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.
Clayton Rehabilitation and Healthcare Center runs on thinner nurse staffing than most homes in the country, about 3.11 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 14% below what the building staffs on weekdays. That gap matters because turnover sits at 77.8%, well above the 45.8% national figure, meaning the aides and nurses who do show up are often new to the job and to these residents. The inspection record backs that up: 38 deficiencies on file, two serious enough to put residents in harm's way, and a single fine of $166,075. One star for health inspections and one for staffing, with quality measures landing at three. It's individually owned and for profit.
Biltmore Haven runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop further from there. That thin coverage sits alongside a 71.4% annual turnover rate, well above the 45.8% national figure, so the staff who are there are often new. The inspection record is the harder problem: 50 deficiencies, 7 of them at harm or jeopardy level, 2 tied to abuse, and $189,174 in fines across three penalties. CMS placed this for-profit LLC home in its Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was May 1, 2025.
Rockwell Park runs leaner on nursing hours than the typical American nursing home, about 3.49 per resident day against a national figure near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. That gap matters, since families often visit Saturday and Sunday. Staff turnover sits at 60.2%, well above the 45.8% national average, so the people caring for residents change often. Its inspection record carries 34 deficiencies, including 8 at harm or jeopardy level and 4 tied to abuse, plus seven CMS fines totaling $338,513. The federal government has placed it in the Special Focus Facility program, its most recent inspection was March 27, 2026, and it's a for-profit corporation.
Sunset Drive is a 128-bed nonprofit home in Mandan, and the numbers tell a hard story. Nurse staffing sits at 3.57 hours per resident day, about 8% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The bigger problem is the inspection record: 69 deficiencies, including two at the harm level and eight tied to abuse, plus $42,226 in fines, and CMS has placed the home in its Special Focus Facility program. Staff turnover of 64.5% is well above the 45.8% national figure, meaning caregivers cycle through quickly.
Good Samaritan Society - Larimore carries the kind of record that makes families ask hard questions. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends run roughly 8% thinner than weekdays, meaning the coverage gaps show up exactly when backup is hardest to find. Staff turnover of 78.9% is nearly double the national rate, so residents cycle through a lot of unfamiliar faces. On top of that, CMS counts 49 deficiencies, including three at the harm or jeopardy level and two tied to abuse, with $119,935 in fines and placement in the Special Focus Facility program. That program is reserved for homes with a persistent pattern of serious problems.
Souris Valley Care Center is a 46-bed nonprofit home in Velva, and the federal numbers are rough across the board. Nurse staffing sits at 3.42 hours per resident day, about 12% under the national average, and it thins out further on weekends, roughly 13% below the home's own weekday level. Staff turnover runs 63.4%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 28 deficiencies, five of them at harm or jeopardy level and two tied to abuse. Four fines total $175,053, and CMS has placed the home in its Special Focus Facility program.
Garrison Mem Hosp Nsg Fac runs 4.34 nurse hours per resident day, about 12% above the national average, and that staffing shows up in its four-star staffing rating. The catch is consistency: weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 66.7% against a national 45.8%, well over half the nursing staff leaving each year. Its current record carries 24 deficiencies, none at the harm level but one tied to abuse, and the two-star health inspection rating reflects that. Church-affiliated nonprofit ownership on 26 beds. The nurses are there in numbers, but keeping them is the problem.
Luxe Rehabilitation and Care Center is a 172-bed for-profit home in Lancaster, and the federal numbers paint a rough picture. Nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86, with weekends running roughly 7 percent thinner than weekdays. Staff turnover is 49.2 percent, higher than the 45.8 percent national figure. What stands out most is the inspection record: 99 deficiencies, 6 at harm or jeopardy level, and 11 tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A 5/5 quality measure score doesn't offset a 1/5 inspection rating and a 1/5 staffing rating, and $70,768 in fines backs that up.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
Warren Nursing & Rehab runs a for-profit limited liability operation with 107 certified beds, and the raw staffing numbers look solid at first glance, 5.32 nurse hours per resident day, well above the national average of 3.86. But weekends dip about 17% below the home's own weekday coverage, and annual turnover sits at 53.2% against a national 45.8%, meaning the aides and nurses caring for residents are cycling through fast. The bigger problem is the inspection record: 61 deficiencies on file, five of them serious enough to put residents in harm's way, four fines totaling $26,448, and a spot in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Medina Center runs 3.18 nurse hours per resident day, roughly 18 percent under the national figure, and weekends drop about 14 percent below its own weekday staffing. Annual turnover sits at 72.1 percent against a national average of 45.8, so the people providing care change often. The record shows 100 deficiencies, four at harm or jeopardy level and eight abuse-related, plus $136,807 in fines, and CMS has placed the home in its Special Focus Facility program. Its quality measure stars look strong, but that measure reflects resident health outcomes rather than the inspection and staffing problems underneath them. An inspection in February 2025 is the most recent.
Aventura At Assumption Village runs on thinner nurse coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and it gets worse on weekends, when staffing drops roughly 9% below its own weekday level. Annual turnover sits at 52.5%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record lists 49 deficiencies, three of them serious enough to involve harm or jeopardy, though none are abuse-related; a single fine of $14,680 is on file. The most recent inspection was December 19, 2024. For-profit corporate ownership out of North Lima, 150 beds. The quality measure score looks good on paper, but that's a survey-based number, not a staffing one.
Continuing Healthcare Of Cuyahoga Falls runs 98 beds under for-profit LLC ownership, and the staffing numbers are what stands out first: 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. That gap matters when you're deciding which day to visit. The inspection record is heavier still, 93 deficiencies, two at harm or jeopardy level, seven tied to abuse, and four fines totaling $178,725. Annual turnover sits at 77.1% against a national 45.8%, meaning the aide who knows your mother this month may not be there the next. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
The Merriman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops about 12% below its own weekday levels. Staff turnover sits at 64.9% against a national 45.8%, so the people caring for residents are, more often than not, new to the building. Its inspection record carries 65 deficiencies, three of them at the harm or jeopardy level and six tied to abuse; two fines total $134,475, with the most recent inspection in January 2025. A 4/5 on quality measures doesn't offset a 1/5 on staffing and 1/5 on inspections. The corporate owners profit while the floor stays thin.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.
Sapphire Rehabilitation and Care Center is a 113-bed for-profit home in Columbus, and the federal numbers are not kind. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and it thins out further on weekends. The bigger problem is turnover: 78.6% annually, against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year.
Its inspection record shows 87 deficiencies, including 8 at the harm or jeopardy level and 4 tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, and fines total $337,273. The quality measure score looks decent, but that's generated from resident assessment data, and it doesn't outweigh a documented staffing and safety record like this.
Canfield Healthcare Center runs 90 beds in Youngstown under corporate ownership, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident per day against a national average of 3.86, with weekends running about 12% thinner than weekdays already are. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters because that's roughly half the workforce cycling out in a year.
The inspection record is where things get serious. Fifty-four deficiencies, four at harm or jeopardy level, seven tied to abuse, and $211,331 in fines. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers. The 4/5 quality measure rating reflects resident assessments; the 1/5 on both inspections and staffing tells you what those numbers don't.
Addison Heights runs on 3.28 nurse staffing hours per resident day, roughly 15% under the national average, and weekends drop about 14% below its own weekday levels. Turnover sits at 69.5% against a national 45.8%. Those numbers have consequences: 78 deficiencies on record, including one at harm or jeopardy level and five tied to abuse, and CMS has placed the home in its Special Focus Facility program. The 5/5 quality measure score stands out against 1/5 staffing and inspection ratings, a split worth asking about directly. The last inspection was September 15, 2025.
Salem West Healthcare Center runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends dip another 11% below its own weekdays. Annual turnover sits at 56.1%, well above the 45.8% national figure, so the people left are often the newest. The inspection record is the real problem: 52 deficiencies, two at harm or jeopardy level, five tied to abuse, and a one-star health inspection rating. CMS has placed it in the Special Focus Facility program, its most serious watch list for homes with a pattern of persistent problems. A five-star quality measure score doesn't offset that, especially since those measures lean on self-reported data.
Cridersville Nursing and Rehab is a 50-bed for-profit home in Auglaize County, and the staffing numbers are the first thing I'd want you to see. Nurses provide 3.22 hours per resident per day, about 17% under the national average, and weekends run thinner than weekdays. That matters because turnover sits at 78.2%, well above the 45.8% national figure, so the people at the bedside keep changing.
The inspection record is where it gets serious: a 1-out-of-5 health inspection rating, 37 deficiencies, five at the harm or jeopardy level, and two tied to abuse. Three fines totaling $112,610. The quality measure rating looks better, but that's mostly self-reported data. Ask about direct-care staffing on evenings and weekends before you decide anything.
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?