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.
Landmark of Cicero runs 485 certified beds on 1.90 nurse hours per resident day, roughly half the national figure of 3.86. Weekend staffing drops another 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 31.7%, actually better than the 45.8% national average, which makes the low staffing hours look more like a budget decision than a retention problem. The record shows 74 deficiencies, nine at harm or jeopardy level and nine abuse-related, plus a $52,195 fine. CMS placed it in the Special Focus Facility program, and the most recent inspection, on January 8, 2026, is recent enough that the findings reflect current conditions.
The Haven of St. Elmo runs on thin staffing, 3.03 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. That shortfall is the main reason its CMS staffing rating sits at 1 out of 5, and it shows up in the inspection record too: 25 deficiencies, two serious enough to reach harm or jeopardy, three tied to abuse, plus a $14,015 fine. Turnover of 47.6% runs slightly above the national figure, and the most recent inspection was in May 2025. The quality measure score lands at 2 out of 5, so clinical outcomes aren't offsetting the staffing picture. It's a 60-bed for-profit home, and families should ask hard questions about who's actually on the floor nights and weekends.
Goldwater Care Gibson City runs on thinner nurse coverage than most homes, 3.37 hours per resident day against a national average of 3.86, with weekends dipping even further below its own weekday level. Staff turnover sits at 51.7%, meaning more than half the nursing team leaves within a year, which makes consistent care hard to maintain. The inspection record backs that up: 79 deficiencies, seven serious enough to put residents in harm's way and 15 tied to abuse, plus five fines totaling $84,595. Corporate for-profit ownership, and the most recent inspection was March 2025. If you're considering this one, ask directly how they're fixing staffing and what's changed since those findings.
Goldwater Care Roseville runs 99 certified beds under for-profit LLC ownership, and the numbers that stand out are the inspection record and the nurse staffing. State inspectors cited 39 deficiencies on the current record, four of them at a level where residents were actually harmed or put in jeopardy, plus three tied to abuse, a heavy load that explains the one-star health inspection rating. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, with weekends about 7 percent thinner than weekdays. Staff turnover of 46.7 percent runs slightly above the 45.8 percent national figure, meaning the aides and nurses at the bedside keep changing. A March 2025 inspection is recent enough that this record reflects current conditions.
Axiom Gardens Of Nashville is a for-profit partnership home with 120 beds, and the numbers behind it are hard to read past. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, dropping roughly 13% below the home's own weekday level, so the coverage gaps aren't just theoretical. Staff turnover is 63.6% a year against a national average of 45.8%, which means the people doing the work keep changing. The current record shows 53 deficiencies, 13 at harm or jeopardy level and 11 abuse-related, plus $541,045 in fines across three cases. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Grove Health & Rehab Center in Jacksonville runs 175 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.57 hours per resident per day, roughly 8% under the national average, and it thins out further on weekends, dropping about 12% below the home's own weekday levels. Annual turnover hits 50.7%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record shows 31 deficiencies, eight of them serious enough to involve harm or jeopardy, three tied to abuse. Three fines total $76,577. The most recent inspection was in August 2025, so the picture is current, and CMS rates health inspections, staffing, and quality measures at 1, 1, and 2 stars respectively.
Sandwich Living & Rehab Center runs short on nursing hours, about 3.34 per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels. That thin staffing shows up against a 56.3% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for residents are frequently new or on their way out. The inspection record is the harder read: 71 deficiencies on file, 12 serious enough to cause harm or jeopardy, 10 tied to abuse, and five fines totaling $285,025. One star each for staffing and health inspections, with a state survey as recent as December 2024.
Munster Med-Inn is county-run and large, 225 certified beds, but its current record is one of the heaviest in the CMS system. Inspectors have cited 57 deficiencies, five of them at a level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That combination is why CMS has placed the home in its Special Focus Facility program, the agency's watchlist for the country's most persistently troubled nursing homes. Nurse staffing runs about 11% below the national average, and weekends drop roughly 18% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. The most recent inspection, in January 2026, is recent enough that this isn't a stale picture.
Great Lakes Healthcare Center runs 134 beds in Dyer under corporate ownership, and the staffing numbers are where I'd start. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.4% tops the national rate, meaning the aides and nurses caring for your relative are likely to change often. The health inspection record is the other concern: 87 deficiencies, one abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The five-star quality measure score reflects charted care, not the inspection or staffing picture.
Waters Of Covington carries 119 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average, weekends drop about 7% below its own weekday levels, and annual turnover runs 48.6% against a national 45.8%. Its current record holds 38 deficiencies, four at harm or jeopardy level and three abuse-related, with two fines totaling $319,878. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was December 15, 2025, so the findings are recent.
Core Of Dale is a 52-bed county-run home in Spencer County, and the numbers behind its record are worth reading closely. Nurse staffing sits at 2.99 hours per resident day, roughly 22% under the national average, and weekends run about 13% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The deficiency record shows 31 citations, including 2 at the harm or jeopardy level and 6 tied to abuse, with two CMS fines totaling $86,444. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Its most recent inspection was April 7, 2026.
Majestic Care of Deming Park is a for-profit, LLC-run home in Terre Haute with 86 certified beds, and its record carries serious weight: 28 deficiencies, three of them at the harm or jeopardy level, and three tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.41 hours per resident day, about 12% under the national average, and weekend coverage drops roughly 19% below its own weekday levels. Staff turnover runs 55.4% against a 45.8% national figure. The quality measure stars look strong, but that score reflects resident assessments, not the inspection and staffing problems documented here.
The Waters of Scottsburg runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.32 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Annual turnover of 50.8% tops the national 45.8%, so the people caring for residents are, on average, fairly new to the building. The inspection record is where it gets serious: 70 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, plus a $31,352 fine, a one-star health inspection rating, and placement in CMS's Special Focus Facility program. The most recent inspection was April 13, 2026.
Robin Run has more direct nursing hours per resident than most homes, 4.27 versus a national average of 3.86, but those hours thin out on weekends, and the staff itself turns over at 66.2% a year against a national 45.8%. That churn matters more than the raw staffing number, because it's the same people who are supposed to know your parent's routine. The inspection record is the bigger problem: 60 deficiencies on file, four serious enough to put a resident in harm's way, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, the list reserved for the country's most persistently troubled homes. A recent inspection in September 2025 doesn't erase that pattern. Its quality-measure scores look good on paper; the deficiency history says look closer.
The Waters of Tipton carries 44 deficiencies on its current record, and five of those rose to the level where inspectors found actual harm or jeopardy, plus four tied to abuse. That combination is why CMS put this home in its Special Focus Facility program, a status reserved for the small share of nursing homes with a pattern of serious, repeated problems. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national figure, and weekends run about 12% thinner than weekdays, which matters when residents need help on a Saturday. Turnover at 36.8% is actually better than average, so the trouble isn't retention. With 150 beds and two fines totaling $20,494, ask hard questions before you tour.
Hillside Manor runs on leaner staffing than most homes, 3.18 nurse hours per resident day against a national average of 3.86, with weekends even thinner than weekdays. That shortfall shows up in the CMS staffing rating of 2 out of 5, and 51.9% of staff left over the past year, higher than the 45.8% national figure. The inspection record is the bigger concern: 57 deficiencies on file, two of them serious enough to put residents in harm's way, a 1-out-of-5 health inspection rating, and a spot in Medicare's Special Focus Facility watch list. The quality measure score of 4 out of 5 stands out against all that, but it's built from reported data, not from what inspectors found on their December 2025 visit.
Aperion Care Lincoln is a 47-bed for-profit home in Evansville that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor quality. The inspection history backs that up: 54 deficiencies on the current record, three of them serious enough to cause harm or put residents in jeopardy, plus two abuse-related citations and $53,454 in fines. Staffing sits just under the national average at 3.83 hours per resident day, but the bigger issue is turnover at 65.5%, well above the 45.8% national figure, and weekend coverage that drops about 14% below weekday levels. The last inspection was April 2025.
Harmony House is a for-profit home in Waterloo with 65 certified beds. The staffing numbers sit just under the national average, but the real problem is turnover: about 61.5% of nursing staff leave each year, against a national average near 46%, and weekend coverage drops roughly 7% below its own weekday level. On inspections, this home has drawn 33 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus one fine totaling $48,825. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Its last inspection was August 6, 2025.
Greater Southside runs on 3.44 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 22% below its own weekday staffing. That thinner coverage adds up over time: 62.3% of staff left last year against a 45.8% national rate, and CMS flags the home as a Special Focus Facility. The inspection record backs that up, 66 deficiencies, including 8 at harm or jeopardy level and 8 tied to abuse, with four fines totaling $166,443. The most recent inspection was June 2025. For a family weighing this one, the staffing and inspection numbers are the ones that matter most.
Azria Health Park Place carries 70 certified beds under for-profit LLC ownership, and the numbers tell a hard story. Three-and-a-half nurse staffing hours per resident day sits about 9% under the national average, and weekends dip roughly 12% below the home's own weekday levels, so the thinnest coverage lands when families are most likely to visit. Staff turnover near 70% runs well above the national 46%, which means the people providing care keep changing. On inspections, the record shows 70 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $36,875 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the most persistently troubled nursing homes.
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?