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.
River Ridge Center has a staffing edge on paper, 4.05 nurse hours per resident day, about 5% above the national average, but that number comes with a catch. Weekend coverage drops roughly 11% below the home's own weekday level, and annual turnover sits at 59.4% against a national average of 45.8%, so the people delivering that care keep leaving. The inspection record is where the real trouble shows: 27 deficiencies, including one at the harm level and one abuse-related, a $15,334 fine, and a place in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. The most recent inspection was July 2025.
Market Square Health Care Center runs leaner on weekends than weekdays, about 15% fewer staff hours, even though its overall nurse staffing of 4.60 hours per resident day sits roughly 19% above the national average. That weekday-weekend gap matters, since care doesn't pause on Saturdays. The 39 deficiencies on file include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the last inspection was in March 2025. Staff turnover at 49.4% edges past the national 45.8%, which for a 76-bed for-profit home owned by an individual means retraining costs and unfamiliar faces. Strong quality and staffing marks sit alongside a two-star inspection record.
Oak Grove Center in Waterville carries a 1-star health inspection rating, and the record behind it is heavy: 60 deficiencies, including one at the harm or jeopardy level and two tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and drops about 11% on weekends, when coverage thins. Annual turnover runs 50%, above the 45.8% national figure, meaning caregivers cycle through steadily. Fines total $14,056. The last inspection was March 2025, so the record is current, not stale.
Windward Gardens has enough nurses on paper, 3.96 hours per resident day, a hair above the national average, but that number hides a staffing problem. Turnover runs 76.2% a year against a national average of 45.8%, meaning most of the people providing that care are new to the job, and weekends run about 7% thinner than weekdays. The deficiency record tells its own story: 82 citations on file, three of them abuse-related, and CMS has placed the Camden home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Zero harm-level deficiencies is the one bright spot worth noting.
Pines Nursing and Rehab is a 195-bed for-profit home in Easton, and the inspection record is the first thing you need to know about. CMS has it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, 179 deficiencies on the current record, including four at the harm or jeopardy level and nine tied to abuse. The health inspection star rating sits at 1 out of 5. Staffing runs about 14% below the national average at 3.31 nurse hours per resident day, weekends dip further, and turnover is 48%, above the national figure. One fine of $24,088 is small next to the deficiency count; the September 2025 inspection is recent, at least.
Bay Harbor runs 305 beds under for-profit LLC ownership, and it's been flagged as a Special Focus Facility, CMS reserves that for homes with a pattern of serious, repeated problems. The inspection record backs that up: 94 deficiencies, three at harm or jeopardy level, 13 tied to abuse, and $111,315 in fines. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday levels. Turnover at 43.1% edges slightly under the national rate, which is faint comfort. Quality scores look strong on paper, but survey findings and staffing are what families actually live with day to day.
Ellicott City Healthcare Center runs 182 certified beds under corporate for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekend coverage drops roughly 9% below its own weekday level, so the weakest hours come when families tend to visit. What stands out in the other direction is retention: 27.3% annual turnover against a national 45.8%, meaning the caregivers who are there tend to stay. The trouble is the inspection record, 110 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with a 1/5 health inspection rating even though quality measures score 5/5 and staffing 4/5. That gap between good scores on paper and the state's actual findings is worth asking about directly.
Layhill runs 3.46 nurse hours per resident per day, about ten percent under the national average, and weekends drop roughly sixteen percent below its own weekday staffing. The inspection record is the bigger problem: 103 deficiencies, three at harm or jeopardy level and nine tied to abuse, plus two fines totaling $153,596. A recent inspection in February 2026 means that record is current, not old. Turnover at 38.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as thin coverage and a long, serious citation history at this for-profit LLC.
Manokin Nursing and Rehab runs 135 certified beds in Princess Anne under corporate ownership, and the numbers here deserve a careful look. Nurse staffing sits at 3.22 hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover at 34.4 percent is actually better than the national 45.8 percent, so the problem isn't retention; it's how many hands are on deck each shift.
The inspection record is where things get serious. Ninety-one deficiencies, including five at the harm or jeopardy level and nine tied to abuse. Two fines total $187,010, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Given a September 2025 inspection, ask directly what's changed since.
Elkton Nursing and Rehabilitation Center carries a one-star health inspection rating, and the record behind it is heavy: 142 deficiencies, three of them at the level where residents were actually harmed, plus seven tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the small share of homes with a persistent pattern of serious problems. Staffing sits about 8% under the national average, weekends run roughly 10% thinner than weekdays, and turnover lands at 46.2%, essentially the national rate. Ownership is for-profit, through a limited liability company. Three fines totaling $31,134 are on file, and the most recent inspection was October 9, 2025.
Brandon Woods of New Bedford has more nursing hours per resident than the typical home, 4.35 a day against a national average of 3.86, but that staffing edge comes with a catch: weekends run about 11% thinner than weekdays, and nearly half the nursing staff turns over each year. The inspection record is the real problem. Eighty deficiencies are on file, including eight at the harm or jeopardy level and ten tied to abuse, with one fine totaling $464,490. CMS has placed this for-profit, individually owned home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. The last inspection was December 16, 2024.
Plymouth Harborside is a 101-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The numbers behind that: 58 deficiencies on the current record, 9 of them at the harm or jeopardy level, plus 2 abuse-related citations and six fines totaling $359,529. Staffing sits at 3.56 nurse hours per resident day, about 8% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 52.1%. Both its health inspection and quality measure ratings come in at 1 out of 5 stars. If you're considering this home, ask pointed questions about the care plan and who's actually on the floor on Saturdays.
Norwood Healthcare runs 170 certified beds under for-profit LLC ownership, and the numbers pull in opposite directions. Its nurse staffing sits about 10% under the national average, though turnover at 25% is well below the 45.8% national figure, and weekend coverage dips roughly 9% below its own weekday levels. The bigger problem is the inspection record: 68 deficiencies, seven at harm or jeopardy level, five abuse-related, and six fines totaling $190,588. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. A recent inspection date doesn't offset that history.
Regalcare At Wakefield carries 42 deficiencies on its current record, five of them serious enough to put residents in harm's way, and two tied to abuse. That's the number a family should weigh hardest, because a single star for health inspections means the state has found repeated problems across recent surveys, not one bad day. Staffing earns a single star too, so the people doing the hands-on care are stretched thin. The one bright spot is turnover: 30.2% of staff left last year against a national average near 46%, which suggests some consistency in who's showing up. But stable staff in a building with this inspection history doesn't erase what inspectors documented. The $63,843 fine and a survey dated just weeks ago tell you oversight here is active, not resolved.
Medway Country Manor runs 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekend staffing dips about 6% below what it manages on weekdays. The inspection record is the heavier issue: 67 deficiencies on file, seven at the harm or jeopardy level and six tied to abuse, plus four CMS fines totaling $280,591. Turnover at 40.8% is actually a little better than the 45.8% national figure, and the last inspection was recent, in March 2026. But CMS has placed this home in its Special Focus Facility program, which is reserved for a small share of homes with a persistent pattern of serious problems.
Regalcare At Taunton runs about 3.31 nurse hours per resident each day, roughly 14% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. The current inspection record carries 36 deficiencies, including one at the harm or jeopardy level and four related to abuse, and the health inspection rating sits at 1 out of 5. Annual turnover is 48.7%, a few points above the national figure. This is a for-profit corporate home with 100 certified beds, last inspected May 13, 2025. If you're considering it, ask directly how the abuse-related citations were resolved and what weekend coverage looks like on the floor.
Regalcare At Glen Ridge holds 164 certified beds under for-profit LLC ownership, and its health inspection record is the part that should worry you most: 77 deficiencies on file, 11 of them serious enough to involve actual harm or jeopardy, plus 9 abuse-related citations and $286,020 in fines across three incidents. Staffing tells a more mixed story. The 3.62 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 9% thinner than weekdays, but turnover at 27.9% is well below the 45.8% national figure, meaning the staff it does have tends to stay. The last inspection was September 2025, so the record is recent rather than stale.
Blaire House of Tewksbury runs 131 beds as a for-profit corporation, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average, and it thins out further on weekends. Staff turnover is 50.8 percent a year against a 45.8 percent national figure, so the people caring for residents are changing often.
What stands out most is the inspection history: 70 deficiencies on the current record, including 8 tied to abuse and 2 serious enough to put residents in harm's way, plus $70,727 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems.
Salem Rehab Center runs on thinner staffing than most homes nationally, 3.62 nurse hours per resident day against an average of 3.86, and weekends drop about 9% below what the building manages on weekdays, so coverage is at its lightest exactly when families tend to visit. Roughly half the nursing staff turns over each year, a bit above the national rate, and the current inspection record carries 85 deficiencies, including 10 serious enough to put residents at risk of harm and 4 tied to abuse. Two fines totaling $252,785 have been levied, and the last inspection was September 2025.
Regency At Jackson runs on 2.84 nurse hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 79 deficiencies, five at harm or jeopardy level, and 14 tied to abuse. A single fine of $15,593 and a 1-out-of-5 inspection rating sit alongside 1 out of 5 for staffing, even as quality measures rate 3. That gap matters, the care processes may look average on paper, but the hands available to deliver them and the survey history tell a different story.
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?