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.
Belmont Healthcare Center runs on thin staffing. At 3.18 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 19% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% is well above the national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building.
The inspection record is the harder problem: 37 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine of $251,207 has been levied. The most recent inspection was April 29, 2026, recent, and the findings were not clean. For-profit corporate ownership, and a staffing star rating of 1 out of 5.
Avina Of Weyauwega runs 84 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, but weekends drop about 20% below what the home staffs on weekdays, and annual turnover hits 62.9% against a national rate of 45.8%. Inspectors have cited 56 deficiencies, five of them at the harm or jeopardy level and three tied to abuse, with four fines totaling $115,004; the most recent inspection was April 2025. The one bright spot is the quality measure rating, which reflects resident care metrics rather than the staffing and inspection problems.
Franciscan Woods has enough nurses on paper, 4.39 hours per resident day, roughly 14% above the national average, and that's where the good news mostly stops. Weekend coverage drops about 16% below its own weekday level, so the hours aren't spread evenly across the week. The bigger problem is continuity: annual turnover sits at 76%, well above the national 45.8%, which means the people providing that care keep leaving. On inspections, the record shows 50 deficiencies, including 5 at the harm level and 7 tied to abuse, with a $120,905 fine and a survey from April 2026. Low inspection and quality scores against strong staffing numbers tell you the issue isn't how many staff there are, it's what's happening when they're there.
Avir At Kennedale runs 58 certified beds and reports 2.92 total nurse hours per resident per day, about a quarter below the national average of 3.86, with weekends dropping roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers: staff turnover is 72.2% against a national average of 45.8%, so the people caring for residents change constantly, and CMS gives staffing a single star. The inspection record is heavier than most: 28 deficiencies, three at harm or jeopardy level, three abuse-related, and one fine of $16,437. Its last inspection was September 2025. For-profit corporate ownership. The quality measure score is middling, but that's self-reported data. The staffing and inspection record is what families should weigh.
Brownwood Nursing and Rehabilitation runs 128 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go. At 2.79 nurse hours per resident day, it sits roughly 28% under the national average, and weekend coverage drops about 19% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Annual turnover of 96.9% means nearly the entire nursing staff turns over in a year, against a national rate of 45.8%, which is hard on continuity of care. The health inspection record is genuinely solid: 14 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent inspection is recent.
Liberty Health Care Center runs on thin nursing coverage, 3.76 hours per resident day, just under the national figure, and weekends drop roughly 16% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 69.7%, well above the 45.8% national average, so the people caring for residents change often. Inspectors cited 20 deficiencies on the current record, five at the harm or jeopardy level and five abuse-related, with two fines totaling $225,774. The hospital district owns it, and the last inspection was August 2025. Ask about weekend coverage and how they retain aides.
Greenbrier's inspection record looks strong on paper, a five-star health inspection rating and no deficiencies at the harm or jeopardy level, out of 12 total. The trouble sits with staffing. At 3.18 nurse hours per resident day, this home runs about 18 percent under the national average, and weekends drop another 16 percent below its own weekday coverage. That gap matters more when you consider turnover: 97.9 percent of staff leave within a year, against a national rate of 45.8, which means the people showing up are often new to the building. One abuse-related deficiency also appears on the current record. Inspections can miss what thin, constantly changing coverage hides.
Park Place Care Center runs 116 certified beds in Georgetown under corporate ownership, and the staffing numbers are where the trouble starts. At 3.06 nurse hours per resident day it sits about 21% under the national average, weekends drop roughly 15% below its own weekday level, and annual turnover hits 86.8% against a national 45.8%, that's a new face on the floor almost every year. Its inspection record shows 37 deficiencies, nine at harm or jeopardy level and seven tied to abuse, with five fines totaling $142,439 and CMS placement in the Special Focus Facility program. The quality measure score looks good on paper, but staffing and inspection results are what a family actually lives with.
Northgate Plaza runs thin on nursing staff, 3.19 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The 66.1% annual turnover means most of the people caring for your relative are new, still learning the building, or already halfway out the door.
Behind the staffing numbers sits a 1-out-of-5 health inspection rating and 65 deficiencies on the current record, including two at the harm level and two tied to abuse. Two fines total $55,697. Ownership is a for-profit corporation, and the most recent inspection was in December 2024.
Whitney Nursing and Rehabilitation Center runs on a government-hospital-district license with 88 certified beds, and nurse staffing sits at 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The current inspection record carries 15 deficiencies, four of them at harm or jeopardy level and two tied to abuse; one fine totaling $45,435 has been levied. The most recent inspection was December 4, 2025. With a 1-out-of-5 staffing rating and a 2-out-of-5 quality measure rating, the numbers point to a home where care capacity is stretched and problems have recurred.
Kenedy Health & Rehabilitation runs on 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in the federal star ratings, where both staffing and quality measures sit at 1 out of 5, even though the inspection history earned 4 out of 5. The record isn't clean: 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $8,173 fine, with the most recent inspection in December 2025. No abuse citations appear. A corporation owns the 60-bed home. Families weighing this one should ask how the low weekday staffing and thinner weekend shifts get covered on nights and weekends.
Eagle Crest Rapid Recovery runs 125 beds in Houston under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 75.2% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record backs that up: 31 deficiencies, 8 at harm or jeopardy level, one abuse-related, and four fines totaling $54,252, with the last inspection in September 2025.
Five Points Nursing & Rehabilitation Of College St runs 130 certified beds in College Station under corporate for-profit ownership, and the nurse staffing number is the first thing to know: 2.69 hours per resident day, roughly 30 percent under the national average of 3.86. Weekends drop about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit.
The inspection record carries 29 deficiencies, six of them at harm or jeopardy level, with one abuse-related finding and four fines totaling $49,016. The most recent inspection was April 23, 2025, so the record is current rather than stale. Low staffing and a heavy deficiency load tend to reinforce each other; here both are documented.
Southland Healthcare and Rehab Center runs 126 certified beds in Dublin under for-profit partnership ownership, and the nursing hours tell a big part of the story: 3.37 per resident day against a national average of 3.86, roughly 13 percent below, with weekend coverage dipping about 15 percent under its own weekday level. The inspection record is harder to get past, 21 deficiencies currently on file, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,801. The most recent inspection was March 15, 2026, so the findings are recent, not stale. When staffing sits under the national mark and surveyors keep documenting serious problems, that combination is what families should weigh before deciding.
Pleasant View runs on 3.04 nurse staffing hours per resident day, roughly 21% under the national average of 3.86, and weekends drop about 12% below what the home already provides on weekdays. That thin schedule helps explain 60% annual turnover, well above the 45.8% national figure, and 26 deficiencies on record, including three tied to abuse. The last inspection was January 2026, so the findings are recent rather than stale. A 3/5 inspection rating is the strongest mark here; the 1/5 quality measure and 1/5 staffing ratings show where the shortfalls sit. This is a 120-bed for-profit corporate home where the daily staffing math, not the inspection history, is the main concern.
University Nursing & Rehab Ctr runs on about 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 10% below what the home already staffs during the week. That thin coverage shows up in the numbers: 74.1% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. Inspections tell a similar story, 25 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a two-star health inspection rating. The last survey was April 2025. This is a for-profit corporate home where the staffing math, not any single incident, is the main concern.
Glenwood Health And Rehabilitation is a 62-bed for-profit home in Wheeler County, and the numbers behind its rating are worth walking through. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and it thins out further on weekends, a pattern that matters most when families visit and when residents need help. Staff turnover is 63.4%, well above the 45.8% national figure, so the people caring for residents are often new or on their way out. The inspection record includes 19 deficiencies, one at harm or jeopardy level and one abuse-related, with a $7,901 fine, and the most recent inspection was in March 2026.
Allure of Pinecrest runs 125 certified beds, and its nurse staffing sits at 3.52 hours per resident per day, about 9% under the national average of 3.86. Weekends run roughly 9% thinner than weekdays, so the coverage gaps aren't evenly spread. The inspection record is the bigger concern: 38 deficiencies, eight of them at harm or jeopardy level, four tied to abuse, and $188,633 in fines across four penalties. Staff turnover of 37.4% is actually below the national 45.8%, which suggests the problem isn't retention so much as how the place is run. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 2 out of 5, and the most recent inspection was April 30, 2025.
Pearl Pointe runs on 2.76 nursing hours per resident per day, roughly 28% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage sits alongside 67 deficiencies on the current record, including 7 at the harm or jeopardy level and 6 tied to abuse, plus three fines totaling $168,767. Staff turnover, at 43.8%, is actually slightly better than the national 45.8%, so the problem here isn't retention, it's how few hands are on the floor and what inspectors keep finding. The most recent inspection was November 19, 2025.
Arcadia Care Morton runs a 106-bed for-profit home where nurse staffing sits at 2.81 hours per resident day, roughly 27% below the national average of 3.86, and weekend coverage dips about 4% below its own weekday level. The inspection record is the harder problem: 57 deficiencies, seven of them serious enough to put residents in harm's way and seven flagged as abuse-related, plus seven fines totaling $366,357. Annual turnover of 54% means more than half the staff leaves every year, against a national 45.8%. The most recent inspection was February 2025, so the picture isn't stale. Ask about direct-care staffing on weekends and how the abuse-related findings were resolved.
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?