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.
Beeghly Oaks is a for-profit LLC home in Youngstown with 115 certified beds, and the numbers here are hard to dress up. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and it thins out further on weekends, when coverage drops about 14% below its own weekday level. Staff turnover runs 55.8% a year against a national 45.8%, so the people caring for residents are changing constantly.
The inspection record is the bigger concern: 87 deficiencies, seven serious enough to involve harm or jeopardy, three tied to abuse, and a $187,369 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of persistent problems.
Country Lane Gardens runs on thin staffing: 3.14 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays. That shortfall shows up in the numbers, too. Annual turnover sits at 54.7%, well above the 45.8% national figure, and the home's 101 deficiencies include 8 at the harm or jeopardy level and 14 tied to abuse. Four fines total $318,627, CMS has placed it in the Special Focus Facility program, and the most recent inspection was March 5, 2026. A 5/5 quality measure score stands out against 1/5 marks for staffing and health inspections.
Dublin Post Acute is a for-profit, 120-bed home that federal regulators have placed in the Special Focus Facility program, which is reserved for the small share of nursing homes with a persistent record of serious problems. Its current inspection history shows 82 deficiencies, including six at the harm or jeopardy level and three tied to abuse, along with three fines totaling $197,547. Nurse staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends run roughly 10% thinner than weekdays. Staff turnover is 54.7%, well above the 45.8% national figure, and the most recent inspection was January 26, 2026.
Stellar Care Center runs on thin margins where it counts. The raw staffing number looks fine on paper, 4.17 nurse hours per resident day, a bit above the national average, but weekends drop about 12% below its own weekday level, and 62.5% of staff turned over last year against a national rate of 45.8%. That churn shows up in a 1-out-of-5 health inspection rating and 106 deficiencies on the current record, three of them at the harm or jeopardy level and three tied to abuse. Two fines total $227,850, and CMS has placed this for-profit LLC in its Special Focus Facility program after a January 2026 inspection.
Avenue At Lyndhurst runs 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That schedule gap matters more when turnover sits at 72.4%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record is the harder problem: 59 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 1-out-of-5 inspection rating despite a recent visit in August 2025. Quality measures score 5 out of 5, but strong clinical numbers don't offset thin weekend coverage and a long list of cited problems. It's for-profit, LLC-owned, 102 beds.
Ranchwood Nursing Center carries a staffing burden that shows up in the numbers: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekends running about 11% thinner than weekdays. Staff turnover sits at 73.8% against a national 45.8%, meaning most of the people caring for residents are relatively new, and the current record shows 46 deficiencies, four of them at the harm level and four tied to abuse. Two fines total $168,835, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. The last inspection was September 2025.
South Pointe runs 375 beds in Oklahoma City under for-profit LLC ownership, and its inspection record is the part that matters most: 56 deficiencies on the current record, four of them serious enough to cause harm or jeopardy, ten tied to abuse. CMS has placed it in the Special Focus Facility program, and fines total $202,060 across three penalties. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends run roughly 10% thinner than weekdays. Annual turnover of 40.8% is lower than the national 45.8%, which is a genuine bright spot. The quality measure rating is strong, but that data comes from the home's own reporting, the inspection findings are what the state actually observed.
Miami Nursing Center runs 82 certified beds under individual for-profit ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86, with weekends dipping about 6% below its own weekday coverage. Turnover is 42.4%, a bit better than the 45.8% national figure, so the people who stay tend to stay. What stands out is the inspection record: 42 deficiencies, two at harm or jeopardy level and three tied to abuse, plus $33,924 in fines across three penalties. CMS has placed it in the Special Focus Facility program, and its last inspection was August 14, 2025.
First Shamrock Care Center runs on 3.26 nurse hours per resident day, about 16% under the national average, and staffing barely changes on weekends, so the thin coverage you'd see on a Tuesday is roughly what you'd get on a Saturday. Nearly three in four caregivers left over the past year, against a national rate closer to 46%. The inspection record shows 28 deficiencies, including one at the harm level and six tied to abuse, and the most recent inspection was July 2024. Fines total $8,351. Kingfisher families should ask what the abuse-related findings involved and how the home plans to hold onto staff.
Garland Road runs a corporation-owned home of 118 beds in Enid, and the numbers split in a way families should notice. Nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average, with weekends running about 6% thinner than weekdays, and staff turnover lands at 42.2%, slightly better than the 45.8% national figure. The trouble sits in inspections: 33 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, with a one-star health inspection rating. CMS has placed this home in its Special Focus Facility program, meaning the agency itself is tracking it for persistent problems. The most recent inspection was May 6, 2025.
Corvallis Manor runs 135 certified beds under corporate for-profit ownership, and its nurse staffing of 4.95 hours per resident day sits about 28% above the national average of 3.86, a real strength on paper. But the rest of the record works against it: 88 deficiencies, seven at harm or jeopardy level, five abuse-related, and five CMS fines totaling $345,051. Staff turnover hits 61.6% against a national 45.8%, which means residents cycle through caregivers constantly, and weekends run about 11% leaner than weekdays. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes, and its most recent inspection was May 11, 2026.
French Prairie runs 4.39 nurse hours per resident day, about 14 percent above the national average, so the raw staffing number looks better than average. The problem is who's delivering it and how long they stay: turnover is 66.3 percent against a national 45.8, weekend coverage drops roughly 7 percent below weekdays, and CMS gives staffing 2 out of 5 stars. Those aren't abstract numbers, they mean you may not see the same aide twice.
The inspection record is the harder part. Sixty deficiencies on file, including three at the harm or jeopardy level and four related to abuse, with $102,802 in fines. CMS has placed this for-profit LLC in its Special Focus Facility program, and the last inspection was April 2025.
South Hills Rehabilitation Center has more nursing hours per resident than most homes in the country, 4.72 versus a national average of 3.86, but that staffing thins out on weekends, dropping roughly 13% below its own weekday level. The bigger issue is who's providing that care: 67.5% of staff turned over in a year, well above the 45.8% national figure, and CMS has placed this for-profit home in its Special Focus Facility program. Its inspection record shows 66 deficiencies, including 9 tied to abuse and 2 serious enough to cause harm, plus $108,108 in fines. A 1-out-of-5 inspection rating and a recent August 2025 visit round out a record worth reading closely before you decide.
Cascade Terrace is a for-profit LLC with 105 beds, and it's staffed better than most: 4.69 nurse hours per resident day against a national average of 3.86. Weekend coverage slips about 7% below its own weekday level, and turnover sits at 47.1%, roughly in line with the national 45.8%. The problem isn't the floor, it's the record. Forty-six deficiencies, including four at harm or jeopardy level and four tied to abuse, plus $185,923 in fines across two cases. That's why CMS placed it in the Special Focus Facility program. The most recent inspection was April 28, 2025. Good staffing can't offset that inspection history on its own.
Saint Helens Post Acute has real staffing depth, 4.21 nurse hours per resident day, about 9% above the national average, but the inspection record undercuts it. Seventy-six deficiencies are on file, two of them at the level where a resident was actually harmed or put in immediate jeopardy, and eleven tied to abuse. CMS has placed the home in its Special Focus Facility program, which only happens when problems persist across surveys rather than showing up once.
Staff turnover sits at 58.5% against a national 45.8%, so the people providing that above-average coverage are cycling out faster than usual, and weekend hours run 7% thinner than weekdays. Two fines totaling $43,525 are also on record. Quality measures look strong at 5/5, but a single star for health inspections tells you where the trouble lives.
Tigard Rehabilitation and Care has one clear strength: nurse staffing runs about 5.08 hours per resident day, roughly a third above the national average, though weekend coverage dips about 7% below its own weekday levels. That staffing isn't holding the rest together. The home carries 44 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, plus $69,509 in fines across three penalties, and CMS has placed it in the Special Focus Facility program, its lowest inspection rating. Staff turnover sits at 58.6% against a national 45.8%, so the people providing that above-average care keep leaving.
Squirrel Hill Wellness and Rehabilitation Center is a 178-bed for-profit home in Pittsburgh, and the federal numbers behind its record are hard to dress up. Since its last inspection in February 2025, CMS has logged 108 deficiencies, 14 tied to abuse and 5 serious enough to put residents in immediate harm, along with two fines totaling $184,782. It sits in the Special Focus Facility program, the government's list for homes with a pattern of persistent problems. Staffing is the other warning sign: one star, well below what you'd want for 178 residents. Ownership is corporate and for-profit. If you're considering this one, ask directly what's changed since February.
Embassy of Saxonburg has a serious compliance problem. Federal inspectors have cited 64 deficiencies, including three that put residents in immediate harm and seven tied to abuse, enough to land it in CMS's Special Focus Facility program, which tracks the worst-performing homes in the country, and to draw $339,073 in fines. Staffing sits about 13% under the national average at 3.36 nurse hours per resident day, and the 52% annual turnover means the aides and nurses working weekends, already 4% leaner than weekdays, are often new. The quality star rating looks decent, but a one-star inspection record with abuse citations on file is the part that matters most.
Embassy Of Scranton carries 84 deficiencies on its current record, including two at the harm or jeopardy level and seven tied to abuse. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which it is. It's owned by a for-profit limited liability company and holds 139 certified beds. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends about 4% thinner than weekdays. Turnover is 47.5%, just above the national figure of 45.8%. Two fines totaling $33,670 are also on record. The quality measure rating sits at three stars, but the inspection record is where the real story is.
Wecare At South Hills runs about 18% below the national average on nurse staffing, at 3.15 hours per resident day, and weekend coverage slips roughly 6% below what it manages during the week. Staff turnover sits at 65.4%, well above the 45.8% national figure, which means the people caring for residents are changing constantly. The deficiency record is the part that should get your attention: 66 total, four serious enough to involve harm or jeopardy, and eight tied to abuse. CMS has placed this home in its Special Focus Facility program and fined it $32,386. Its most recent inspection was January 23, 2026.
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?