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.
Chariton Park runs on 1.83 nursing hours per resident day, less than half the national average of 3.86, and staffing drops further on weekends. That thin coverage helps explain the 65 deficiencies on its current record, including 8 at the harm or jeopardy level and 10 tied to abuse. The health inspection rating sits at 1 out of 5, and five fines total $126,302. Annual turnover of 53.3% beats the national 45.8%, meaning more than half the staff leaves each year. For-profit ownership through a limited liability company. The most recent inspection was March 2024. The quality measure score of 3 out of 5 stands out against everything else, worth asking what's behind it.
Willowcreek runs leaner on nursing hours than the typical American nursing home, about 3.48 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 17% below what the building staffs on weekdays. Nearly 93 deficiencies sit on the current record, seven of them serious enough to involve harm or jeopardy, nine tied to abuse, with three fines totaling $90,333. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 54.3% runs above the national figure, meaning caregivers cycle through faster than residents can get to know them.
Grove At Kirkwood runs 117 certified beds as a nonprofit corporation, and its total nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not exceeding it. The problem isn't the raw staffing number; it's that weekends run about 10% below the home's own weekday level, and CMS gives just 1 of 5 stars on staffing overall, plus 2 of 5 on quality measures and 1 of 5 on health inspections. That inspection record includes 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a single $172,400 fine. The last inspection was May 2024, so the picture isn't stale.
Nodaway Healthcare runs 60 beds in Maryville under for-profit LLC ownership, and the numbers behind its grade point to a building stretched thin on direct care. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and it drops another 13% on weekends, when coverage is already thinnest. Staff turnover tells its own story: 73% of the workforce leaves each year, against a national rate near 46%. That churn shows up in the inspection record too, where 41 deficiencies are logged, including one tied to abuse, alongside a 2-out-of-5 health inspection rating and 1-out-of-5 marks for both quality measures and staffing. The most recent inspection was August 2025.
Kalispell Rehabilitation and Nursing is a for-profit LLC with 140 beds, and its record is one a family should look at closely. The staffing numbers cut both ways: turnover at 38.7% is actually better than the 45.8% national average, but total nurse hours sit at 3.28 per resident day, roughly 15% under the national figure, and weekends run about 10% thinner than weekdays. The inspection history is the harder problem, 82 deficiencies, 10 of them at harm or jeopardy level, nine abuse-related, three fines totaling $114,755, and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious, repeated problems. The most recent inspection was March 2026.
If you're considering Mount Ascension Transitional Care of Cascadia for someone you love, the federal record is worth sitting with. The Helena home is owned by a for-profit corporation and carries 59 deficiencies, three of them serious enough to put residents in immediate harm, nine tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and inspectors were last on site in February 2026. Nurse staffing sits about 13 percent under the national average, weekends run thinner than weekdays, and more than half the nursing staff turned over in a year. Three fines total $94,212.
If you're weighing Whitefish Care and Rehabilitation for someone you love, the staffing numbers are where to start. Nurses give about 3.34 hours of care per resident per day, roughly 13 percent under the national average, and weekends run about 15 percent thinner than weekdays. Annual turnover hits 82.1 percent, nearly double the national rate, so the people providing that care keep changing. The record shows 77 deficiencies, six serious enough to involve harm or jeopardy and six tied to abuse, plus four fines totaling $371,717. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Aspen Meadows runs 90 certified beds in Billings under corporate ownership, and the staffing numbers tell a big part of the story: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin coverage lines up with a 76.2% annual turnover rate, well over the national 45.8%, so the people caring for residents are changing constantly. The inspection record shows 36 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $115,183 in fines. The most recent inspection was March 26, 2026, and quality measures sit at 1 out of 5 stars.
Beartooth Rehabilitation and Nursing in Columbus is on CMS's Special Focus Facility list, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 43 deficiencies on the current record, four of them at the harm or jeopardy level and six tied to abuse, with two fines totaling $50,592. Staffing is a mixed picture, a 4-star rating overall, but 2.95 nurse hours per resident day sits about 24% under the national average, and weekends run roughly 9% thinner than weekdays, which matters when something goes wrong on a Sunday. The most recent inspection was February 10, 2026, so the record is current, not stale.
The Banyan At Montclair holds 175 beds under for-profit LLC ownership, and its staffing runs about 8% above the national average, 4.16 nurse hours per resident day. But that number hides a churn problem: 62.8% annual turnover against a national 45.8%, and weekend coverage drops roughly 7% below weekday levels. The inspection record is the harder read. Sixty-one deficiencies on file, four at harm or jeopardy level, five tied to abuse, plus three CMS fines totaling $141,793. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. A recent December 2025 inspection doesn't reset any of that.
Emerald Nursing & Rehab Legacy Pointe runs 108 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.3% against a national 45.8%, which means more than half the staff left within a year. The home carries 29 deficiencies on its current record, including one abuse-related citation, none at the harm level, plus eight fines totaling $56,445. A July 2025 inspection is recent, and the quality measure rating of 3/5 suggests clinical outcomes are middling, not alarming.
Life Care Center of Reno runs 198 beds under corporate ownership, and its staffing sits just a hair above the national average, close enough that the real story is elsewhere. Weekend coverage drops about 19% below weekday levels, which matters when falls and infections don't check the calendar. Turnover is genuinely low at 31.3%, well under the national 45.8%, so caregivers tend to stay. What sinks this home is its inspection record: 55 deficiencies, including two tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the most persistently troubled homes. The quality and staffing stars look fine on paper. The survey history is what a family should actually weigh.
Ormsby Post Acute Rehabilitation runs 120 beds and sits in the federal Special Focus Facility program, the list CMS keeps for homes with a persistent pattern of serious problems. The record backs that up: 98 deficiencies, including one at the harm level and 15 tied to abuse, plus a $60,464 fine. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average of 3.86, and weekends drop roughly another 12% below the home's own weekday coverage. Staff turnover is 58% against a 45.8% national figure. The most recent inspection was March 27, 2025, so the picture is current, not stale.
Life Care Center of South Las Vegas is a 120-bed for-profit home that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The inspection history backs that up: 41 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Staffing sits roughly at the national average, and weekend coverage runs about 10% thinner than weekdays. Turnover is 31.4%, well below the national rate, so the same caregivers tend to stay. The catch is that stable staff haven't translated into clean surveys. Strong quality-measure scores don't offset a record this troubled.
Highland Manor of Fallon carries a federal Special Focus Facility designation, which CMS reserves for the homes with the most persistent compliance problems. The record backs that up: 79 deficiencies, including two at the harm or jeopardy level and 11 tied to abuse, plus $90,220 in fines. Nurse staffing sits at 3.06 hours per resident day, about 21 percent under the national average, and weekend coverage drops roughly 12 percent below its own weekday level. Staff turnover of 56.3 percent runs well above the 45.8 percent national figure, and the inspection rating is 1 out of 5. The quality measure score of 4 looks good on paper, but it's measuring resident outcomes, not the conditions that produce them.
Caremeridian runs 36 beds in Reno, and the staffing numbers are genuinely high, 7.86 nurse hours per resident day, roughly double the national average. That matters for daily care, though weekend coverage dips about 9% below its own weekday level. The trouble shows up elsewhere: 49 deficiencies on the current record, including one at the harm level and eight tied to abuse, plus a $68,738 fine and a spot in CMS's Special Focus Facility program, which is reserved for the homes with the worst inspection histories. Annual turnover sits at 60.3% against a national 45.8%, so the people delivering that strong staffing keep changing. The most recent inspection was February 2025.
Lebanon Center runs 110 beds under Genesis Healthcare, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86, and weekends drop about another 10% below what the home manages on weekdays. Thirty deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, along with a $72,924 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections. Annual turnover of 48.6% runs slightly above the national 45.8%. The most recent inspection was August 14, 2025.
The Pines at Medford is a 180-bed for-profit home in Burlington County that federal regulators have placed in the Special Focus Facility program, a designation reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 44 deficiencies, including six at the harm or jeopardy level and four tied to abuse, along with a $165,409 fine. Nurse staffing runs 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 11% below its own weekday level, with turnover at 48.3%. The five-star quality measure score reflects what the home reports on paper; the one-star inspection and staffing ratings reflect what surveyors and hours actually show.
Manahawkin Health and Rehabilitation Center runs a 120-bed for-profit operation, and the staffing numbers tell a story worth sitting with. At 2.81 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop another 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 51.3% tops the national figure, and the inspection record shows 51 deficiencies, four at harm or jeopardy level, with two tied to abuse. Federal fines total $297,722, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection was December 2024.
Sinai Post-Acute runs 430 beds in Newark, and its nursing hours come in at 2.79 per resident day, roughly 28% under the national average of 3.86. Weekends are thinner still, about 7% below its own weekday levels, so the coverage gap families notice on a Saturday isn't imagined. The inspection record is where the real trouble sits: 44 deficiencies, six of them serious enough to put residents in harm's way, two tied to abuse, and a single $329,910 fine. Last inspection was June 2025. Turnover at 33.6% is actually better than the 45.8% national figure, which tells you staff aren't fleeing, but with that many problems on the books, ask hard questions before choosing it.
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?