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.
Sherman Village Hcc has the staffing most families say they want, 4.98 nurse hours per resident day, roughly 29% above the national average, and turnover at 26.7% against a national 45.8% suggests workers tend to stay. Now the other side: a 1-out-of-5 inspection rating, 106 deficiencies on the current record, three of them at harm or jeopardy level and four abuse-related, plus a $202,260 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of serious problems. Staffing can be strong and a building can still be failing; here, state and federal inspectors have documented the second repeatedly.
Northvine Postacute Care is a 62-bed for-profit home in Santa Rosa, and the staffing numbers alone tell you something: 3.59 nurse hours per resident day, roughly 7% under the national average, with weekends running about 5% thinner than weekdays. Turnover sits at 47.5%, slightly above the national rate, so the people caring for residents keep changing. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with persistent problems, and its inspection record shows 76 deficiencies, including 4 at the harm level and 10 tied to abuse. Seven fines total $50,050. The last inspection was October 2024.
Bixby Towers runs 99 certified beds in Long Beach, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average, though weekends dip about 7% below its own weekday levels. Staff turnover is 53.8%, well above the 45.8% national figure, and the inspection record carries 82 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $114,270. The most recent inspection was August 1, 2025, so the picture is current. Ownership is a for-profit limited liability company. Strong quality measure scores sit alongside a single-star inspection rating, worth asking about directly.
Rio Hondo runs 4.64 nurse hours per resident per day, about 20 percent above the national average, but weekends drop roughly 13 percent below its own weekday staffing, so the coverage families see on a Tuesday isn't what shows up on a Sunday. Turnover sits at 63.4 percent against a national 45.8, meaning most of the people caring for your relative were hired within the past year. The record shows 195 deficiencies, 16 of them serious enough to endanger residents, 18 tied to abuse, and eight fines totaling $411,481. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Poudre Canyon Rehabilitation and Nursing is a for-profit LLC in Fort Collins with 83 certified beds, and its staffing is the first thing you should look at. At 2.65 nurse hours per resident day, it runs roughly 31% below the national average of 3.86, weekend coverage slips about 5% below its own weekdays, and annual turnover is 60.5% against a national 45.8%, so not only are there fewer hands, people keep leaving. That shows in the inspection record: 37 deficiencies on file, six of them carrying harm or jeopardy, seven tied to abuse, and $48,308 in fines across two penalties. The most recent inspection was January 22, 2025. Quality measures score well, but the staffing and inspection numbers are what I'd ask about directly.
Creekside Village runs on thin staffing and a troubling inspection record. Nurses provide about 3.47 hours of care per resident per day, roughly 10% under the national average, and weekend coverage drops another 12% below the home's own weekday level. Staff turnover sits at 74.4%, well above the 45.8% national figure, so the people caring for your family member are likely new, still learning the building, or already halfway out the door. The current record shows 53 deficiencies, nine tied to abuse and eight serious enough to put residents in harm's way, plus five fines totaling $48,875. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Westwood Post Acute carries 50 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy to residents. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which means the government is watching it more closely than most. Staffing sits at 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends run about 10 percent thinner than weekdays. Annual turnover is 50.7 percent, above the national 45.8 percent. The quality measure score looks strong, but it's built from reported data, not from how the place actually runs day to day. Inspectors were last in on April 25, 2025.
Irondale Post Acute carries a 1-out-of-5 health inspection rating, and the record behind it is heavy: 27 deficiencies, six of them at the level where residents were actually harmed or put in immediate jeopardy, and four tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent compliance problems. Five fines total $147,455, and the last inspection was February 2026. Staffing sits at 3.35 hours per resident day, about 13 percent under the national average, and weekends run roughly 11 percent thinner than weekdays. The quality measure score looks strong on paper, but that's self-reported data, the inspection findings and the penalty history are what families should weigh here.
Accel At Longmont is a five-bed for-profit home, and its record is one of the roughest you'll see. Inspectors have cited 57 deficiencies, seven of them serious enough to cause harm or put residents in immediate jeopardy, plus two tied to abuse; fines total $175,956 across five penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Nurse staffing runs about 2.97 hours per resident day, roughly 23% under the national average, and weekends drop further. The inspection done in September 2025 gave it the lowest possible rating. With that few beds, there's little margin for the staffing gaps.
Arden Care Center runs 271 beds under for-profit LLC ownership, and the numbers are hard to dress up. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national figure, and it thins out further on weekends. Turnover at 38.1% is actually better than average, but it isn't enough to offset 94 deficiencies on the current record, 4 at harm or jeopardy level, 21 tied to abuse, plus three fines totaling $101,228. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was February 2025.
Wilmington Nursing & Rehabilitation Center carries 101 deficiencies on its current record, and the ones that matter most are hard to look past: 12 at the harm or jeopardy level, 5 tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, and three fines total $408,742. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 11% leaner than weekdays. The one number that runs the other way is turnover at 31% against a 45.8% national average. Its last inspection was December 2025.
Pike Creek runs 177 certified beds under individual for-profit ownership, and its staffing sits at 3.88 nurse hours per resident day, barely a hair above the national average of 3.86. That thin margin matters less than what happens on weekends, when coverage drops roughly 8% below the home's own weekday levels, and turnover runs at 45.3%, almost exactly the national rate. The real problems show up in inspections: a 1-out-of-5 health inspection rating, 97 deficiencies on the current record including 6 at harm or jeopardy level and 8 tied to abuse, plus $484,596 in fines across two penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
New Castle Health and Rehabilitation Center holds 120 certified beds and is run by a for-profit corporation. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and weekends run about 10 percent lighter than weekdays, a gap families often notice when they visit on Saturdays and Sundays. The inspection record is where the trouble concentrates: 47 deficiencies, including 3 at harm or jeopardy level and 7 tied to abuse, with $47,300 in fines and placement in CMS's Special Focus Facility program. Turnover, at 45.6 percent, is essentially the national norm, so the problem isn't retention, it's what inspections keep finding.
Cadia Rehabilitation Broadmeadow runs 120 certified beds in Middletown under for-profit LLC ownership, and its staffing sits right at the national mark, 3.88 nurse hours per resident day against 3.86, with weekend coverage dropping roughly 8% below weekday levels and turnover at 44.9%, slightly better than the 45.8% national figure. That's respectable on paper. What the paper also shows is a health inspection rating of 1 out of 5, 41 deficiencies on the current record, five of them at harm or jeopardy level and six tied to abuse allegations, plus $79,126 in fines across two penalties. CMS has placed it in the Special Focus Facility program, and the most recent inspection closed January 30, 2026.
The Groves Center runs on thinner staffing than most homes nationally, 3.52 nurse hours per resident day against a 3.86 average, and it gets even thinner on weekends. That matters when you consider the rest of the record: 58.2% annual turnover, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. Its inspection history is the real concern. Forty-nine deficiencies sit on the current record, eight serious enough to put residents in harm's way, seven tied to abuse. Two fines totaling $291,478 and a place in Medicare's Special Focus Facility program tell you regulators are watching closely. The most recent inspection was February 2026.
Clearwater Center is a 109-bed nonprofit home that federal regulators have placed in the Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Its current file shows 22 deficiencies, three of them at the harm or jeopardy level, plus a $76,496 fine, and its health inspection rating sits at 1 out of 5 stars. Staffing tells its own story: 3.10 nurse hours per resident day, roughly 20 percent under the national average, with weekends running about 6 percent thinner than weekdays. Turnover at 40.2 percent is actually a little better than the national 45.8 percent, so the problem isn't retention so much as how few hands are on deck each day.
Westside Oaks runs 3.27 nursing hours per resident per day against a national average of 3.86, and weekend coverage drops about 8% below its own weekday levels. That thin staffing sits alongside 24 deficiencies on the current record, eight of them at harm or jeopardy level and four abuse-related, plus a $96,892 fine and placement in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. Staff turnover is 49.1%, higher than the 45.8% national figure. The five-star quality measure rating comes mostly from resident assessment data, not from the inspection record, and the two are telling different stories here.
Dade City Health and Rehabilitation Center runs 120 beds under for-profit LLC ownership, and the numbers that matter most here are the inspection ones. Fifty-four deficiencies sit on the current record, seven of them at the harm or jeopardy level, with two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Five fines total $94,152, and the last inspection was April 25, 2024. Nurse staffing comes in at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 7% thinner than weekdays. Turnover, at 44.3%, is basically average.
Casa Mora runs 240 certified beds in Bradenton under nonprofit ownership, and the first thing you notice in its record is the split between how it's staffed and how it's inspected. Nurse staffing sits at 3.38 hours per resident day, about 12% under the national average, though turnover at 32.1% actually beats the national 45.8%, so aides tend to stay, there just aren't enough of them per resident. The inspection side is where it gets hard: 26 deficiencies on the current record, 7 of them at harm or jeopardy level, plus 3 abuse-related findings, a $73,220 fine, and CMS placing it in the Special Focus Facility program. That program is CMS's watchlist for homes with a persistent pattern of serious problems, it isn't assigned lightly.
Aviata At The Palms runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average, and weekend coverage slips about 6 percent below its own weekday level. Staff turnover sits at 53.8 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record is where the real concern lies: 38 deficiencies, four at harm or jeopardy level, one abuse-related, and a one-star health inspection rating from CMS. Quality measures score well at four stars, but that reflects resident outcomes on paper, not the staffing and safety problems inspectors found. State surveyors last visited in August 2024. This is a for-profit limited liability company, and the pattern here rewards a close look before you decide.
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?