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.
Jackson Manor runs a tight ship on inspections, a five-star health inspection rating and a clean record with no deficiencies at the harm level and nothing abuse-related is genuinely hard to find. The problem sits on the staffing side. At 3.35 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 19 percent below its own weekday numbers. Annual turnover of 64.3 percent is well above the 45.8 percent national figure, which means the people delivering care keep changing. Its quality measure rating is middling too. For-profit, individually owned, 90 beds. If you're considering it, ask how they cover weekend shifts and how long the current director of nursing has been there.
Sikeston Convalescent Center runs 120 certified beds under individual for-profit ownership, and its inspection record looks solid on the surface, a 4-out-of-5 health inspection rating, with the most recent survey completed in April 2026. The staffing numbers tell a different story: 3.85 nurse hours per resident day sits essentially at the national average of 3.86, but weekend coverage drops roughly 17% below the home's own weekday levels, and annual turnover hits 61.2% against a national average of 45.8%. Quality measures score just 1 out of 5. There are 27 deficiencies on record, one at the harm level, and a single fine of $13,627.
Stonebridge Maryland Heights runs 223 beds under corporate ownership, and the numbers suggest a building stretched thin. Nurses provide 3.50 hours of care per resident daily, roughly 9% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Turnover sits at 66.1% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record shows 46 deficiencies, two tied to abuse, with the most recent state visit in February 2025. Staffing, inspections, and quality measures all land at two stars.
Beauvais Rehab runs 184 beds in St. Louis under for-profit LLC ownership, and the staffing numbers tell the clearest story: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 15% below its own weekday coverage. That thin margin shows up in who's actually there on a Sunday. Staff turnover sits at 64.1%, well above the 45.8% national figure, and the inspection record carries 66 deficiencies, including five at harm or jeopardy level and four tied to abuse, plus a $64,695 fine. The most recent inspection was March 2025, so the record is current rather than stale. A 1-out-of-5 staffing rating and 2s on inspections and quality measures describe a home where the gaps are consistent, not isolated.
Riverview At The Park runs about 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekend coverage drops another 17% below what it manages on weekdays. Staff turnover sits at 56% against a national rate near 46%, and the home is licensed for 120 beds under individual for-profit ownership. Inspectors visited recently, in September 2025, and found 22 deficiencies on the current record, none rising to actual harm or jeopardy, though one is abuse-related. The five-star inspection rating reflects a clean survey in that narrow sense, but the two-star quality measure score and one-star staffing score tell you where the strain actually lives.
Ridge Crest runs on thinner staffing than most homes you'd compare it to, 3.01 nurse hours per resident day against a national average of 3.86, and weekends dip about 17% below what the building manages during the week. Annual turnover sits at 63.3%, well above the 45.8% national figure. The inspection record shows 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. State surveyors were last in the building in September 2025, so the picture is current rather than stale. Put those numbers next to a 1-out-of-5 staffing rating and 2s for inspections and quality measures, and you have a home where the shortfalls are consistent across categories, not a single bad stretch.
Community Manor runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 17% below what it manages on weekdays. Turnover sits at 58.3%, well above the 45.8% norm, which matters because the people most familiar with your relative's routines are the ones most likely to leave. The record isn't alarming on safety: 29 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent June 2025 inspection. But staffing is where the strain shows, and a family should ask directly how many aides are on the floor on a Saturday night.
Stonebridge Adams Street runs 120 beds under corporate ownership in Jefferson City, and the numbers that stand out most are about people, how many there are and how long they stay. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and drops roughly 23% on weekends compared to weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Annual turnover hits 72% against a national 45.8%, meaning most of the aides and nurses working with residents will be gone within a year. Inspections turned up 41 deficiencies, including one at the harm level and two tied to abuse, with a $38,656 fine on record and the last visit in December 2024.
Hudson Elms runs on 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits at 76.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection record backs that up: 45 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with the last inspection in June 2023. Corporate ownership and one $17,610 fine round out the picture. Quality measure scores look strong on paper, but that's family-reported data, and it's hard to see how it holds up when the floor staff keeps changing.
Heritage Hall Dillwyn runs on thin staffing. At 2.95 nurse hours per resident per day, it sits about 24 percent under the national average of 3.86, and weekends dip roughly 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2 percent outpaces the national 45.8 percent, meaning aides and nurses cycle through often. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was March 2024. A four-star inspection rating and a two-star quality measure score sit alongside that one-star staffing picture; the state surveyors have generally been satisfied, but the day-to-day floor coverage is where the concern lives.
Chi Franciscan Villa runs 90 beds in South Milwaukee, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.46 hours per resident day, about 10 percent under the national average, and weekends drop roughly 16 percent below what the home itself staffs on weekdays, while half the nursing staff turned over in a year. The inspection history carries more weight than the staffing shortfall: 65 deficiencies on the current record, including 10 at the harm or jeopardy level and 11 tied to abuse, plus four fines totaling $208,607. Its last inspection was May 29, 2026.
Deerings runs on thin staffing, and the numbers show it. At 2.71 nurse hours per resident day, it sits about 30% under the national average of 3.86, and weekends drop roughly another 18% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover is 97.9%, more than double the national 45.8%, meaning the aides and nurses caring for residents are largely new or on their way out. Inspections look better: a 4/5 health inspection rating and a recent March 2025 visit, but the record still holds 30 deficiencies, including one at the harm level and three tied to abuse, plus $8,278 in fines. Good quality scores can't offset that kind of churn.
Hemphill Care Center runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and its weekend staffing barely budges from weekdays, about 1% higher, which is unusual when most homes thin out on Saturdays and Sundays. That thin coverage shows up in the inspection record: 26 deficiencies, nine of them serious enough to put residents in harm's way, and five tied to abuse. Two fines totaling $29,226 round out the file. The last inspection was recent, September 2025, so this isn't stale history. Corporate-owned and operating well under typical staffing levels, this is a home where the numbers themselves tell you to look closely before deciding.
Shady Oak runs lean on staff. At 2.85 nurse hours per resident day, it sits about 26% under the national average, and weekends drop roughly another 15% below its own weekday coverage. Every nursing position turned over in the past year, 100%, against a national figure near 46%, which means the people caring for residents keep changing. Inspectors visited in September 2025 and logged 14 deficiencies, none at the harm level but one tied to abuse. The 5-star inspection rating looks strong on paper, but the 2-star quality and staffing marks tell you where the strain actually lands.
Brooksville Healthcare Center runs 180 certified beds as a nonprofit corporation, and the numbers worth knowing sit in its staffing. At 3.60 nurse hours per resident day, it lands about 7% under the national average of 3.86, and weekend coverage drops roughly another 10% below its own weekday level, so the hours thin out exactly when families tend to visit and emergencies tend to happen. Staff turnover of 55.9% against a national 45.8% means caregivers cycle through faster than residents can build familiarity with them. The inspection record shows 21 deficiencies, four serious enough to reach harm or jeopardy and two tied to abuse, plus one fine of $37,811.
Canton Center runs on county government ownership, and the numbers show where that leaves residents. Nurse staffing sits at 3.06 hours per resident day, roughly a fifth below the national average, and weekends drop another 12% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 59.3%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The current inspection record shows 15 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent survey was in August 2025. Quality measures score low, and staffing is the weakest piece of the federal picture here.
Aliya of Glenwood runs 184 beds in Cook County under for-profit LLC ownership, and its nurse staffing sits right at the root of its problems. At 2.69 hours per resident day, it's about 30% under the national average of 3.86, and weekend coverage dips roughly 5% below its own weekday levels. Staff turnover lands at 48.7%, a few points above the national figure. The inspection record is heavy: 63 deficiencies, 8 at harm or jeopardy level, 6 abuse-related, and seven fines totaling $226,122. Its last inspection was April 2025. If you're weighing this one, ask specifically how they cover weekends and what's changed since those abuse findings.
Briar Place runs on 1.90 nurse hours per resident per day, roughly half the national average of 3.86. Weekends drop about another 10% below its own weekday numbers, and 54.1% of staff turned over last year against a national rate of 45.8%. The inspection record shows 50 deficiencies, nine of them at harm or jeopardy level and nine abuse-related, with five fines totaling $147,914; the last visit was November 2024. For-profit, limited liability ownership, 232 beds, a two-star health inspection rating and one star for staffing. When a building carries that many harm-level findings and that thin a floor staff, families should ask who is actually on the unit overnight and on weekends.
Complete Care at Margate Park runs 310 beds on Chicago's far North Side, and the staffing numbers are the first thing worth knowing: 3.01 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 10% thinner than weekdays. That shortage shows up in the inspection record, 100 deficiencies, nine of them at harm or jeopardy level and 19 tied to abuse, plus five fines totaling $155,687. Annual turnover sits at 47.4%, slightly above the national figure, at a for-profit limited liability company. One thing in the home's favor: it was inspected recently, in late February 2026, so the record you're reading reflects current conditions rather than a stale survey.
The Waters of Martinsville runs on thinner staffing than most homes in the country, 3.49 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops about 10% below its own weekday level. Annual turnover sits at 62.5%, well above the 45.8% national figure, so the people caring for residents are frequently new. Its inspection record carries 34 deficiencies, including two at the harm level and two tied to abuse, plus a $22,165 fine. Ownership is corporate, for-profit, and the most recent inspection was in September 2025.
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?