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.
Wells LTC Nursing & Rehabilitation has a staffing story that looks better than most, 4.82 nurse hours per resident day, roughly a quarter above the national average, but the rest of the record undercuts it. The home carries 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Staff turnover sits at 52%, higher than the 45.8% national figure, and weekend coverage runs about 7% thinner than weekdays. Three fines totaling $34,428 are on record, with the last inspection in December 2025.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
If you're considering Epic Nursing & Rehabilitation in Corsicana, the numbers are hard to get around. Nurse staffing sits at 2.89 hours per resident per day, roughly a quarter below the national average, and it thins out further on weekends, not what you want at a 119-bed home. The record shows 45 deficiencies, five of them serious enough to involve harm or jeopardy, eight tied to abuse. Staff turnover runs 54.5%, well above the national figure, which means the people caring for residents are often new. CMS has placed this home in its Special Focus Facility program, reserved for the poorest performers. Two fines totaling $31,233 are on file, with the most recent inspection in February 2025.
Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.
Ignite Medical Resort El Paso runs 60 certified beds under corporate for-profit ownership, and the numbers worth knowing sit in two places. Nurse staffing averages 3.24 hours per resident day against a national average of 3.86, and weekends run about 12% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The inspection record carries 45 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $67,425 fine. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers, and the most recent inspection dates to June 2024. Ask about weekend coverage and the correction plan before deciding.
Terra Bella runs about 3.36 nurse staffing hours per resident day, roughly 13 percent under the national average, and it leans thinner on weekends than weekdays. Staff turnover sits at 61.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. On inspections, CMS has cited 44 deficiencies, including 12 at the harm or jeopardy level and 3 tied to abuse, with six fines totaling $181,644 and a spot in the Special Focus Facility program, which CMS reserves for homes with a persistent record of serious problems. The most recent inspection was March 26, 2026.
Mission Ridge runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 9% below its own weekday numbers. That's thin coverage even before you factor in turnover near 97%, more than double the national rate, meaning most of the people caring for your family member probably weren't there a year ago. The inspection record backs this up: 25 deficiencies, three of them serious enough to put residents in harm's way, one abuse-related, and $37,698 in fines. A for-profit LLC in Refugio County, 90 beds, last inspected February 2026. The quality measures look average on paper, but staffing is where this home falls apart.
Lakeside Health and Wellness runs 124 certified beds in Kemp under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. Total nurse staffing sits at 2.66 hours per resident day, roughly a third below the national average, and weekends run thinner still. Annual turnover of 75.4% means most of the people caring for residents weren't there a year ago, compare that to the national rate of about 46%.
Then there's the inspection record: 59 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, with five fines totaling $195,593. The most recent inspection was in January 2026.
The quality measure score is high, but strong numbers on paper don't fix a thin, constantly changing staff.
Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.
Nurse staffing at The Woods at Sparta runs 3.00 hours per resident day, about 22 percent under the national average, and weekends drop roughly another 22 percent below the home's own weekday coverage. That thin margin shows up in the numbers: 21 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, plus two fines totaling $13,325. Staff turnover sits at 51.5 percent against a national 45.8 percent, so the people providing care keep changing. The last inspection was December 11, 2025, and the federal ratings land at 2 stars for health inspections and 1 star each for quality measures and staffing. It's a for-profit corporation operating 71 certified beds. If you're considering this one, ask directly how they cover weekends and what's changed since that December inspection.
Axiom Healthcare of Rosiclare runs 62 certified beds under corporate ownership, and the staffing picture is the first thing worth knowing: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below what the home staffs on weekdays. Turnover at 42.1% is slightly better than the national figure, which helps, but it doesn't offset a record with 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,266 in fines across two penalties. The most recent inspection closed in December 2025, so the findings are current rather than stale. Quality measures score low, and staffing scores lowest of all.
Carter Nursing and Rehabilitation runs 120 beds in Grayson under corporate ownership, and the numbers behind its federal record are worth knowing before you visit. Nurse staffing sits at 3.21 hours per resident day against a national average of 3.86, weekend coverage drops about 21% below its own weekday level, and annual turnover hits 68.5%, well above the 45.8% national figure. Inspections tell a similar story: 18 deficiencies on the current record, four of them at harm or jeopardy level and five abuse-related, with three fines totaling $105,165. That record, combined with a one-star inspection and staffing rating, is what drives the low overall grade. Ask direct questions about who's on the floor on weekends and how the abuse findings were resolved.
Christian Heights runs on 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends drop about a fifth below its own weekday staffing. That thin coverage is compounded by 62.5 percent annual turnover, well above the 45.8 percent national figure, so the aides and nurses around your family member are frequently new. Federal inspectors cited five deficiencies on the current record, including one at the harm level and one related to abuse. CMS gives this for-profit LLC-owned home one star for staffing and one for quality measures, with three for health inspections after a March 2026 visit. Ask directly how weekends are covered and what changed since that abuse citation.
Jefferson Healthcare Center runs 222 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing that stands out: 3.13 nurse hours per resident day against a national average of 3.86, with weekends running roughly 17% thinner than weekdays. That shortfall shows up in the turnover rate too, 62.4% of staff leaving annually, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The inspection record carries 41 deficiencies, 5 of them abuse-related, though none reached the harm or jeopardy level. A 2/5 inspection rating, 1/5 on quality measures, and last inspection in April 2026 round out a picture worth discussing directly with the administrator.
Nurse staffing at Legacy runs 2.95 hours per resident day against a national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage matters more when you look at the inspection record: 49 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, with $245,413 in fines across three penalties. Turnover sits at 36.5%, better than the 45.8% national figure, though steady retention can't offset a floor that's short-staffed to begin with. The last inspection was January 29, 2026, so the record is current. It's a 151-bed for-profit LLC.
Legacy Nursing and Rehabilitation of Morgan City runs 88 certified beds as a for-profit corporation, and the staffing numbers are the first thing to look at: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekend coverage dropping about 20% below its own weekday levels. Turnover sits at 50.7%, above the 45.8% national figure, which matters when aides and nurses are the people actually in the building. The inspection record is heavier than you'd want, 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $109,359 in fines. The most recent inspection was August 2025, so the picture is fairly current, not stale.
Golden Age runs 175 beds in Denham Springs under limited liability ownership, and the numbers show where the strain sits. Nurse staffing of 3.31 hours per resident day trails the national average by roughly 14%, weekend coverage drops about 17% below its own weekday level, and annual turnover of 52.4% means more than half the nursing staff leaves each year. The current record holds 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus $8,044 in fines. Federal quality and staffing measures both sit at one star, though the health inspection rating is a three and the most recent survey came in March 2026.
The Guest House Care Center runs on 2.89 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 17 percent below what it manages during the week. Staff turnover sits at 55.4 percent, nearly ten points above the national figure, so residents see a rotating cast of caregivers. Inspectors wrote up 26 deficiencies on the current record, two serious enough to put residents in harm's way and one involving abuse, with $33,001 in fines across three penalties. Ownership is corporate and for-profit, and the last inspection was April 30, 2025. The federal staffing rating of 1 out of 5 reflects what those hours look like at the bedside.
Vantage Health & Rehab of New Bedford runs on 2.45 nurse hours per resident per day, roughly a third below the national average, and weekends are thinner still, about 23% less coverage than weekdays. Staff turnover sits near 70%, well above the 45.8% national figure, which means the people caring for residents are often new and still learning the building. The record shows 31 deficiencies, including one at the harm level and three tied to abuse, plus a $9,318 fine. Ownership is for-profit through a limited liability company, and the most recent inspection was in February 2026. Low staffing, high turnover, and a serious deficiency record usually travel together.
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?