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.
Aviata At Beneva runs about 3.6 nursing hours per resident per day, roughly 7% under the national average, and weekend coverage drops another 9% below its own weekday level. That thinner weekend staffing matters because the home carries 30 deficiencies on its current record, including six at the harm or jeopardy level and two tied to abuse, with $110,129 in fines across two events. CMS has placed it in the Special Focus Facility program, and the health inspection rating sits at 1 out of 5 despite a 4 out of 5 on quality measures. Staff turnover runs near 50%, above the national figure, so the people at the bedside keep changing even as the paperwork looks better than the building does.
Lake Mariam runs 4.18 nurse hours per resident day, roughly 8% above the national average, but weekends drop about 12% below its own weekday numbers, so the coverage that looks fine on paper thins out when families visit. The bigger problem is the inspection record: 65 deficiencies, seven at harm or jeopardy level, two involving abuse, and $353,123 in fines across four penalties. CMS has placed it in the Special Focus Facility program, which it reserves for homes with a persistent pattern of serious problems. Staff turnover sits at 46.7%, slightly above the 45.8% national average. The quality measure score is strong, but that's built from resident assessment data, not from what inspectors found on January 25, 2024.
Lehigh Acres Healthcare & Rehab Center has enough nurses on paper, about 4.08 hours per resident day, slightly above the national average, but the weekend gap is worth asking about, since staffing drops roughly 13% below its own weekday level. The real trouble is the inspection record: 29 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $132,889 in fines. CMS has placed this for-profit, LLC-owned home in its Special Focus Facility program, meaning federal regulators flag it for sustained poor performance. A recent inspection in June 2025 won't fix years of problems on its own.
Aviata At Santa Barbara is a 120-bed for-profit home in Cape Coral, and the number that should stop you is this: 27 deficiencies on its current record, six of them serious enough to put residents in harm's way, two tied to abuse. That's why CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the worst inspection histories in the country. The 1-out-of-5 inspection rating reflects that, and the six fines totaling $111,543 tell the same story. Staffing sits at 3.38 hours per resident day, roughly 12% under the national average, with weekends running about 9% thinner than weekdays. Turnover, at 34.8%, is actually better than the 45.8% national figure, the one genuine bright spot.
Aviata At Big Bend runs 120 certified beds in Perry under corporate for-profit ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.68 hours per resident per day, under the national average, and weekends drop roughly 13% below the home's own weekday coverage, so the hours when families often visit are the thinnest. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Most concerning: 18 deficiencies on the current record, four at harm or jeopardy level, four tied to abuse, and $150,655 in fines. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Gulf Coast Village runs a nonprofit shop with 85 beds in Cape Coral, and the raw nursing hours look good, 4.93 per resident per day, about 28% above the national average. Weekend staffing dips roughly 7% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover sits at 53.6%, well past the 45.8% national figure, and that churn shows up in a record with 21 deficiencies, five at harm or jeopardy level and one tied to abuse. CMS has placed it in the Special Focus Facility program and fined it three times, totaling $37,092. Its most recent inspection was 2026-05-07, so the picture is current rather than stale.
Aventura At The Bay runs 274 certified beds in Saint Petersburg under for-profit LLC ownership, and the numbers behind its record are hard to get around. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 8% below what the home itself manages on weekdays. Staff turnover is 62.1% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago.
The inspection history is heavier still: 62 deficiencies on the current record, seven at harm or jeopardy level, four tied to abuse. CMS has fined this home three times for $466,424 total and placed it in the Special Focus Facility program, the agency's watchlist for the country's most persistently troubled homes.
Concordia Manor runs 39 beds in Saint Petersburg under for-profit ownership, and its staffing sits barely above the national average, about 1%, with weekends roughly 8% thinner than weekdays. That margin disappears fast when turnover hits 73.3% against a national 45.8%, meaning most of the people caring for your relative weren't there a year ago. The inspection record is the real problem: 17 deficiencies, four at harm or jeopardy level, four tied to abuse, one $97,747 fine, and a spot in CMS's Special Focus Facility program. That last designation isn't handed out lightly. The most recent inspection was May 2024, so the picture is current, not stale.
The numbers at Gardens Nursing and Rehab Center don't tell one story, they tell two. Staffing looks strong on paper: 3.79 nurse hours per resident day, close to the national average, with a 5-star staffing rating and turnover at 26.9% compared to 45.8% nationally. But resident care tells another story. CMS has flagged 61 deficiencies, including five at the harm level and three abuse-related, plus $264,517 in fines. The home sits in the Special Focus Facility program.
That gap between staffing scores and inspection results is the whole picture here. Federal regulators have flagged serious problems but the staffing numbers look stable. If you're considering this home, ask about those abuse-related findings directly.
Aviata At Bryan Dairy runs 158 certified beds under for-profit LLC ownership, and its 3.37 total nurse staffing hours per resident day falls about 13 percent under the national average of 3.86. Weekends dip roughly 6 percent below its own weekday levels, and annual turnover sits at 54.5 percent against a national 45.8 percent. The inspection record is where things get serious: 41 deficiencies logged, four of them at harm or jeopardy level and two tied to abuse, with five fines totaling $45,660. CMS rated the last health inspection one out of five stars, though its quality measure score came in at four. Worth asking the administrator directly how they're addressing the harm-level findings and weekend coverage gaps.
Douglasville Center For Nursing And Healing runs 246 certified beds under for-profit LLC ownership, and the numbers here deserve a close look. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 8% below what the home itself provides on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 58.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 40 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $13,787 and a June 2025 inspection. Ask about weekend coverage and how they retain aides before deciding.
Harborview Thomasville runs 68 beds under corporate ownership, and its nurse staffing sits at 3.37 hours per resident day, about 13% under the national average, with weekends roughly 16% thinner than weekdays. Staff turnover of 47.5% edges past the national 45.8%. The inspection record is the bigger concern: 28 deficiencies, five at harm or jeopardy level and three abuse-related, plus three fines totaling $23,074, with the most recent inspection in June 2025. CMS gave it one star for health inspections and two for staffing, though quality measures scored three. If you're weighing this one, those harm-level and abuse-related findings deserve direct questions before anything else.
Hazelhurst Court runs on 2.77 nurse hours per resident day, roughly 28 percent under the national average of 3.86, and weekends are thinner still. The inspection record is the bigger concern: 21 deficiencies, three of them serious enough to put residents in harm's way and one tied to abuse, which is why CMS has placed the home in its Special Focus Facility program. Staff turnover, at 45 percent, sits right about where the national average does, so the problem here isn't retention so much as raw coverage and a documented pattern of care failures. The most recent inspection was March 29, 2026.
Folkston Park runs on 3.02 nursing hours per resident day, roughly a fifth below the national figure of 3.86, and weekends are thinner still. That shortfall shows up in the numbers CMS keeps: 60% annual staff turnover against a 45.8% national average, and 26 deficiencies on the current record, five of them serious enough to involve harm or jeopardy, including one abuse-related finding. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. It's currently for-profit corporate-owned, with 92 certified beds.
Hale Nani runs 288 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 32.4%, actually better than the 45.8% national figure, which suggests the problem isn't retention. It's the record: 96 deficiencies, one at harm or jeopardy level, eight tied to abuse, and a $27,885 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was May 1, 2026.
Avalon Care Center in Honolulu runs on more nurse hours than most places, 4.62 per resident day, roughly a fifth above the national average, and weekend coverage dips only about 10% from its weekday staffing, which is a smaller drop than many homes show. Turnover sits at 40%, below the national 45.8%. The 41 deficiencies on record sound like a lot until you see none are at the harm or jeopardy level and none involve abuse, and its last inspection was recent, in June 2026. This is a for-profit corporate home with strong quality measure scores, steady staffing, and a clean serious-deficiency record, the kind of profile where the numbers hold up under scrutiny.
Ann Pearl runs a nonprofit-style staffing level inside a for-profit corporate structure: 4.01 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 10% below its own weekday numbers. That staffing strength is doing a lot of work against a much rougher record elsewhere. The current inspection history shows 46 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $23,520 fine and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Turnover sits at 46.2%, essentially the national rate, and the last inspection was February 2025. Strong aides, serious compliance concerns.
Coeur D Alene Health Of Cascadia runs 117 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Nurses provide 3.61 hours per resident day, roughly 6% under the national average, and weekends dip about 8% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 66.3% 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 shows 35 deficiencies, including one at the harm level and one abuse-related, with two fines totaling $33,815 and a survey dated May 2026.
Silverton Health and Rehabilitation of Cascadia runs 55 certified beds under corporate ownership, and the staffing numbers tell the story: 3.29 nurse hours per resident per day, about 15% under the national average of 3.86, with weekends dipping roughly 16% below its own weekday levels. Annual turnover sits at 51.1% against a national 45.8%. The current record shows 46 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, plus one fine of $41,954. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 9, 2026.
Cascades At Desert View runs about 3.98 nurse hours per resident day, a bit above the national average, and its 34.1% turnover is better than the 45.8% typical elsewhere. Staffing still earned 2 out of 5 stars from CMS, and weekend coverage drops roughly 12% below the home's own weekday level. The real trouble sits in inspections: 52 deficiencies on the current record, including one at the harm level and two tied to abuse, with a 1-out-of-5 health inspection rating. CMS placed this for-profit limited liability home in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The last inspection was May 15, 2026.
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?