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.
The Gardens of St. Francis runs on 1.48 nurse staffing hours per resident day, roughly 62% below the national average, and weekend coverage drops about 15% below what it manages on weekdays. Turnover sits at 65.6% against a national rate of 45.8%, so a large share of the staff you'd meet is relatively new. The record shows 40 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $45,250 fine. Inspections are recent, and the quality measure score is strong, but that staffing number is the one worth weighing hardest.
Emerald Care Center Southwest is a for-profit, individually owned home with 112 certified beds in Oklahoma City. Its 3.33 nurse staffing hours per resident day fall about 14% below the national average, and weekends run roughly 10% leaner than weekdays already are. Annual turnover sits at 65.8% against a national average of 45.8%, so the people caring for residents keep changing. Inspectors have cited 43 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, with an $8,278 fine and a December 2024 inspection. CMS gives it 1 of 5 stars for health inspections and 2 for both quality measures and staffing.
Harborview runs about 14 percent thinner on nurse staffing than the national average, and weekends dip roughly 7 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 51.7 percent against a national 45.8 percent, meaning more than half the nursing staff leaves within a year. The current inspection record carries 62 deficiencies, including three at harm or jeopardy level and four tied to abuse, and the two fines on file total $191,228. The last inspection was in August 2025, so that record is recent. A for-profit LLC operates the 126-bed building.
The Gardens at Orangeville runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays. Turnover sits at 45.7%, almost exactly the national figure, so this isn't a retention crisis so much as a steady churn. State inspectors logged 42 deficiencies on the current record, none at the harm or jeopardy level, though one is abuse-related. The last inspection was September 2025. It's a for-profit limited liability company with 119 beds, and the federal stars split the difference: three for health inspections, two each for quality measures and staffing.
Copperas Cove Nursing & Rehabilitation runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip even further below its own weekday numbers. That thin coverage sits behind a one-star staffing rating and a 60.9% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, two of them serious enough to involve harm or jeopardy, plus $24,242 in fines, though nothing abuse-related. The most recent inspection was in late November 2025, so the picture is current. For-profit corporate ownership, 123 beds, and low marks across staffing and quality.
Alvarado Meadows runs on thin staffing margins: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. The turnover number is the harder one to get past, 95.7% annually, more than double the national rate, which means the aide helping your mother today is statistically unlikely to be there next year. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy and four tied to abuse, plus $85,479 in fines across five penalties. The most recent inspection was in May 2026. For-profit, limited liability ownership.
San Antonio North runs on 2.67 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 13% below its own weekday level. That thin staffing shows up in the numbers: a 55.9% annual turnover rate, well above the 45.8% national figure, and 62 deficiencies on the current record, including four at the harm or jeopardy level and six tied to abuse. Inspectors were last on site July 31, 2025, and the state has fined the for-profit operator three times, totaling $37,800. When a building is cited this often while running this lean, families should ask direct questions about who is on the floor at night.
Landmark of Plano runs about 3.42 nursing hours per resident per day, roughly 12% under the national average, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 88.5%, nearly double the national 45.8%, meaning the aides and nurses caring for your relative are likely to change often. On its current record: 42 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,240 fine. Inspectors were last on site in August 2025.
Woodmont Center runs about 25% leaner on nurse staffing than the national average, 2.90 hours per resident day against 3.86, and weekends drop roughly 14% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 54.8%, well above the 45.8% national figure, which means the aides and nurses your relative sees are changing often. The inspection record backs that up: a 1-out-of-5 health inspection rating, 75 deficiencies still on the books, including one at the harm level and four tied to abuse, plus a $75,712 fine. The last inspection was January 2023, so that record has had time to age without much sign of a turnaround.
Meadowbrook At Black River Falls runs 45 certified beds in Jackson County under for-profit corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average of 3.86. That's the strongest number here. Almost everything else points the other way: weekend staffing drops about 7% below its own weekday level, and annual turnover hits 66% against a national average of 45.8%, meaning most of the people providing that care are new to the building. Federal inspectors rate health inspections 2 out of 5 stars and quality measures 1 out of 5. The current record carries 39 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $108,338.
Complete Care At Care Age has 110 certified beds in Brookfield and runs on a for-profit corporate model. The staffing numbers look decent on paper, 4.33 nurse hours per resident day, about 12% above the national average, but weekend coverage dips roughly 7% below its own weekday level, and annual turnover sits at 69% against a national average of 45.8%. That churn matters more than the headline staffing figure. On inspections, the home holds a 1-out-of-5 star rating, with 31 deficiencies on record, including five at the harm or jeopardy level and five tied to abuse. Two fines total $80,375, and the most recent inspection was June 2025.
Seabreeze runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage drops further, about 7% under its own weekday level. That thin margin shows up in the numbers: 41 deficiencies on the current record, eight of them at the harm or jeopardy level and five abuse-related, plus $254,067 in fines across three penalties. Staff turnover sits at 51%, above the national 45.8%, on a for-profit LLC license. The most recent inspection was January 8, 2026. Federal data puts health inspection and staffing at one star each, with quality measures at three.
Woodland Springs runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and staffing thins out further on weekends. That shortfall shows up in the numbers families can't see at the door: 29 deficiencies on the current record, nine of them serious enough to put residents in harm's way and seven tied to abuse. Inspectors last visited in August 2024 and left five fines totaling $92,215. With 54.7% of staff leaving each year, the aides who know your mother's routines are probably gone within twelve months. The corporate owner has kept the building open at this level for a while.
Whisperwood runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays, so the thinnest coverage lands when families tend to visit. The bigger red flag is turnover, 95.6% annually, meaning roughly the whole nursing staff cycles through in a year, versus about 46% nationally. That instability shows up in the inspection record: 34 deficiencies, six at harm or jeopardy level and seven abuse-related, with two fines totaling $19,546. It's a hospital-district home of 114 beds, last inspected in November 2024. Consistent staffing and a clean abuse record matter most here, and neither is present right now.
Avir At Keeneland runs on thin staffing. At 2.59 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends dip roughly 4% under its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% means most of the people caring for residents weren't there a year ago, against a national rate near 46%. Inspections look strong on paper: a 5/5 health inspection rating, 13 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent visit was December 2024. But quality measures score 2/5 and staffing 1/5, and that gap between a clean inspection record and day-to-day coverage is what holds the overall picture down.
Bridgeport Medical Lodge runs 152 certified beds under corporate for-profit ownership, and its staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average. Weekends drop another 12% below its own weekday levels, and 57.3% of staff turned over in the past year against a 45.8% national rate. The inspection record holds 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $24,704 in fines across two penalties. CMS gave it 2 stars for health inspections, 2 for quality measures, and 1 for staffing. The most recent inspection was February 26, 2026.
Parkview Manor runs lean on nurse staffing, 3.19 hours per resident day, well under the national average, and weekends get thinner still, dropping about 8% below its own weekday level. The bigger red flag is turnover: 92.9% of staff left over the past year, roughly double the national rate, which means the people caring for residents are constantly new and unfamiliar. On the inspection side, 19 deficiencies sit on the current record, including one at the harm level and two tied to abuse, with a $15,920 fine and a survey from August 2024. For-profit individual ownership runs the place, and the federal star ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
Avir At Arbor Terrace runs 126 certified beds in San Angelo, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average of 3.86, weekends dip roughly 7% below its own weekdays, and turnover hits 75.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 38 deficiencies, three at harm or jeopardy level, one abuse-related, and $121,840 in fines across three events. A 2/5 inspection rating and 3/5 on quality measures don't offset a 1/5 staffing score. Ask about weekend coverage and how they hold staff before you tour.
Mineola Gardens runs on thin coverage. At 3.16 nurse hours per resident day, it sits about 18% under the national average, and weekends dip slightly below its own weekday numbers, the sort of gap where a fall or an infection can go unnoticed longer than it should. The bigger flag is turnover: 88.9% annually, roughly double the national rate, meaning most of the people caring for your relative will be gone within the year.
The inspection record backs that up. Twenty-two deficiencies on file, four involving actual harm or jeopardy, six tied to abuse, and three fines totaling $50,527. State inspectors last visited in July 2025 and rated health inspections 2 out of 5. Its quality measure score looks good on paper, but that's family-reported data, the staffing and inspection numbers are the ones to weigh here.
The Heights of League City runs on thin nursing coverage: 3.38 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Staff turnover sits at 69.7%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record backs this up: 28 deficiencies, nine at harm or jeopardy level, six fines totaling $144,668. A hospital district owns it, which might suggest stability, but the numbers here tell a different story.
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?