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.
Heritage at Longview runs 140 certified beds under corporate ownership, and its nurse staffing sits at 2.81 hours per resident each day, roughly 27 percent under the national average of 3.86. Weekends are thinner still, about 21 percent below what the home staffs on weekdays. The inspection record shows 26 deficiencies, including two at the level where harm or jeopardy occurred, one tied to abuse, and $81,752 in fines across two penalties. Its last inspection was June 5, 2024, so that record is recent. Staffing carries the lowest federal mark at 1 out of 5 stars, while inspections and quality measures each land at 3. The gap between those quality scores and the day-to-day staffing numbers is the thing worth asking about directly.
Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.
Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.
Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% against a national 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: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.
Four Corners Regional Care Center runs on 2.91 nursing hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 12% below what it manages on weekdays. With 67.4% of staff turning over each year, well above the 45.8% national figure, that thin coverage is coming from a constantly changing workforce. The county runs the place, and its inspection record shows 26 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $68,471. The last inspection was in January 2025, so the record is current. Quality scores look decent, but staffing is where the risk sits.
Oakhurst runs on about 3 hours of nursing care per resident per day, roughly a quarter below the national average, and it gets thinner on weekends. That shows up in the staffing star rating, which sits at the lowest tier. The bigger red flag is turnover: more than eight in ten staff left over the past year, against a national rate nearer 46%. Inspections produced 60 deficiencies, including nine tied to abuse and four serious enough to put residents in harm's way. State regulators fined the home once, for $18,590. The last inspection was in February 2024. If you're considering this one, ask how they're keeping consistent caregivers on the floor.
Kings Daughters Community Health & Rehab runs on 2.67 nurse hours per resident day, roughly 31 percent under the national average, and weekend coverage drops another 12 percent below its own weekday level. Staff turnover sits at 59.6 percent, well above the 45.8 percent national figure, so the people caring for residents are often new and still learning the building. The inspection record shows 81 deficiencies, 12 serious enough to involve harm or jeopardy and 8 tied to abuse. The last full inspection was February 2023, meaning the record is old but not resolved. For-profit LLC ownership, 117 beds, and a staffing rating at the bottom of the CMS scale make this a difficult placement to recommend without a very close in-person visit.
Pocahontas Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 14% below its own weekday level. Annual turnover sits at 63.8% against a national 45.8%. The inspection record shows 55 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, with three fines totaling $193,892. A 4/5 quality measure score stands out against a 1/5 staffing rating and 1/5 inspection rating, the quality number reflects resident assessments, not the hands available to deliver care. For-profit corporate ownership. Last inspection: November 5, 2025.
Madison Health and Rehabilitation Center runs 83 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends drop about 12% below its own weekday coverage. The bigger concern is retention: annual turnover hits 66.7% against a national 45.8%, meaning nearly seven in ten staff left within the year. CMS has cited 57 deficiencies, nine at harm or jeopardy level and two tied to abuse, with four fines totaling $289,198. Federal regulators have placed the home in the Special Focus Facility program, reserved for the most persistently troubled nursing homes.
Montello Care Center has real staffing depth, 4.71 nurse hours per resident day, about 22% above the national average, but that's roughly where the good news ends. The home carries 67 deficiencies on its current record, including 4 at the harm or jeopardy level and 16 tied to abuse, and CMS has fined it three times for a total of $163,039. Staff turnover sits at 64% against a national average near 46%, and weekend coverage drops about 10% below weekday levels, so the hours on paper may not hold steady when families visit. A one-star health inspection rating and a December 2025 inspection round out the picture.
Sabine Heights runs on thin staffing: 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 9% below its own weekday levels. Turnover sits at 63.1% against a 45.8% national figure, meaning most of the people caring for residents are still learning the building. The current inspection record shows 42 deficiencies, including 10 at the harm or jeopardy level and 2 tied to abuse, with six fines totaling $287,581. This is a 150-bed for-profit corporate home whose last inspection was January 7, 2026, and whose CMS staffing and health inspection ratings both sit at one star out of five.
Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.
North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.
Wharton Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the numbers: 18 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling $62,525. Staff turnover sits at 65.3% against a national 45.8%, which means the aides and nurses who know your mother's routines are leaving faster than replacements learn them. The hospital district ownership doesn't change what the staffing data says. The last inspection was May 28, 2026.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.
Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.
Paradigm At The Oak runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. That thin coverage shows up in the inspection record: 60 deficiencies, eight of them at the harm or jeopardy level and eight tied to abuse, with four fines totaling $103,606 and a one-star health inspection rating from CMS. Staff turnover sits at 39%, which is actually below the 45.8% national figure, so the problem here isn't retention so much as how few hands are on the floor. The last inspection was April 2026. For-profit corporate ownership.
The Hills runs lean on nursing care: 2.74 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That thin coverage shows up in the numbers CMS tracks, a one-out-of-five staffing rating, 18 deficiencies on the current record including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $29,325. Annual turnover sits at 93.2%, more than double the national rate, meaning the aides and nurses at the bedside are constantly new. The most recent inspection is dated February 26, 2026, so the record is current, not stale. Ownership is a for-profit limited liability company. Decatur families weighing this one should ask directly how the home covers weekend shifts.
Decatur Medical Lodge runs on 3.06 nurse hours per resident day, about a fifth below the national average, and weekends dip roughly 13% under its own weekday pace. Staff turnover sits at 71.3% against a 45.8% national figure, so the people caring for residents are leaving faster than they can be replaced. Inspections have logged 29 deficiencies, including one at the harm level and two tied to abuse, with a $14,518 fine on record. The last inspection was April 2026. For-profit ownership through a limited liability company rounds out the picture. Worth asking direct questions about weekend coverage and how quickly shifts get filled.
The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.
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?