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.
Knollwood Healthcare runs 71 certified beds in Mobile under for-profit limited liability ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families visit most. Staff turnover of 74.2% means most of the people caring for residents this year likely won't be there next year. Forty-six deficiencies are on the current record, twelve at harm or jeopardy level and ten abuse-related, with four CMS fines totaling $318,070. CMS has placed it in the Special Focus Facility program, its last inspection was September 11, 2025, and you should ask pointed questions before considering it.
Haven Of Sedona runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Annual turnover sits at 50.7% against a national 45.8%, so even the hours that exist are often delivered by people still learning the building. Inspectors have cited 50 deficiencies, nine tied to abuse, and CMS keeps the home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of serious problems, though none of the current citations reached harm or jeopardy. The 5/5 quality measure score and April 2026 inspection are the strong points; staffing and enforcement history are not.
Sandstone of Tucson Rehab Centre runs 240 certified beds under for-profit LLC ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average of 3.86. Weekends dip roughly 7% below its own weekday levels, and turnover runs 46.4%, slightly above the national 45.8%. What stands out most is the inspection record: 63 deficiencies, including 2 at harm or jeopardy level and 27 tied to abuse, with $55,090 in fines across two penalties. That history is what drives the one-star health inspection rating, even though the quality measure score sits at the top and staffing rates well. The last inspection was April 2026. Ask about the abuse-related citations directly before deciding.
Sunview runs a split record. Nurse staffing sits at 4.47 hours per resident day, about 16% above the national average, and turnover of 41.2% is slightly better than the typical home. Those are real strengths, and the 5/5 quality measure rating reflects them. But the inspection side tells a different story: 19 deficiencies on record, 2 at harm or jeopardy level, 5 abuse-related, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Weekend staffing drops roughly 15% below weekday levels, which matters when falls and emergencies don't wait for Monday. The last inspection was September 2024.
Palm Valley Post Acute runs 180 certified beds in Goodyear under corporate ownership, and the staffing numbers are more mixed than they first look. Total nurse hours sit slightly above the national average, and turnover at 41.1% is actually below the norm, but weekend coverage drops about 6% from weekday levels.
The inspection record is where the picture darkens. Forty-eight deficiencies are on file, including 19 tied to abuse and six serious enough to put residents in harm or jeopardy, which is why CMS has placed this home in its Special Focus Facility program. That designation isn't routine, it flags homes with a persistent pattern of poor care. One fine totaling $82,607 is also on record.
Concordia Nursing & Rehab is a 102-bed for-profit home in Bella Vista, and the number that should stop you is 37 deficiencies on its current record, seven of them serious enough to cause harm or put residents in jeopardy. That's why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories. Nurse staffing sits at 3.52 hours per resident day, about 9% under the national average, and weekends run roughly 6% thinner than weekdays. The two fines on record total $123,918. A May 2025 inspection is recent, so the picture isn't stale, it's current.
California Post-Acute Care in Lynwood carries one of the heaviest deficiency records you'll see: 144 total, including 11 tied to abuse and two serious enough to put residents in immediate harm's way. Every CMS rating category lands at one star, inspections, quality measures, staffing, so there's no strong area offsetting the weak ones.
Being named a Special Focus Facility means federal regulators have singled this home out for closer monitoring, a step they reserve for the worst performers. The last inspection was in May 2026, and a $33,120 fine is on record. With 130 beds, that's a lot of residents in a building the government is actively watching.
Greenfield Care Center Of Fairfield runs 90 certified beds under for-profit limited liability ownership, and its nurse staffing of 4.71 hours per resident day sits about 22% above the national average of 3.86, so there are real people on the floor most days. The catch is that weekends run roughly 10% leaner than weekdays, and annual turnover of 48.6% tops the national 45.8%, meaning the staff you meet in March may not be there by fall. The current record carries 78 deficiencies, eight at harm or jeopardy level and four abuse-related, plus four CMS fines totaling $455,702. Federal regulators have placed it in the Special Focus Facility program, and its last inspection was March 12, 2026.
Providence St Elizabeth Care Center has real strengths in its staffing: 4.76 nurse hours per resident day, well above the national average, and turnover at 27.8% that's notably lower than the typical home. But that's where the good news largely ends. The health inspection record is poor, 82 deficiencies on file, including four at the harm level and one abuse-related citation, plus two fines totaling over $54,000. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and the most recent inspection was in January 2026. Strong bedside staffing can't offset a documented pattern of serious health and safety failures.
California Post Acute sits in a tough spot for a family trying to decide. The raw staffing number, 4.03 hours per resident day, actually edges past the national average, but that average hides a lot, weekends run about 5% thinner than weekdays, and nearly half the nursing staff turns over each year, so the people providing care keep changing. What the record shows is harder to look past: 131 deficiencies, 13 of them serious enough to put residents in harm's way, 12 tied to abuse, and four fines totaling more than $215,000. Federal regulators have placed it in the Special Focus Facility program, which is reserved for the country's most troubled homes. The most recent inspection was in July 2025.
Shasta View Care Center has a staffing number that looks good on its face, 4.53 nurse hours per resident day, about 17 percent above the national average. But that number comes with a 69.7 percent annual turnover rate, well above the 45.8 percent national figure, and weekend coverage sits roughly 8 percent below weekdays. The inspection record is where the real trouble shows: 107 deficiencies on file, five at the harm or jeopardy level, 12 abuse-related, plus two fines totaling $189,423. CMS has placed this for-profit LLC home in its Special Focus Facility program, and the most recent inspection was June 2025.
Bay Crest Care Center is an 80-bed for-profit home in Torrance, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but it drops roughly 8% on weekends, so care can thin out exactly when families tend to show up. Staff turnover of 56.4% runs well above the national 45.8%, meaning the people caring for your relative are likely to change often. On the inspection side, CMS counts 124 deficiencies, five of them at the harm or jeopardy level and five abuse-related, with four fines totaling $124,336. The home is currently in CMS's Special Focus Facility program.
Rancho Seco Care Center has a staffing edge on paper, 4.16 nurse hours per resident day, roughly 8% above the national average, but weekends run about 10% thinner than its own weekdays, so the coverage a family sees on a Tuesday isn't what they get on a Sunday. Turnover sits at 43.7%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. What overrides all of that is the record: 72 deficiencies, including 3 at harm or jeopardy level and 16 abuse-related, plus two fines totaling $490,205 and placement in CMS's Special Focus Facility program. The most recent inspection was January 8, 2026.
Sunray Healthcare Center has enough hands on deck, 5.05 nurse hours per resident day, roughly a third above the national average, but that staffing cushion is doing a lot of work against a rough record elsewhere. The home carries 80 deficiencies, including 6 at the harm or jeopardy level and 9 tied to abuse, plus $147,893 in CMS fines across four penalties, and it currently sits in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. Staff turnover, at 41.4%, is actually a bit better than the 45.8% national figure, so the trouble isn't retention alone. Ownership is for-profit, through a limited liability company, and the last inspection was April 19, 2026.
Four Seasons Healthcare & Wellness Center runs 201 beds in North Hollywood under for-profit LLC ownership, and the numbers tell two different stories. Resident care measures look decent, but the inspection record is where this home falls apart: 141 deficiencies on file, including 9 tied to abuse and 4 serious enough to put residents in harm's way, plus $87,215 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems. Staffing sits at 4.23 hours per resident day, about 9% above the national average, though weekends drop roughly 9% below the home's own weekday levels. The most recent inspection was April 2025.
Mirage Post Acute runs 299 beds in Lancaster under for-profit partnership ownership, and its staffing numbers look decent on paper, 4.56 nurse hours per resident day, about 18% above the national average. But the inspection record tells a different story: 262 deficiencies, including 6 at the harm or jeopardy level and 21 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and there are three fines totaling $153,991. Staff turnover sits at 50.4%, above the 45.8% national average, and weekend staffing drops roughly 11% below weekday levels. With a 1-out-of-5 inspection rating and a 2026 inspection date already on record, the high staffing figure isn't translating into safe care.
Woodland Care Center's numbers pull in opposite directions, and the split tells you where to look. Nurse staffing sits at 3.83 hours per resident day, roughly a percent under the national average, with weekends about 5% thinner than weekdays, but turnover is 20.9%, less than half the national rate, which means the people who are there tend to stay. The problem is what inspections keep finding: 110 deficiencies on the current record, two at harm level, five tied to abuse, and $30,972 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Quality scores look strong, but a 1-out-of-5 inspection rating and a fresh April 2025 survey carry more weight.
Astoria Healthcare Center has real staffing strength: 4.16 nurse hours per resident day, roughly 8% above the national average, and turnover at 33.9% is better than the 45.8% norm. Weekend coverage dips about 6% below weekdays. The problem is everything else. A 1-out-of-5 inspection rating sits alongside 124 deficiencies, three at harm or jeopardy level and eight abuse-related, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Its last inspection was in May 2025, so the record is current. Good staffing numbers can't offset that pattern.
Griffith Park Healthcare Center runs 3.94 nurse hours per resident day, a bit above the national average, and its 42.9% turnover is slightly better than typical. But weekend staffing drops about 8% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger issue sits in the inspection record: 96 deficiencies currently on file, including 10 abuse-related citations and 3 at the harm or jeopardy level, with $63,605 in fines across three penalties. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure rating suggests the clinical scores look better than the day-to-day compliance picture. The most recent inspection was December 15, 2025.
Burbank Healthcare & Rehab is a 188-bed for-profit run by a limited liability company, and the numbers pull in opposite directions. Nurse staffing is genuinely better than most homes, about 4.06 hours per resident day, roughly 5% above the national average, and its 41% turnover is slightly better than the 45.8% national figure, though weekend coverage drops about 6% below its own weekday level. What outweighs all of that is the inspection record: 142 deficiencies, four at harm or jeopardy level, twelve abuse-related, two fines totaling $31,803, and a current place in CMS's Special Focus Facility program, with the last inspection in March 2026. Staffing can be adequate and the care still unsafe. That's the tension here.
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?