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.
Cherry Ridge Of Cascadia runs 40 certified beds in Emmett under for-profit LLC ownership, and its staffing is the number to sit with first: 3.08 nurse hours per resident day, roughly a fifth under the national average of 3.86, with weekends running about 13% leaner than its own weekdays. Turnover sits at 66.7% against a 45.8% national figure, so the people caring for residents keep changing, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection in August 2025 and a 2/5 inspection rating. Quality measures score 4/5, which suggests some clinical care is being tracked well, but ask directly how they hold staffing steady on weekends.
Timber Springs runs on 3.27 nursing hours per resident day, about 15% under the national average, and weekends drop another 15% below what it already provides on weekdays. Inspectors have cited 67 deficiencies, including six tied to abuse and five serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the worst inspection records. Two fines totaling $30,654 sit on the books, with the most recent inspection in September 2025. The quality measure score looks strong, but that's built on self-reported data, and the staffing and inspection numbers are what families actually live with.
Karcher Post Acute runs 3.98 nurse hours per resident day, slightly above the national average, and its 43.9% turnover is a touch better than typical. Those numbers aren't the problem. The problem is 39 deficiencies on the current record, including four at the harm level and five tied to abuse, plus three fines totaling $31,057. CMS has placed this for-profit home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems, and its health inspection rating sits at 1 out of 5. Staffing looks adequate on paper, but weekend coverage drops about 11% below weekday levels, and a recent inspection hasn't resolved the pattern.
Cascadia Of Nampa holds 100 beds under for-profit LLC ownership, and its record splits sharply depending on what you look at. The quality measure score is perfect at 5/5, but the health inspection rating sits at 1/5 with 38 deficiencies on file, two serious enough to reach harm or jeopardy level, plus four fines totaling $99,902, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. Staffing lands at 3.69 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays, and turnover at 46% is essentially the national norm. The last inspection was December 5, 2025.
Goldwater Care Bloomington runs on 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 12% below its own weekday staffing. Turnover sits at 59.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder problem: 88 deficiencies, 13 of them at harm or jeopardy level and 6 abuse-related, with three fines totaling $234,633 and placement in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was February 2025. If you're considering this home, ask what's changed since then.
The numbers on Arcadia Care On The Hill point to a home stretched thin. At 251 beds it's a large, for-profit building, and its 2.80 nurse staffing hours per resident day fall roughly 27% under the national average, with weekends running about 7% lighter than weekdays. That shortfall shows in the federal staffing rating and in an inspection record carrying 33 deficiencies, 7 of them at the harm or jeopardy level.
The one encouraging figure is turnover: 29.1%, well below the 45.8% national average, so the people who are there tend to stay. Inspections were current as of September 2025, and fines total $57,030. If you're considering this home, ask directly how the low staffing plays out on nights and weekends.
Goldwater Care Peoria Heights runs 94 beds as a for-profit corporation, and the numbers here are hard to dress up. Nurse staffing sits at 3.76 hours per resident day, just under the national average, but it thins out on weekends, and turnover runs at 54.2%, well above the typical 45.8%. The inspection record is the real weight: 104 deficiencies, 12 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $527,947. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes. One star for health inspections and one for staffing tell you most of what you need to know.
Aperion Care Dekalb runs on 3.35 nurse hours per resident day, about 13 percent under the national average of 3.86, and weekend coverage slips roughly another 10 percent below what it manages on weekdays. Staff turnover is the number that would worry me most: 65.9 percent a year, against a national average near 45.8, so most of the people caring for your relative will likely be gone within twelve months. Behind the 3/5 health inspection rating sit 44 deficiencies, five at harm or jeopardy level and two tied to abuse, plus $43,769 in fines across three penalties. Corporate-owned and for-profit, last inspected July 2024.
Oakwood Rehab And Nursing Center runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 14% under its own weekday staffing. That thin coverage shows up in the numbers: a one-star CMS staffing rating, a one-star health inspection rating, 61 deficiencies on the current record including four at harm or jeopardy level and three tied to abuse, and $111,099 in fines across four penalties. Annual turnover sits at 62.4% against a national 45.8%, so many aides are new. The for-profit limited liability company behind it bears watching. The last inspection was December 2024. If you're considering this one, ask specifically who's on the floor on weekends and how long the current director of nursing has been there.
Bria Of Westmont runs 215 certified beds, and the staffing numbers are the first thing to look at. Total nursing hours come to 3.34 per resident per day, roughly 13% under the national average, and weekends dip another 13% below what the home staffs on weekdays. Turnover sits at 60.3% against a national 45.8%, so nearly two of every three caregivers are leaving each year. The inspection record is heavy: 72 deficiencies, nine of them at harm or jeopardy level, one abuse-related, with six fines totaling $151,077 and a 1-out-of-5 inspection rating. The last survey was September 2024. Individual ownership, for-profit. When staffing is thin and turnover is that high, consistency of care is the thing families end up feeling.
Arcadia Care Toulon runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekdays. That thin coverage sits alongside 75 deficiencies on the current record, including 8 at the harm or jeopardy level and 12 tied to abuse, plus four fines totaling $379,356. The state's most recent inspection dates to March 2026, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. Staff turnover, at 45.1%, is about average, so the problem isn't retention; it's how few hands are on deck and what inspectors keep finding when they show up.
If you're looking at Alden Lakeland, start with the inspection record. Ninety-seven deficiencies is a lot, and 13 of them rose to the level where a resident was actually harmed or put in immediate jeopardy. Eight are abuse-related. Federal fines total $205,559 across four actions. That inspection history is where the one-out-of-five health inspection rating comes from.
Staffing has its own problems. Turnover runs at 59.7% a year, well above the national rate of 45.8%. Weekend coverage drops about 13% below weekdays, so care can thin out exactly when families visit. The home is corporate-owned and holds 300 beds. It was inspected in May 2025, so the record is recent.
Pearl Of Orchard Valley runs 203 certified beds in Aurora under for-profit limited liability ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average. Weekends dip about 14% below its own weekday levels, and annual turnover hits 57.7% against a national 45.8%. The inspection record is where it gets serious: 63 deficiencies, nine of them at harm or jeopardy level, seven tied to abuse, with six fines totaling $542,423. A March 2025 inspection is recent, but the 1-star inspection and staffing ratings tell you what those visits keep finding. If you're considering this one, ask directly how they've addressed the abuse-related citations and what weekend coverage actually looks like.
Elevate Care Chicago North runs 312 beds on Chicago's North Side, and the numbers behind its federal record are worth knowing before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. Annual turnover of 63.2% means most of the aides and nurses working there last year didn't stay, against a national rate nearer 46%. The inspection record carries 92 deficiencies, including 10 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $193,858. Its last inspection was in May 2025.
Chateau Nrsg & Rehab Center runs 150 certified beds in Willowbrook under for-profit LLC ownership, and its staffing is the clearest problem: 3.21 nurse hours per resident day, roughly 17% under the national average, with weekends about 11% thinner than weekdays. Turnover sits at 53.8% against a national 45.8%, meaning more than half the nursing staff leaves within a year, that churn makes consistent care hard. The inspection record backs it up: 35 deficiencies, four at harm or jeopardy level and two abuse-related, plus $27,734 in fines and a last inspection in August 2024. CMS rates staffing 1 of 5 stars. If you're considering this home, ask direct questions about who's on the floor on weekends.
Axiom Healthcare of West Frankfort runs on 2.83 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 16% below what the home itself staffs on weekdays. The inspection record is where the real weight sits: 64 deficiencies, seven at harm or jeopardy level, eight tied to abuse, and three fines totaling $177,001. Staff turnover, at 38.5%, is actually better than the national 45.8%, so the problem isn't retention, it's how few hours reach the floor. Corporate-owned, 96 beds, last inspected March 2025; the quality measure score of three stars stands out against a one-star inspection and staffing picture.
Villa Health Care East runs 109 beds in Sherman under nonprofit ownership, and its staffing sits right at the national average on paper. The problem is consistency: weekends run roughly 12 percent thinner than weekdays, and 63.6 percent of staff turned over in a year against a national rate near 46 percent, so the people giving care keep changing. Inspectors cited 19 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, with $90,998 in fines and a two-star health inspection rating. Its last inspection was August 2024. Quality measures scored one star, the lowest tier.
Landmark of Itasca runs 144 beds under for-profit partnership ownership, and the staffing numbers explain a lot. At 2.91 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly another 11 percent below its own weekday levels, so the thinnest coverage lands when families visit and emergencies often happen. Turnover is the one bright spot: 27 percent against a national 45.8 percent, meaning aides and nurses tend to stay. But stability hasn't translated into safe care. The home carries 89 deficiencies, nine involving harm or jeopardy and twelve tied to abuse, plus six fines totaling $441,611. CMS placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and its most recent inspection was May 2025.
La Bella Of Danville carries 139 deficiencies on its current federal record, 14 of them serious enough to involve actual harm or jeopardy, plus 25 flagged as abuse-related. Those aren't paperwork problems, that's a pattern regulators noticed, which is why CMS put this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Nine fines totaling $433,572 back that up.
Staffing is the other half of the story. At 2.60 nurse hours per resident day, this 200-bed for-profit home runs about a third below the national average, and weekends dip roughly 10% below its own weekday levels. Turnover sits at 48.2%, slightly worse than the 45.8% national figure. The quality measure score looks good on paper, but that's self-reported data, the inspection record and the thin staffing are what families should weigh.
Morgan Park Healthcare runs 294 beds on Chicago's far South Side, and the numbers behind its federal record are worth walking through slowly. Nurse staffing sits at 2.75 hours per resident per day against a national average of 3.86, roughly 29% thinner, and weekends drop about 17% below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. The inspection history is heavier still: 123 deficiencies on the current record, 15 of them at harm or jeopardy level, 18 tied to abuse, and eight fines totaling $631,885. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 50.3% runs above the 45.8% national figure. Its last inspection was October 4, 2024.
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?