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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 921–940 of 10,187, best-graded first.

A

86.5/100

First Care Living Center

Fosston, MN · Polk County

CMS 4/5 36 beds Non-profit Medicaid
Nurse hours
5.35 /day
Staff turnover
42%
Serious cites
0

First Care Living Center in Fosston runs 36 beds as a nonprofit, and its nurse staffing is the standout: 5.35 hours per resident day against a national average of 3.86, with weekend coverage dipping about 17% below its own weekday level. Turnover sits at 41.7%, slightly better than the 45.8% national figure. The tradeoff shows up in its record, 13 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and a single fine of $14,433. Its last inspection was in May 2026, and CMS rates inspection and quality measures at 3 out of 5 each. Strong hands-on care, a thinner margin for error on compliance.

A

86.5/100

Good Samaritan Society - Mountain Lake

Mountain Lake, MN · Cottonwood County

CMS 4/5 48 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
35%
Serious cites
0

Good Samaritan Society, Mountain Lake runs 48 certified beds as a nonprofit, and its staffing story is mixed. Total nurse hours come in at 3.73 per resident day, a bit under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover sits at 35.3%, well below the national 45.8%, so the people caring for residents tend to stay. Inspections show a middle-of-the-road picture: 12 deficiencies on record, 3 of them at the harm level, with one fine of $14,069 and a recent July 2025 survey.

A

86.5/100

Ms Care Center Of Dekalb

De Kalb, MS · Kemper County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
5.17 /day
Staff turnover
40%
Serious cites
0

Nurse staffing at Ms Care Center of Dekalb runs 5.17 hours per resident day, roughly a third above the national average, which is the main reason it holds a 5-star staffing rating. That said, weekends run about 24 percent lighter than weekdays, so coverage isn't perfectly level across the week. Staff turnover sits at 39.6 percent, better than the 45.8 percent national figure. The current record shows nine deficiencies, two of them at the harm or jeopardy level, with two fines totaling $10,358 and a May 2024 inspection. For-profit corporate ownership, a 4-star health inspection rating, and a 3-star quality measure rating round out a home that's strongest on staffing.

A

86.5/100

Camellia Estates

Mccomb, MS · Pike County

CMS 4/5 30 beds For-profit
Nurse hours
5.05 /day
Staff turnover
52%
Serious cites
0

Camellia Estates runs a small house, 30 beds, and staffs it well above what most homes manage: 5.05 nurse hours per resident day against a national average of 3.86. That extra coverage shows up on weekends too, though weekend hours still fall about 16% below the home's own weekday pace. Turnover sits at 51.5%, a bit higher than the 45.8% national figure, which is worth asking about. Nine deficiencies on record, none involving harm or abuse, and the last inspection in February 2026 gave it four stars each for health, quality, and staffing. Corporate-owned and for-profit, it delivers solid numbers without being spotless.

A

86.5/100

Silver Cross Health & Rehab

Brookhaven, MS · Lincoln County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
33%
Serious cites
0

Silver Cross runs 60 beds in Brookhaven under limited-liability, for-profit ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. That gap widens on weekends, when coverage drops about 23% below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is 33.3%, better than the 45.8% national figure, which matters for continuity of care. The inspection record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. Quality measures score well; staffing sits in the middle.

A

86.5/100

Brookefield Park

St Paul, NE · Howard County

CMS 4/5 70 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
23%
Serious cites
0

Brookefield Park runs on a non-profit model with 70 certified beds, and the staffing numbers are the real story here. At 4.20 nurse hours per resident day, it sits about 9% above the national average of 3.86, and the 22.9% turnover rate is roughly half the national figure of 45.8%, which suggests people actually stay. Weekend coverage dips about 19% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2026. Star ratings land at 3 for health inspections, 3 for quality measures, and 5 for staffing.

A

86.5/100

Westchester Center For Rehabilitation & Nursing

Mount Vernon, NY · Westchester County

CMS 2/5 240 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
35%
Serious cites
0

Westchester Center for Rehabilitation & Nursing runs 240 certified beds under corporate ownership, and its inspection record is the part that stands out, 40 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. The health inspection rating sits at 1 out of 5, which fits that count. Nurse staffing comes in at 3.35 hours per resident day, roughly 13 percent under the national average, and weekends drop about 16 percent below the home's own weekday levels. What pulls the other direction is quality measures at 5 out of 5 and turnover at 34.6 percent, better than the 45.8 percent national figure.

A

86.5/100

Briar Creek Health Center

Charlotte, NC · Mecklenburg County

CMS 4/5 6 beds For-profit
Nurse hours
10.64 /day
Staff turnover
—
Serious cites
0

Briar Creek Health Center runs six certified beds in Charlotte under corporate for-profit ownership, and its nurse staffing sits at 10.64 hours per resident day, roughly 176% above the national average. Weekend coverage dips about 7% below its own weekday level, but that still leaves it unusually well staffed. The current record shows 8 deficiencies, 2 of them at the harm or jeopardy level, with no abuse citations and one fine totaling $8,606. Its last inspection was in May 2026, and CMS rates it 4 out of 5 on inspections, quality measures, and staffing alike. For a home this small, the staffing number is the headline; the harm-level deficiencies are what a family should ask about directly.

A

86.5/100

Maple Springs Senior Living

North Logan, UT · Cache County

CMS 3/5 98 beds For-profit
Nurse hours
5.88 /day
Staff turnover
—
Serious cites
0

Maple Springs runs nurse staffing at 5.88 hours per resident day, well above the national average of 3.86, and weekends dip only about 7% below weekdays, a modest drop, not the steep fall-off many homes show. The tradeoff sits in its inspection record: 22 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,278 fine. Its last inspection was February 2026. Staffing and quality measure ratings both land at 4 out of 5, which helps explain the B, but that abuse-related citation is the number worth asking the administrator about directly before you decide anything.

A

86.5/100

Summitview Rehab And Health Center

Yakima, WA · Yakima County

CMS 5/5 78 beds Non-profit Medicaid
Nurse hours
5.22 /day
Staff turnover
25%
Serious cites
0

Summitview runs lean in a way that mostly works in residents' favor: 5.22 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping about 15% below its own weekday levels. Staff turnover sits at 25.3%, well under the 45.8% national figure, and the home is a nonprofit corporation. The inspection record is where it gets complicated, 33 deficiencies currently on file, including 3 at the harm level and 4 tied to abuse, plus three fines totaling $194,266. The most recent inspection was April 2025. Strong staffing and quality scores, but that deficiency history is worth asking about directly.

A

86/100

Sante Of North Scottsdale

Scottsdale, AZ · Maricopa County

CMS 3/5 72 beds For-profit
Nurse hours
5.19 /day
Staff turnover
58%
Serious cites
0

Sante Of North Scottsdale runs a 72-bed for-profit home in Maricopa County, and its nurse staffing sits well above the national average, 5.19 hours per resident day against 3.86. That's the strongest thing it has going. But weekends run about 13% thinner than weekdays, and annual turnover reaches 58.4%, so the people providing that care keep changing. The current inspection record carries 18 deficiencies, including two tied to abuse, though none rose to the harm or jeopardy level. Its last full inspection was in September 2024, and quality measures score well even as the health inspection side lags.

A

86/100

Aspire Transitional Care

Flagstaff, AZ · Coconino County

CMS 5/5 50 beds Non-profit
Nurse hours
4.16 /day
Staff turnover
48%
Serious cites
0

Aspire Transitional Care runs a tight ship on the clinical side, with quality measures landing at the top of CMS's scale. Staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though weekend coverage dips about 10% below the home's own weekday levels. Turnover is a mild concern at 47.8%, slightly above the national 45.8%. The inspection record shows 19 deficiencies but none at the harm level, two tied to abuse, and the most recent survey was in August 2025. For a 50-bed nonprofit in Flagstaff, the numbers lean favorable, with staffing consistency worth watching.

A

86/100

Mirabella At Asu

Tempe, AZ · Maricopa County

CMS 3/5 21 beds Non-profit Medicaid
Nurse hours
7.02 /day
Staff turnover
62%
Serious cites
0

Mirabella at ASU runs a small 21-bed operation in Tempe, and it's staffed well above what's typical, about 7 hours of nursing care per resident each day, roughly double the national figure. The tradeoff shows up in consistency: weekends run about 15% leaner than weekdays, and 61.5% of staff turned over in the past year against a national rate near 46%, which means familiar faces are harder to count on. The current record lists 11 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Inspectors were last out in August 2025.

A

86/100

Rogers Health And Rehabilitation Center

Rogers, AR · Benton County

CMS 3/5 118 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
49%
Serious cites
0

Rogers Health And Rehabilitation Center runs 118 beds under for-profit LLC ownership, and its strongest asset is direct-care staffing: 4.13 nurse hours per resident day, roughly 7% above the national average. The catch is weekends, when coverage drops about 14% below the home's own weekday level, the hours are there on paper, but they thin out when families visit. Turnover sits at 48.6%, a few points above the national 45.8%, so familiar faces aren't guaranteed. The current inspection record shows 24 deficiencies, none reaching harm or jeopardy and none abuse-related, with the most recent survey in January 2025. Quality measures score well; the two-star health inspection rating reflects that volume of findings.

A

86/100

Silver Oaks Health And Rehabilitation

Camden, AR · Ouachita County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
49%
Serious cites
0

Silver Oaks runs 3.84 nurse hours per resident day, just under the national average of 3.86, and weekend coverage dips about 10% below its own weekday levels, a pattern families often notice when they visit on Saturdays and Sundays. Staff turnover sits at 48.9%, higher than the 45.8% national figure, meaning roughly half the nursing staff turns over in a year. The current inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in June 2025. Camden's for-profit corporate owner also runs a home whose quality measure scores come in at the top of CMS's five-star scale, even as its staffing and inspection ratings land at three.

A

86/100

Fayetteville Health And Rehabilitation Center

Fayetteville, AR · Washington County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
40%
Serious cites
0

Fayetteville Health And Rehabilitation Center runs 140 certified beds under for-profit LLC ownership, and its 29 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, a meaningful distinction when you're comparing homes. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national 3.86 average, and weekends drop about 13% below the home's own weekday coverage, so ask how that gap gets covered. Annual turnover of 40% is better than the 45.8% national figure, which suggests some stability in the workforce. The last inspection was November 2025, so the record is recent.

A

86/100

Southfork River Therapy And Living

Salem, AR · Fulton County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
42%
Serious cites
0

Southfork River Therapy And Living sits in Salem with 84 certified beds and for-profit LLC ownership, and its inspection record is the standout: five deficiencies on file, none at the harm level, none tied to abuse, and a survey completed just this March. Staffing is thinner than it looks on paper, 3.80 nurse hours per resident day runs slightly under the national 3.86, and weekends drop roughly 12% below the home's own weekday coverage, so questions about Saturday and Sunday care are fair ones. Turnover of 41.9% is better than the 45.8% national figure, though it still means a lot of new faces. Strong surveys, average hands-on time.

A

86/100

Quapaw Care And Rehabilitation Center Llc

Hot Springs, AR · Garland County

CMS 3/5 126 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
44%
Serious cites
0

Quapaw Care and Rehabilitation Center runs 126 certified beds in Hot Springs under corporate for-profit ownership, and the staffing numbers are its strongest card: 4.57 total nurse hours per resident day, roughly 18% above the national average of 3.86. That edge softens somewhat on weekends, when hours drop about 13% below the home's own weekday level, and turnover sits at 43.8%, essentially in line with the 45.8% national figure, not a standout either way. The inspection record shows 25 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit dated July 2025. CMS rates health inspections 3 out of 5 and quality measures 4 out of 5, so the picture is solid staffing and outcomes with a middling inspection history.

A

86/100

Ashton Place Health And Rehab, Llc

Barling, AR · Sebastian County

CMS 4/5 122 beds For-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
54%
Serious cites
0

Nurse staffing at Ashton Place runs about 4.84 hours per resident day, roughly a quarter above the national average, though weekends dip around 14% below what the home covers Monday through Friday. The inspection record is recent and clean at the serious end, 17 deficiencies total, none involving harm or jeopardy, and none abuse-related, from a survey completed in March 2025. What keeps the staffing picture from being straightforward is turnover: 53.7% a year against a national average near 45.8%, which means many of the aides and nurses providing those above-average hours are still new to the building. A for-profit LLC operates its 122 beds.

A

86/100

Edgewood Health And Rehab

Springdale, AR · Washington County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
47%
Serious cites
0

Edgewood Health And Rehab runs about 4.43 nursing hours per resident each day, roughly 15 percent above the national average, which is a real cushion for a 100-bed home. The catch is weekends, when staffing drops about 14 percent below its own weekday level, and turnover sits at 47 percent, slightly worse than the 45.8 percent national figure, so the faces around your family member may change. The inspection record is recent, from November 2024, with 12 deficiencies but none involving harm or abuse. It's a for-profit corporate home with strong quality scores and solid inspections; the staffing advantage is genuine, but consistency is where it wobbles.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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