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.
Brickyard Healthcare's Golden Rule Care Center carries a one-star inspection rating and 45 deficiencies on its current record, including six tied to abuse and four serious enough to put residents in harm's way. That's the part families should sit with, not the fine total of $55,102, which is comparatively small next to the pattern itself. Staffing sits about 16% under the national average, and roughly two-thirds of the nursing staff left over the past year, well above the typical rate, with weekend coverage thinner than weekdays. At 170 beds under corporate ownership, it's a large building running short-handed, and the September 2025 inspection is recent enough to reflect current conditions.
Shawnee Gardens runs 3.68 nurse hours per resident day, about 5% under the national average, and weekends dip roughly 7% below its own weekday numbers. The bigger flag is turnover: 74.2% of staff leaving annually against a national rate near 46% means the people caring for residents are constantly new. Its inspection record shows 57 deficiencies, including 6 at harm or jeopardy level and 5 tied to abuse, with four fines totaling $80,905 and a one-star health inspection rating. The last inspection was September 2024. A for-profit corporation owns the 130-bed home, and quality measures sit at three stars while staffing holds at two.
Grant Healthcare and Rehabilitation runs 95 certified beds in Williamstown under for-profit LLC ownership, and the numbers pull in different directions. The health inspection side is genuinely solid, a recent September 2025 survey, no deficiencies at the harm or jeopardy level, and a four-star inspection rating. But look at what surrounds that. Nurse staffing sits at 3.20 hours per resident day, roughly 17 percent under the national average, and weekends run about 12 percent thinner than weekdays. Annual turnover of 65.7 percent is well above the national 45.8 percent, meaning most of the people caring for your family member are relatively new. Thirteen deficiencies on record, four tied to abuse, with a one-star quality measure rating, round out a home that passes inspection but struggles to keep and staff its floors.
Dover Nursing & Rehabilitation Center runs 85 certified beds in Georgetown under for-profit LLC ownership, and its 4.04 nurse hours per resident day sit slightly above the national average of 3.86. That number looks better than it is, though, weekend staffing drops about 9% below the home's own weekday level, and annual turnover hits 58.6% against a national average of 45.8%.
The inspection record is where the real concern sits: 29 deficiencies currently on file, including one at the harm or jeopardy level and three tied to abuse. Four fines total $170,733, and the last inspection was March 19, 2026. A 1-out-of-5 staffing star rating alongside a 2-out-of-5 health inspection rating tells you the regulatory picture here is thin.
Lake Barkley runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends are thinner still, about 5% below its own weekday staffing. That gap matters less when you consider the inspection record: 12 deficiencies on file, none causing harm or jeopardy, none abuse-related, and a recent April 2026 survey. The bigger concern is turnover at 61.1%, well above the 45.8% national average, which corporate ownership hasn't offset. Federal quality measures land at 2 out of 5 stars despite the 4-star inspection rating, a split that suggests care planning and outcomes don't match the clean survey history.
Hathorne Hill runs on thinner staffing than most places, 3.67 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops roughly 10% below what the home itself staffs during the week. Nearly 54% of staff turned over in a year, well above the 45.8% national figure, which matters because unfamiliar caregivers miss things. The inspection history is a split picture: a recent December 2025 survey and no abuse citations, but 29 deficiencies on record, six serious enough to involve harm or jeopardy, and one fine of $242,785. A for-profit corporation owns the 120 beds. Families should ask specifically how weekend shifts are covered.
The Manor of Novi runs on thinner nurse coverage than most homes, 3.45 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 15% below its own weekday level. With 61.8% annual turnover, well above the 45.8% national figure, familiar faces are hard to count on. Its current record carries 56 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, plus a $67,496 fine. State inspectors were last in on April 8, 2026, and the health inspection rating sits at 1 out of 5. For-profit corporate ownership rounds out the picture.
Aspire Senior Living Moberly runs 101 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.50 hours per resident day, about 9 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 60.9 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record shows 36 deficiencies, including 2 at the harm or jeopardy level, 4 tied to abuse, and one fine of $80,640.
The Rehabilitation Center of Independence runs on 2.68 nurse hours per resident per day, roughly 31% under the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. Staff turnover sits at 73.7% against a national 45.8%, so the people around your relative change often. Its current record carries 56 deficiencies, including five at the harm or jeopardy level and two tied to abuse, plus a $71,208 fine.
The 5/5 quality measure score looks good, but that's self-reported data, and the 1/5 staffing rating and 2/5 inspection rating come from what surveyors actually found. Ask about weekday-to-weekend coverage before you decide.
U-City Forest Manor runs on 2.57 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 11% below its own weekday level. That thin staffing shows up in the numbers: 60.7% of staff left over the past year, well above the 45.8% national rate, and the health inspection record carries 73 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Federal fines total $15,949, and the last inspection was May 7, 2024. For-profit ownership by a limited liability company rounds out the picture.
Prestige Care Center Of Nebraska City runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly 4% below its own weekday levels. Turnover tells you more: 76.6% of staff left last year against a national average of 45.8%, so the people caring for your relative are likely newer than the job requires. The inspection record backs that up, 43 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and the most recent inspection was November 2024. Quality measures score 1 out of 5. For-profit corporate ownership out of Nebraska City. Ask hard questions before you sign anything.
Aztec Healthcare runs on 2.75 nurse staffing hours per resident day, roughly 29% under the national average of 3.86, and weekends dip about 5% below its own weekday level. That thin coverage shows in the numbers: 72.1% annual turnover against a national 45.8%, 37 deficiencies on the current record including six at the harm level and two abuse-related, and four fines totaling $105,228, with the last inspection on June 7, 2024. The corporation that owns it is for-profit. The five-star quality measure rating stands out against a one-star staffing rating and a two-star inspection rating, but quality measures alone don't cover gaps in daily care.
The Grand Rehabilitation and Nursing at Chittenango runs 80 beds under individual for-profit ownership, and its staffing sits about 13% under the national average at 3.36 nurse hours per resident day, thinning further on weekends. That shortfall shows up in the numbers: a 61.5% annual turnover rate, well above the 45.8% national figure, with CMS awarding just one star for staffing. The home's record carries 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a $16,448 fine. Its last inspection came in November 2025, and both its health inspection and quality measure ratings land at two stars.
Kenansville Rehabilitation and Healthcare Center runs on thin staffing. At 3.29 nurse hours per resident per day, it sits roughly 15% under the national average, and weekends drop another 10% below what the home itself manages on weekdays. Annual turnover of 63.4% means most of the people providing that care are relatively new, the national figure is 45.8%. The strongest thing here is its inspection history: a 5/5 health inspection rating, with a June 2025 survey and 12 deficiencies on record, one serious enough to cause harm but none tied to abuse. Quality measures score 2/5, so the day-to-day clinical picture doesn't match the clean survey. Ask about weekend coverage and how long aides have actually been on staff.
Camellia Gardens runs a 78-bed for-profit operation in Henderson, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 10% below the home's own weekday level, which is when families often visit and notice. Staff turnover is 56.7%, well above the 45.8% national figure, so the people caring for residents change often.
The inspection history is heavier: 37 deficiencies on the current record, including two at the harm or jeopardy level and four tied to abuse, plus three fines totaling $92,104. The last inspection was January 30, 2026.
Shoreland runs a 4-star health inspection record with 10 deficiencies and no harm-level findings, which tells you the building itself has been kept in decent shape. The problem is who's there to keep it that way. Nurse staffing sits at 3.42 hours per resident day, about 11% under the national figure, and weekends drop roughly 8% below the home's own weekday coverage. Annual turnover of 72.5% is well above the 45.8% national average, that's most of the nursing staff replaced in a year. Quality measures land at 2 stars. A recent inspection and a single $5,077 fine suggest no crisis, but thin, churning staff is the pattern worth asking about.
Cherry Point Bay runs 70 beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, with weekends roughly 12% thinner than weekdays. That matters because turnover is the number that jumps out: 78.4% annually against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. Inspectors have cited nine deficiencies, four of them at harm or jeopardy level, and fined the home $167,122. The most recent inspection was July 2, 2025, so the record is current.
Jag Healthcare Mansfield runs on 3.15 nurse hours per resident day, roughly 19 percent under the national figure, and weekends dip another 12 percent below what it manages on weekdays. Staff turnover sits at 53.7 percent against a national average of 45.8 percent, so the people caring for residents keep changing. The inspection record shows 58 deficiencies, including one at the harm level and four tied to abuse, plus a $130,240 fine. Federal ratings put staffing and health inspections at one star each. It's a 66-bed for-profit corporate home last inspected in July 2025. The pattern here is thin coverage, heavy turnover, and repeated citations, worth weighing if you're considering this one.
New Lebanon Rehabilitation and Healthcare Center runs on 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits at 58.9% against a 45.8% national figure, so the people caring for residents are changing often. Its inspection record carries 63 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $96,413 fine. Quality measure scores look strong, but those depend on the staff actually present to document and deliver care. This is a for-profit corporate home with 120 beds; the September 2025 inspection is recent, and the pattern in the numbers is consistent.
Buckeye Terrace runs 70 certified beds in Westerville under for-profit LLC ownership, and its nurse staffing sits at 3.18 hours per resident day, roughly 18 percent under the national average of 3.86. Weekends dip about 5 percent below its own weekday numbers. Annual turnover hits 64.5 percent, well above the 45.8 percent national figure, which means the aides and nurses caring for residents are, on average, fairly new to the building. The health inspection record shows 70 deficiencies, including one at the harm level and seven tied to abuse, with a single fine of $140,849. Inspectors were last on site in December 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?