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.
Mesquite Post Acute Care runs on thin nursing coverage, 2.94 nurse hours per resident per day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. That shortfall shows up in a licensed staff turnover rate of 79.7%, well above the 45.8% national figure, and in a staffing rating of 1 out of 5. The inspection record is the heavier concern: 41 deficiencies, including 9 tied to abuse and 5 at the harm or jeopardy level, plus three fines totaling $132,185. Ownership is for-profit, through a limited liability company, and the most recent inspection was May 21, 2026. Quality measures score mid-range at 3 out of 5, but that sits alongside a 1-out-of-5 inspection rating.
Accel At College Station runs on 3.18 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 13 percent below its own weekday level. That thin coverage shows up in turnover: 67 percent of staff leave annually, against a national 45.8 percent. Inspections tell a harder story, 49 deficiencies on the current record, 10 of them at harm or jeopardy level, one abuse-related, and five fines totaling $137,611, with the most recent inspection in May 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection record underneath it.
Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.
The Blossoms at Woodland Hills carries 31 deficiencies on its current record, including one at the harm or jeopardy level and one tied to abuse, plus a single CMS fine of $136,696. Staffing sits at 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays. Annual turnover runs 79.8 percent against a national 45.8 percent, meaning most of the people caring for residents weren't there a year ago. The last inspection was April 2025. For-profit, limited liability ownership. A 1-out-of-5 inspection rating and 2s on staffing and quality measures round out a pattern worth asking about directly.
Buckhead Center for Nursing and Healing runs 179 certified beds under for-profit LLC ownership, and the numbers that stand out most are about who's actually there to provide care. Nurse staffing sits at 3.21 hours per resident day, roughly 17 percent below the national average, and it thins out further on weekends, dropping about 15 percent below the home's own weekday levels. Staff turnover hit 73.9 percent, well above the 45.8 percent national figure, which means the people caring for residents are, more often than not, relatively new to the building. The inspection record backs that up: 41 deficiencies, six at harm or jeopardy level, two tied to abuse, and four fines totaling $29,354, with a CMS inspection rating of 1 out of 5.
Aperion Care Forest Park is a 232-bed for-profit home in Cook County with 71 deficiencies on its current record, 12 of those at the harm or jeopardy level, 8 involving abuse. That's an unusually heavy enforcement history, and it shows in the fines: six penalties totaling $387,772. The government's health inspection rating sits at 1 out of 5 stars.
Staffing tells a similar story. At 3.26 nurse hours per resident day, the home runs about 16 percent below the national average, and weekends dip another 16 percent below its own weekdays. Turnover is 38.2 percent, which is actually better than the 45.8 percent national figure, the one number here that isn't a red flag, though it doesn't offset the rest. Its last inspection was in January 2025.
Aspyre Of Bronzeville runs 204 beds on Chicago's South Side under corporate ownership, and its nurse staffing sits at 2.58 hours per resident day, roughly a third below the national average of 3.86. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit.
The inspection record is the part that would worry me most: 59 deficiencies, including 5 at the harm or jeopardy level and 4 tied to abuse. Three fines totaling $107,000, and the last inspection was August 2024. Turnover at 25% is actually better than the 45.8% national average, which matters, but it doesn't offset a 2/5 staffing rating and 2/5 inspection rating. Ask about weekend coverage and the abuse-related citations specifically.
Tioga Community Care Center runs 154 certified beds in Pineville under nonprofit ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That's a real strength. But weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 64.8% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The current record carries 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 1 out of 5 stars. The most recent inspection was July 23, 2025.
Heritage Healthcare of Hammond runs about 3.16 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits near the national rate, so the problem isn't churn, it's how few hours are on the floor to begin with. On inspections, the record shows 31 deficiencies, one serious enough to involve harm or jeopardy, plus a $13,715 fine and a May 2025 inspection. The quality measure score is the lowest CMS assigns. Limited liability ownership and a for-profit structure don't explain the numbers, but they don't soften them either.
Willard Care Center is a 66-bed for-profit home in Greene County with a strong inspection record, 4 out of 5 stars, 21 deficiencies on file and none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing runs 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 23% below the home's own weekday levels. Annual turnover hits 70.9% against a national 45.8%, meaning most of the aides and nurses your family member sees will likely be gone within a year. The quality measure score of 1 out of 5 fits that picture. Recent inspections look clean, but consistent hands on deck is the harder problem to solve.
Westgate runs 3.74 nurse hours per resident day, a bit under the national average, and weekends dip about 15% below its own weekday staffing, so coverage gets thinnest exactly when families tend to visit. Annual turnover sits at 54.2%, well above the 45.8% national figure, which means caregivers are cycling through fairly quickly. The inspection history is mixed: a recent survey in mid-2024 and a 4-star health inspection rating, but 21 deficiencies on record, including one at the harm level and two tied to abuse. Quality measures come in at 2 stars, which is where the low overall picture really forms.
Chestnut Park runs on 3.28 nursing hours per resident per day, roughly 15% under the national average, and weekends drop about 18% below its own weekday staffing. The numbers behind the two lowest CMS marks, one out of five on health inspections and one on quality measures, include 32 deficiencies on the current record, three of them at harm or jeopardy level and five tied to abuse. Staff turnover sits at 66.2% against a national average of 45.8%, so the people caring for residents are often new. The last inspection was May 2023, and with a for-profit corporation at the helm, the pattern across staffing, turnover, and oversight is consistent enough to ask hard questions before choosing this one.
Rolling Hills Healthcare runs below the national average on nurse staffing, about 3.62 hours per resident day against 3.86, and weekends drop roughly 19% below its own weekday levels, which is when families tend to notice. Staff turnover sits at 65.1% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavier still: 34 deficiencies, five at harm or jeopardy level, three tied to abuse, and four fines totaling $80,634, with the most recent inspection in February 2026. It's a for-profit limited liability company, and the pattern across these numbers is worth weighing carefully before you decide.
Amistad Nursing and Rehabilitation Center runs on thin staffing. At 2.77 nurse hours per resident day, it sits roughly 28% under the national average of 3.86, and weekends drop about 16% below its own weekday level. The bigger red flag is turnover: 97.1% of staff leave each year, more than double the national rate of 45.8%. That churn matters because consistent caregivers know residents' routines and catch changes early.
The hospital district ownership and a clean inspection record help, 14 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. But inspectors only see a snapshot. Daily care depends on who's actually on the floor, and here that's a revolving door.
Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.
Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.
Lubbock Health Care Center runs a tight ship on inspections, a 4 out of 5 there, with 21 deficiencies on record and none at the harm or jeopardy level. That's the good news, and it's real. The trouble sits in the day-to-day: 3.12 nurse hours per resident, roughly a fifth below the national average, with weekends dipping another 18% below its own weekday staffing. And that 96.8% turnover means the aides and nurses caring for your relative are, statistically, likely to be gone within a year, more than double the national rate. Two abuse-related deficiencies also appear on the current record. Inspections tell you what was caught on one day; staffing tells you what most days probably look like.
Old Dominion Rehabilitation And Nursing runs 115 certified beds in Newport News under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.24 nurse hours per resident day, it sits roughly 16 percent under the national average of 3.86, and weekends drop another 16 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 66.7 percent, against a national 45.8 percent, means the people providing that care are constantly changing. The record backs it up: 62 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus a $305,340 fine. A recent inspection date doesn't offset a staffing star of 1 out of 5.
Canterbury Rehabilitation and Healthcare Center is a 183-bed for-profit home in Henrico County where the staffing numbers are the story. At 3.34 nurse hours per resident day, it runs about 14 percent under the national average, and weekends drop roughly 16 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 58.1 percent against a national 45.8 percent, meaning more than half the nursing team leaves each year. The inspection record is heavy: 132 deficiencies, including 5 at harm or jeopardy level and 9 abuse-related, with three fines totaling $436,524 and a July 2024 inspection. Quality measures score well, but that's a narrow bright spot against staffing and oversight.
Newport News Nursing & Rehab runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 22% below its own weekday level. Staff turnover sits at 61.9%, well above the 45.8% national figure, and CMS rates staffing at 1 out of 5 stars. The inspection record is the bigger concern: 58 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, with a $51,916 fine and no inspection since September 2022. Corporate for-profit ownership, 102 beds. A 3-star quality measure score doesn't offset any of that.
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?