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 Grand Rehabilitation and Nursing at Batavia runs 62 beds under for-profit partnership ownership, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day. Weekends drop roughly 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Every nursing position turning over in a year, against a national average near 46%, means the people caring for residents keep changing. Its current record shows 18 deficiencies, none at harm or jeopardy level but one abuse-related, with the most recent inspection in February 2025. Quality measure scores come in at the bottom of CMS's scale.
Oneida Center runs 120 beds under corporate ownership, and its biggest problem shows up in the staffing numbers. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekends drop about 14% below its own weekday levels, and annual turnover hits 56.4% against a national 45.8%. Inspections tell a quieter story: 25 deficiencies on record, but none at the harm or jeopardy level and nothing abuse-related, with the last visit in December 2024. Quality measures look decent at 4 stars, though that can reflect charting as much as care. The daily experience here likely depends on how thin the floor gets.
Lenoir Health and Rehabilitation Center is a 120-bed for-profit in Caldwell County with a staffing picture that doesn't hold up. Nurses provide 3.57 hours per resident day, under the national average, and weekends run roughly 15% thinner than weekdays, so coverage dips right when families tend to visit. Annual turnover sits at 68.7%, well above the national 45.8%, which means the aides and nurses caring for residents are often new to the building.
The inspection record is where the real weight is: 35 deficiencies, three at harm or jeopardy level, five tied to abuse, and four fines totaling $150,174. The most recent inspection was November 2025. Quality measures score well, but strong chart numbers don't offset thin weekend coverage and that deficiency history, worth asking about directly before you decide.
Mill Creek runs on 3.37 nurse hours per resident per day, roughly 13 percent under the national average, and weekends dip about 9 percent below its own weekday staffing. That thin coverage sits alongside a 66.7 percent annual turnover rate, well above the 45.8 percent national figure, so the aides and nurses caring for your family member are likely to change often. The current record carries 46 deficiencies, three of them serious enough to put residents at risk of harm, with two fines totaling $29,876. The most recent inspection was April 14, 2025. The for-profit LLC structure doesn't explain all of this, but combined with 1 out of 5 on health inspections, it's worth asking hard questions before moving anyone in.
River Trace carries 31 deficiencies on its current record, four of them serious enough to involve actual harm or jeopardy and two tied to abuse. The health inspection rating sits at one star, and the staffing rating matches it, with 67.1% of staff turning over annually against a national average of 45.8%, that churn matters because it's hard to know your aide when the aide keeps changing. Two fines totaling $32,991 are on file, and the most recent inspection was August 2025. This is a 140-bed for-profit run by a corporation, and the quality measure rating, at two stars, is the strongest number here, which isn't saying much.
Peak Resources-Outer Banks runs 126 certified beds in Nags Head under corporate, for-profit ownership, and its inspection record is genuinely its strongest suit: a 4-out-of-5 health inspection rating, nine deficiencies on the current record with none reaching harm or jeopardy level, and a fresh inspection as of March 2025. The trouble sits in the day-to-day staffing and in the quality measures, where the home scores just 1 out of 5. Nurse staffing averages 3.13 hours per resident day, roughly 19% under the national figure of 3.86, weekend coverage dips about 8% below its own weekday level, and annual turnover hits 56.1% against a national 45.8%. Good inspections, thin staffing, that's the tradeoff to weigh.
Lotus Village in Sparta runs on 3.38 nurse hours per resident day, about 12% under the national average, and weekend coverage dips roughly 7% below its own weekday levels. Staff turnover sits at 53.5%, well above the 45.8% national figure, so the people caring for residents are often new. The inspection record is the real story: 56 deficiencies, 10 of them at the harm or jeopardy level and 4 tied to abuse, plus $315,228 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. That program status reflects sustained problems across multiple inspections, not one bad day.
Senior Citizens Home runs 60 certified beds in Henderson under a for-profit limited liability company, and its last health inspection was in March 2026. The record shows 26 deficiencies, two of them at the harm or jeopardy level, with no abuse citations. Staff turnover sits at 61.9%, well above the 45.8% national average, and CMS rates staffing and quality measures at just one star each. One fine totaling $55,760 is on file.
Staffing at Oak Forest runs 3.83 nurse hours per resident day, roughly in line with the national figure of 3.86, but it thins out on weekends, about 7% below the home's own weekday level. The bigger issue is who's giving that care: annual turnover sits at 61.3% against a 45.8% national average, meaning most of the staff you'd meet this year likely won't be there next year. That churn shows up in the record. Inspectors last visited in June 2025 and found 32 deficiencies, four serious enough to cause harm or put residents in jeopardy, one tied to abuse, drawing $38,527 in fines.
Ayden Court runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip about 7% below its own weekday level. That thin coverage sits behind a one-star staffing rating, while the home's 58.4% annual turnover is well above the 45.8% national figure, meaning the people who do show up are often new or on their way out. Inspectors have logged 23 deficiencies, including one at harm level and two abuse-related, and levied three fines totaling $37,700. The most recent inspection was May 2026. A for-profit LLC operates the 82-bed home.
Embassy of Woodview runs 95 certified beds in Columbus under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average, and weekends run about 5% thinner than weekdays, with annual turnover at 68.9% against a national 45.8%. The inspection record is heavy: 47 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $151,043 in fines and a May 2025 inspection. Quality measures score well, but that's largely self-reported data, while staffing and inspections come from what surveyors actually found.
East Park Care Center runs on 3.08 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage slips about 9% below what it manages on weekdays. Staff turnover sits at 72.1% against a national rate near 46%, so the people around your family member change often. On its current record: 44 deficiencies, three involving harm or jeopardy, three tied to abuse, and $84,417 in fines across two penalties. The last inspection was in late October 2024. The five-star quality measure score reflects resident assessments, but the one-star inspection and staffing ratings describe what surveyors found and how thin the floor coverage is.
Laurel Ridge Center runs 61 beds in Uniontown under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop another 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 55.2% tops the national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 13 deficiencies, including one at harm or jeopardy level and three tied to abuse. CMS rated quality measures 1 out of 5 and staffing 2 out of 5, with a June 2025 inspection.
St. Francis Center runs 273 beds in Darby, and the numbers tell two different stories. Inspectors have been through recently, July 2025, and found 23 deficiencies, none of them serious enough to harm a resident and none related to abuse, which is why the health inspection rating sits at 4 out of 5. Staffing is the weak point. At 3.39 nurse hours per resident day, this home runs about 12 percent below the national average, and weekends drop another 8 percent below its own weekday levels. Annual turnover of 58.4 percent is well above the 45.8 percent national figure, so the people providing that care are cycling through quickly.
Inners Creek runs 202 certified beds in Dallastown under corporate ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and it thins out further on weekends, dropping about 7 percent below the home's own weekday level. Staff turnover is 54 percent a year against a national 45.8 percent, meaning more than half the caregivers are new to their jobs within twelve months. On the inspection side, the current record shows 62 deficiencies, including 2 at the harm level and 4 tied to abuse, with two fines totaling $47,031. The most recent inspection was October 25, 2024.
Woodhaven runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and it thins out further on weekends, dropping about 9% below its own weekday staffing. That shortfall shows up in retention too: 55.6% of staff left over the past year, well above the 45.8% national figure, which means new faces are constantly learning the building. The inspection record is the bigger concern. Fifty deficiencies are open right now, one of them serious enough to involve actual harm and another tied to abuse, plus a $37,480 fine. For a family weighing this place, those are the numbers worth pressing the administrator on directly.
Aristacare At East Falls runs 5.50 nurse hours per resident day, well above the national average, but the weekend gap and a 58.6% turnover rate suggest those hours aren't reliably staffed by the same people. The inspection record is the bigger concern: 79 deficiencies, including three at harm or jeopardy level and four tied to abuse, with two fines totaling $57,568. A 1/5 inspection rating and a 1/5 staffing rating, despite the raw hours, point to real gaps between what's scheduled and what families actually experience.
Elk River Health & Nursing Center runs about 3.70 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin weekend coverage matters more when you consider turnover: nearly 70% of staff left last year, against a national average near 46%, and CMS gives the home its lowest mark on staffing. Inspections look better, a four-star health inspection rating, with nine deficiencies on record and none at the harm level, though one is abuse-related. The last inspection was July 30, 2025. Quality measures sit at two stars. Nonprofit ownership doesn't change the arithmetic: consistent hands are the hard part here.
Northbrooke Post Acute runs on 3.54 nurse staffing hours per resident day, roughly 8% under the national average, and weekends dip about 10% below what the home itself does on weekdays. That thin coverage is hard to separate from a 73.9% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current record carries 32 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the last full inspection was in April 2025. Inspections, quality measures, and staffing each land at or below the middle of CMS's five-star scale, with staffing at the bottom. A for-profit corporation owns the 120 certified beds.
Ennis Care Center runs on thin staffing: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home itself manages Monday through Friday. That shortfall shows up in turnover too, 58.2% of staff leave each year, well above the 45.8% national rate, which means caregivers are constantly new to residents who need consistency. The inspection record backs this up: 21 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and $187,220 in fines across three penalties. Corporate ownership is for-profit. The most recent inspection was March 2025, so the picture is current, not stale, and it's a hard one.
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?