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.
Onyx Wellness Center runs 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends drop about 8% below its own weekday staffing. That gap matters because 69.4% of staff left over the past year, against a national average near 46%. The inspection record shows 25 deficiencies, four at harm or jeopardy level, one tied to abuse, and two fines totaling $109,654; the most recent inspection was March 5, 2026. Its quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.
Embassy Of Tunkhannock carries a federal Special Focus Facility designation, which CMS reserves for homes with a persistent record of poor care, and the numbers behind that status are hard to argue with. Fifty-seven deficiencies sit on the current record, five of them serious enough to involve harm or jeopardy to residents, and five tied to abuse. Nurse staffing runs about 20% below the national average, weekends dip below weekdays, and over half the nursing staff turned over in a year. A for-profit LLC operates the 124-bed building, and CMS has logged two fines totaling $103,502. The most recent inspection was January 30, 2026.
Armstrong Rehabilitation and Nursing Center is a 113-bed for-profit in Kittanning, and the numbers here deserve a close look before you consider it. The staffing rating sits at 1 out of 5, and the inspection record shows 106 deficiencies, including three at the level where residents were actually harmed or put in immediate jeopardy and twelve tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems, and there are three fines totaling $29,346. The most recent inspection was in December 2025, so the record is current. When staffing is thin and the deficiency list is this long, the day-to-day experience for residents tends to reflect it.
Kadima Rehabilitation & Nursing At Palmyra carries 72 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse. That's a lot for a 39-bed home, and it's why CMS has placed it in the Special Focus Facility program, the designation reserved for the homes with the most persistent problems. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 8% thinner than weekdays. Staff turnover is 63% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. One fine totaling $30,884 is on file.
Spring Hill Rehabilitation and Nursing Center is a 100-bed for-profit home in Pittsburgh, and the federal numbers behind its grade are hard to read any other way. CMS has cited 146 deficiencies on the current record, including 12 tied to abuse and four serious enough to put residents in immediate harm or jeopardy. Staffing sits at one star, well below what CMS expects. Drugstore fines total $19,366 across three penalties. The home is in CMS's Special Focus Facility program, meaning the agency tracks it for persistent trouble. The inspection in May 2026 is recent, but the record behind it is long. Families should ask hard questions before choosing this one.
Wecare At Monroeville Rehabilitation And Nsg Ctr carries a record that's hard to look past. The home has 73 deficiencies on file, five of them serious enough to cause harm or put residents in jeopardy, and eight tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Two fines totaling $232,130 have been levied.
Staffing sits at 2.87 nurse hours per resident per day, well under the national average. Weekends run thinner than weekdays, when coverage already isn't strong. The most recent inspection in April 2026 confirms the pattern rather than resolving it. If you're weighing this one, ask the administrator directly what's changed since CMS flagged it.
Providence Health & Rehab Center runs 180 certified beds under for-profit LLC ownership, and its staffing sits about 15% under the national average at 3.27 nurse hours per resident day. Weekends dip roughly 8% below its own weekday coverage, so the thinnest shifts land when families often visit. The inspection record is the heavier concern: 91 deficiencies, three at harm or jeopardy level, and 17 tied to abuse. Eleven fines total $45,593, and the most recent inspection was August 2025. Turnover at 41.7% is slightly better than the 45.8% national figure, which is the one number here working in its favor.
Heritage Care Center is a 143-bed for-profit home in Pittsburgh that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent inspection problems. The record backs that up: 114 deficiencies, including seven tied to abuse and two at the level where residents were actually harmed or put in jeopardy. Staffing sits at 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends running about 12% thinner than weekdays. Turnover is 60.2%, well above the national 45.8%, meaning the aides and nurses who know your family member are likely to leave within the year.
Southwestern runs on 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 7% below its own weekday levels. Staff turnover sits at 65.4% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 56 deficiencies, four serious enough to put residents in harm or jeopardy and three tied to abuse. Add a $60,520 fine and a January 2025 inspection, and the pattern is a for-profit home running lean on the people who do the daily work, with a documented history of things going wrong.
Maple Heights runs 301 beds in Ebensburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and weekends drop about 8 percent below what the home staffs on weekdays. Staff turnover is 50.4 percent, so half the people caring for residents in a given year are gone by the next. On inspections, CMS has cited 115 deficiencies, including 5 at the harm or jeopardy level and 10 tied to abuse; three fines total $76,416, and the home sits in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The most recent inspection was November 2025.
Burgh Care Center is a for-profit, 126-bed home in Pittsburgh that the federal government has flagged for its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Its inspection history backs that up: 120 deficiencies on the current record, including five at the harm or jeopardy level and 14 tied to abuse, plus $347,202 in fines across three cases. Nurse staffing runs about 12% below the national average, weekends dip further, and turnover sits at 51.4%, well above the 45.8% norm. A recent inspection in April 2026 doesn't erase a pattern this deep. Worth asking hard questions before considering it.
Adviniacare Orchard in East Providence runs 166 beds under corporate ownership, and its staffing picture is genuinely mixed. Total nurse hours come to 4.20 per resident day, about 9% above the national average, yet weekends drop roughly 16% below the home's own weekday coverage, and CMS rates staffing at just one star. Turnover sits at 20.2%, well under the national 45.8%, so the people who are there tend to stay. The trouble is compliance: 58 deficiencies on the current record, 11 of them at harm or jeopardy level, two abuse-related, and $103,744 in fines across five penalties. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was June 26, 2025.
Adviniacare Oakland Grove runs 178 beds in Woonsocket under corporate for-profit ownership, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day, with weekends dipping roughly 8% below its own weekday levels. Turnover is where it beats the pack, 36.5% against a national 45.8%, which matters, since consistent caregivers tend to know residents' routines.
The inspection record is the harder read. Forty-three deficiencies are on file, six of them serious enough to involve harm or jeopardy, seven tied to abuse. Four fines total $111,098, and the most recent inspection was November 25, 2025.
If you're considering this home, ask about weekend coverage and how they've addressed those harm-level findings.
Berkshire Place runs 220 certified beds in Providence under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover runs 47%, slightly above the national figure, which means less continuity for residents who need consistent caregivers. The inspection record is heavier: 38 deficiencies, six at harm or jeopardy level, four tied to abuse, and 11 fines totaling just under $60,000. Its last inspection was September 2025. All three CMS star categories land at 2 out of 5.
Adviniacare Summit Commons is a for-profit LLC with 165 certified beds, and its record shows why CMS placed it in the Special Focus Facility program. Inspectors have logged 63 deficiencies, ten of them serious enough to cause harm or jeopardy, with five tied to abuse, plus eight fines totaling $395,990. The health inspection and quality measure ratings both sit at one star, though staffing earns four, and turnover at 33.6% actually beats the national 45.8%. Still, 3.46 nurse hours per resident day runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday coverage. The most recent inspection was March 13, 2025.
Magnolia Manor - Inman runs 2.90 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop about 9% below its own weekday level. Staff turnover sits at 62.2% versus 45.8% nationally, so the people providing that care are leaving faster than usual. Twenty-five deficiencies appear on the current record, six at harm or jeopardy level and five abuse-related, with six fines totaling $94,778. CMS has placed the home in its Special Focus Facility program, and the most recent inspection closed out in August 2025.
Heartland Health Care Center - Greenville East carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Ten deficiencies are on the current record, four of them at the harm or jeopardy level, and the home has paid one fine of $19,105. Staffing runs about 3.07 nurse hours per resident day, roughly 20 percent under the national average, and weekends are thinner still, about 20 percent below its own weekday levels, with turnover at 51.8 percent. The five-star quality measure score looks strong, but that number comes largely from resident assessments the home reports itself, so weigh it against the inspection findings.
Ridgeland Nursing Center runs on 2.76 nurse hours per resident per day, roughly 28% under the national average of 3.86, and weekend coverage drops about 14% below what it manages on weekdays. That thin bench shows in the turnover number: 71.1% of staff leave each year against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record backs that up, a 1-out-of-5 health inspection rating, 24 deficiencies on file including 2 at harm or jeopardy level and 4 tied to abuse. A recent May 2025 inspection at least means the picture is current. For-profit, LLC-owned, with quality measures scoring midrange while staffing sits at the bottom.
Rehab Center Of Cheraw runs 3.03 nurse hours per resident per day, roughly 22 percent under the national average, and weekends are thinner still, about 15 percent below its own weekday staffing. That gap matters because falls, infections, and medication errors don't wait for Monday. The home's record backs up the concern: 13 deficiencies, two serious enough to put residents in harm's way, one tied to abuse, and $64,075 in fines across four penalties. Staff turnover sits at 50.5 percent, above the 45.8 percent national figure, so the people providing care keep changing. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor performance.
Nurse staffing at Johns Island Post Acute works out to 2.85 hours per resident day, roughly a quarter below the national average, and it thins out further on weekends. That matters because the home's record includes 22 deficiencies, five of them serious enough to involve harm or jeopardy, five tied to abuse, plus two fines. The federal government has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and its health inspection rating sits at one star. Annual turnover of 52.2% means more than half the nursing staff leaves within a year.
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?