ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 901–920 of 10,187, best-graded first.

A

87/100

Greenfield Care Center Of Fillmore, Llc

Fillmore, CA · Ventura County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
34%
Serious cites
0

Greenfield Care Center Of Fillmore runs on 5.09 nurse hours per resident per day, roughly a third more than the national average, and its staff turnover of 33.7% sits well under the typical 45.8%. Weekend coverage dips about 10% below weekday levels, so ask how that plays out on Saturdays. The record shows 35 deficiencies, one serious enough to reach harm or jeopardy, plus a single $8,018 fine; the last inspection was March 2026. This is a for-profit LLC with 99 beds, and the staffing is the clearest strength here, worth weighing against that one harm-level finding.

A

87/100

Arbor Rehabilitation & Nursing Center

Lodi, CA · San Joaquin County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
44%
Serious cites
0

Arbor Rehabilitation & Nursing Center runs 149 certified beds in Lodi under corporate ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average, though weekends dip about 7% below its own weekday levels. Turnover lands at 44.2%, slightly better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows 48 deficiencies, none at the harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was January 9, 2026, so the findings are recent. Quality measures score well; the inspection side is more mixed.

A

87/100

San Gabriel Valley Medical Ctr D/P Snf

San Gabriel, CA · Los Angeles County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
7.66 /day
Staff turnover
20%
Serious cites
0

San Gabriel Valley Medical Ctr D/P Snf runs on unusually heavy staffing for a 44-bed for-profit home, 7.66 nurse hours per resident day, roughly double the national figure, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 20% against a national average near 46%, so the people providing that care tend to stay. The trade-off shows up in its inspection record: 34 deficiencies, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. Quality measures score at the top of CMS's scale, and ownership is corporate for-profit. Families weighing a small, well-staffed home against a longer paper trail should ask what those 34 citations actually involved.

A

87/100

Encino Hospital Medical Center D/P Snf

Encino, CA · Los Angeles County

CMS 5/5 28 beds For-profit Medicaid
Nurse hours
7.62 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at this Encino home runs 7.62 hours per resident day, roughly double the national average of 3.86, and turnover sits at 32.7%, well under the 45.8% norm. Those are real strengths, and they show up in the staffing and quality stars. The inspection record tells a different story: 25 deficiencies on file, including one at the harm level and three tied to abuse, plus a $24,030 fine. State inspectors were last on site in December 2025, so the picture is current. Corporate ownership and 28 beds mean a small operation where a single bad incident carries proportionally more weight.

A

87/100

Vista Knoll Specialized Care Facility

Vista, CA · San Diego County

CMS 5/5 119 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
40%
Serious cites
0

Vista Knoll runs a for-profit operation under a limited liability company, with 119 certified beds in San Diego County. The numbers here are decent overall: a 4-out-of-5 inspection rating, a perfect 5 on quality measures, and turnover at 39.8%, better than the national average of 45.8%. Total nurse staffing sits at 3.79 hours per resident day, slightly under the national 3.86, and weekends run about 13% leaner than weekdays, so families should ask how coverage holds up on Saturdays and Sundays. The record shows 31 deficiencies, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. The last inspection was September 26, 2025, so the picture is recent.

A

87/100

Park Vista At Morningside

Fullerton, CA · Orange County

CMS 4/5 99 beds For-profit
Nurse hours
5.52 /day
Staff turnover
38%
Serious cites
0

Park Vista At Morningside runs a for-profit operation with 99 certified beds, and its nurse staffing sits at 5.52 hours per resident day, roughly 43% above the national average, though weekends dip about 10% below its own weekday levels. Turnover lands at 38.2%, better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The caution is in the inspection record: 45 deficiencies, including one at the harm level and one abuse-related, with a single fine of $8,278 and a December 2025 inspection. That's a meaningful gap between how the place is staffed day to day and how it has performed when regulators show up.

A

87/100

Marysville Post-Acute

Marysville, CA · Yuba County

CMS 5/5 86 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
35%
Serious cites
0

Marysville Post-Acute runs 86 beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That margin is thin enough to disappear on weekends, when coverage drops roughly 10% below the home's own weekday level. Staff turnover is the genuine bright spot at 35.2%, well under the 45.8% national figure, which suggests people tend to stay. The tradeoff shows up in the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent inspection was April 2025, so the picture is current. Quality and staffing star ratings both land at 4 or 5 out of 5.

A

87/100

Tice Valley Post Acute

Walnut Creek, CA · Contra Costa County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
37%
Serious cites
0

Tice Valley Post Acute runs about 4.25 nurse hours per resident per day, roughly 10% above the national average, and its staff turnover is 36.5% against a national 45.8%, both real positives. Weekend staffing drops about 11% below its own weekday level, so coverage thins on Saturdays and Sundays. The current record shows 26 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Inspectors last visited in December 2025, so the picture is recent.

A

87/100

Camarillo Healthcare Center

Camarillo, CA · Ventura County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
39%
Serious cites
0

Camarillo Healthcare Center runs 114 beds under corporate ownership, and its nurse staffing sits at 3.89 hours per resident day, just a hair above the national average of 3.86. Weekend coverage drops roughly 7% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover lands at 39.1%, which is meaningfully better than the 45.8% national figure, and its last inspection was recent, in February 2025. The 33 deficiencies on record include none tied to harm or jeopardy and none related to abuse. Quality measures scored well, and the health inspection record is solid. The staffing edge over average is thin, though, that's the number worth watching.

A

87/100

Providence Little Comp Of Mary Subacute Care Ctr

San Pedro, CA · Los Angeles County

CMS 4/5 125 beds Non-profit Medicaid
Nurse hours
8.67 /day
Staff turnover
25%
Serious cites
0

Providence Little Company of Mary Subacute Care Center sits in San Pedro with 125 certified beds, run by a nonprofit corporation. The staffing numbers stand out: 8.67 nurse hours per resident day is roughly two and a quarter times the national average, and weekend coverage only dips about 6% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover runs 25.2%, well under the 45.8% national figure, which suggests people stick around. The record isn't clean, though. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, plus a single $11,170 fine. The most recent inspection was January 30, 2026. Strong staffing and low turnover, but a deficiency count that deserves a hard look before you decide.

A

87/100

Kindred Hospital Brea D/P Snf

Brea, CA · Orange County

CMS 3/5 38 beds For-profit Medicaid
Nurse hours
7.13 /day
Staff turnover
26%
Serious cites
0

Kindred Hospital Brea runs a 38-bed skilled nursing unit in Orange County under corporate ownership, and the staffing numbers are genuinely unusual: 7.13 nurse hours per resident day, roughly 85 percent above the national average, with weekend coverage dipping only about 7 percent below weekdays. Turnover sits at 26.2 percent against a national 45.8, so the people caring for residents tend to stay. What pulls the record down is inspections, a 2 out of 5 star rating, 50 deficiencies on file, and 2 tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was February 2026, so the picture is current. Families weighing heavy care needs against regulatory history have a real tradeoff here.

A

87/100

Forest Hill Manor Health Center

Pacific Grove, CA · Monterey County

CMS 4/5 26 beds For-profit Medicaid
Nurse hours
5.04 /day
Staff turnover
44%
Serious cites
0

Forest Hill Manor runs a 26-bed operation in Pacific Grove, and the staffing numbers are its strongest card: 5.04 nurse hours per resident day, roughly a third above the national average. That margin matters in a small building, though weekend coverage drops about 14% from weekday levels, so care can thin out when families visit most. Turnover sits at 44.4%, essentially the national rate, and the quality measure score is perfect while health inspections land mid-range. The record shows 28 deficiencies, one serious enough to cause harm, and a single fine of $8,278, not alarming for a for-profit LLC, but worth asking about directly.

A

87/100

Pinecrest Retirement Community

Lufkin, TX · Angelina County

CMS 5/5 51 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
52%
Serious cites
0

Pinecrest runs a nonprofit home with 51 beds in Lufkin, and the staffing numbers are the strongest part of the picture: 4.72 nurse hours per resident day, about 22% above the national average, which is a real cushion when someone needs help at 2 a.m. Weekends dip roughly 8% below its own weekday level, so ask how that plays out on Sundays. Turnover sits at 51.5% against a national 45.8%, meaning aides and nurses cycle through faster than average even with the generous hours. The current record shows 11 deficiencies, none at harm level and none abuse-related; the last inspection was June 2025, so the findings are recent, not stale.

A

87/100

Hca Houston Healthcare Southeast

Pasadena, TX · Harris County

CMS 5/5 30 beds For-profit
Nurse hours
6.90 /day
Staff turnover
—
Serious cites
0

Hca Houston Healthcare Southeast runs a small 30-bed unit in Pasadena under corporate for-profit ownership, and the staffing numbers stand out: about 6.90 nurse hours per resident day, roughly 79% above the national average of 3.86. That is a lot of nursing time for a home this size. Weekend coverage drops about 18% below its own weekday level, which is worth asking about if your family visits or calls primarily on Saturdays and Sundays. The current record shows zero deficiencies, none at the harm or jeopardy level, and no abuse-related citations, with the last inspection dated April 12, 2024.

A

86.5/100

Oak Knoll Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
53%
Serious cites
0

Oak Knoll runs 3.71 nurse hours per resident day, a bit under the national average, and weekends dip about 21% below its own weekday coverage, that gap is where problems tend to surface. Staff turnover sits at 52.5%, higher than the 45.8% national figure, so familiar faces are harder to count on. The record shows 12 deficiencies with none at the harm level, but one is abuse-related, which families should ask about directly. Its last inspection was March 2021, so the picture is years old. Quality measures score well; the inspection history and weekend staffing are the parts worth pressing on.

A

86.5/100

Sante Of Chandler

Chandler, AZ · Maricopa County

CMS 5/5 70 beds For-profit
Nurse hours
4.84 /day
Staff turnover
—
Serious cites
0

Sante Of Chandler runs about 4.84 nursing hours per resident each day, roughly a quarter more than the national average of 3.86, a real cushion, though weekends dip about 14% below its own weekday staffing, so coverage isn't perfectly even across the week. Its record shows 7 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated February 19, 2026, so the picture is recent rather than stale. Quality measures score at the top of CMS's scale, and the corporation that owns it operates for profit.

A

86.5/100

Brookdale Skyline

Colorado Springs, CO · El Paso County

CMS 5/5 82 beds For-profit
Nurse hours
4.55 /day
Staff turnover
53%
Serious cites
0

Brookdale Skyline runs 4.55 nurse hours per resident per day, roughly 18% above the national average, and that staffing shows up in the five-star rating. Weekends drop about 20% from weekday levels, so ask how coverage holds up on a Sunday. Staff turnover sits at 53%, higher than the 45.8% national figure, which matters for whether you see the same faces. The inspection record is mixed: 17 deficiencies, two at harm or jeopardy level and one tied to abuse, plus a $9,110 fine. The most recent inspection was April 2025. Strong daily staffing, thinner weekends, and a citation history worth asking about directly.

A

86.5/100

Lamoni Specialty Care

Lamoni, IA · Decatur County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
32%
Serious cites
0

Lamoni Specialty Care runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage, so the daily help is thinner than average, especially Saturday and Sunday. That said, staff retention is strong: turnover sits at 32.3% against a national 45.8%, meaning the people caring for residents tend to stay. Inspections back that up, with a 5/5 health inspection rating, a 5/5 quality measure rating, and only 5 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. The most recent inspection was February 19, 2026. This nonprofit's record is clean, but watch weekend staffing.

A

86.5/100

Evans Senior Living Community

Cresco, IA · Howard County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
29%
Serious cites
0

Evans Senior Living Community runs 43 beds in Cresco under nonprofit ownership, and its inspection record is the strongest thing about it: one deficiency on file, nothing at the harm level, and a survey completed in August 2025. The staffing picture is more mixed. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, the stretch when families often notice less attention. What offsets that is retention: 28.9% turnover against a 45.8% national rate means the people caring for your relative are more likely to still be there next year. Low deficiencies, stable staff, slightly thin weekend hours.

A

86.5/100

Claridge Court

Prairie Village, KS · Johnson County

CMS 5/5 45 beds Non-profit
Nurse hours
4.63 /day
Staff turnover
44%
Serious cites
0

Claridge Court sits in Prairie Village with 45 certified beds and nonprofit ownership, and its nurse staffing runs about 20% above the national average, 4.63 hours per resident day against 3.86. Weekend coverage drops roughly 16% below its own weekday level, so ask how that gap gets handled on Saturdays and Sundays. Staff turnover is 43.6%, a touch under the national 45.8%. The inspection history is the mixed part: 17 deficiencies on record, one of them at the harm or jeopardy level, plus a single fine of $18,028. The most recent inspection was January 14, 2026, so that picture is current, not stale.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist