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.
Northgate Care Center in Waukon carries 20 deficiencies on its current record, and two of those are serious enough to involve actual harm or jeopardy to residents. One is abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. A single fine of $71,110 is on record, and the last inspection was March 4, 2026.
Nurse staffing sits at 2.97 hours per resident day, roughly 23% below the national average, and weekends run about 12% thinner than weekdays. Turnover of 34.3% is better than the national 45.8%, so that's not the issue here.
Ivy At Davenport is a for-profit LLC home with 75 beds, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.23 hours per resident per day, about 16% under the national average, and weekends drop roughly another 10% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Staff turnover runs 58.8% against a national 45.8%, meaning more than half the caregivers leave within a year. The current inspection record shows 58 deficiencies, including 5 at harm or jeopardy level and 6 abuse-related, with four fines totaling $141,036. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Bishop Drumm is run by a church-affiliated nonprofit, and its staffing numbers tell two stories. Nurse hours sit at 3.64 per resident day, about 6% under the national average, and weekends drop roughly 13% below its own weekday coverage. Turnover is the bright spot: 34.9% against a national 45.8%, which suggests people stay. But the inspection record is where this home falls apart, 77 deficiencies, 9 of them at harm or jeopardy level, four fines totaling $258,177, and a place in CMS's Special Focus Facility program, reserved for the country's most troubled homes. A July 2025 inspection is recent, so the picture isn't stale.
Garden View Care Center is a 50-bed for-profit home in Shenandoah, and the numbers here deserve a hard look. Staff turnover runs at 55.3% a year against a national average of 45.8%, and the home carries 93 deficiencies on its current record, including 10 serious enough to involve harm or jeopardy to residents and 10 tied to abuse. Three CMS fines add up to $168,858, and the agency has placed Garden View in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor care. The most recent inspection was December 8, 2025. If you're considering this home for someone you love, ask the administrator directly what's changed since that inspection and how they're keeping residents safe.
Royal Oaks is a 115-bed for-profit home in Urbandale that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The inspection record backs that up: 71 deficiencies, seven serious enough to put residents in harm's way, two tied to abuse, and three fines totaling $122,945. Staffing runs about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 9% below its own weekday level. Turnover sits at 66.7%, well above the 45.8% national figure, so the people caring for residents are constantly changing. If you're considering this one, ask hard questions about what's changed since the May 2025 inspection.
Prestige Care Center of Fairfield runs on 3.33 nurse hours per resident per day, about 14 percent under the national average, and weekends dip roughly 8 percent below its own weekdays. Turnover sits at 66.2 percent against a national 45.8, most of the people caring for your relative this year probably won't be there next year. The inspection record is the harder problem: 65 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and $106,751 in fines. A recent June 2025 inspection doesn't erase that history. For-profit ownership through a limited liability company means decisions here answer to a bottom line, not a community board.
Life Care Center of Andover runs 154 certified beds under for-profit LLC ownership, and the numbers that matter most here aren't the quality measures, a 4-out-of-5 there, but the inspection record underneath them. CMS has flagged 58 deficiencies on the current record, including eight serious enough to cite harm or jeopardy and three tied to abuse. Seven fines total $113,851, and the home sits in CMS's Special Focus Facility program, a designation reserved for the small share of homes with persistent serious problems. Staffing runs 3.75 hours per resident day, just under the national average, and drops about 12% on weekends. Turnover is 51.9%, higher than the 45.8% national figure.
Smoky Hill Rehabilitation Center is a 90-bed for-profit in Salina, and the numbers behind its record deserve a close look. Nurse staffing runs about 16% under the national average, weekends dip roughly 11% below its own weekdays, and annual turnover sits at 94.1% against a national 45.8%, meaning the people caring for residents are, more often than not, on their way out. The inspection history is heavy: 64 deficiencies, 11 at harm or jeopardy level, four abuse-related, five fines totaling $147,090, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. Its most recent inspection was April 2025.
Good Samaritan Society - Liberal runs a non-profit home with 45 certified beds, and the staffing numbers are genuinely strong: 4.07 nurse hours per resident per day, about 5% above the national average, with turnover at 32.6% versus 45.8% nationally. Weekend coverage dips roughly 15% below weekday levels, which matters when a resident needs help on a Saturday.
Where it falls apart is inspections. CMS rates the health inspection side 1 out of 5, with 32 deficiencies on record, 7 at the harm or jeopardy level and 3 tied to abuse, plus four fines totaling $94,784. The home sits in CMS's Special Focus Facility program, reserved for the country's most persistently troubled homes, and its last inspection was July 2024. Good staff, serious safety problems.
Rossville Healthcare and Rehabilitation Center is a for-profit LLC home with 81 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average, and weekends run about 4 percent thinner than weekdays, meaning coverage is lightest exactly when backup is scarcest. Its 52.1 percent annual turnover tops the national rate of 45.8 percent, so the people providing that thinner care are also cycling out the door. On the inspection side, 53 deficiencies sit on the current record, including 5 at the harm or jeopardy level and 4 tied to abuse, with three fines totaling $60,639. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care.
Providence Living Center runs 2.46 nurse staffing hours per resident day against a national average of 3.86, roughly a third less hands-on care than the typical home. Weekend coverage drops another 12% below its own weekday level, and 71% of staff turned over in a year, well above the 45.8% national figure. On inspections, this for-profit home carries 35 deficiencies, two of them serious enough to put residents in harm's way, plus a $22,925 fine, with its last inspection in December 2025. The quality measure score sits at 3 out of 5 stars, but staffing and inspection results both land at 1, a split worth understanding before you visit.
Barbourville Health and Rehabilitation Center runs 135 certified beds under corporate ownership, and the inspection record is the part that stands out. Nineteen deficiencies are on file, seven of them serious enough to involve harm or jeopardy, plus two tied to abuse, and a single CMS fine of $87,077 came out of that history. Staffing sits at 3.73 hours per resident day, slightly under the national figure, with weekends about 11% leaner than weekdays. Annual turnover of 55.6% is well above the 45.8% national average, meaning the aides and nurses caring for your relative are likely to change often. The most recent inspection was in August 2025.
Lyndon Crossing runs on thinner staffing than most homes, and the gap is worse than it looks: weekends drop about 9% below its own weekday levels, right when families tend to visit. The bigger warning sign is turnover, nearly two-thirds of nursing staff leave each year, well above the national rate. Then there's the record itself: 50 deficiencies, 13 of them serious enough to put residents in harm's way, and 6 tied to abuse. Federal regulators have flagged this Louisville home for the Special Focus Facility program, a designation reserved for the worst performers. Inspectors were last there in July 2025. If you're considering this place, ask hard questions and visit unannounced on a weekend.
Salyersville Nursing and Rehabilitation Center is a for-profit corporate home in Magoffin County with 142 certified beds, and the numbers behind its record are hard to get past. Its 39 deficiencies include 18 at the harm or jeopardy level and 6 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Two fines total $447,485. Staffing looks adequate at 4.03 hours per resident day, slightly above the national average, but weekend coverage drops about 10% below weekday levels, and turnover runs 52.9% against a national 45.8%. The last inspection was May 2025.
Stanford Crossing runs 128 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover is 53%, well above the 45.8% national figure. The inspection history is the heavier concern: 22 deficiencies on the current record, 11 of them at harm or jeopardy level, plus two fines totaling $26,685. Its most recent inspection was December 8, 2025. No abuse deficiencies appear in the record.
Spring View runs on 3.34 nurse hours per resident day, about 13 percent under the national average, and weekends dip slightly below its own weekday staffing. That thinner coverage matters more here because the inspection record is heavy: 14 deficiencies, four of them at harm or jeopardy level, two tied to abuse, plus three fines totaling $17,346. Staff turnover sits at 50 percent against a 45.8 percent national figure, so caregivers are cycling through steadily. A corporation owns the 71-bed building, and its last inspection was August 2025, so the record is current rather than stale. The quality and staffing measures both come in at two stars, with the health inspection piece at one, worth asking about before you tour.
Chestnut Ridge runs 3.40 nurse hours per resident day, about 12% under the national average, and weekends drop roughly 9% below its own weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 61.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. Those numbers sit behind the federal findings: 36 deficiencies, seven serious enough to cause harm, two tied to abuse, and a single $306,141 fine. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the last inspection was August 2023.
Waldon Health Care Center runs 205 certified beds in Kenner under corporate for-profit ownership, and its staffing sits about 10% under the national average, roughly 3.48 nurse hours per resident day against 3.86, with weekends running another 8% thinner than its own weekdays. Turnover is 45.1%, essentially level with the national figure, so that's not where the problem lies. What stands out is the record: 38 deficiencies, four of them serious enough to put residents in harm's way, four tied to abuse, and $120,279 in fines across two penalties. Both CMS ratings for health inspections and quality measures sit at the bottom of the scale. The most recent inspection was January 14, 2026, so the picture is current, not stale.
Oak Haven runs 104 beds in Center Point, under corporate for-profit ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, but weekends drop about 14% below what the home itself staffs on weekdays, so coverage thins out when families tend to visit. The bigger concern is the inspection record: 37 deficiencies, five of them serious enough to put residents at risk of harm, and three fines totaling $44,606. Turnover runs 46.8%, slightly above the national figure. The quality measure stars look good on paper, but that score reflects resident assessments, not the state surveyor findings that landed five citations at the harm level.
Clover Health Care in Auburn runs 109 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average, and weekends drop about 10% below its own weekday levels, while annual turnover hits 55% against a national 45.8%. What stands out most is the inspection record: 54 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a spot in CMS's Special Focus Facility program and a 1-star health inspection rating. A recent May 2025 inspection and only $15,317 in fines suggest problems are being watched closely.
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?