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.
St. Teresa runs on thin staffing, and the numbers show it: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dropping about 11% below its own weekday coverage. That's roughly 97% of staff turning over each year, more than double the national rate, which means caregivers are constantly new to residents who need consistency. The inspection record carries 75 deficiencies, including two at the harm level and seven tied to abuse, with $20,730 in fines. Federal inspectors last visited in September 2025. For-profit individual ownership, 124 beds, and a staffing star rating of 1 out of 5 round out a picture worth weighing carefully against other El Paso options.
Ignite Medical Resort Sugar Land runs 90 certified beds and reports 13 deficiencies on its current record, three of them serious enough to involve actual harm or jeopardy. Fines total $155,401 across eight separate penalties, which tells you the problems aren't isolated incidents. Staffing sits slightly under the national average at 3.82 hours per resident day, but the bigger issue is turnover: 62.2% of staff leave each year, well above the 45.8% national rate, and weekend coverage dips below what the home manages on weekdays. The most recent inspection came in December 2025. High turnover with thin weekend staffing is where quality problems tend to surface.
La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.
Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.
Savannah Post Acute runs 3.34 nurse hours per resident day, roughly 14% under the national average, and weekends dip about 16% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 57.6% against a 45.8% national average, meaning more than half the nursing staff turns over in a year. The current record shows 37 deficiencies, none at harm or jeopardy level but three tied to abuse. Inspectors were last on site in May 2025. If you're weighing this one, ask how weekend coverage is actually scheduled and what the abuse-related citations involved.
Lakeside Rehabilitation and Care Center is a 100-bed for-profit home in Coeur d'Alene, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends run about 16% thinner than weekdays, and turnover hits 54.2% against a national 45.8%, meaning the people caring for your family member are both stretched and frequently changing. The inspection history is the bigger concern: 43 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with $220,832 in fines. The last inspection was August 2025. Ownership is corporate, for profit. Ask hard questions before choosing this one.
Bria Of Belleville runs 140 certified beds as a for-profit corporation, and its nurse staffing comes in at 4.27 hours per resident day, roughly 11% above the national average of 3.86. But that headline number hides a gap: weekend staffing drops about 20% below the home's own weekday level, and annual turnover sits at 53.4% against a national 45.8%, so the people providing that care are cycling out faster than average.
The inspection record is where the real weight sits. Sixty-six deficiencies are on file, thirteen of them at the harm or jeopardy level and eight abuse-related, with eight fines totaling $375,242. The last inspection was May 2025, and the health inspection rating is 1 out of 5.
Elevate Care South Holland runs 171 certified beds, and the staffing numbers are the place to start. At 3.24 nurse hours per resident day, it sits about 16% under the national figure of 3.86, and weekends dip another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the nursing staff turned over in a year, above the 45.8% national rate. The inspection record carries 45 deficiencies, 10 of them at harm or jeopardy level and 2 involving abuse, with six fines totaling $240,240. The last state visit was December 13, 2024. For-profit, individually owned.
Highland Place is a 227-bed for-profit home in Shreveport, and the federal record shows problems on every measure CMS tracks. Inspectors have logged 74 deficiencies, including six serious enough to cause harm or place residents in immediate jeopardy and four tied to abuse. Two fines totaling $294,723 have been assessed against the building. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. The most recent inspection was in July 2025, so this isn't an old file; it reflects what surveyors found within the past year. When a home is this large and this consistently flagged, families should ask direct questions about staffing levels, who supervises residents overnight, and how complaints get handled.
South County Health Care Center runs 1.40 nurse hours per resident per day, which is roughly 64 percent below the national average of 3.86, a gap that shows up most on weekends, when staffing drops about 14 percent below its own weekday level. The current record lists 28 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent inspection in August 2025 means the picture is current, not stale. With 153 certified beds under for-profit limited liability ownership, the staffing number is the one worth pressing on: ask how many nurses are actually on the floor on a Saturday.
Overall nurse staffing at The Quarters At Des Peres runs 4.04 hours per resident day, a bit above the national average, but weekends drop about 15% below the home's own weekday levels, so coverage thins out when families tend to visit. Annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. The inspection record is the harder problem: 83 deficiencies, 12 at harm or jeopardy level, two abuse-related, and four fines totaling $334,933, with a 1-out-of-5 health inspection rating.
Elderwood At Williamsville runs 200 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.71 nurse hours per resident day, it sits below the national average, and weekends drop roughly 23% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover tells a similar story: 72.4% annually against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. The current record shows 22 deficiencies, including one at harm level and four abuse-related, plus a $75,553 fine. Inspectors last visited in January 2025.
The numbers at Mt Pleasant Healthcare and Rehabilitation point to a staffing problem more than anything else. Nurses provide about 3.29 hours of care per resident each day, roughly 15 percent below the national average, and weekends get thinner still, about 15 percent below the home's own weekday coverage. That gap matters because turnover runs at 61 percent, well above the 45.8 percent national figure, meaning the staff who are there keep changing.
The inspection record is mixed: a March 2025 visit, a 3-star health inspection rating, but 10 deficiencies on file, including one at the harm level and two tied to abuse. A for-profit limited liability company owns the 72-bed home, and CMS has fined it once for $7,443.
Laurelwood runs 64 beds in Jackson under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That number hides a sharper problem: weekend coverage drops about 17% below what the home staffs on weekdays, and 60% of its staff turn over each year against a national rate near 46%. Twenty deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse, with $168,961 in fines across two penalties. The last inspection was January 22, 2026. A family weighing this one should ask directly how weekends are covered and what changed since those abuse findings.
Colonial Health & Rehab Center runs 90 beds in Virginia Beach under corporate ownership, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.52 hours per resident per day against a national average of 3.86, and weekends drop roughly 20% below the home's own weekday levels. Annual turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for your family member are likelier than not to change within the year.
The inspection record is harder to explain away: 61 deficiencies, four at harm or jeopardy level, five tied to abuse. One fine totaling $78,455 is on file. Quality measures score well, but that's self-reported data. The last full inspection was September 2024, so the record is current.
Gilmer Nursing And Rehabilitation runs on thin staffing: 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 12 percent under its own weekday level, when backup is scarcest. The inspection record is heavier than that number alone suggests: 62 deficiencies on file, nine serious enough to reach harm or jeopardy, four tied to abuse, and three fines totaling $218,053. A for-profit limited liability company operates the 93-bed home, and its last inspection was March 2026. Quality measures score mid-range, but the health inspection and staffing ratings both sit at the bottom of the scale.
Merry Wood Lodge runs 3.24 nurse hours per resident day, about 16% under the national average, and weekends dip roughly 11% below its own weekday staffing. That shortfall matters because the home carries 17 deficiencies, 6 of them at the harm or jeopardy level and 4 related to abuse, plus a single fine of $182,968. Annual turnover sits at 51.9%. CMS has placed it in the Special Focus Facility program, and its last inspection was September 2024.
Magnolia Ridge runs 4.49 nurse hours per resident day, about 16% above the national average, and that number looks good on paper until you notice weekends drop roughly 20% below the home's own weekday staffing. Annual turnover sits at 63.2% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is where it gets serious: 43 deficiencies, 19 of them at harm or jeopardy level, 6 abuse-related, and one $392,125 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Falkville Rehabilitation and Healthcare Center is a 116-bed for-profit home in Morgan County, and the inspection record is the part that should give you pause. CMS has cited 33 deficiencies on its current record, 14 of them at the harm or jeopardy level and 7 tied to abuse, enough that the agency has placed the home in its Special Focus Facility program, which is reserved for the worst performers in the country. Two fines total $146,615. Staffing sits slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency: weekends run about 13% thinner than weekdays, and turnover is 55.2% against a national 45.8%. A September 2025 inspection is recent, but recent isn't the same as clean.
Cumberland Health and Rehab is a 100-bed nonprofit home in Bridgeport, and its numbers pull in two directions. The care side looks strong on paper: a 5/5 staffing star rating, a 5/5 quality measure rating, and turnover at 35.6%, well below the national average of 45.8%. But the inspection record is where the story turns. Eighteen deficiencies, six of them serious enough to cause harm or jeopardy, one tied to abuse, plus a $238,745 fine and a spot in CMS's Special Focus Facility program. Total nurse staffing sits slightly under the national average, and weekends run about 12% thinner than weekdays. That last inspection was June 2024, so the record is current.
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?