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.
Hope Creek runs 245 beds in East Moline under for-profit LLC ownership, and the numbers there deserve a careful look before you tour. Nurse staffing sits around 3.29 hours per resident day, roughly 15% under the national average, and weekends dip about 9% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 59 deficiencies on file, nine of them at harm or jeopardy level and nine tied to abuse, with five fines totaling $386,400 and a health inspection rating of one star out of five. Last full inspection was August 2024. Turnover, at 41.1%, is actually a bit better than the 45.8% national figure, but it doesn't offset the rest.
Symphony Northwoods runs 2.97 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 12% below what the building already provides on weekdays. That thin coverage shows up in the workforce itself: 63% annual turnover against a national 45.8%, with a CMS staffing rating of 1 out of 5. The inspection record carries 37 deficiencies, eight of them at harm or jeopardy level and two abuse-related, plus four fines totaling $126,193; the most recent inspection was January 7, 2026. Quality measures score well at 4 out of 5, but a for-profit corporate owner with this staffing pattern and this deficiency history is the fuller picture.
Three Springs Sr Living & Rhab runs about 2.91 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 65.1% against a national average of 45.8%, so a lot of the people caring for residents are still new to the building. The current record shows 21 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, and the last inspection was September 2025. It's a for-profit limited liability company, 83 beds, with a 1-out-of-5 staffing rating and 2-out-of-5 on quality measures.
The Citadel at Saint Joseph Village runs a 124-bed nonprofit home in Freeport, and the staffing numbers are where I'd start. At 3.26 nurse hours per resident day, it sits about 16% under the national average, weekends drop roughly 11% below its own weekday level, and turnover is 64.9% against a national 45.8%. Inspections back that up: 48 deficiencies on record, seven at harm or jeopardy level, two abuse-related, and six fines totaling $125,824. The last inspection was December 2024, so the record is current rather than stale. Quality measures score well, but that's a narrower slice than staffing and inspection history.
Landmark of Hyde Park runs 318 certified beds, and its nurse staffing sits at 2.05 hours per resident day, roughly 47% under the national average of 3.86. Weekend coverage drops another 14% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is where the real weight sits: 70 deficiencies, including five at the harm or jeopardy level and nine tied to abuse, with two fines totaling $118,855 and a health inspection rating of 1 out of 5. Staff turnover at 37.5% is actually lower than the 45.8% national average, which is the one number here working in the home's favor.
Integrity Hc Of Herrin runs 49 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.50 nurse hours per resident day, it sits about 9% under the national average, and weekends drop roughly 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 72.9% is well above the 45.8% national figure, meaning aides and nurses cycle through constantly. On the current record: 31 deficiencies, including 4 tied to abuse and 1 serious enough to cause harm. The last inspection was September 2024.
Arc At Hickory Point reports 4.50 nurse hours per resident day, which is genuinely above the national average of 3.86, but that number comes with an asterisk. Weekend staffing drops about 10% below weekday levels, and annual turnover sits at 72.5%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record is where things get harder to explain away: 45 deficiencies, 13 of them at harm or jeopardy level, one abuse-related, and four fines totaling $355,296. A for-profit corporation runs this 64-bed home in Forsyth. Roughly 72 cents of every dollar in fines here went toward penalties tied to serious resident harm.
The Pavilion At Kenton runs on 2.85 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 9 percent below what it manages on weekdays. Staff turnover sits at 76.1 percent, well above the 45.8 percent national figure, that's more than three-quarters of the nursing staff leaving in a year, which matters for whether residents see familiar faces. The current record carries 24 deficiencies, none flagged at the harm level and none abuse-related, and the last inspection was in March 2026. This is a for-profit limited liability company operating 82 certified beds, and the low inspection and staffing ratings reflect a building that's been cited often and runs lean.
Belmont Terrace runs on thin staffing for a 151-bed for-profit home. At 3.75 nurse hours per resident day, it sits slightly under the national average, and weekends drop another 7% below its own weekday coverage, meaning the thinnest shifts land when families tend to visit. The bigger warning sign is turnover: 59.1% of staff left over the past year against a national rate of 45.8%. On inspections, the record shows 54 deficiencies, including 8 at the harm or jeopardy level and 7 tied to abuse, with six fines totaling $35,980. The most recent inspection was April 2025.
River Haven runs on noticeably less nursing time than the typical home, about 3.39 hours per resident day against a national average near 3.86, and weekends drop another 13% below its own weekday level. That thin coverage shows up in a 58.8% annual turnover rate, well above the 45.8% national figure, so the people caring for residents keep changing. The current inspection record carries 28 deficiencies, including three at the harm or jeopardy level and three tied to abuse. The most recent inspection was January 22, 2026, so the findings are recent, not historical. It's a for-profit limited liability company, and quality measures score one out of five.
Booker T. Washington Skilled Nursing and Rehab runs about 3.10 nurse hours per resident each day, roughly a fifth below the national average of 3.86, and weekends dip another 9% below its own weekday pace. That thin coverage shows up in the staffing star rating and in turnover: 57.6% of staff left over the past year, against a national average near 46%. The good news sits in the inspection record, 18 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. So the care environment itself hasn't drawn serious citations; the question this home raises is whether the people on shift have enough time.
Berlin Nursing and Rehabilitation Center runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the harder problem: 71 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $237,402. Turnover at 41.8% is slightly better than the 45.8% national figure, which is the one number here that isn't working against it. The most recent inspection was July 2025, so the record is current.
Fall River Healthcare runs 176 certified beds under for-profit LLC ownership, and the staffing numbers tell a story worth pausing on. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 49.7% tops the national figure, meaning the people providing care are frequently new. The inspection record is the harder part: 52 deficiencies, 10 at harm or jeopardy level, 7 tied to abuse, and four fines totaling $385,062. The most recent inspection was December 2025.
Coastal Health and Rehabilitation Center runs 180 certified beds in Gulfport under for-profit LLC ownership, and the numbers behind its federal record deserve a close look. Nurse staffing sits at 3.18 hours per resident day against a national average of 3.86, and weekends run about a tenth thinner than weekdays, so coverage is stretched exactly when families tend to visit. Turnover compounds that: 63.2% of staff leaving annually, well above the 45.8% national figure.
The inspection record is heavier still, 42 deficiencies, seven at harm or jeopardy level, three tied to abuse, plus five fines totaling $76,258. A 1-out-of-5 inspection rating and a recent August 2025 survey mean the problems aren't historical. Ask hard questions before considering this one.
Lebanon North runs 180 beds under individual for-profit ownership, and the staffing numbers are the first thing I'd want you to see: 3.12 nurse hours per resident day, roughly 19% under the national average, with weekends dipping about 13% below its own weekday level. That thin coverage shows up in the inspection record too, 62 deficiencies, nine of them serious enough to put residents in harm's way, nine tied to abuse, and a $24,801 fine. Staff turnover of 62.5% is well above the 45.8% national figure, so the people caring for residents are often new. The last inspection was May 2024. Before you consider this one, ask the administrator what's changed since then.
Maywood Terrace runs on thinner staffing than most homes, about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the building manages on weekdays. The turnover number is the one that should stop you: 92.6% of staff leaving annually, when the typical U.S. nursing home sits near 45.8%. That kind of churn usually means caregivers who know your mother's routine aren't there long enough to learn it. The inspection record backs up the concern: 54 deficiencies, including one at the harm level and one abuse-related, with a 2/5 inspection rating and 1/5 on both quality measures and staffing. It's for-profit, LLC-owned, last inspected July 2024.
River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.
Seneca Nursing runs 80 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 2.78 nurse hours per resident day against a national average of 3.86, roughly 28% below. Weekend coverage dips another 7% under its own weekday level, and 63.8% of staff left over the past year compared with 45.8% nationally. The current record carries 36 deficiencies, nine of them abuse-related, though none rose to harm or jeopardy level. Inspectors last visited in January 2025, and CMS rated the home 2 out of 5 on health inspections, 1 on quality measures, 1 on staffing. For a family weighing this one, the thin direct-care hours and constant turnover are the things to ask about directly.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
Livingston Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 3% below its own weekday levels. Turnover is the bigger red flag: 69.6% annually against a national average of 45.8% means more than two-thirds of the nursing staff leaves every year. The inspection record shows 37 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. A single fine of $17,404 is on file, and the most recent inspection was June 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?