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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 941–960 of 10,187, best-graded first.

A

86/100

Creekside At The Springs

Yellville, AR · Marion County

CMS 3/5 96 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
33%
Serious cites
0

Creekside At The Springs runs about 3.44 nurse hours per resident day, roughly 11% under the national average, and weekends dip another 13% below its own weekday numbers, worth asking about if your family visits mainly on Saturdays. Staff turnover sits at 32.7%, which is actually better than the 45.8% national figure, so the people there tend to stay. The tradeoff shows up in inspections: 16 deficiencies on record, one serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $15,915. The last inspection was in May 2025, so the record is recent.

A

86/100

Magnolia Gardens Convalescent Hospital

Granada Hills, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
36%
Serious cites
0

Magnolia Gardens runs 99 certified beds in Granada Hills, corporate-owned and for-profit. Nurse staffing sits at 3.84 hours per resident day, essentially even with the national average, though weekends dip about 8% below its own weekday levels. Turnover is a real strength here: 35.6% against a national 45.8% means aides and nurses are staying longer than at the typical home. The catch is inspections. A one-star health inspection rating with 82 deficiencies on record, two of them abuse-related, points to problems that staffing numbers alone don't capture. No deficiency reached harm or jeopardy level, and the most recent inspection was April 2026. Quality and staffing measures both score well; the inspection history is what pulls this one down.

A

86/100

Fallbrook Skilled Nursing

Fallbrook, CA · San Diego County

CMS 4/5 93 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
41%
Serious cites
0

Fallbrook Skilled Nursing runs 93 certified beds under for-profit LLC ownership, and its staffing sits right at the national mark, 3.84 nurse hours per resident day against an average of 3.86. Weekends dip about 12% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover runs 40.9%, a bit better than the 45.8% national figure, so the team is somewhat more stable than most. Inspections are recent, from May 2025, and the home carries 20 deficiencies, none at harm or jeopardy level, though one is abuse-related. Health and quality measure ratings both land at 4 out of 5 stars, staffing at 3.

A

86/100

Santa Monica Health Care Center

Santa Monica, CA · Los Angeles County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
37%
Serious cites
0

Santa Monica Health Care Center runs on 4.64 nurse hours per resident day, roughly 20% more than the national average, and its staff turnover of 37.1% beats the national figure of 45.8%, real signs of a stable floor. Weekend staffing dips about 10% below weekday levels, which matters if your family visits on Saturdays or Sundays. The trouble sits in the inspection record: 38 deficiencies, three of them serious enough to put residents in harm's way. The last survey was April 2025, so the picture is current, not stale. For-profit partnership ownership and that deficiency count are what pull the grade down despite solid staffing.

A

86/100

Sierra Valley Rehab Center

Porterville, CA · Tulare County

CMS 4/5 139 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Sierra Valley Rehab Center runs 139 certified beds in Porterville under for-profit LLC ownership, and the staffing picture is genuinely better than average: 4.08 nurse hours per resident day against a national 3.86, with turnover at 33.3% compared to the 45.8% norm. Weekends dip about 8% below weekday coverage, so care can thin out on Saturdays and Sundays. The trade-off shows up in inspection history, 62 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a single fine of $8,190. The last inspection was February 27, 2025, so the record is recent. Quality measures score well; the inspection side is where the concerns live.

A

86/100

Buena Park Nursing Center

Buena Park, CA · Orange County

CMS 2/5 143 beds For-profit Medicaid
Nurse hours
5.43 /day
Staff turnover
29%
Serious cites
0

Buena Park Nursing Center runs on a split personality. Nurse staffing sits at 5.43 hours per resident day, roughly 41% above the national average, and the 29% turnover rate is well below the typical 45.8%, that's a stable crew delivering more hands-on care than most homes. But the inspection record is ugly: 75 deficiencies, including one at the harm or jeopardy level and five tied to abuse, against just a single $8,278 fine. A one-star health inspection rating means the government found real, repeated problems. The quality measures look great at 5 stars, but those come largely from resident assessments the home reports itself, while surveys come from outside inspectors. High staffing is a real strength; the survey history is the reason to ask hard questions before moving anyone in.

A

86/100

Grass Valley Healthcare Center

Grass Valley, CA · Nevada County

CMS 3/5 86 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
41%
Serious cites
0

Grass Valley Healthcare Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.37 hours per resident day, about 13% above the national average of 3.86. That's a real margin, though weekends dip roughly 11% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 40.9% is slightly better than the 45.8% national figure. The record isn't clean: 23 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was September 2025, so the picture is current. Staffing and quality measures both rated 4 out of 5; health inspections came in at 3.

A

86/100

Guardian Rehabilitation Hospital

Los Angeles, CA · Los Angeles County

CMS 3/5 93 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
31%
Serious cites
0

Guardian Rehabilitation Hospital sits in Los Angeles with 93 certified beds and a corporate for-profit owner. The staffing numbers are the strongest part of the story: 4.87 nurse hours per resident day, roughly a quarter more than the national average, with turnover at 31.2% against a national 45.8%, so people are staying longer than at the typical home. Weekends run about 12% leaner than weekdays, which is worth asking about. Against that, the current inspection record carries 49 deficiencies, four tied to abuse, and one fine of $32,040. None of the deficiencies reached harm or jeopardy level, and the last inspection was in March 2026, so the record is recent.

A

86/100

Escondido Post Acute

Escondido, CA · San Diego County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
38%
Serious cites
0

Escondido Post Acute runs 180 beds under corporate ownership, and its staffing sits at 3.78 nurse hours per resident day, about 2% under the national average of 3.86. Weekends dip roughly 4% below its own weekday coverage, so the thinnest shifts come when families tend to visit. What stands out is retention: 37.9% annual turnover against a national 45.8%, which means more familiar faces than most places. The record shows 42 deficiencies, none at harm or jeopardy level, though two are abuse-related. Inspectors were last on site in May 2025, and the quality measure rating is strong while staffing lands mid-range.

A

86/100

San Luis Post Acute Center

San Luis Obispo, CA · San Luis Obispo County

CMS 5/5 162 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
46%
Serious cites
0

San Luis Post Acute Center sits in San Luis Obispo with 162 certified beds under corporate ownership. Its 4.44 nurse hours per resident day runs about 15% above the national average of 3.86, and weekend staffing dips roughly 8% below weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record is the stronger story: a recent March 2025 survey, 16 deficiencies on file but none at the harm or jeopardy level and none abuse-related. Turnover lands at 45.5%, essentially matching the national 45.8%. For-profit ownership and a solid survey history together.

A

86/100

Broadway Healthcare Center

San Gabriel, CA · Los Angeles County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
21%
Serious cites
0

Broadway Healthcare Center runs 59 beds in San Gabriel under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekends about 3% thinner than weekdays. What stands out is retention: 21.4% annual turnover against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in the inspection record, 43 deficiencies, including one at the harm level and one abuse-related, with a single $3,145 fine. The most recent inspection was February 2026. Quality measures rate well above average, so the day-to-day care looks steadier than that paper trail suggests.

A

86/100

Palm Springs Healthcare & Rehabilitation Center

Palm Springs, CA · Riverside County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
41%
Serious cites
0

Palm Springs Healthcare & Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.10 hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips modestly, about 8% below weekday levels, while annual turnover of 41.2% comes in slightly under the national 45.8%. The current inspection record shows 31 deficiencies but none at the harm or jeopardy level and nothing abuse-related, with the most recent survey completed in December 2024. Its CMS stars line up evenly across health inspections, quality measures, and staffing, each at 4 out of 5.

A

86/100

San Leandro Healthcare Center

San Leandro, CA · Alameda County

CMS 4/5 62 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
38%
Serious cites
0

San Leandro Healthcare Center runs 62 beds under corporate ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover is 37.5%, noticeably better than the 45.8% national figure, which matters for whether your family sees the same faces. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in November 2024. Inspections, quality measures, and staffing each landed at 4 out of 5 stars.

A

86/100

Lake Merritt Healthcare Center Llc

Oakland, CA · Alameda County

CMS 2/5 53 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
29%
Serious cites
0

Lake Merritt Healthcare Center runs on a for-profit LLC structure with 53 certified beds, and its staffing is the clearest strength: 4.16 nurse hours per resident day sits about 8% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover at 28.6% is well under the national 45.8%. The inspection record is where the picture darkens, 44 deficiencies on file, three tied to abuse, and a 2/5 health inspection rating, though none reached harm or jeopardy. The most recent inspection was October 2024. A 4/5 staffing rating paired with a 2/5 inspection rating tells you the hands are there but the compliance history has been rougher than average.

A

86/100

Fremont Healthcare Center

Fremont, CA · Alameda County

CMS 4/5 115 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
36%
Serious cites
0

Fremont Healthcare Center runs 115 beds under for-profit partnership ownership, and the staffing numbers here are the real story: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 7% below its own weekday level. Turnover sits at 36%, better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in the inspection record, 30 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus one fine of $12,051. The most recent inspection was November 2025. Quality measures score well and staffing is strong; the survey history is where a family should ask questions.

A

86/100

Life Care Center Of Evergreen

Evergreen, CO · Jefferson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
38%
Serious cites
0

Life Care Center of Evergreen runs a corporate-owned, 120-bed operation that just earned strong marks across all three federal ratings, with its most recent inspection in May 2025 finding no deficiencies at the harm or jeopardy level. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends run roughly 12% leaner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover lands at 37.5%, which is meaningfully better than the 45.8% national figure, suggesting people tend to stay. Eleven total deficiencies on record, none abuse-related.

A

86/100

Evergreen Woods

North Branford, CT · South Central Ct County

CMS 5/5 50 beds For-profit
Nurse hours
5.40 /day
Staff turnover
56%
Serious cites
0

Evergreen Woods runs a lean 50 beds under corporate ownership, and the staffing numbers are the real story here, 5.40 nurse hours per resident day, roughly 40% above the national average, which is unusual enough to notice. That strength comes with a catch: weekend coverage drops about 8% below weekday levels, and annual turnover sits at 56.3% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though 3 are abuse-related, worth asking about directly. North Branford families should weigh the strong daily staffing against the churn and those abuse citations before deciding.

A

86/100

The Moorings At Lewes

Lewes, DE · Sussex County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
42%
Serious cites
0

The Moorings At Lewes runs 4.38 nurse hours per resident day, roughly 13% above the national average, with a five-star staffing rating to match. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Annual turnover sits at 42.2%, better than the 45.8% national figure but still meaning nearly half the staff changes in a year. On inspections, two deficiencies on record, neither at the harm level nor abuse-related, and the last survey was in January 2026. This is a small nonprofit home with 40 beds whose numbers hold up well against the national baseline.

A

86/100

Kissimmee Health And Rehabilitation Center

Kissimmee, FL · Osceola County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
25%
Serious cites
0

Kissimmee Health and Rehabilitation Center runs 59 certified beds under for-profit limited liability ownership, and its staffing picture is the most interesting thing here. Total nurse coverage sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86, and weekends drop about 8% below the home's own weekday levels, so the hours thin out when families tend to visit. What offsets that is retention: 24.5% turnover against a national average of 45.8%, meaning the people who are there tend to stay. The record shows 22 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025.

A

86/100

Lourdes-Noreen Mckeen Residence For Geriatric Care

West Palm Beach, FL · Palm Beach County

CMS 4/5 132 beds Non-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
29%
Serious cites
0

Lourdes-Noreen McKeen Residence runs on 3.98 nurse hours per resident day, a bit above the national figure of 3.86, and its weekend staffing dips about 9% from weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. The turnover number is the real standout: 28.8% against a national average of 45.8%, meaning far fewer caregivers are cycling through the building than is typical elsewhere. Thirty deficiencies sit on the current record, but none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated September 2025. This nonprofit has kept its clinical record clean even where state surveyors found paperwork-level problems.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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