, not the staffing that delivers it.
Blue Springs Wellness & Rehabilitation runs on 2.69 nurse hours per resident day, roughly 30% under the national average, with weekends about 12% thinner than weekdays. That staffing shortfall sits alongside a 68.9% annual turnover rate, well above the national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record shows 66 deficiencies, including three at harm or jeopardy level and one tied to abuse, with $116,230 in fines and a March 2025 inspection. The five-star quality measure rating reflects resident assessment data, not the hands available to deliver care.
Hill Crest Manor runs about 3.01 nurse staffing hours per resident each day against a national average of 3.86, roughly a fifth less hands-on time than most homes provide, and weekends dip further below its own weekday pattern. Staff turnover sits at 54.2%, well above the 45.8% national figure, so the people caring for residents are changing often. The inspection record shows 45 deficiencies, including one tied to abuse, and federal fines total $13,033. CMS rates its staffing, quality measures, and inspection results at the low end, with the most recent state visit in January 2025. This is a for-profit, individually owned 90-bed home in Caldwell County where the numbers point to thin coverage and a rocky regulatory history.
Eastview Manor runs on 2.12 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin margin shows up in the inspection record: 106 deficiencies, eight serious enough to put residents in harm's or jeopardy's way, and 11 tied to abuse. The health inspection rating sits at 1 out of 5 stars, and two fines total $163,472 against a for-profit limited liability company. Turnover runs 48.1%, a bit above the national 45.8%. The quality measure score is 4 stars, but that's built from reporting, not from enough hands on the floor.
Silverstone Place runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 5% below its own weekday levels. Staff turnover sits at 57.7% against a national 45.8%, so more than half the nursing staff leaves each year. The 33 deficiencies on record include two abuse-related citations, though none reached harm or jeopardy. A June 2025 inspection is recent, and the 4/5 health inspection rating suggests the building itself is kept in reasonable order, but a 1/5 staffing rating and 2/5 quality measures tell you where the strain shows up. Ask about weekend coverage and how they retain aides before deciding.
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?