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.
Red Cliffs runs 3.46 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. The bigger problem is who's still there to provide that care: annual turnover hits 73.8%, well above the 45.8% national figure. Inspectors have cited 63 deficiencies, 11 of them at harm or jeopardy level and 9 tied to abuse, with a $153,114 fine and a June 2024 inspection on record. CMS has placed the home in its Special Focus Facility program, a designation reserved for the country's poorest performers. A for-profit LLC operates it.
Monument Healthcare South Salt Lake is a 140-bed hospital-district home that the federal government has flagged for its Special Focus Facility program, a designation reserved for the homes with the most persistent compliance problems. The record backs that up: 57 deficiencies, nine of them serious enough to endanger residents, six tied to abuse, and two fines totaling $36,546. Its last inspection was in June 2025.
Nursing hours come in slightly under the national average, and weekends run about 15% thinner than weekdays, when supervision is already stretched. The quality-measure score looks good on paper, but that number reflects resident assessments, not the day-to-day care and oversight problems regulators keep finding here. Staff turnover sits just above the national rate.
Premier Rehab And Healthcare At Burlington runs 164 certified beds under for-profit LLC ownership, and its nurse staffing averages 4.16 hours per resident day, roughly 8% above the national average of 3.86. That number looks fine until you notice weekends drop about 9% below the home's own weekday level, and annual turnover sits at 70.4% against a national average of 45.8%. The inspection record is where the real weight lands: 34 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $137,679. The last inspection was December 17, 2025. Staffing above average, but a churning workforce and a serious deficiency pattern tell the fuller story.
St. Johnsbury Health & Rehab runs a for-profit operation under a limited liability company, and the numbers tell a split story. Nurse staffing averages 4.63 hours per resident day, roughly 20% above the national average, but weekends dip about 13% below weekday levels and annual turnover sits at 74.1% against a national 45.8%, so the coverage looks better on paper than it likely feels day to day.
The inspection record is where things get serious: 71 deficiencies on file, nine at harm or jeopardy level, nine abuse-related, and $314,323 in fines. CMS has placed the home in its Special Focus Facility program, and the most recent inspection was January 28, 2026.
Springfield Health & Rehab runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.88 hours per resident day, essentially dead even with the national average of 3.86. That parity disappears on weekends, when coverage drops roughly 15 percent below the home's own weekday levels. Annual staff turnover of 69 percent is well above the 45.8 percent national figure, which matters most when you consider that 77 deficiencies sit on the current record, including 18 at the harm or jeopardy level and 9 tied to abuse. Two CMS fines total $354,247, and the home is currently in the Special Focus Facility program.
Guggenheimer Health and Rehab Center runs 130 beds in Lynchburg under for-profit LLC ownership, and the numbers split sharply depending on where you look. The quality measure score is strong, but nurse staffing sits at 3.38 hours per resident day against a national average of 3.86, and weekends drop about 9% below the home's own weekday level. Turnover tells the harder story: 65.6% of staff leave annually, well above the 45.8% national figure. Inspections back that up, a 1-out-of-5 health inspection rating and 54 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a $76,681 fine. The most recent inspection was October 2024. Strong clinical metrics on paper don't offset thin, unstable staffing.
Seven Hills runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 12 percent below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The inspection record is the harder read: 83 deficiencies, including 11 tied to abuse and 6 serious enough to put residents in immediate harm, with $235,850 in fines and nothing inspected since August 2023. Annual turnover of 50.6 percent means roughly half the nursing staff leaves each year, so the people caring for your family member are often new and still learning the building. The quality measure score looks decent, but that's self-reported data, and it sits on top of a staffing and oversight picture that is not.
Henrico Health & Rehabilitation Center carries 77 deficiencies on its current record, including 10 at the harm or jeopardy level and 8 tied to abuse. That combination is what put it in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Staffing sits right at the national average of 3.86 nurse hours per resident day, but weekends run about 14% thinner than weekdays, and turnover is 49.5% against a national 45.8%. Three fines total $260,247. The last inspection was January 15, 2026, so the record is recent. For-profit, limited liability ownership. The numbers describe a home with persistent quality and safety concerns, not a one-time lapse.
Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.
Ashland Nursing and Rehabilitation carries a staffing level of 3.02 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% thinner than its own weekdays. Turnover sits at 57.6% against a national 45.8%, so the aides and nurses who do show up are often new. On its current record: 169 deficiencies, including 2 at the harm level and 14 tied to abuse, plus placement in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The last inspection was February 2024. For a 190-bed for-profit building, that combination of thin coverage, churning staff, and that many citations is the whole story.
Bremerton Trails Post Acute runs 125 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.45 hours per resident day, roughly 11 percent under the national average, with weekends running another 11 percent leaner than weekdays, and annual turnover of 54.5 percent against a national 45.8 percent means the people providing that care keep changing. The inspection side is where it gets serious: 105 deficiencies on the current record, including five at the harm or jeopardy level and six tied to abuse, plus $174,068 in fines and a place in CMS's Special Focus Facility program. A 1-out-of-5 inspection rating with a November 2025 survey date tells you regulators are watching closely.
Spokane Health & Rehabilitation runs 125 certified beds under for-profit LLC ownership, and the staffing numbers tell a story. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. Annual turnover of 64.4% against a national 45.8% means the aides and nurses caring for your family member are, more often than not, new to the building.
The inspection record is the harder truth. Ninety-eight deficiencies, including six at the harm or jeopardy level and eight tied to abuse, with three fines totaling $137,457. CMS has placed this home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes.
Woodard Creek runs 152 beds under for-profit LLC ownership, and its nurse staffing sits barely above the national average, 3.89 hours per resident day against 3.86, while weekends drop roughly 12% below its own weekday levels. The bigger issue is who stays: annual turnover hits 71.8%, well above the 45.8% national figure, and CMS gives staffing just 2 of 5 stars. Its inspection record shows 77 deficiencies, including one at harm or jeopardy level and 13 tied to abuse, with a $12,735 fine and a June 2025 inspection. Quality measures rate 4 of 5 stars, but that's the outlier here, not the pattern.
Mountain View Care Center is a 120-bed for-profit home in Ripley, and the staffing numbers are the first thing I'd want you to see. At 3.03 nurse hours per resident day, it runs about 21% below the national average, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 50.5%, above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. That record includes 59 deficiencies, one at the harm level and two tied to abuse, plus a $34,496 fine. The most recent inspection was February 2025.
Brightwood Center runs 115 certified beds in Follansbee under corporate for-profit ownership, and the staffing numbers are the first thing to look at. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly another 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 60.4% against a national 45.8% means the aides and nurses caring for your relative are often new to the building. CMS has placed this home in its Special Focus Facility program, and the inspection record shows why: 50 deficiencies, three at harm or jeopardy level, three abuse-related, and a $65,274 fine.
Summers Healthcare Center runs 3.07 nurse hours per resident day, about a fifth below the national average of 3.86, with weekends dipping roughly 11% below its own weekday staffing. That thin coverage sits behind a one-star inspection record carrying 62 deficiencies, four of them at harm or jeopardy level and one tied to abuse, plus $179,295 in fines. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. Turnover at 43.5% is slightly better than average, but it doesn't offset what inspections found.
Bluestone Health and Rehabilitation is a 60-bed for-profit home in Bluefield, and the numbers here deserve your full attention before you tour. Nurse staffing sits at 2.98 hours per resident per day, roughly a quarter below the national average, and weekends run about 12 percent thinner than weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the harder problem: 77 deficiencies on file, including four at the harm or jeopardy level and four tied to abuse, with two fines totaling $76,979. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Ingleside Manor runs 74 deficiencies on its current record, six of them serious enough to cause harm or jeopardy and six tied to abuse. That record, plus four fines totaling nearly $200,000, is why CMS placed this Mount Horeb nonprofit in its Special Focus Facility program, a designation reserved for the country's worst-performing homes. The staffing numbers look better than they are: 4.15 nurse hours per resident day sits about 7% above the national average, but weekend coverage drops roughly 13% below the home's own weekday level, and annual turnover of 80.6% is nearly double the national rate. Inspectors were last on site October 13, 2025.
The nurse staffing here runs about 3.65 hours per resident day against a national average of 3.86, so it's understaffed on paper before you get to weekends, which dip roughly 10% below the facility's own weekday level. Annual turnover sits at 60.3% compared to 45.8% nationally, meaning more than half the nursing staff leaves each year. Fifty-five deficiencies sit on the current record, ten of them at the harm or jeopardy level and twelve abuse-related, with six fines totaling $182,024, and CMS has placed Evansville Manor in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. A 4/5 quality measure rating doesn't offset a 1/5 inspection rating.
Edenbrook Sheboygan runs on 3.26 nursing hours per resident day, about 16% under the national average, and weekend coverage drops roughly 12% below what the home manages on weekdays. Staff turnover sits at 55.1% against a 45.8% national average, so nearly half the nursing team is new each year, which matters more when you're relying on that team for daily care. The inspection record is where things get serious: 37 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with $202,946 in fines across three penalties. The most recent inspection was April 2025. Corporate-owned, 121 beds.
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?