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.
Medilodge Of Sault Ste. Marie runs about 3.62 nursing hours per resident per day, roughly 6% under the national average, and weekends drop about 16% below its own weekday numbers. That matters because the home carries 73 deficiencies on its current record, including 8 at the harm or jeopardy level and 12 tied to abuse, plus three fines totaling $65,403. Staff turnover sits at 50.6%, higher than the 45.8% national average. CMS gave it a 1 out of 5 on health inspections and placed it in the Special Focus Facility program; its most recent inspection was February 2026. It's a for-profit limited liability company. The quality measure star is a 4, but the inspection record is where the real story is.
Medilodge Of Farmington runs 4.92 nurse hours per resident day, well above the national average, but that staffing cushion hasn't kept the home out of trouble. Its inspection record shows 92 deficiencies, including 13 tied to abuse and 7 serious enough to put residents in harm's way, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Six fines total $277,531. Weekend staffing drops about 18% below weekday levels, meaning the weakest coverage lands when families are most likely to visit. Turnover sits at 45.6%, roughly the national rate, so the staff you meet may not be there next year.
Alamo Nursing Home runs on thinner nurse coverage than most places, 3.44 hours per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday staffing. That gap matters when you're the family deciding who checks on Mom on a Sunday. The inspection record is the bigger concern: 68 deficiencies on file, including 7 at the harm or jeopardy level and 6 tied to abuse, with a 1-star health inspection rating from CMS. Staff turnover sits at 57.4%, well above the 45.8% national figure, which means the people providing care are frequently new. One fine totaling $18,274 has been levied. The quality measure stars look good on paper, but the inspection and staffing numbers tell a different story.
The Orchards at Three Rivers runs on 3.38 nursing hours per resident day, about 12% under the national average, and weekend coverage slips roughly another 10% below its own weekday level. That thin staffing sits alongside a 48.1% annual turnover rate, so the people caring for residents are often new and still learning the building. On inspections, CMS gives this home one star out of five, and its record carries 70 deficiencies, including three at the harm or jeopardy level and six tied to abuse. The federal government has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Villa At Beecher Place runs 167 certified beds in Flint under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, about 18% under the national average of 3.86. Weekends dip roughly 12% below the home's own weekday coverage, and annual turnover hits 53.7% against a national 45.8%. The inspection record is where the real trouble shows: 99 deficiencies, including 10 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $210,026. A May 2025 inspection is recent, and the quality measure score is strong, but staffing and compliance numbers tell a harder story.
Optalis Health And Rehabilitation Of Grand Rapids runs 120 beds as a for-profit, individually owned home, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.39 hours per resident day, about 12 percent under the national average, with weekends roughly 10 percent below its own weekday coverage, and annual turnover hits 64.7 percent against a national 45.8. Its current inspection record carries 101 deficiencies, 12 at the harm or jeopardy level and 13 tied to abuse, along with two fines totaling $136,785, and CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems.
Notting Hill Of West Bloomfield runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average, and that thin coverage gets thinner on weekends. The bigger warning sign is turnover: 71.6% of nursing staff leaving annually, against a national rate near 46%, which means the people caring for your family member are often brand new. The inspection record backs that up, 67 deficiencies, including 6 at harm or jeopardy level and 5 tied to abuse, plus $167,213 in fines across four penalties. A for-profit corporate owner and a one-star inspection rating round out the picture.
Harmony Village of Beverly Hills runs 96 certified beds under for-profit LLC ownership, and its nurse staffing sits just above the national average at 3.93 hours per resident day, though weekends drop about 15% below its own weekday levels. What stands out more is the inspection record: 58 deficiencies, including 3 at harm or jeopardy level and 9 tied to abuse, with one fine of $3,147. Staff turnover is 24.2%, well below the national 45.8%, which suggests people stay. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The most recent inspection was December 4, 2025.
Lakeside Manor runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what it manages during the week, which is when families tend to visit and notice. Annual turnover sits at 57.1%, well above the 45.8% national figure, so the people caring for residents keep changing. The deficiency record is the harder fact: 53 citations on file, including one at the harm or jeopardy level and four tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The most recent inspection was February 6, 2026.
Highland Chateau runs 4.02 nurse hours per resident day, modestly above the national figure, but that number hides a lot. Staff turnover sits at 68.7 percent against a national average near 46 percent, and weekend coverage dips below the home's own weekday level, so the people at the bedside are constantly changing. The inspection record is the bigger concern: 98 deficiencies logged, five serious enough to involve harm or jeopardy, two tied to abuse, and $67,594 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which the agency reserves for homes with a persistent pattern of poor care.
Villas At Bryn Mawr runs on thin nursing coverage, 2.73 hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest shifts come when oversight is lightest. The inspection record is the real concern: 61 deficiencies logged, six of them at harm or jeopardy level and three tied to abuse, with two fines totaling $51,980. Staff turnover sits at 29.2%, which is actually better than the 45.8% national average, so the problem isn't retention so much as how many hands are on deck and what inspectors keep finding.
Valley View Manor has enough nurses on paper, about 3.93 hours per resident day, just above the national average, and its staffing star reflects that. The trouble is what inspections keep finding. Fifty-two deficiencies sit on the current record, including two at the harm level and nine tied to abuse, with one $81,446 fine. CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems, and the health inspection rating sits at 1 out of 5. Weekend staffing also drops roughly 13% below weekday levels, so coverage thins exactly when oversight tends to be lightest.
The Shores of Worthington carries 61 deficiencies on its current record, five of them serious enough to cause harm or put residents in jeopardy, and three tied to abuse. That's the kind of paper trail that lands a home in CMS's Special Focus Facility program, which it is. Staff turnover sits at 57.9% against a national average of 45.8%, more than half the nursing staff leaving in a year, which matters more than the 3.76 daily nurse hours per resident, slightly under the national 3.86. Seven fines totaling $160,691 round out the picture. The last inspection was April 2026. Ownership is a for-profit limited liability company. One star for health inspections, three for quality measures, four for staffing.
Courtyard Health and Rehabilitation is a 145-bed for-profit home in McComb that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 27 deficiencies on the current record, 10 of them serious enough to cause harm or jeopardy, plus 2 tied to abuse. Both its health inspection and quality measure ratings sit at 1 out of 5 stars. Nurse staffing at 3.46 hours per resident day runs about 10% under the national average, weekends drop roughly 9% below its own weekday levels, and turnover sits near 45%. On paper, the staffing is the least of this home's problems.
Yazoo City Rehabilitation and Healthcare Center carries 39 deficiencies on its current record, and 13 of those are serious enough to involve actual harm or jeopardy to residents. Four are abuse-related. That combination, along with three fines totaling $211,371, is what put this home in CMS's Special Focus Facility program, a designation reserved for the country's poorest performers. Staffing sits at 3.65 nurse hours per resident day, about 5 percent under the national average, and weekend coverage drops roughly 17 percent from weekday levels, so the thinnest shifts land when families are least likely to visit. Annual turnover of 47.9 percent runs slightly above the national figure, meaning caregivers cycle through faster than average. Inspectors last visited in November 2024.
Starkville Manor runs 119 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, roughly 13% thinner, with weekends dropping another 11% below its own weekdays. Turnover at 37.6% actually beats the 45.8% national figure, so the problem here isn't retention so much as how few hands are on deck when they do stay. The deficiency record is what stands out: 25 citations, six at harm or jeopardy level, two tied to abuse, plus a $51,893 fine and placement in CMS's Special Focus Facility program. That program exists for homes with a pattern of poor care, and a March 2026 inspection is recent enough that the findings are current.
Sunplex Sub-Acute Center is a 73-bed for-profit home in Ocean Springs, and the numbers behind its federal record are hard to dress up. Nurse staffing sits at 3.39 hours per resident day, about 12% under the national average, and weekends run roughly 11% thinner than weekdays, gaps that matter most when a resident needs help and fewer hands are on the floor. The inspection history is the bigger concern: 41 deficiencies on the current record, 15 of them at harm or jeopardy level and 3 abuse-related, with four fines totaling $305,999. CMS has placed it in the Special Focus Facility program, which it reserves for the homes with the most persistent problems. Staff turnover of 48.3% runs above the national average, meaning caregivers keep leaving.
Bedford Care Center of Picayune runs 120 beds as a for-profit corporation, and its staffing is the one number that holds up: 3.95 nurse hours per resident day, slightly above the national average, though weekends dip about 7% below its own weekday coverage. Almost everything else on the record cuts the other way. State inspectors have cited 26 deficiencies, 12 of them serious enough to put residents in harm's way and 6 involving abuse, with two fines totaling $39,392 and a place in CMS's Special Focus Facility program, an active watchlist, not a past blemish. Staff turnover sits at 49.6% against 45.8% nationally, meaning roughly half the caregivers leave each year. The most recent inspection was December 18, 2025.
Abode Health and Wellness Center in Independence has more direct-care nursing hours than the typical U.S. nursing home, 4.21 per resident day against a national average of 3.86. That's the one number here that looks reassuring, and it comes with a caveat: weekend staffing drops about 4% below the home's own weekday level.
Everything else on the record is hard to get past. CMS has cited 80 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. Fines total $269,476 across 24 penalties, and the home sits in Medicare's Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was in February 2025. Staffing hours don't fix an inspection record like that.
Cassville Health Care Center is a 60-bed for-profit home in Barry County, and the federal numbers there are hard to read past. Nurse staffing sits at 2.79 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 4% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record shows 82 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, with one fine of $123,925. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was October 1, 2024. All three CMS star ratings sit at one out of five.
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?